WorldWideScience

Sample records for replace current impact

  1. Current concepts in total femoral replacement.

    Science.gov (United States)

    Ramanathan, Deepak; Siqueira, Marcelo Bp; Klika, Alison K; Higuera, Carlos A; Barsoum, Wael K; Joyce, Michael J

    2015-12-18

    Total femoral replacement (TFR) is a salvage arthroplasty procedure used as an alternative to lower limb amputation. Since its initial description in the mid-20(th) century, this procedure has been used in a variety of oncologic and non-oncologic indications. The most compelling advantage of TFR is the achievement of immediate fixation which permits early mobilization. It is anticipated that TFR will be increasingly performed as the rate of revision arthroplasty rises worldwide. The existing literature is mainly composed of a rather heterogeneous mix of retrospective case series and a wide assortment of case reports. Numerous TFR prostheses are currently available and the surgeon must understand the unique implications of each implant design. Long-term functional outcomes are dependent on adherence to proper technique and an appropriate physical therapy program for postoperative rehabilitation. Revision TFR is mainly performed for periprosthetic infection and the severe femoral bone loss associated with aseptic revisions. Depending on the likelihood of attaining infection clearance, it may sometimes be advisable to proceed directly to hip disarticulation without attempting salvage of the TFR. Other reported complications of TFR include hip joint instability, limb length discrepancy, device failure, component loosening, patellar maltracking and delayed wound healing. Further research is needed to better characterize the long-term functional outcomes and complications associated with this complex procedure.

  2. Current concepts in total femoral replacement

    OpenAIRE

    Ramanathan, Deepak; Siqueira, Marcelo BP; Klika, Alison K.; Higuera, Carlos A.; Barsoum, Wael K.; Joyce, Michael J

    2015-01-01

    Total femoral replacement (TFR) is a salvage arthroplasty procedure used as an alternative to lower limb amputation. Since its initial description in the mid-20th century, this procedure has been used in a variety of oncologic and non-oncologic indications. The most compelling advantage of TFR is the achievement of immediate fixation which permits early mobilization. It is anticipated that TFR will be increasingly performed as the rate of revision arthroplasty rises worldwide. The existing li...

  3. [Interventional mitral valve replacement. Current status].

    Science.gov (United States)

    Lutter, G; Frank, D

    2016-02-01

    Approximately 30 % of patients suffering from severe valvular heart disease, such as mitral valve regurgitation are non-compliant to the gold standard of minimally invasive surgery, reconstruction or valve replacement. The number of these mostly old patients with severe comorbidities is increasing; therefore, transcatheter interventions have been developed to address an unmet clinical need and may be an alternative therapeutic option to the reference standard. Apart from the successful MitraClip therapy, alternative transcatheter reconstruction technologies are being developed. As with transcatheter aortic valve implantation (TAVI) procedures, the off-pump implantation of a valved stent into the mitral position mainly via a transapical approach will be of great benefit. Recently, the feasibility of transcatheter mitral valved stent implantation in high-risk patients has already been reported.

  4. Current topics in the radiology of joint replacement surgery

    Energy Technology Data Exchange (ETDEWEB)

    Weissman, B.N. (Harvard Medical School, Boston, MA (USA))

    1990-09-01

    Several methods of total hip joint replacement are currently used. Radiographic appearances after cemented, bone ingrowth, press-fit, and bipolar hip prostheses are reviewed. The roles of nuclear medicine and arthrographic procedures for identifying complications are discussed. Total knee prostheses and, in particular, complications related to the patellar component are described.115 references.

  5. Surfactant replacement therapy--economic impact.

    Science.gov (United States)

    Pejaver, R K; al Hifzi, I; Aldussari, S

    2001-06-01

    Surfactant replacement is an effective treatment for neonatal respiratory distress syndrome. (RDS). As widespread use of surfactant is becoming a reality, it is important to assess the economic implications of this new form of therapy. A comparison study was carried out at the Neonatal Intensive Care Unit (NICU) of Northwest Armed Forces Hospital, Saudi Arabia. Among 75 infants who received surfactant for RDS and similar number who were managed during time period just before the surfactant was available, but by set criteria would have made them eligible for surfactant. All other management modalities except surfactant were the same for all these babies. Based on the intensity of monitoring and nursing care required by the baby, the level of care was divided as: Level IIIA, IIIB, Level II, Level I. The cost per day per bed for each level was calculated, taking into account the use of hospital immovable equipment, personal salaries of nursing, medical, ancillary staff, overheads and maintenance, depreciation and replacement costs. Medications used, procedures done, TPN, oxygen, were all added to individual patient's total expenditure. 75 infants in the Surfactant group had 62 survivors. They spent a total of 4300 days in hospital. (av 69.35) Out of which 970 d (av 15.65 per patient) were ventilated days. There were 56 survivors in the non-surfactant group of 75. They had spent a total of 5023 days in the hospital (av 89.69/patient) out of which 1490 were ventilated days (av 26.60 d). Including the cost of surfactant (two doses), cost of hospital stay for each infant taking the average figures of stay would be SR 118, 009.75 per surfactant treated baby and SR 164, 070.70 per non-surfactant treated baby. The difference of 46,061 SR is 39.03% more in non-surfactant group. One Saudi rial = 8 Rs (approx at the time study was carried out.) Medical care cost varies from place to place. However, it is definitely cost-effective where surfactant is concerned. Quality adjusted

  6. Current practice in primary total hip replacement: results from the National Hip Replacement Outcome Project

    OpenAIRE

    Best, A. J.; Fender, D.; Harper, W. M.; McCaskie, A. W.; Oliver, K; Gregg, P J

    1999-01-01

    As part of the National Study of Primary Hip Replacement Outcome, 402 consultant orthopaedic surgeons from three regions were contacted by postal questionnaire which covered all aspects of total hip replacement (THR). There was a 70% response rate of which 71 did not perform hip surgery, a further 33 refused to take part, leaving 181 valid responses. Preoperative assessment clinics were used by 89% of surgeons, but anaesthetists and rehabilitation services were rarely involved at this stage. ...

  7. Replacement Condition Detection of Railway Point Machines Using an Electric Current Sensor.

    Science.gov (United States)

    Sa, Jaewon; Choi, Younchang; Chung, Yongwha; Kim, Hee-Young; Park, Daihee; Yoon, Sukhan

    2017-01-29

    Detecting replacement conditions of railway point machines is important to simultaneously satisfy the budget-limit and train-safety requirements. In this study, we consider classification of the subtle differences in the aging effect-using electric current shape analysis-for the purpose of replacement condition detection of railway point machines. After analyzing the shapes of after-replacement data and then labeling the shapes of each before-replacement data, we can derive the criteria that can handle the subtle differences between "does-not-need-to-be-replaced" and "needs-to-be-replaced" shapes. On the basis of the experimental results with in-field replacement data, we confirmed that the proposed method could detect the replacement conditions with acceptable accuracy, as well as provide visual interpretability of the criteria used for the time-series classification.

  8. Hip replacement in femoral head osteonecrosis: current concepts.

    Science.gov (United States)

    Scaglione, Michelangelo; Fabbri, Luca; Celli, Fabio; Casella, Francesco; Guido, Giulio

    2015-01-01

    Osteonecrosis of the femoral head is a destructive disease that usually affects young adults with high functional demands and can have devastating effects on hip joint. The treatment depends on extent and location of the necrosis lesion and on patient's factors, that suggest disease progression, collapse probability and also implants survival. Non-idiopathic osteonecrosis patients had the worst outcome. There is not a gold standard treatment and frequently it is necessary a multidisciplinary approach. Preservation procedures of the femoral head are the first choice and can be attempted in younger patients without head collapse. Replacement procedure remains the main treatment after failure of preserving procedures and in the late-stage ONFH, involving collapse of the femoral head and degenerative changes to the acetabulum. Resurfacing procedure still has good results but the patient selection is a critical factor. Total hip arthroplasties had historically poor results in patients with osteonecrosis. More recently, reports have shown excellent results, but implant longevity and following revisions are still outstanding problems.

  9. Spine imaging after lumbar disc replacement: pitfalls and current recommendations

    Directory of Open Access Journals (Sweden)

    Sandén Bengt

    2009-07-01

    Full Text Available Abstract Background Most lumbar artificial discs are still composed of stainless steel alloys, which prevents adequate postoperative diagnostic imaging of the operated region when using magnetic resonance imaging (MRI. Thus patients with postoperative radicular symptoms or claudication after stainless steel implants often require alternative diagnostic procedures. Methods Possible complications of lumbar total disc replacement (TDR are reviewed from the available literature and imaging recommendations given with regard to implant type. Two illustrative cases are presented in figures. Results Access-related complications, infections, implant wear, loosening or fracture, polyethylene inlay dislodgement, facet joint hypertrophy, central stenosis, and ankylosis of the operated segment can be visualised both in titanium and stainless steel implants, but require different imaging modalities due to magnetic artifacts in MRI. Conclusion Alternative radiographic procedures should be considered when evaluating patients following TDR. Postoperative complications following lumbar TDR including spinal stenosis causing radiculopathy and implant loosening can be visualised by myelography and radionucleotide techniques as an adjunct to plain film radiographs. Even in the presence of massive stainless steel TDR implants lumbar radicular stenosis and implant loosening can be visualised if myelography and radionuclide techniques are applied.

  10. Replacement

    Directory of Open Access Journals (Sweden)

    S. Radhakrishnan

    2014-03-01

    Full Text Available The fishmeal replaced with Spirulina platensis, Chlorella vulgaris and Azolla pinnata and the formulated diet fed to Macrobrachium rosenbergii postlarvae to assess the enhancement ability of non-enzymatic antioxidants (vitamin C and E, enzymatic antioxidants (superoxide dismutase (SOD and catalase (CAT and lipid peroxidation (LPx were analysed. In the present study, the S. platensis, C. vulgaris and A. pinnata inclusion diet fed groups had significant (P < 0.05 improvement in the levels of vitamins C and E in the hepatopancreas and muscle tissue. Among all the diets, the replacement materials in 50% incorporated feed fed groups showed better performance when compared with the control group in non-enzymatic antioxidant activity. The 50% fishmeal replacement (best performance diet fed groups taken for enzymatic antioxidant study, in SOD, CAT and LPx showed no significant increases when compared with the control group. Hence, the present results revealed that the formulated feed enhanced the vitamins C and E, the result of decreased level of enzymatic antioxidants (SOD, CAT and LPx revealed that these feeds are non-toxic and do not produce any stress to postlarvae. These ingredients can be used as an alternative protein source for sustainable Macrobrachium culture.

  11. Impact of replacement of conventional Recloser with PulseCloser

    Directory of Open Access Journals (Sweden)

    Olgert Metko

    2011-04-01

    Full Text Available Conventional recloser stresses the circuit with current fault every time they reclose into a fault. After clearing a fault, a conventional recloser simply recloses the interrupters to continuously test the presence of the fault. If the fault is still there, the interrupters are tripped again. Then, after a time delay, the interrupters are reclosed. During reclosing operation of Automatic Recloser, including the faster recloser one, powerful transient processes occurs and significant amount of energy is feeding the fault, resulting in system-damaging and voltage sags. Replacing conventional recloser with PulseCloser one minimizes these effects and creates the possibility to use multiple reclosing even when traditional autoreclosing can not be allowed.PulseCloser Technology drastically reduces overcurrent stress on the system. Once the PulseCloser interrupts a fault, it sends the impulses to intelligently tests for current fault before reclosing. The relative let-through energy of a pulseclosing operation is typically less than 2% of a conventional reclosing operation. Pulseclosing is superior to conventional reclosing. It greatly reduces stress on system components as well as voltage sags experienced by customers’ upstream fault.This paper analyzes transient processes during simulation of operation of traditional recloser and PulseCloser type. Simulations are performed using ATP software. The simulations show the remarkable difference in current versus time during fault testing in the transmission line equipped with conventional recloser and PulseCloser. The analysis justifies the replacement of Conventional Recloser with PulseCloser one.

  12. Current status of myelin replacement therapies in multiple sclerosis.

    Science.gov (United States)

    Huang, Jeffrey K; Franklin, Robin J M

    2012-01-01

    Multiple sclerosis is an autoimmune disease of the human central nervous system characterized by immune-mediated myelin and axonal damage, and chronic axonal loss attributable to the absence of myelin sheaths. There are two aspects to the treatment of MS-first, the prevention of damage by suppressing the maladaptive immune system, and second, the long-term preservation of axons by the promotion of remyelination, a regenerative process in which new axons are restored to demyelinated axons. Medicine has made significant progress in the first of these in recent years-there is an increasing number of ever more effective disease-modifying immunomodulatory interventions. However, there are currently no widely used regenerative therapies in MS. Conceptually, there are two approaches to remyelination therapy-transplantation of myelinogenic cells and promotion of endogenous remyelination mediated by myelinogenic cells present within the diseased tissue. In this chapter, in addition to describing why remyelination therapies are important, we review both these approaches, outlining their current status and future developments.

  13. Adrenal insufficiency and adrenal replacement therapy. Current status in Spain.

    Science.gov (United States)

    Aulinas, Anna; Casanueva, Felipe; Goñi, Fernando; Monereo, Susana; Moreno, Basilio; Picó, Antonio; Puig-Domingo, Manel; Salvador, Javier; Tinahones, Francisco J; Webb, Susan M

    2013-03-01

    Adrenal insufficiency (AI) is a rare endocrine disease, associated to increased mortality if left untreated. It can be due to a primary failure of the adrenal glands (primary AI) or malfunctioning of the hypothalamic-pituitary-adrenal axis (HPA) (secondary AI). The lack of data on incidence/prevalence of adrenal insufficiency in Spain complicates any evaluation of the magnitude of the problem in our country. Initial symptoms are non-specific, so often there is a delay in diagnosis. Current therapy with available glucocorticoids is associated with decreased quality of life in patients with treated AI, as well as with increased mortality and morbidity, probably related to both over-treatment and lack of hydrocortisone, associated with non-physiological peaks and troughs of the drug over the 24 hours. The availability of a new drug with a modified dual release (immediate and retarded), that requires one only daily dose, improves and simplifies the treatment, increases compliance as well as quality of life, morbidity and possibly mortality. This revision deals with the knowledge on the situation both globally and in Spain, prior to the availability of this new drug.

  14. Impact of total knee replacement practice: cost effectiveness analysis of data from the Osteoarthritis Initiative.

    Science.gov (United States)

    Ferket, Bart S; Feldman, Zachary; Zhou, Jing; Oei, Edwin H; Bierma-Zeinstra, Sita M A; Mazumdar, Madhu

    2017-03-28

    Objectives To evaluate the impact of total knee replacement on quality of life in people with knee osteoarthritis and to estimate associated differences in lifetime costs and quality adjusted life years (QALYs) according to use by level of symptoms.Design Marginal structural modeling and cost effectiveness analysis based on lifetime predictions for total knee replacement and death from population based cohort data.Setting Data from two studies-Osteoarthritis Initiative (OAI) and the Multicenter Osteoarthritis Study (MOST)-within the US health system.Participants 4498 participants with or at high risk for knee osteoarthritis aged 45-79 from the OAI with no previous knee replacement (confirmed by baseline radiography) followed up for nine years. Validation cohort comprised 2907 patients from MOST with two year follow-up.Intervention Scenarios ranging from current practice, defined as total knee replacement practice as performed in the OAI (with procedural rates estimated by a prediction model), to practice limited to patients with severe symptoms to no surgery.Main outcome measures Generic (SF-12) and osteoarthritis specific quality of life measured over 96 months, model based QALYs, costs, and incremental cost effectiveness ratios over a lifetime horizon.Results In the OAI, total knee replacement showed improvements in quality of life with small absolute changes when averaged across levels of confounding variables: 1.70 (95% uncertainty interval 0.26 to 3.57) for SF-12 physical component summary (PCS); -10.69 (-13.39 to -8.01) for Western Ontario and McMaster Universities arthritis index (WOMAC); and 9.16 (6.35 to 12.49) for knee injury and osteoarthritis outcome score (KOOS) quality of life subscale. These improvements became larger with decreasing functional status at baseline. Provision of total knee replacement to patients with SF-12 PCS scores osteoarthritis from the MOST cohort and were robust against various scenarios including increased rates of total

  15. Impact of prosthesis-patient mismatch on survival after mitral valve replacement: a systematic review

    Institute of Scientific and Technical Information of China (English)

    ZHANG Jian-feng; WU Yi-cheng; SHEN Wei-feng; KONG Ye

    2013-01-01

    Objective To determine whether the prosthesis-patient mismatch has a deleterious impact on survival after mitral valve replacement.Data sources A comprehensive literature search of PubMed,Embase,and ScienceDirect was carried out.References and cited papers of relevant articles were also checked.Study selection All articles published after January 1980 was initially considered.Non-English and non-human studies,case reports,and reviews were excluded from the initial search.References and cited papers of relevant articles were also checked.Results A total of 8 retrospective cohort studies were identified for this review.The overall incidence of prosthesis-patient mismatch (<1.3 to <1.2 cm2/m2) after mitral valve replacement ranged from 3.7% to 85.9% (moderate prosthesis-patient mismatch (0.9 to 1.2 cm2/m2) in 37.4% to 69.5%,severe prosthesis-patient mismatch (<0.9 cm2/m2) in 8.7% to 16.4%).Four studies demonstrated an association of prosthesis-patient mismatch with reduced long-term survival,but the other four studies found no significant deleterious impact of prosthesis-patient mismatch after mitral valve replacement.No definite conclusion could be derived from these conflicting results.Conclusions Current evidence is insufficient to derive a definite conclusion whether mitral prosthesis-patient mismatch affects long-term survival because of the biases and confounding factors that interfere with late clinical outcomes.Good-quality prospective studies are warranted to evaluate the impact of mitral prosthesis-patient mismatch after mitral valve replacement in the future.

  16. 78 FR 26102 - Notice of Termination of Environmental Impact Statement for the Friedman Memorial Replacement...

    Science.gov (United States)

    2013-05-03

    ... Federal Aviation Administration Notice of Termination of Environmental Impact Statement for the Friedman... to terminate the Environmental Impact Statement (EIS) for the Friedman Memorial Replacement Airport... for a replacement airport for Friedman Memorial Airport, Hailey, ID. The FAA proceeded with the...

  17. Programme impact on current contraception in Bangladesh.

    Science.gov (United States)

    Latif, M A

    1994-03-01

    "This paper analyses the impact of three credit programmes--the Bangladesh Rural Advancement Committee (BRAC), the Bangladesh Rural Development Board's Rural Development-12 (BRDB RD-12), and the Grameen Bank (GB), on current rate of contraception. These programmes are targeted to alleviate poverty by providing group-based credit to the rural poor in creating self employment opportunities. With small credits, these programmes combine family planning activities in terms of consciousness raising, awareness building and motivation. Sample survey data are used to analyse the problem of impact evaluation. The analyses show that the BRAC and the GB programmes have [a] significantly positive impact on the current rate of contraception, while the BRDB RD-12 programme does not have any such impact. It is also found that education, both of female[s] and male[s] separately, and child survivorship have independently positive impact[s] on current contraception."

  18. Evaluation of impact of steroid replacement treatment on bone health in children with 21-hydroxylase deficiency.

    Science.gov (United States)

    Delvecchio, M; Soldano, L; Lonero, A; Ventura, A; Giordano, P; Cavallo, L; Grano, M; Brunetti, G; Faienza, M F

    2015-04-01

    There are conflicting data regarding the potential impact of chronic glucocorticoid (GC) therapy on the bone mineral density of patients with congenital adrenal hyperplasia (CAH). Previous studies performed by dual-energy X-ray absorptiometry reported conflicting results. The purpose of this study was to assess the impact of chronic GC replacement treatment in children with classical and non classical CAH due to 21-hydroxylase deficiency (21-OHD) by quantitative ultrasonometry (QUS), an easy, cheap, and radiation-free technique. The study population consisted of nineteen 21-OHD patients (nine males) on lifelong GC treatment. Anthropometric, hormonal, and treatment data were recorded for each patient, and bone quality was assessed by QUS measurements. QUS findings (amplitude-dependent speed of sound and bone transmission time) were normal in 21-OHD patients and did not correlate with duration of treatment, daily, total, and yearly hydrocortisone dose. Furthermore, no significant correlation was found between QUS findings and 17α-hydroxy progesterone, Δ4-androstenedione, and testosterone levels. In conclusion, our results provide reassurance that currently used replacement doses of GC do not have a major impact on bone in patients with CAH. QUS seems to be a reliable tool for screening of bone health in children with 21-OHD.

  19. Impact of genetic selection on management of boar replacement.

    Science.gov (United States)

    Robinson, J A B; Buhr, M M

    2005-01-15

    Boars in an artificial insemination centre have been selected for their superior genetic potential, with 'superior' being defined as having traits the customer wants transmitted to his herd. The ability to meet the customers' needs depends on the heritability of the trait, the geneticist's success in devising a selection scheme for the trait in balance with other economically important traits, and the boar's ability to produce sperm that can fertilise oocytes. Genetic evaluation research over the past 20 years has greatly increased the number of traits for which a boar can be selected: currently in the Canadian national program, these include age at 100 kg, backfat at 100 kg, feed efficiency, lean yield and litter size. In the near future, traits that are very likely to be added to this selection list include piglet survival, marbling, loin eye area and structure traits. In Canada, sires are ranked on two estimated breeding value (EBV) indices; one, focused on development of terminal sire lines, is based on the growth and yield traits and another, primarily focused on maternal line development, de-emphasises these traits and incorporates litter size. Boars that are in Canadian AI centres because of their excellent growth traits are typically in the top 5-10% of the national population for terminal sire line index, but they may be only average or substandard for litter size. Conversely, boars selected to be in the top 5-10% for conveying such reproductive traits as litter size may only be in the top 33% for growth traits. The more offspring from a superior boar in either of these indices, the faster the population average for the trait improves. The original sire gets knocked out of the elite group, is culled and replaced by a higher ranked young boar from the now improved general population. Although genetic superiority should govern an AI centre's selection and culling of boars, decision-making in real life is seldom that simple. Selection criteria may be

  20. A brief history of total ankle replacement and a review of the current status.

    Science.gov (United States)

    Vickerstaff, John A; Miles, Anthony W; Cunningham, James L

    2007-12-01

    Total ankle replacement (TAR) was first attempted in the early 1970s, but poor early results lead to it being abandoned in favour of arthrodesis. Arthrodesis is not totally satisfactory, often causing further hindfoot arthritis and this has lead to a resurgence of interest in joint replacement. New designs which more closely approximated the natural anatomy of the ankle and associated biomechanics have produced more encouraging results and led to renewed interest in total ankle replacement. Three prostheses dominate the market: Agility, Buechel-Pappas and STAR, and improving clinical results with these devices have led to more designs appearing on the market. Modern designs of prosthetic ankles almost exclusively consist of three part prostheses with a mobile bearing component, similar to the Buechel-Pappas and STAR. Clinical results of these newer designs are limited and short-term and have often been carried out by the designers of the implants. This paper presents a brief history of the development of total ankle replacement and a review of the current status.

  1. Current practice of glucocorticoid replacement therapy and patient-perceived health outcomes in adrenal insufficiency - a worldwide patient survey

    Directory of Open Access Journals (Sweden)

    Forss M

    2012-06-01

    Full Text Available Abstract Background The aim was to survey current practice in glucocorticoid replacement therapy and self-perceived health outcomes in patients with adrenal insufficiency. Methods Participants were recruited via patient organizations to respond anonymously to a web-based survey developed by clinical experts. Unique entries were set up for each patient organization enabling geographical localization of the entries. Results 1245 participants responded (primary adrenal insufficiency: 84%; secondary adrenal insufficiency: 11%; unsure: 5%. Therapies included hydrocortisone (75%, prednisone/prednisolone (11%, cortisone acetate (6% and dexamethasone (4%. Dosing regimens were once daily (10%, twice daily (42%, thrice daily (32% or other (17%. Compromised subjective health necessitating changes to physical activity or social-, work- or family life was reported by 64% of the participants. 40% of the participants reported absence from work/school in the last 3 months. Irrespective of diagnosis, 76% were concerned about long-term side-effects of therapy, mainly osteoporosis (78%, obesity (64% and cardiovascular morbidity (46%. 38% of the participants had been hospitalized in the last year. Conclusions Glucocorticoid replacement therapy among the respondents consisted primarily of hydrocortisone administered twice or thrice daily. A majority reported impact of their disease or treatment on subjective health requiring alterations in e.g. physical activity or family life. Three quarters reported concerns about long-term side-effects of the treatment. These data demonstrate - from the patients' perspective - a need for improvement in the management of adrenal insufficiency.

  2. Electronic cigarettes: health impact, nicotine replacement therapy, regulations

    Directory of Open Access Journals (Sweden)

    Zygmunt Zdrojewicz

    2017-03-01

    Full Text Available While the adverse effects of conventional cigarettes on human health have been thoroughly examined, in the last 15 years we have witnessed the birth of electronic cigarettes. There are many types of these devices available on the market. Studies are still underway to determine their negative impact on the human body. Electronic cigarettes comprise of power supply and a vaporising system. The user inhales the aerosol produced by heating up the liquid containing nicotine. In contrast with conventional cigarettes, the tobacco is not combusted, thus the compositions of the aerosol and cigarette smoke are considerably different. Out of 93 chemical substances present in the e-cigarette smoke, the aerosol contains only acetaldehyde, acetone, acrolein, formaldehyde and nicotine. More toxic substances, such as polycyclic aromatic hydrocarbons and heavy metals, are not present. The amount of evidence suggesting electronic cigarettes’ harmful effects on the human body is constantly increasing. Some reports imply that the electronic cigarettes negatively influence pregnancy, human psyche, respiratory and cardiovascular systems. They might also be involved in oncogenesis. With electronic cigarettes constantly gaining popularity, the question about the adverse effects of passive smoking becomes increasingly more relevant. Although various methods of helping people cease smoking or delivering nicotine to their bodies without burning toxic substances are being explored, electronic cigarettes are not recommended in nicotine substitution therapy. Legal regulations regarding electronic cigarettes are still being worked on. The purpose of this paper is to evaluate the effects electronic cigarettes have on the human’s health.

  3. Current practice in continuous renal replacement therapy: An epidemiological multicenter study.

    Science.gov (United States)

    Tomasa Irriguible, T M; Sabater Riera, J; Poch López de Briñas, E; Fort Ros, J; Lloret Cora, M J; Roca Antònio, J; Navas Pérez, A; Ortiz Ballujera, P; Servià Goixart, L; González de Molina Ortiz, F J; Rovira Anglès, C; Rodríguez López, M; Roglan Piqueras, A

    2017-05-01

    The aim of the study is to ascertain the most relevant aspects of the current management of renal replacement therapy (RRT) in critically ill patients, and to analyze renal function recovery and mortality in patients undergoing RRT. A non-interventional three-month observational study was made in 2012, with a follow-up period of 90 days, in 21 centers in Catalonia (Spain). Demographic information, severity scores and clinical data were obtained, as well as RRT parameters. patients aged ≥ 16 years admitted to Intensive Care Units (ICUs) and subjected to RRT. A total of 261 critically ill patients were recruited, of which 35% had renal dysfunction prior to admission. The main reason for starting RRT was oliguria; the most widely used RRT modality was hemodiafiltration; and the median prescribed dose at baseline was 35mL/kg/h. The median time of RRT onset from ICU admission was one day. The mortality rate at 30 and 90 days was 46% and 54%, respectively, and was associated to greater severity scores and a later onset of RRT. At discharge, 85% of the survivors had recovered renal function. Current practice in RRT in Catalonia abides with the current clinical practice guidelines. Mortality related to RRT is associated to later onset of such therapy. The renal function recovery rate at hospital discharge was 85% among the patients subjected to RRT. Copyright © 2016 Elsevier España, S.L.U. y SEMICYUC. All rights reserved.

  4. The Impact of Assessment Policy on Learning: Replacement Exams or Grade Dropping

    Science.gov (United States)

    MacDermott, Raymond J.

    2013-01-01

    Instructors often debate the merits of alternate grading policies such as dropping the lowest exam or offering an additional exam to replace the lowest score. To date, there has been little research conducted on the impact of these policies on performance. In this study, the author investigates student performance in intermediate macroeconomics…

  5. The Impact of Assessment Policy on Learning: Replacement Exams or Grade Dropping

    Science.gov (United States)

    MacDermott, Raymond J.

    2013-01-01

    Instructors often debate the merits of alternate grading policies such as dropping the lowest exam or offering an additional exam to replace the lowest score. To date, there has been little research conducted on the impact of these policies on performance. In this study, the author investigates student performance in intermediate macroeconomics…

  6. Tribology and total hip joint replacement: current concepts in mechanical simulation.

    Science.gov (United States)

    Affatato, S; Spinelli, M; Zavalloni, M; Mazzega-Fabbro, C; Viceconti, M

    2008-12-01

    Interest in the rheology and effects of interacting surfaces is as ancient as man. This subject can be represented by a recently coined word: tribology. This term is derived from the Greek word "tribos" and means the "science of rubbing". Friction, lubrication, and wear mechanism in the common English language means the precise field of interest of tribology. Wear of total hip prosthesis is a significant clinical problem that involves, nowadays, a too high a number of patients. In order to acquire further knowledge on the tribological phenomena that involve hip prosthesis wear tests are conducted on employed materials to extend lifetime of orthopaedic implants. The most basic type of test device is the material wear machine, however, a more advanced one may more accurately reproduce some of the in vivo conditions. Typically, these apparatus are called simulators, and, while there is no absolute definition of a joint simulator, its description as a mechanical rig used to test a joint replacement, under conditions approximating those occurring in the human body, is acceptable. Simulator tests, moreover, can be used to conduct accelerated protocols that replicate/simulate particularly extreme conditions, thus establishing the limits of performance for the material. Simulators vary in their level of sophistication and the international literature reveals many interpretations of the design of machines used for joint replacement testing. This paper aims to review the current state of the art of the hip joint simulators worldwide. This is specified through a schematic overview by describing, in particular, constructive solutions adopted to reproduce in vivo conditions. An exhaustive commentary on the evolution and actually existing simulation standards is proposed by the authors. The need of a shared protocol among research laboratories all over the world could lead to a consensus conference.

  7. Replacement Nuclear Research Reactor: Draft Environmental Impact Statement. Vol. 1. Main report

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1998-07-01

    The Draft Environmental Impact Statement (EIS) for the replacement of the Australian Research reactor has been released. An important objective of the EIS process is to ensure that all relevant information has been collected and assessed so that the Commonwealth Government can make an informed decision on the proposal. The environmental assessment of the proposal to construct and operate a replacement reactor described in the Draft EIS has shown that the scale of environmental impacts that would occur would be acceptable, provided that the management measures and commitments made by ANSTO are adopted. Furthermore, construction and operation of the proposed replacement reactor would result in a range of benefits in health care, the national interest, scientific achievement and industrial capability. It would also result in a range of benefits derived from increased employment and economic activity. None of the alternatives to the replacement research reactor considered in the Draft EIS can meet all of the objectives of the proposal. The risk from normal operations or accidents has been shown to be well within national and internationally accepted risk parameters. The dose due to reactor operations would continue to be small and within regulatory limits. For the replacement reactor, the principle of `As Low As Reasonably Achievable` would form an integral part of the design and licensing process to ensure that doses to operators are minimized. Costs associated with the proposal are $286 million (in 1997 dollars) for design and construction. The annual operating and maintenance costs are estimated to be $12 million per year, of which a significant proportion will be covered by commercial activities. The costs include management of the spent fuel from the replacement reactor as well as the environmental management costs of waste management, safety and environmental monitoring. Decommissioning costs for the replacement reactor would arise at the end of its lifetime

  8. Environmental impact of replacing soybean meal with rapeseed meal in diets of finishing pigs.

    Science.gov (United States)

    van Zanten, H H E; Bikker, P; Mollenhorst, H; Meerburg, B G; de Boer, I J M

    2015-11-01

    The major impact of the livestock sector on the environment may be reduced by feeding agricultural co-products to animals. Since the last decade, co-products from biodiesel production, such as rapeseed meal (RSM), became increasingly available in Europe. Consequently, an increase in RSM content in livestock diets was observed at the expense of soybean meal (SBM) content. Cultivation of SBM is associated with high environmental impacts, especially when emissions related to land use change (LUC) are included. This study aims to assess the environmental impact of replacing SBM with RSM in finishing pig diets. As RSM has a lower nutritional value, we assessed the environmental impact of replacing SBM with RSM using scenarios that differed in handling changes in nutritional level. Scenario 1 (S1) was the basic scenario containing SBM. In scenario 2 (S2), RSM replaced SBM based on CP content, resulting in reduced energy and amino acid content, and hence an increased feed intake to realize the same growth rate. The diet of scenario 3 (S3) was identical to S2; however, we assumed that pigs were not able to increase their feed intake, leading to reduced growth performance. In scenario 4 (S4), the energy and amino acid content were increased to the same level of S1. Pig performances were simulated using a growth model. We analyzed the environmental impact of each scenario using life-cycle assessment, including processes of feed production, manure management, piglet production, enteric fermentation and housing. Results show that, expressed as per kg of BW, replacing SBM with RSM in finishing pig diets marginally decreased global warming potential (GWP) and energy use (EU) but decreased land use (LU) up to 12%. Between scenarios, S3 had the maximum potential to reduce the environmental impact, due to a lower impact per kg of feed and an increased body protein-to-lipid ratio of the pigs, resulting in a better feed conversion ratio. Optimization of the body protein

  9. The replacement of payroll tax by a tax on revenues: A study of sectorial impacts on the Brazilian economy

    Directory of Open Access Journals (Sweden)

    Wilton Bernardino da Silva

    2015-01-01

    Full Text Available A topic of current research in discussion about the Brazilian economy is the exemption from payroll taxes, which aims to stimulate competitiveness of the firms, boosting economic growth. This topic was introduced in Brazil by new laws that proposed replacing the payroll tax with a new tax on revenues. The payroll tax rate of 20% was replaced by a tax rate of 1% or 2% on revenue. This change has been applied primarily in labor-intensive economic sectors. In this paper, a neoclassical model was used to evaluate some sectoral impacts of these tax changes. The results show positive effects of this reform, among them, the increase in aggregate consumption and capital stock. Employment also grows in the labor-intensive sector. However, under a government revenue neutral scenario, these effects are almost completely lost, which shows some evidence about the low efficiency of these reforms.

  10. Computer Assisted Surgery and Current Trends in Orthopaedics Research and Total Joint Replacements

    Science.gov (United States)

    Amirouche, Farid

    2008-06-01

    Musculoskeletal research has brought about revolutionary changes in our ability to perform high precision surgery in joint replacement procedures. Recent advances in computer assisted surgery as well better materials have lead to reduced wear and greatly enhanced the quality of life of patients. The new surgical techniques to reduce the size of the incision and damage to underlying structures have been the primary advance toward this goal. These new techniques are known as MIS or Minimally Invasive Surgery. Total hip and knee Arthoplasties are at all time high reaching 1.2 million surgeries per year in the USA. Primary joint failures are usually due to osteoarthristis, rheumatoid arthritis, osteocronis and other inflammatory arthritis conditions. The methods for THR and TKA are critical to initial stability and longevity of the prostheses. This research aims at understanding the fundamental mechanics of the joint Arthoplasty and providing an insight into current challenges in patient specific fitting, fixing, and stability. Both experimental and analytical work will be presented. We will examine Cementless total hip arthroplasty success in the last 10 years and how computer assisted navigation is playing in the follow up studies. Cementless total hip arthroplasty attains permanent fixation by the ingrowth of bone into a porous coated surface. Loosening of an ingrown total hip arthroplasty occurs as a result of osteolysis of the periprosthetic bone and degradation of the bone prosthetic interface. The osteolytic process occurs as a result of polyethylene wear particles produced by the metal polyethylene articulation of the prosthesis. The total hip arthroplasty is a congruent joint and the submicron wear particles produced are phagocytized by macrophages initiating an inflammatory cascade. This cascade produces cytokines ultimately implicated in osteolysis. Resulting bone loss both on the acetabular and femoral sides eventually leads to component instability. As

  11. Fish oil replacement in current aquaculture feed: is cholesterol a hidden treasure for fish nutrition?

    Science.gov (United States)

    Norambuena, Fernando; Lewis, Michael; Hamid, Noor Khalidah Abdul; Hermon, Karen; Donald, John A; Turchini, Giovanni M

    2013-01-01

    Teleost fish, as with all vertebrates, are capable of synthesizing cholesterol and as such have no dietary requirement for it. Thus, limited research has addressed the potential effects of dietary cholesterol in fish, even if fish meal and fish oil are increasingly replaced by vegetable alternatives in modern aquafeeds, resulting in progressively reduced dietary cholesterol content. The objective of this study was to determine if dietary cholesterol fortification in a vegetable oil-based diet can manifest any effects on growth and feed utilization performance in the salmonid fish, the rainbow trout. In addition, given a series of studies in mammals have shown that dietary cholesterol can directly affect the fatty acid metabolism, the apparent in vivo fatty acid metabolism of fish fed the experimental diets was assessed. Triplicate groups of juvenile fish were fed one of two identical vegetable oil-based diets, with additional cholesterol fortification (high cholesterol; H-Chol) or without (low cholesterol; L-Chol), for 12 weeks. No effects were observed on growth and feed efficiency, however, in fish fed H-Col no biosynthesis of cholesterol, and a remarkably decreased apparent in vivo fatty acid β-oxidation were recorded, whilst in L-Chol fed fish, cholesterol was abundantly biosynthesised and an increased apparent in vivo fatty acid β-oxidation was observed. Only minor effects were observed on the activity of stearyl-CoA desaturase, but a significant increase was observed for both the transcription rate in liver and the apparent in vivo activity of the fatty acid Δ-6 desaturase and elongase, with increasing dietary cholesterol. This study showed that the possible effects of reduced dietary cholesterol in current aquafeeds can be significant and warrant future investigations.

  12. Will Robots Ever Replace Attendants? Exploring the Current Capabilities and Future Potential of Robots in Education and Rehabilitation.

    Science.gov (United States)

    Lees, David; LePage, Pamela

    1994-01-01

    This article describes the current capabilities and future potential of robots designed as supplements or replacements for human assistants or as tools for education and rehabilitation of people with disabilities. Review of robots providing educational, vocational, or independent living assistance concludes that eventually effective, reliable…

  13. GATE REPLACEMENT TECHNIQUE FOR REDUCING LEAKAGE CURRENT IN WALLACE TREE MULTIPLIER

    Directory of Open Access Journals (Sweden)

    Naveen Raman

    2013-01-01

    Full Text Available Leakage power has become more significant in the power dissipation of today’s CMOS circuits. This affects the portable battery operated devices directly. The multipliers are the main key for designing an energy efficient processor, where the multiplier design decides the digital signal processors efficiency. In this study gate replacement technique is used to reduce the leakage power in 4×4 Wallace tree multiplier architecture which has been designed by using one bit full adders. This technique replaces the gate which is at worst leakage state by a library gate .In this technique the actual output logic state is maintained in active mode. The main objective of our study is to calculate leakage power in 4×4 Wallace tree multiplier by applied gate replacement technique and it is compared with 4×4 Wallace tree full adder multiplier. The proposed method reduces 43% of leakage power in 4×4 Wallace tree multiplier.

  14. Replacement Nuclear Research Reactor. Supplement to Draft Environmental Impact Statement. Volume 3

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1999-01-01

    The Draft Environmental Impact Statement for a replacement research reactor at Lucas Heights, was available for public examination and comment for some three months during 1998. A Supplement to the Draft Environmental Impact Statement (Draft EIS) has been completed and was lodged with Environment Australia on 18 January 1999. The Supplement is an important step in the overall environmental assessment process. It reviews submissions received and provides the proponent`s response to issues raised in the public review period. General issues extracted from submissions and addressed in the Supplement include concern over liability issues, Chernobyl type accidents, the ozone layer and health issues. Further studies, relating to issues raised in the public submission process, were undertaken for the Supplementary EIS. These studies confirm, in ANSTO`s view, the findings of the Draft EIS and hence the findings of the Final EIS are unchanged from the Draft EIS

  15. Impact of Prosthesis-Patient Mismatch on Long-term Functional Capacity After Mechanical Aortic Valve Replacement

    NARCIS (Netherlands)

    Petit-Eisenmann, H.; Epailly, E.; Velten, M.; Radojevic, J.; Eisenmann, B.; Kremer, H.; Kindo, M.

    2016-01-01

    BACKGROUND: The impact of prosthesis-patient mismatch (PPM) after aortic valve replacement (AVR) for aortic stenosis on exercise capacity remains controversial. The aim of this study was to analyze the long-term impact of PPM after mechanical AVR on maximal oxygen uptake (VO2max). METHODS: The study

  16. Impact of pulmonary hypertension on in-hospital outcome after surgical or transcatheter aortic valve replacement.

    Science.gov (United States)

    Gutmann, Anja; Kaier, Klaus; Reinecke, Holger; Frankenstein, Lutz; Zirlik, Andreas; Bothe, Wolfgang; von Zur Mühlen, Constantin; Zehender, Manfred; Reinöhl, Jochen; Bode, Christoph; Stachon, Peter

    2017-09-20

    We aimed to analyse the impact of pulmonary hypertension (PH) on the in-hospital outcome of either surgical aortic valve replacement (SAVR) or transcatheter aortic valve replacement (TAVR). Data from all 107,057 patients undergoing isolated SAVR or TAVR in Germany between 2007 and 2014 were provided by the German Federal Bureau of Statistics. About 18% of patients with aortic valve stenosis suffered from PH. Patients with PH had more comorbidities with consequently increased EuroSCORE (TAVR without PH: 12.3%; with PH: 24%). The presence of PH led to an increase of in-hospital strokes, bleedings, acute kidney injuries, and pacemaker implantations in both treatment groups (TAVR and SAVR), but the PH-associated increase of complications and mortality was less pronounced among patients receiving TAVR (mortality after TAVR without PH: 5.4%; with PH: 7.2%). After baseline risk adjustment, the TAVR procedure was associated with a reduced risk of in-hospital stroke (OR 0.81, p=0.011), bleeding (OR 0.22, p<0.001), and mortality (OR 0.70, p=0.005) among PH patients, and in comparison to surgical treatment. PH is a risk factor for worse outcome of SAVR and TAVR. This fact is less pronounced among TAVR patients. Our data suggest a shift towards the transcatheter approach in patients suffering from PH.

  17. Current California Drought: Impact on Citrus Trees and Potential Mitigation

    Science.gov (United States)

    California is in another cycle of extended drought. The article reviews and discusses likely impact of the current drought on citrus growers and potential mitigation techniques. Citrus physiological responses to water stress is briefly reviewed. The direct impact of drought on citrus is reduced frui...

  18. The Evolution of Current Research Impact Metrics: From Bibliometrics to Altmetrics?

    Science.gov (United States)

    Butler, Joseph S; Kaye, I David; Sebastian, Arjun S; Wagner, Scott C; Morrissey, Patrick B; Schroeder, Gregory D; Kepler, Christopher K; Vaccaro, Alexander R

    2017-03-23

    The prestige of publication has been based on traditional citation metrics, most commonly journal impact factor. However, the Internet has radically changed the speed, flow, and sharing of medical information. Furthermore, the explosion of social media, along with development of popular professional and scientific websites and blogs, has led to the need for alternative metrics, known as altmetrics, to quantify the wider impact of research. We explore the evolution of current research impact metrics and examine the evolving role of altmetrics in measuring the wider impact of research. We suggest that altmetrics used in research evaluation should be part of an informed peer-review process such as traditional metrics. Moreover, results based on altmetrics must not lead to direct decision making about research, but instead, should be used to assist experts in making decisions. Finally, traditional and alternative metrics should complement, not replace, each other in the peer-review process.

  19. Recovery Act: Hydroelectric Facility Improvement Project - Replacement of Current Mechanical Seal System with Rope Packing System

    Energy Technology Data Exchange (ETDEWEB)

    Stephens, Jessica D.

    2013-05-29

    On January 27, 2010 the City of North Little Rock, Arkansas received notification of the awarding of a Department of Energy (DOE) grant totaling $450,000 in funding from the American Recovery and Reinvestment Act (ARRA) under the Project Title: Recovery Act: Hydroelectric Facility Improvement Project – Automated Intake Clearing Equipment and Materials Management. The purpose of the grant was for improvements to be made at the City’s hydroelectric generating facility located on the Arkansas River. Improvements were to be made through the installation of an intake maintenance device (IMD) and the purchase of a large capacity wood grinder. The wood grinder was purchased in order to receive the tree limbs, tree trunks, and other organic debris that collects at the intake of the plant during high flow. The wood grinder eliminates the periodic burning of the waste material that is cleared from the intake and reduces any additional air pollution to the area. The resulting organic mulch has been made available to the public at no charge. Design discussion and planning began immediately and the wood grinder was purchased in July of 2010 and immediately put to work mulching debris that was gathered regularly from the intake of the facility. The mulch is currently available to the public for free. A large majority of the design process was spent in discussion with the Corps of Engineers to obtain approval for drawings, documents, and permits that were required in order to make changes to the structure of the powerhouse. In April of 2011, the City’s Project Engineer, who had overseen the application, resigned and left the City’s employ. A new Systems Mechanical Engineer was hired and tasked with overseeing the project. The transfer of responsibility led to a re-examination of the original assumptions and research upon which the grant proposal was based. At that point, the project went under review and a trip was booked for July 2011 to visit facilities that currently

  20. Impact of Negative Sequence Current Injection by Wind Power Plants

    DEFF Research Database (Denmark)

    Chaudhary, Sanjay; Göksu, Ömer; Teodorescu, Remus

    2013-01-01

    This paper presents an analysis of the impact from negative sequence current injection by wind power plants in power systems under steady-state and short-term unbalanced conditions, including faults. The separate positive and negative sequence current control capability of the grid-side converter...

  1. Current Status of Renal Replacement Therapy in Turkey: A Summary of Turkish Society of Nephrology 2009 Annual Registry Report

    Directory of Open Access Journals (Sweden)

    Gültekin SÜLEYMANLAR

    2011-01-01

    Full Text Available Turkish Society of Nephrology registry collects data on hemodialysis, peritoneal dialysis and transplantation on annual basis. Registry reports are printed every year as a booklet and this is the 20th year of registry reports. The registry is in close collaboration with international registries. In this paper data from the 2009 registry report are summarized, additionally yearly trends in the management of end stage renal disease are also provided The number of patients on renal replacement therapy is rapidly increasing, at the end of 2009, 59443 patients were on renal replacement therapy. The prevalence and incidence of end stage renal disease was 819 and 197 per million population respectively. Diabetes was the most important cause of end stage renal disease. Hemodialysis (78.5% was the most common type of treatment modality, followed by transplantation (12.4% and peritoneal dialysis (9.1% End stage renal disease is a very important and growing health problem for our country. Renal registry is a leading tool for providing current and sound data on this public health problem.

  2. The impact of drug reimbursement policy on rates of testosterone replacement therapy among older men.

    Directory of Open Access Journals (Sweden)

    Jolanta Piszczek

    Full Text Available Despite a lack of data describing the long-term efficacy and safety of testosterone replacement therapy (TRT, prescribing of testosterone to older men has increased with the availability of topical formulations. The magnitude of this increase and the impact of formulary restrictions on testosterone prescribing are poorly characterized.We conducted a time series analysis using the linked health administrative records of men aged 66 years or older in Ontario, Canada between January 1, 1997 and March 31, 2012. We used interventional autoregressive integrated moving average models to examine the impact of a restrictive drug reimbursement policy on testosterone prescribing and examined the demographic profile of men initiating testosterone in the final 2 years of the study period.A total of 28,477 men were dispensed testosterone over the study period. Overall testosterone prescribing declined 27.9% in the 6 months following the implementation of the restriction policy (9.5 to 6.9 men per 1000 eligible; p<0.01. However, the overall decrease was temporary and testosterone use exceeded pre-policy levels by the end of the study period (11.0 men per 1000 eligible, largely driven by prescriptions for topical testosterone (4.8 men per 1000 eligible. Only 6.3% of men who initiated testosterone had a documented diagnosis of hypogonadism, the main criteria for TRT reimbursement according to the new policy.Government-imposed restrictions did not influence long-term prescribing of testosterone to older men. By 2012, approximately 1 in every 90 men aged 66 or older was being treated with TRT, most with topical formulations.

  3. The impact of drug reimbursement policy on rates of testosterone replacement therapy among older men.

    Science.gov (United States)

    Piszczek, Jolanta; Mamdani, Muhammad; Antoniou, Tony; Juurlink, David N; Gomes, Tara

    2014-01-01

    Despite a lack of data describing the long-term efficacy and safety of testosterone replacement therapy (TRT), prescribing of testosterone to older men has increased with the availability of topical formulations. The magnitude of this increase and the impact of formulary restrictions on testosterone prescribing are poorly characterized. We conducted a time series analysis using the linked health administrative records of men aged 66 years or older in Ontario, Canada between January 1, 1997 and March 31, 2012. We used interventional autoregressive integrated moving average models to examine the impact of a restrictive drug reimbursement policy on testosterone prescribing and examined the demographic profile of men initiating testosterone in the final 2 years of the study period. A total of 28,477 men were dispensed testosterone over the study period. Overall testosterone prescribing declined 27.9% in the 6 months following the implementation of the restriction policy (9.5 to 6.9 men per 1000 eligible; ptestosterone use exceeded pre-policy levels by the end of the study period (11.0 men per 1000 eligible), largely driven by prescriptions for topical testosterone (4.8 men per 1000 eligible). Only 6.3% of men who initiated testosterone had a documented diagnosis of hypogonadism, the main criteria for TRT reimbursement according to the new policy. Government-imposed restrictions did not influence long-term prescribing of testosterone to older men. By 2012, approximately 1 in every 90 men aged 66 or older was being treated with TRT, most with topical formulations.

  4. The Impact of Renal Failure and Renal Replacement Therapy on Outcome During Extracorporeal Membrane Oxygenation Therapy.

    Science.gov (United States)

    Antonucci, Elio; Lamanna, Irene; Fagnoul, David; Vincent, Jean-Louis; De Backer, Daniel; Silvio Taccone, Fabio

    2016-08-01

    Acute kidney injury (AKI) is common in patients treated with veno-arterial (VA-) or veno-venous (VV-) extracorporeal membrane oxygenation (ECMO). In this setting, the use of continuous renal replacement therapy (CRRT) can help to optimize fluid status but may also negatively impact on patients' outcome. In contrast, the relationship between AKI, CRRT, and survival in critically ill adult patients receiving ECMO is not well defined. The institutional ECMO database (n = 162) from November 2008 to December 2013, excluding patients with ICU survival ECMO and 56 with VV-ECMO). Of these, 95 developed AKI, 63 (47%) of whom required CRRT; thus three groups of patients were identified: (a) no AKI; (b) AKI without CRRT (AKINOCRRT ); and (c) CRRT with AKI (AKICRRT ). AKINOCCRT patients were more likely to have preexisting heart disease, to be more severely ill, and to be treated with VA-ECMO than those without AKI. AKICRRT patients were also more likely to be treated with VA-ECMO, had more organ dysfunction at the time of ECMO insertion, and needed more transfusions and inotropic agents than patients without AKI. ICU mortality was 53% (72/135) and was similar in the three groups, even when different AKI stages or VA/VV-ECMO were analyzed separately. In this study, the use of CRRT was not associated with an increased mortality in an adult population of patients treated with ECMO, even after adjustment for confounders.

  5. Continuous Renal Replacement Therapy: Reviewing Current Best Practice to Provide High-Quality Extracorporeal Therapy to Critically Ill Patients.

    Science.gov (United States)

    Connor, Michael J; Karakala, Nithin

    2017-07-01

    Continuous renal replacement therapy (CRRT) use continues to expand globally. Despite improving technology, CRRT remains a complex intervention. Delivery of high-quality CRRT requires close collaboration of a multidisciplinary team including members of the critical care medicine, nephrology, nursing, pharmacy, and nutrition support teams. While significant gaps in medical evidence regarding CRRT persist, the growing evidence base supports evolving best practice and consensus to define high-quality CRRT. Unfortunately, there is wide variability in CRRT operating characteristics and limited uptake of these best practices. This article will briefly review the current best practice on important aspects of CRRT delivery including CRRT dose, anticoagulation, dialysis vascular access, fluid management, and drug dosing in CRRT. Copyright © 2017 National Kidney Foundation, Inc. Published by Elsevier Inc. All rights reserved.

  6. Current and future impact of osteoarthritis on health care

    DEFF Research Database (Denmark)

    Turkiewicz, A; Petersson, I F; Björk, J

    2014-01-01

    OBJECTIVE: To estimate the current and future (to year 2032) impact of osteoarthritis (OA) health care seeking. METHOD: Population-based study with prospectively ascertained data from the Skåne Healthcare Register (SHR), Sweden, encompassing more than 15 million person-years of primary and specia......OBJECTIVE: To estimate the current and future (to year 2032) impact of osteoarthritis (OA) health care seeking. METHOD: Population-based study with prospectively ascertained data from the Skåne Healthcare Register (SHR), Sweden, encompassing more than 15 million person-years of primary...

  7. The right ventricle in Fabry disease: natural history and impact of enzyme replacement therapy.

    Science.gov (United States)

    Niemann, Markus; Breunig, Frank; Beer, Meinrad; Herrmann, Sebastian; Strotmann, Jörg; Hu, Kai; Emmert, Andrea; Voelker, Wolfram; Ertl, Georg; Wanner, Christoph; Weidemann, Frank

    2010-12-01

    Storage of globotriaosylceramides is present in the left and right ventricles of patients with Fabry disease. Improvement of left ventricular morphology and function during enzyme replacement therapy (ERT) has previously been reported. To analyse the effects of long term ERT on right ventricular morphology and function. This was a prospective follow-up of 75 genetically confirmed consecutive Fabry patients for 3.1±1.8 years. According to treatment guidelines the natural history was followed in 18 patients, whereas 57 patients received ERT. Standard echocardiography, strain rate imaging for regional deformation of the right and left ventricle, and magnetic resonance tomography with late enhancement (LE) imaging for the detection of fibrosis were all performed at yearly intervals. Right ventricular hypertrophy was evident in 53 patients (71%) at baseline. A significant positive correlation was found between left and right ventricular wall thickness (r=0.76; pright ventricle. Patients with LE in the left ventricle presented with the lowest right ventricular deformation properties. In contrast to the left ventricle, there was no change in right ventricular wall thickness (baseline 6.9±1.6 mm vs follow-up 6.7±1.5 mm; p=0.44) or systolic strain rate (2.2±0.7/s vs 2.1±0.8/s; p=0.31) during follow-up with ERT. The degree of right ventricular involvement in Fabry disease is related to the left ventricular cardiomyopathy stage. ERT seems to have no direct impact on right ventricular morphology and function.

  8. Impact of Negative Sequence Current Injection by Wind Power Plants

    DEFF Research Database (Denmark)

    Chaudhary, Sanjay; Göksu, Ömer; Teodorescu, Remus;

    2013-01-01

    This paper presents an analysis of the impact from negative sequence current injection by wind power plants in power systems under steady-state and short-term unbalanced conditions, including faults. The separate positive and negative sequence current control capability of the grid-side converters...... of full scale converter type wind turbines may be utilized to alter voltage imbalance at the point of connection and further into the grid, in turn changing the resultant negative sequence current flow in the grid. The effects of such control actions have been analyzed and discussed through theoretical...

  9. Transgenic potatoes for potato cyst nematode control can replace pesticide use without impact on soil quality.

    Directory of Open Access Journals (Sweden)

    Jayne Green

    Full Text Available Current and future global crop yields depend upon soil quality to which soil organisms make an important contribution. The European Union seeks to protect European soils and their biodiversity for instance by amending its Directive on pesticide usage. This poses a challenge for control of Globodera pallida (a potato cyst nematode for which both natural resistance and rotational control are inadequate. One approach of high potential is transgenically based resistance. This work demonstrates the potential in the field of a new transgenic trait for control of G. pallida that suppresses root invasion. It also investigates its impact and that of a second transgenic trait on the non-target soil nematode community. We establish that a peptide that disrupts chemoreception of nematodes without a lethal effect provides resistance to G. pallida in both a containment and a field trial when precisely targeted under control of a root tip-specific promoter. In addition we combine DNA barcoding and quantitative PCR to recognise nematode genera from soil samples without microscope-based observation and use the method for nematode faunal analysis. This approach establishes that the peptide and a cysteine proteinase inhibitor that offer distinct bases for transgenic plant resistance to G. pallida do so without impact on the non-target nematode soil community.

  10. Analysis of economic impact between the modality of renal replacement therapy.

    Science.gov (United States)

    Gouveia, Denise Sbrissia E Silva; Bignelli, Alexandre Tortoza; Hokazono, Silvia Regina; Danucalov, Itamara; Siemens, Tobias August; Meyer, Fernando; Santos, Luiz Sergio; Martins, Ziliane Caetano Lopes; Mierzwa, Tiago César; Furquim, Raquel

    2017-04-27

    Chronic kidney disease (CKD) is a major health problem, determining the reduction in life expectancy and an increased risk of cardiovascular disease. An observational, cohort, retrospective, based on patient's medical records data with CKD under hemodialysis, peritoneal dialysis and kidney transplantation in the city of Curitiba, in the period from January to June 2014, evacuativo the financial impact on the Unified Health System (SUS) and the supplementary health. The lowest cost of a kidney transplant in the first year was R$ 40,743.03 when cyclosporine was used and the highest was R$ 48,388.17 with the use of tacrolimus. In the second year post-transplant, hemodialysis and peritoneal dialysis have a higher cost compared to kidney transplant. Transplantation with deceased donor, treated with tacrolimus: R$ 67,023.39; Hemodialysis R$ 71,717.51 and automated peritoneal dialysis automatic R$ 69,527.03. After the first two years of renal replacement therapy, transplantation demonstrates lower costs to the system when compared to other modalities evaluated. Based on that, this therapy justifies improvements in government policies in this sector. A doença renal crônica (DRC) é um grande problema de saúde, determina redução na expectativa de vida e aumento dos riscos de doenças cardiovasculares. Estudo observacional, de coorte, retrospectivo, baseado em dados de prontuários de pacientes com DRC em hemodiálise, diálise peritoneal e transplante renal na cidade de Curitiba, no período de janeiro a junho de 2014, avaliando o impacto financeiro no Sistema Único de Saúde (SUS) e na saúde suplementar. O menor custo de um transplante renal no primeiro ano foi de R$ 40.743,03, quando utilizada a ciclosporina, e o maior de R$ 48.388,17, com a utilização do tacrolimo. Já no segundo ano pós-transplante, a hemodiálise e a diálise peritoneal têm valor superior ao transplante renal. Transplante com doador falecido, com tacrolimo: R$ 67.023,39; hemodiálise R$ 71

  11. Impact assessment of biomass-based district heating systems in densely populated communities. Part II: Would the replacement of fossil fuels improve ambient air quality and human health?

    Science.gov (United States)

    Petrov, Olga; Bi, Xiaotao; Lau, Anthony

    2017-07-01

    To determine if replacing fossil fuel combustion with biomass gasification would impact air quality, we evaluated the impact of a small-scale biomass gasification plant (BRDF) at a university campus over 5 scenarios. The overall incremental contribution of fine particles (PM2.5) is found to be at least one order of magnitude lower than the provincial air quality objectives. The maximum PM2.5 emission from the natural gas fueled power house (PH) could adversely add to the already high background concentration levels. Nitrogen dioxide (NO2) emissions from the BRDF with no engineered pollution controls for NOx in place exceeded the provincial objective in all seasons except during summer. The impact score, IS, was the highest for NO2 (677 Disability Adjusted Life Years, DALY) when biomass entirely replaced fossil fuels, and the highest for PM2.5 (64 DALY) and CO (3 DALY) if all energy was produced by natural gas at PH. Complete replacement of fossil fuels by one biomass plant can result in almost 28% higher health impacts (708 DALY) compared to 513 DALY when both the current BRDF and the PH are operational mostly due to uncontrolled NO2 emissions. Observations from this study inform academic community, city planners, policy makers and technology developers on the impacts of community district heating systems and possible mitigation strategies: a) community energy demand could be met either by splitting emissions into more than one source at different locations and different fuel types or by a single source with the least-impact-based location selection criteria with biomass as a fuel; b) advanced high-efficiency pollution control devices are essential to lower emissions for emission sources located in a densely populated community; c) a spatial and temporal impact assessment should be performed in developing bioenergy-based district heating systems, in which the capital and operational costs should be balanced with not only the benefit to greenhouse gas emission

  12. Current situation of geoengineering and its impact on biodiversity

    OpenAIRE

    2013-01-01

    Interests in the process of geoengineering have grown and geoengineering is a focus for the Convention on Biological Diversity now. Geoengineering programs and experiments have been carried out tovarying extent globally and are of significance to Chinese interests. This paper originates from a review of a conference discussion and of relevant literatures. It introduces the concept of geoengineering, describes the current status of its development and discusses the potential impacts geoenginee...

  13. Impact of prosthesis-patient mismatch on early and late mortality after aortic valve replacement

    NARCIS (Netherlands)

    Koene, Bart M.; Hamad, Mohamed A. Soliman; Bouma, Wobbe; Mariani, Massimo A.; Peels, Kathinka C.; van Dantzig, Jan-Melle; van Straten, Albert H.

    2013-01-01

    Background: The influence of prosthesis-patient mismatch (PPM) on survival after aortic valve replacement (AVR) remains controversial. In this study, we sought to determine the effect of PPM on early (30 days) after AVR or AVR combined with coronary artery bypass grafting (AVR with CABG). Methods:

  14. Experimental results and clinical impact of using autologous rectus fascia sheath for vascular replacement

    NARCIS (Netherlands)

    Kobori, Laszlo; Nemeth, Tibor; Nagy, Peter; Dallos, Gabor; Sotonyi, Peter; Fehervari, Imre; Nemes, Balazs; Gorog, Denes; Patonai, Attila; Monostory, Katalin; Doros, Attila; Sarvary, Enikoe; Fazakas, Janos; Gerlei, Zsuzsanna; Benkoe, Tamas; Piros, Laszlo; Jaray, Jeno; De Jong, Koert P.

    2008-01-01

    Vascular complications are major causes of graft failure in liver transplantation. The use of different vascular grafts is common but the results are controversial. The aim of this study was to create an 'ideal' arterial interponate for vascular replacements in the clinical field. An autologous, tub

  15. The impact of waiting for total joint replacement on pain and functional status: a systematic review

    NARCIS (Netherlands)

    Hoogeboom, T.J.; Ende, C.H.M. van den; Sluis, G. van der; Elings, J.; Dronkers, J.J.; Aiken, A.B.; Meeteren, N.L.U. van

    2009-01-01

    Objective: To systematically describe changes in pain and functioning in patients with osteoarthritis (OA) awaiting total joint replacement (TJR), and to assess determinants of this change. Methods: MEDLINE®, EMBASE, CINAHL® and Cochrane Database were searched through June 2008. The reference lists

  16. [The impact of continuous renal replacement therapy training on nursing competence].

    Science.gov (United States)

    Voltzenlogel, Sabine

    2015-06-01

    Specific training adapted to the needs of caregivers in intensive care enables professional competence and quality of care to be developed in continuous renal replacement therapy. In addition, it contributes to reducing the stress felt by caregivers and the costs of this technique. Copyright © 2015 Elsevier Masson SAS. All rights reserved.

  17. Impact of prosthesis-patient mismatch on early and late mortality after aortic valve replacement

    NARCIS (Netherlands)

    Koene, Bart M.; Hamad, Mohamed A. Soliman; Bouma, Wobbe; Mariani, Massimo A.; Peels, Kathinka C.; van Dantzig, Jan-Melle; van Straten, Albert H.

    2013-01-01

    Background: The influence of prosthesis-patient mismatch (PPM) on survival after aortic valve replacement (AVR) remains controversial. In this study, we sought to determine the effect of PPM on early (30 days) after AVR or AVR combined with coronary artery bypass grafting (AVR with CABG). Methods: B

  18. Experimental results and clinical impact of using autologous rectus fascia sheath for vascular replacement

    NARCIS (Netherlands)

    Kobori, Laszlo; Nemeth, Tibor; Nagy, Peter; Dallos, Gabor; Sotonyi, Peter; Fehervari, Imre; Nemes, Balazs; Gorog, Denes; Patonai, Attila; Monostory, Katalin; Doros, Attila; Sarvary, Enikoe; Fazakas, Janos; Gerlei, Zsuzsanna; Benkoe, Tamas; Piros, Laszlo; Jaray, Jeno; De Jong, Koert P.

    Vascular complications are major causes of graft failure in liver transplantation. The use of different vascular grafts is common but the results are controversial. The aim of this study was to create an 'ideal' arterial interponate for vascular replacements in the clinical field. An autologous,

  19. Replacing penalties

    Directory of Open Access Journals (Sweden)

    Vitaly Stepashin

    2017-01-01

    Plenum of the Supreme Court in this regard invites the conflicting recommendations.Conclusions. It is difficult to agree with the opinion about the inadmissibility of replacement additional punishment basically consistent. The thesis about the supportive role of additional punishment is currently not the case. It seems necessary to the rejection of the criminalization of willful evasion from serving the additional penalties and the establishment ofcommon consequences of such deviations only, depending on the type of punishment, not his status as primary or secondary.

  20. The impact of anaemia and intravenous iron replacement therapy on outcomes in cardiac surgery.

    Science.gov (United States)

    Hogan, Maurice; Klein, Andrew A; Richards, Toby

    2015-02-01

    Anaemia is common in patients with cardiac disease and also in those undergoing cardiac surgery. There is increasing evidence that preoperative anaemia is associated with increased patient morbidity and mortality following surgery. We performed a systematic literature review to assess the impact of anaemia and intravenous (IV) iron supplementation on outcomes in cardiac surgery. Sixteen studies examined preoperative anaemia in detail. One study examined the role of preoperative IV iron administration and a further three, the effect of postoperative iron supplementation on haemoglobin (Hb) levels and the need for transfusion. Preoperative anaemia was associated with higher mortality, more postoperative blood transfusions, longer intensive care unit (ICU) and total hospital stay and also a greater incidence of postoperative cardiovascular events. In the single study that examined preoperative IV iron in combination with erythropoietin treatment, there was decreased blood transfusion, shorter hospital stay and an increase in patient survival. However, this was a small retrospective cohort study, with the observation and treatment groups analysed over different time periods. Postoperative administration of IV iron therapy, either alone or in combination with erythropoietin, was not effective in raising Hb levels or reducing red cell concentrate transfusion. On the basis of currently available evidence, the effect of perioperative administration of IV iron to cardiac surgery patients, alone or in combination with erythropoietin, remains unproven. Well-designed and appropriately powered prospective randomized controlled trials are needed to evaluate perioperative iron supplementation in the context of cardiac surgery.

  1. Impact of enzyme replacement therapy and hematopoietic stem cell transplantation in patients with Morquio A syndrome.

    Science.gov (United States)

    Tomatsu, Shunji; Sawamoto, Kazuki; Alméciga-Díaz, Carlos J; Shimada, Tsutomu; Bober, Michael B; Chinen, Yasutsugu; Yabe, Hiromasa; Montaño, Adriana M; Giugliani, Roberto; Kubaski, Francyne; Yasuda, Eriko; Rodríguez-López, Alexander; Espejo-Mojica, Angela J; Sánchez, Oscar F; Mason, Robert W; Barrera, Luis A; Mackenzie, William G; Orii, Tadao

    2015-01-01

    Patients with mucopolysaccharidosis IVA (MPS IVA) can present with systemic skeletal dysplasia, leading to a need for multiple orthopedic surgical procedures, and often become wheelchair bound in their teenage years. Studies on patients with MPS IVA treated by enzyme replacement therapy (ERT) showed a sharp reduction on urinary keratan sulfate, but only modest improvement based on a 6-minute walk test and no significant improvement on a 3-minute climb-up test and lung function test compared with the placebo group, at least in the short-term. Surgical remnants from ERT-treated patients did not show reduction of storage materials in chondrocytes. The impact of ERT on bone lesions in patients with MPS IVA remains limited. ERT seems to be enhanced in a mouse model of MPS IVA by a novel form of the enzyme tagged with a bone-targeting moiety. The tagged enzyme remained in the circulation much longer than untagged native enzyme and was delivered to and retained in bone. Three-month-old MPS IVA mice treated with 23 weekly infusions of tagged enzyme showed marked clearance of the storage materials in bone, bone marrow, and heart valves. When treatment was initiated at birth, reduction of storage materials in tissues was even greater. These findings indicate that specific targeting of the enzyme to bone at an early stage may improve efficacy of ERT for MPS IVA. Recombinant N-acetylgalactosamine-6-sulfate sulfatase (GALNS) in Escherichia coli BL21 (DE3) (erGALNS) and in the methylotrophic yeast Pichia pastoris (prGALNS) has been produced as an alternative to the conventional production in Chinese hamster ovary cells. Recombinant GALNS produced in microorganisms may help to reduce the high cost of ERT and the introduction of modifications to enhance targeting. Although only a limited number of patients with MPS IVA have been treated with hematopoietic stem cell transplantation (HSCT), beneficial effects have been reported. A wheelchair-bound patient with a severe form of MPS

  2. The impact of coronary artery disease on early outcome of aortic valve replacement in elderly patients

    Directory of Open Access Journals (Sweden)

    Seyed Yaser Hariri

    2015-03-01

    Full Text Available Background: The operative risk of aortic valve replacement (AVR depends on several factors such as underlying coronary artery disease (CAD. Objective: The aim of this study was to determine postoperative complications and early outcome for elderly patients with CAD undergoing isolated aortic valve replacement and compare them with patients without CAD. Methods: Preoperative characteristics, postoperative in-hospital complications, 30-day mortality rate, and length of stay in hospital (LOS in 79 patients at least 65 years old that underwent isolated AVR (53 patients with CAD and 25 patients without CAD were studied and compared. Results: All studied in-hospital complications were similar between the two groups. No signi cant di erence in 30-day mortality rate between the two groups was found (CAD group 8.1%, non CAD group 10.0%, P=0.781, whereas the mean of ICU stay in patients with CAD was higher than other patients (75.9 versus 47.6 hours, P=0.006. Female gender, obesity, hypertension, prolonged ventilation, and postoperative heart block in patients with CAD and only obesity in other group were signi cant predictors of 30-day mortality. Conclusion: Early outcome of patients with and without CAD undergoing aortic valve replacement was similar.

  3. Life cycle assessment part 2: current impact assessment practice.

    Science.gov (United States)

    Pennington, D W; Potting, J; Finnveden, G; Lindeijer, E; Jolliet, O; Rydberg, T; Rebitzer, G

    2004-07-01

    Providing our society with goods and services contributes to a wide range of environmental impacts. Waste generation, emissions and the consumption of resources occur at many stages in a product's life cycle-from raw material extraction, energy acquisition, production and manufacturing, use, reuse, recycling, through to ultimate disposal. These all contribute to impacts such as climate change, stratospheric ozone depletion, photooxidant formation (smog), eutrophication, acidification, toxicological stress on human health and ecosystems, the depletion of resources and noise-among others. The need exists to address these product-related contributions more holistically and in an integrated manner, providing complimentary insights to those of regulatory/process-oriented methodologies. A previous article (Part 1, Rebitzer et al., 2004) outlined how to define and model a product's life cycle in current practice, as well as the methods and tools that are available for compiling the associated waste, emissions and resource consumption data into a life cycle inventory. This article highlights how practitioners and researchers from many domains have come together to provide indicators for the different impacts attributable to products in the life cycle impact assessment (LCIA) phase of life cycle assessment (LCA).

  4. Performance of Reinforced Concrete Beam with Differently Positioned Replacement Zones of Block Infill under Low Impact Loads

    Directory of Open Access Journals (Sweden)

    Mokhatar Shahrul Niza

    2017-01-01

    Full Text Available This paper reveals a study performed on reinforced concrete with artificial aggregate concrete block infill composite beams to innovate a lightweight reinforced concrete utilizing polyethylene (PE waste materials, such as waste plastic bags. Six beam specimens of normal reinforced concrete (NRC and different block infill replacement zone positions RCAI (RZ1 beams containing 100% MAPEA with 50, 95, and 1,000 mm width, height, and length, respectively, were provided for the block infill, whereas RCAI (RZ2 with different block infill positions containing a 100% MAPEA with 50, 115, and 1000 mm width, height, and length were provided and tested under low impact load. The steel impactor with blunt nose dropped at 0.6 m height which equivalent to 3.5 m/s. The behaviors of the beams were studied relative to the impact force-time and displacement-time histories, the flexural/ bending cracks, and the impact failure. Results show that the overall failure modes of all the beam specimens were successfully recorded. In addition, the residual displacements of the RZ2 was almost same than those of the RZ1 and the significantly lower than those of the NRC. In the reinforced concrete beams, less stressed concrete near the neutral axis can be replaced by certain light weight material like waste plastic bags as modified artificial polyethylene aggregates to serve as an artificial aggregate.

  5. Incidental moderate mitral regurgitation in patients undergoing aortic valve replacement for aortic stenosis: review of guidelines and current evidence.

    Science.gov (United States)

    Ramakrishna, Harish; Kohl, Benjamin A; Jassar, Arminder S; Augoustides, John G T

    2014-04-01

    Recent evidence has shown that moderate mitral regurgitation is common and clinically relevant in patients presenting for surgical and transcatheter aortic valve replacement for aortic stenosis. Prospective multicenter clinical trials are now indicated to resolve the clinical equipoise about whether or not mitral valve intervention also is indicated at the time of aortic valve intervention. Advances in three-dimensional transesophageal echocardiography, transcatheter mitral interventions, and surgical aortic valve replacement, including the advent of sutureless valves, likely will expand the therapeutic possibilities for moderate mitral regurgitation in the setting of aortic valve interventions for severe aortic stenosis.

  6. Impact of the economic downturn on total joint replacement demand in the United States: updated projections to 2021.

    Science.gov (United States)

    Kurtz, Steven M; Ong, Kevin L; Lau, Edmund; Bozic, Kevin J

    2014-04-16

    Few studies have explored the role of the National Health Expenditure and macroeconomics on the utilization of total joint replacement. The economic downturn has raised questions about the sustainability of growth for total joint replacement in the future. Previous projections of total joint replacement demand in the United States were based on data up to 2003 using a statistical methodology that neglected macroeconomic factors, such as the National Health Expenditure. Data from the Nationwide Inpatient Sample (1993 to 2010) were used with United States Census and National Health Expenditure data to quantify historical trends in total joint replacement rates, including the two economic downturns in the 2000s. Primary and revision hip and knee arthroplasty were identified using codes from the International Classification of Diseases, Ninth Revision, Clinical Modification. Projections in total joint replacement were estimated using a regression model incorporating the growth in population and rate of arthroplasties from 1993 to 2010 as a function of age, sex, race, and census region using the National Health Expenditure as the independent variable. The regression model was used in conjunction with government projections of National Health Expenditure from 2011 to 2021 to estimate future arthroplasty rates in subpopulations of the United States and to derive national estimates. The growth trend for the incidence of joint arthroplasty, for the overall United States population as well as for the United States workforce, was insensitive to economic downturns. From 2009 to 2010, the total number of procedures increased by 6.0% for primary total hip arthroplasty, 6.1% for primary total knee arthroplasty, 10.8% for revision total hip arthroplasty, and 13.5% for revision total knee arthroplasty. The National Health Expenditure model projections for primary hip replacement in 2020 were higher than a previously projected model, whereas the current model estimates for total

  7. Evaluation of the hemodynamic impact of continuous renal replacement therapy in healthy dogs.

    Science.gov (United States)

    Shimokawa Miyama, Takako; Itamoto, Kazuhito; Yoshioka, Chihiro; Minami, Koji; Okawa, Takumi; Fujisaki, Yuka; Hiraoka, Hiroko; Mizuno, Takuya; Okuda, Masaru

    2010-04-01

    We performed continuous renal replacement therapy (CRRT) on clinically healthy dogs to evaluate the effects of CRRT on hemodynamics. Heart rate, arterial blood pressure, and central venous pressure of the dogs (n=6) were recorded during the procedure, which was performed under general anesthesia. Throughout the CRRT, heart rate and arterial blood pressure were stable. Central venous pressure increased after CRRT termination but returned to the basal level within 30 min. In this study, hemodynamic alterations, including hypotension, hypertension, and arrhythmias, were not observed during CRRT. These observations suggest that the CRRT protocol used in the present study can be safely applied to clinical cases with acute renal failure.

  8. Risk of low-energy hip, wrist, and upper arm fractures among current and previous users of hormone replacement therapy

    DEFF Research Database (Denmark)

    Hundrup, Yrsa Andersen; Høidrup, Susanne; Ekholm, Ola

    2004-01-01

    To examine the effect of oestrogen alone and in combination with progestin on the risk of low-energy, hip, wrist, and upper arm fractures. Additionally, to examine to what extent previous use, duration of use as well as recency of discontinuation of hormone replacement therapy (HRT) influences th...

  9. Hemodynamic function of the standard St. Jude bileaflet disc valve has no clinical impact 10 years after aortic valve replacement

    DEFF Research Database (Denmark)

    Lund, Ole; Dorup, Inge; Emmertsen, Kristian

    2005-01-01

    OBJECTIVES: Size mismatch and impaired left ventricular function have been shown to determine the hemodynamic function of the standard St. Jude bileaflet disc valve early after aortic valve replacement (AVR). We aimed to analyse St. Jude valve hemodynamic function and its clinical impact in the s......OBJECTIVES: Size mismatch and impaired left ventricular function have been shown to determine the hemodynamic function of the standard St. Jude bileaflet disc valve early after aortic valve replacement (AVR). We aimed to analyse St. Jude valve hemodynamic function and its clinical impact...... in the survivors of a prospective series 10 years after AVR for aortic stenosis. DESIGN: Forty-three survivors aged 32-90 years from a prospective series attended a follow-up study with Doppler echo and radionuclide cardiography 10 years after AVR for aortic stenosis. Six patients with significant left sided valve......Hg. In a multilinear regression analysis GOA indexed for LVEDD, hypertension, and LVEF were independently related to peak gradient. CONCLUSION: High gradients of the standard St. Jude bileaflet disc valve 10 years after AVR was primarily related to systemic hypertension and mismatch between valve and left ventricular...

  10. Petroleum Sludge as gypsum replacement in cement plants: Its Impact on Cement Strength

    Science.gov (United States)

    Benlamoudi, Ali; Kadir, Aeslina Abdul; Khodja, Mohamed

    2017-08-01

    Due to high cost of cement manufacturing and the huge amount of resources exhaustion, companies are trying to incorporate alternative raw materials or by-products into cement production so as to produce alternative sustainable cement. Petroleum sludge is a dangerous waste that poses serious imparts on soil and groundwater. Given that this sludge contains a high percentage of anhydrite (CaSO4), which is the main component of gypsum (CaSO4.2H2O), it may play the same gypsum role in strength development. In this research, a total replacement of gypsum (100%) has been substituted by petroleum sludge in cement production and has led to an increase of 28.8% in UCS values after 28 curing days. Nevertheless, the burning of this waste has emitted a considerable amount of carbon monoxide (CO) gas that needs to be carefully considered prior to use petroleum sludge within cement plants.

  11. Low Impact of Urinary Cortisol in the Assessment of Hydrocortisone Replacement Therapy.

    Science.gov (United States)

    Haas, C S; Rahvar, A-H; Danneberg, S; Lehnert, H; Moenig, H; Harbeck, B

    2016-09-01

    Hydrocortisone replacement therapy is a cornerstone in the treatment of adrenal insufficiency (AI). While urinary cortisol has been used as a diagnostic tool for AI, it remains unclear whether it is a useful parameter to monitor hydrocortisone replacement therapy. Aim of this study was to evaluate possible differences in cortisol metabolism between adrenal insufficient patients and healthy subjects and to assess the value of urinary cortisol in AI management. In a case-control study, urinary cortisol excretion was determined in 14 patients with primary and secondary AI receiving hydrocortisone infusions from midnight to 8:00 AM. Results were correlated with serum cortisol levels and compared to urinary values obtained from 53 healthy volunteers. Urinary cortisol excretion in healthy subjects was 14.0±7.8 μg/8 h (range: 0.24-35.4), levels did not differ between 3 groups aged 20-34 years, 35-49 years, and ≥50 years. Patients with AI receiving hydrocortisone infusions demonstrated significantly higher rates of urinary cortisol excretion (51.6±37.8 μg/8 h; range 17.1-120.0, pcortisol levels (r(2)=0.98). Of interest, patients with secondary AI showed significantly higher serum cortisol levels after hydrocortisone infusion than those with primary AI, conceivably due to residual adrenal function. In conclusion, we showed that: (i) there is a wide inter-individual variability in urinary cortisol excretion rates; (ii) cortisol metabolism in adrenal insufficient patients differs when compared to controls; (iii) there is a strong correlation between urinary and serum cortisol levels; and (iv) urinary cortisol levels despite their variability may help to discriminate between secondary and primary adrenal insufficiency.

  12. Current automated 3D cell detection methods are not a suitable replacement for manual stereologic cell counting

    Directory of Open Access Journals (Sweden)

    Christoph eSchmitz

    2014-05-01

    Full Text Available Stereologic cell counting has had a major impact on the field of neuroscience. A major bottleneck in stereologic cell counting is that the user must manually decide whether or not each cell is counted according to three-dimensional (3D stereologic counting rules by visual inspection within hundreds of microscopic fields-of-view per investigated brain or brain region. Reliance on visual inspection forces stereologic cell counting to be very labor-intensive and time-consuming, and is the main reason why biased, non-stereologic two-dimensional (2D cell counting approaches have remained in widespread use. We present an evaluation of the performance of modern automated cell detection and segmentation algorithms as a potential alternative to the manual approach in stereologic cell counting. The image data used in this study were 3D microscopic images of thick brain tissue sections prepared with a variety of commonly used nuclear and cytoplasmic stains. The evaluation compared the numbers and locations of cells identified unambiguously and counted exhaustively by an expert observer with those found by three automated 3D cell detection algorithms: nuclei segmentation from the FARSIGHT toolkit, nuclei segmentation by 3D multiple level set methods, and the 3D object counter plug-in for ImageJ. Of these methods, FARSIGHT performed best, with true-positive detection rates between 38–99% and false-positive rates from 3.6–82%. The results demonstrate that the current automated methods suffer from lower detection rates and higher false-positive rates than are acceptable for obtaining valid estimates of cell numbers. Thus, at present, stereologic cell counting with manual decision for object inclusion according to unbiased stereologic counting rules remains the only adequate method for unbiased cell quantification in histologic tissue sections.

  13. Environmental impact of replacing soybean meal with rapeseed meal in diets of finishing pigs

    NARCIS (Netherlands)

    Zanten, Van H.H.E.; Bikker, P.; Mollenhorst, H.; Meerburg, B.G.; Boer, De I.J.M.

    2015-01-01

    The major impact of the livestock sector on the environment may be reduced by feeding agricultural co-products to animals. Since the last decade, co-products from biodiesel production, such as rapeseed meal (RSM), became increasingly available in Europe. Consequently, an increase in RSM content i

  14. Current situation of geoengineering and its impact on biodiversity

    Directory of Open Access Journals (Sweden)

    Senlu Yin

    2013-05-01

    Full Text Available Interests in the process of geoengineering have grown and geoengineering is a focus for the Convention on Biological Diversity now. Geoengineering programs and experiments have been carried out tovarying extent globally and are of significance to Chinese interests. This paper originates from a review of a conference discussion and of relevant literatures. It introduces the concept of geoengineering, describes the current status of its development and discusses the potential impacts geoengineering may have on biodiversity. Arguments about geoengineering in the Convention on Biological Diversity are also discussed. Researches show that geoengineering programs mainly affect biodiversity by changing the local or regional climate and environment. Large scale geoengineering programs may be prohibited in future due to uncertainty over their potential impacts on biodiversity. However, the necessity for energy saving and obligationsto reduce emissions will drive the progress of geoenginering. The future development of geoengineering is also examined. It is concluded that the techniques involved need to be of a high standard, highly efficient, low in cost and environmentally safe. Precautionary measures should be taken in the implementation of geoenginering related activities, and mechanisms for monitoring their effects should be thoroughly explored.

  15. A modified FitzHugh-Nagumo model for cardiac instabilities: The replacement of a conductance variable with Ca current as a slow variable

    Science.gov (United States)

    Osaka, Motohisa

    2013-02-01

    The FitzHugh-Nagumo model of nerve conduction is also used as a model of cardiac excitability. We propose the replacement of a gating variable of the conductance of K+ current with Ca2+ current as a slow variable of the model, in which plays a key role in the cardiac action potential. Since ion currents conduct transversely as well as longitudinally through gap junctions between myocytes, particularly in ischemia, a respective diffusion term is involved to both equations of a fast variable and a slow variable. We show that only a small increase of a coefficient of the diffusion term of Ca2+ current may cause cardiac instabilities, which are presumed to cause breakup of conduction and finally a lethal arrhythmia, ventricular fibrillation. Particularly, these instabilities do not occur without the diffusion term of Ca2+ current.

  16. Early impact of aortic wrapping on patients undergoing aortic valve replacement with mild to moderate ascending aorta dilatation

    Directory of Open Access Journals (Sweden)

    Sosnowski Andrzej

    2010-08-01

    Full Text Available Abstract Background The management of mild to moderate dilatation of the ascending aorta of less than 5 cm is controversial, particularly when concomitant surgical correction of aortic valve is required. We investigate the impact of a simple method of aorta reduction using Dacron graft wrapping during aortic valve replacement on the rest of the aorta. Methods We studied 14 patients who had ascending aorta dilatation of 4-5 cm before undergoing aortic wrapping during their aortic valve replacement and compared with their post-operative imaging within a month. Results The diameters of the ascending aorta wrapped with the Dacron graft were significantly reduced within 4 weeks after surgery from 44.7 ± 2.6 to 33.6 ± 3.9 mm (p Conclusions Reduction of ascending aortic dilatation by wrapping with a Dacron graft in this preliminary study is associated with favourable early reversed aortic remodelling. This supports the hypothesis that correction of mild-moderate dilatation of the ascending aorta with Dacron wrapping at the time of aortic valve surgery may prevent the progression of the dilatation, although the long-term study on a larger population is needed to confirm its benefits.

  17. Impact of body mass index on outcome in patients undergoing coronary artery bypass grafting and/or valve replacement surgery

    Science.gov (United States)

    Costa, Vinícius Eduardo Araújo; Ferolla, Silvia Marinho; dos Reis, Tâmara Oliveira; Rabello, Renato Rocha; Rocha, Eduardo Augusto Victor; Couto, Célia Maria Ferreira; Couto, José Carlos Ferreira; Bento, Alduir

    2015-01-01

    Objective This study aimed to analyze the impact of body mass index on outcomes of 101 patients undergoing coronary artery bypass grafting, valve replacement, or combined valve/ coronary artery bypass grafting surgery in a private hospital in Belo Horizonte, Brazil. Methods This was a prospective cross-sectional study of patients undergoing cardiac surgery from May 2009 to December 2012. All patients were followed up from the first day of admission until discharge or death. Patients were divided into three groups according to BMI: normal weight, overweight, and obese. The main outcome measure was the association between BMI and postoperative morbidities and mortality. Results Multivariate analysis identified obesity as an independent predictor of increased risk of surgical reintervention (odds ratio [OR] 13.6; 95%CI 1.1 - 162.9; P=0.046) and reduced risk of bleeding (OR 0.05; 95% CI 0.09 - 0.69; P=0.025). Univariate analysis showed that obesity was associated with increased frequency of wound dehiscence (P=0.021). There was no association between BMI and other complications or mortality in univariate analysis. There was also no association between body mass index and duration of cardiopulmonary bypass, aortic clamping, mechanical ventilation, and intensive care unit or hospital stay. Conclusion Obese individuals undergoing coronary artery bypass grafting, valve replacement, or combined surgery have a higher postoperative risk of surgical reintervention and lower chances of bleeding. PMID:26313724

  18. Replacement Nuclear Research Reactor: Draft Environmental Impact Statement. Vol. 2. Appendices

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1998-07-01

    The appendices contains additional relevant information on: Environment Australia EIS Guidelines, composition of the Study Team, Consultation Activities and Resuits, Relevant Legislation and Regulatory Requirements, Exampies of Multi-Purpose Research Reactors, Impacts of Radioactive Emissions and Wastes Generated at Lucas Heights Science and Technology Centre, Technical Analysis of the Reference Accident, Flora and Fauna Species Lists, Summary of Environmental Commitments and an Outline of the Construction Environmental Management Plan Construction Environmental Management Plan figs., ills., refs. Prepared for Australian Nuclear Science and Technology Organisation (ANSTO)

  19. Current and future impact of osteoarthritis on health care

    DEFF Research Database (Denmark)

    Turkiewicz, A; Petersson, I F; Björk, J

    2014-01-01

    .6% (95% confidence interval (CI): 26.5-26.8) (men 22.4%, women 30.5%). The most common locations were knee (13.8%), hip (5.8%) and hand (3.1%). Of the prevalent cases 26.8% had OA in multiple joints. By the year 2032, the proportion of the population aged ≥45 with doctor-diagnosed OA is estimated......OBJECTIVE: To estimate the current and future (to year 2032) impact of osteoarthritis (OA) health care seeking. METHOD: Population-based study with prospectively ascertained data from the Skåne Healthcare Register (SHR), Sweden, encompassing more than 15 million person-years of primary...... and specialist outpatient care and hospitalizations. We studied all Skåne region residents aged ≥45 by the end of 2012 (n = 531, 254) and determined the prevalence of doctor-diagnosed OA defined as the proportion of the prevalent population that had received a diagnosis of OA of the knee, hip, hand, or other...

  20. Investigation of awareness rate and current situation in hormone replacement therapy in medical care personnel in Shanghai

    Institute of Scientific and Technical Information of China (English)

    Shao Hong-fang; Tao Min-fang; Sun Xun-yan; Jiang Li-zhen

    2012-01-01

    Objective: To survey the cognition and requirement of perimenopause health care in Shanghai women,and provide updated situation about hormone replacement therapy (HRT) for further improving the quality of perimenopause health care.Methods: A large survey among 480 medical care personnel at age of 40-60 years in 12 hospitals in Shanghai was launched.The designed questionnaires included the awareness rate,basic knowledge of HRT and request for the information of HRT etc.The data were analyzed.Results: Among the respondents,35.81% (169/472) believed that it is necessary to start HRT in perimenopause women; 16.10 % (76/472) knew about H RT at some extent; 43.22 % (204/472) requested for the training of HRT; and 14.19%(67/472)would like to recommend patients using the hormone to treat perimenopause syndrome.In addition,52.41% (76/145)of the medical care personnel who refused to use HRT were worried about the side effects.Conclusion: In Shanghai,the awareness rate of HRT among medical care personnel was relatively low.Only a few medical care personnel prefer to use HRT in perimenopause patients.The main reasons for that were lack of understanding in the treatment of HRT and concerned side effects.

  1. CURRENT STATE OF AUTOMOTIVE LIGHTING EQUIPMENT WITH NON-REPLACEABLE LIGHT SOURCES ON BASIS OF LIGHT-EMITTING DIODE TECHNOLOGIES

    Directory of Open Access Journals (Sweden)

    S. Sernov

    2012-01-01

    Full Text Available The paper contains information on the current state of automotive lighting equipment. Different designs of automotive lighting devices, their merits and demerits are described in the paper. The paper includes a substantiation of expediency of developing light-emitting diode lighting and proposes recommendations about optimization of their design.

  2. The Impact of Current Goals on Autobiographical Memories

    DEFF Research Database (Denmark)

    Johannessen, Kim Berg; Berntsen, Dorthe

    This symposium presents four studies that illustrate how cultural life scripts and collective transitions brought about by historical events have a strong impact on autobiographical remembering and the organization of autobiographical memories across the life span. Further, knowledge about...

  3. Can anti-Mullerian hormone replace ultrasonographic evaluation in polycystic ovary syndrome? A review of current progress

    Directory of Open Access Journals (Sweden)

    Awadhesh Kumar Singh

    2015-01-01

    Full Text Available Several studies over the past decade have now consistently indicated that the serum anti-Mullerian hormone (AMH levels are at least 2–3-fold higher in the patients with polycystic ovary syndrome (PCOS, which also corresponds to the increased number of AMH producing preantral and small antral follicles. Moreover, AMH levels have been found to be associated in direct proportion to the follicle numbers per ovary or antral follicular count, assessed by the transvaginal ultrasound (TVS. Furthermore, AMH correlates directly with the rising serum testosterone and luteinizing hormone levels in PCOS. Hence, serum AMH in women with oligo-anovulation and/or hyperandrogenemia could indicate the presence of underlying PCOS, when reliable TVS is not feasible, or not acceptable, either due to the virginal status or psycho-social issue. In addition, the imaging quality of abdominal ultrasound is often impaired by obesity, which typically occurs in PCOS women. Indeed, PCOS occurs most commonly in young females who cannot be subjected to invasive TVS for various reasons; therefore, a desirable alternative to TVS is urgently required to diagnose the most prevalent endocrine abnormality of young women. This review will analyze the currently available evidence regarding the role of AMH in the diagnosis of PCOS.

  4. Current Issues in LPP Research and Their Impact on Society

    Science.gov (United States)

    Darquennes, Jeroen

    2013-01-01

    After a very broad description of what language policy and planning is about this paper presents an overview of some of the current preoccupations of researchers focusing on language policy and planning as one of the blooming fields of applied linguistics. The current issues in language policy and planning research that are dealt with include…

  5. Ankle replacement

    Science.gov (United States)

    Ankle arthroplasty - total; Total ankle arthroplasty; Endoprosthetic ankle replacement; Ankle surgery ... You may not be able to have a total ankle replacement if you have had ankle joint infections in ...

  6. Knee Replacement

    Science.gov (United States)

    Knee replacement is surgery for people with severe knee damage. Knee replacement can relieve pain and allow you to ... Your doctor may recommend it if you have knee pain and medicine and other treatments are not ...

  7. Current state of the rearing of replacement young-of-the-year Acipenseriformes in the conditions of the southern Ukraine

    Directory of Open Access Journals (Sweden)

    Ye. Alkhimov

    2017-03-01

    Full Text Available Purpose. Examine and analyze the current state of storage fingerlings acipenseriformes cultivation, including sturgeon and paddlefish, in terms of industrial-experimental Dnieper sturgeon fish-growing factory located in the southern Ukraine. Methodology. The problems were solved by the conventional methods in hydrochemistry, hydrobiology and fish farming. The results were processed using statistical methods of the data processing and analysis which suggest it reliable. Findigs. The research has established that physical and chemical parameters of water in farms' ponds answered the operating pond fishery regulations. The existing level of natural forage base elements can be considered satisfacting for the growing storage material. The best development of zooplankton in the application of polyculture acipenseriformes should be noted. The monoculture benefit was observed in the most fisheries indicators for certain types. Sturgeon fish productivity advantage in terms of polyculture is the evidence of positive mutual influences among the reservoir consumers of different trophic levels. In terms of polyculture the significant benefit of total fish productivity indicator was observed. It clearly points to the prospects of the measure in terms of substantial efficiency of pond areas for growing storage fingerlings. Results of acipenseriformes growing in mono- and polyculture clearly favor the polyculture, which could be used in breeding practice. Scientific Originality. In specific conditions of the southern Ukraine the influence of environmental and technological conditions for growing storage fingerlings acipenseriformes fish (sturgeon and paddlefish was investigated for the first time. In terms of mono- and polyculture cultivation storage acipenseriformes fish material was firstly explored. Practical Value. The results of cultivation can be used in breeding practice as the norm of the environmental situation evaluation in the ponds. Growing storage

  8. Effects of tetrodotoxin and ion replacements on the short-circuit current induced by Escherichiacoli heat stable enterotoxin across small intestine of the gerbil (Gerbillus cheesmani

    Directory of Open Access Journals (Sweden)

    Fawzia Yaqoub Al-Balool

    2004-03-01

    Full Text Available The effects of mucosally added Escherichia coli heat stable enterotoxin (STa 30 ng ml-1 on the basal short-circuit current (Isc in µA cm-2 across stripped and unstripped sheets of jejuna and ilea taken from fed, starved (4 days, water ad lib and undernourished (50% control food intake for 21 days gerbil (Gerbillus cheesmani were investigated. The effect of neurotoxin tetrodotoxin (TTX 10 µM and the effects of replacing chloride by gluconate or the effects of removing bicarbonate from bathing buffers on the maximum increase in Isc induced by STa were also investigated. The maximum increase in Isc which resulted from the addition of STa were significantly higher in jejuna and ilea taken from starved and undernourished gerbils when compared with the fed control both using stripped and unstripped sheets. In the two regions of the small intestine taken from fed and starved animals TTX reduced the maximum increase in Isc induced by STa across unstripped sheets only. Moreover in jejuna and ilea taken from undernourished gerbils TTX reduced significantly the maximum increase in Isc induced by STa across stripped and unstripped sheets. Replacing chloride by gluconate decreased the maximum increase in Isc induced by STa across jejuna and ilea taken from undernourished gerbils only. Removing bicarbonates from bathing buffer decreased the maximum increase in Isc across the jejuna and ilea taken from starved and undernourished gerbils.

  9. Life cycle assessment Part 2 : Current impact assessment practice

    NARCIS (Netherlands)

    Pennington, DW; Potting, J; Finnveden, G; Lindeijer, E; Jolliet, O; Rydberg, T; Rebitzer, G

    2004-01-01

    Providing our society with goods and services contributes to a wide range of environmental impacts. Waste generation, emissions and the consumption of resources occur at many stages in a product's life cycle-from raw material extraction, energy acquisition, production and manufacturing, use, reuse,

  10. Life cycle assessment Part 2 : Current impact assessment practice

    NARCIS (Netherlands)

    Pennington, DW; Potting, J; Finnveden, G; Lindeijer, E; Jolliet, O; Rydberg, T; Rebitzer, G

    2004-01-01

    Providing our society with goods and services contributes to a wide range of environmental impacts. Waste generation, emissions and the consumption of resources occur at many stages in a product's life cycle-from raw material extraction, energy acquisition, production and manufacturing, use, reuse,

  11. Life cycle assessment Part 2 : Current impact assessment practice

    NARCIS (Netherlands)

    Pennington, D.W; Potting, J; Finnveden, G; Lindeijer, E; Jolliet, O; Rydberg, T.; Rebitzer, G.

    Providing our society with goods and services contributes to a wide range of environmental impacts. Waste generation, emissions and the consumption of resources occur at many stages in a product's life cycle-from raw material extraction, energy acquisition, production and manufacturing, use, reuse,

  12. Little auks buffer the impact of current Arctic climate change

    DEFF Research Database (Denmark)

    Grémillet, David; Welcker, Jorg; Karnovsky, Nina J.

    2012-01-01

    Climate models predict a multi-degree warming of the North Atlantic in the 21st century. A research priority is to understand the impact of such changes upon marine organisms. With 40-80 million individuals, planktivorous little auks (Alle alle) are an essential component of pelagic food webs in ...

  13. The impact of exospheric neutral dynamics on ring current decay

    Science.gov (United States)

    Ilie, R.; Liemohn, M. W.; Skoug, R. M.; Funsten, H. O.; Gruntman, M.; Bailey, J. J.; Toth, G.

    2015-12-01

    The geocorona plays an important role in the energy budget of the Earth's inner magnetosphere since charge exchange of energetic ions with exospheric neutrals makes the exosphere act as an energy sink for ring current particles. Long-term ring current decay following a magnetic storm is mainly due to these electron transfer reactions, leading to the formation energetic neutral atoms (ENAs) that leave the ring current system on ballistic trajectories. The number of ENAs emitted from a given region of space depends on several factors, such as the energy and species of the energetic ion population in that region and the density of the neutral gas with which the ions undergo charge exchange. However, the density and structure of the exosphere are strongly dependent on changes in atmospheric temperature and density as well as charge exchange with the ions of plasmaspheric origin, which depletes the geocorona (by having a neutral removed from the system). Moreover, the radiation pressure exerted by solar far-ultraviolet photons pushes the geocoronal hydrogen away from the Earth in an anti-sunward direction to form a tail of neutral hydrogen. TWINS ENA images provide a direct measurement of these ENA losses and therefore insight into the dynamics of the ring current decay through interactions with the geocorona. We assess the influence of geocoronal neutrals on ring current formation and decay by analysis of the predicted ENA emissions using 6 different geocoronal models and simulations from the HEIDI ring current model during storm time. Comparison with TWINS ENA images shows that the location of the peak ENA enhancements is highly dependent on the distribution of geocoronal hydrogen density. We show that the neutral dynamics has a strong influence on the time evolution of the ring current populations as well as on the formation of energetic neutral atoms.

  14. The impact of sunlight on high-latitude equivalent currents

    CERN Document Server

    Laundal, K M; Østgaard, N; Reistad, J P; Haaland, S; Snekvik, K; Tenfjord, P; Ohtani, S; Milan, S E

    2016-01-01

    Ground magnetic field measurements can be mathematically related to an overhead ionospheric equivalent current. In this study we look in detail at how the global equivalent current, calculated using more than 30 years of SuperMAG magnetometer data, changes with sunlight conditions. The calculations are done using spherical harmonic analysis in quasi-dipole coordinates, a technique which leads to improved accuracy compared to previous studies. Sorting the data according to the location of the sunlight terminator and orientation of the interplanetary magnetic field (IMF), we find that the equivalent current resembles ionospheric convection patterns on the sunlit side of the terminator but not on the dark side. On the dark side, with southward IMF, the current is strongly dominated by a dawn cell and the current across the polar cap has a strong dawnward component. The contrast between the sunlit and dark side increases with increasing values of the $\\mathit{F}_{10.7}$ index, showing that increasing solar EUV fl...

  15. Impact of hormone replacement therapy on cardiac metabolic indicators in men with high cardiovascular risk and hypogonadism

    Directory of Open Access Journals (Sweden)

    M. N. Mamedov

    2014-12-01

    Full Text Available The paper evaluates the impact of hormone replacement therapy (HRT with androgens on cardiac metabolic indicators in men with high cardiovascular risk (CVR and androgen deficiency state. An open-label randomized clinical trial enrolled 52 men aged 30–64 years with high CVR and detected androgen-deficiency state. The men were randomized into 2 groups: a control group (CG (n = 26 continued to receive the pre-trial therapy; during the previous therapy, a study group (SG (n = 26 had daily applications of transdermal gel with testosterone (AndroGel in a daily dose of 50 mg of testosterone in 5 g of the gel. The trial lasted 180 days. The changes in the indicators under study were traced 90 days after treatment initiation at an intermediate visit and 180 days after the initiation of treatment – at the end of its treatment.At the end of the trial, HRT in men with androgen deficiency and high CVR led to normalization of testosterone levels in all the SG patients and to improvement in erectile function by 12 %. Androgen therapy caused a statistically significant reduction in blood pressure by 10 %; no changes were virtually observed in the CG. HRT promoted a slight, but significant weight loss (by an average of 2.8 kg and waist circumference (by an average of 1.7 cm. The therapy performed also lowered the concentration of total cholesterol by an average of 11 % and that of triglycerides by 22 %. During the therapy, there was a significant decrease in fasting insulin and glucose levels. Overall, the course therapy with transdermal gel in combination with testosterone resulted in a reduction in the expected total CVR by 30 %. Thus, HRT using testosterone preparations in men with hypogonadism and high CVR led to normalization of testosterone levels and major cardiac metabolic indicators and to improvement in erectile function.

  16. Impact of hormone replacement therapy on cardiac metabolic indicators in men with high cardiovascular risk and hypogonadism

    Directory of Open Access Journals (Sweden)

    M. N. Mamedov

    2014-01-01

    Full Text Available The paper evaluates the impact of hormone replacement therapy (HRT with androgens on cardiac metabolic indicators in men with high cardiovascular risk (CVR and androgen deficiency state. An open-label randomized clinical trial enrolled 52 men aged 30–64 years with high CVR and detected androgen-deficiency state. The men were randomized into 2 groups: a control group (CG (n = 26 continued to receive the pre-trial therapy; during the previous therapy, a study group (SG (n = 26 had daily applications of transdermal gel with testosterone (AndroGel in a daily dose of 50 mg of testosterone in 5 g of the gel. The trial lasted 180 days. The changes in the indicators under study were traced 90 days after treatment initiation at an intermediate visit and 180 days after the initiation of treatment – at the end of its treatment.At the end of the trial, HRT in men with androgen deficiency and high CVR led to normalization of testosterone levels in all the SG patients and to improvement in erectile function by 12 %. Androgen therapy caused a statistically significant reduction in blood pressure by 10 %; no changes were virtually observed in the CG. HRT promoted a slight, but significant weight loss (by an average of 2.8 kg and waist circumference (by an average of 1.7 cm. The therapy performed also lowered the concentration of total cholesterol by an average of 11 % and that of triglycerides by 22 %. During the therapy, there was a significant decrease in fasting insulin and glucose levels. Overall, the course therapy with transdermal gel in combination with testosterone resulted in a reduction in the expected total CVR by 30 %. Thus, HRT using testosterone preparations in men with hypogonadism and high CVR led to normalization of testosterone levels and major cardiac metabolic indicators and to improvement in erectile function.

  17. Potential impacts of CF3I on ozone as a replacement for CF3Br in aircraft applications

    Directory of Open Access Journals (Sweden)

    D. Youn

    2006-06-01

    Full Text Available Iodotrifluoromethane (CF3I has been considered to be a candidate replacement for bromotrifluoromethane (CF3Br, which is used in aircraft for fuel inerting and for fire fighting. In this study, the chemical effects of aircraft-released CF3I on atmospheric ozone were examined with the University of Illinois at Urbana-Champaign two-dimensional chemical-radiative-transport (UIUC 2-D CRT model. Using an earlier estimate of the aircraft emission profile for tank inerting in military aircraft, the resulting equivalent Ozone Depletion Potentials (ODPs for CF3I were in the range of 0.07 to 0.25. As a sensitivity study, we also analyzed CF3I emissions associated with fuel inerting if it were to occur at lower altitudes using an alternative estimate. The model calculations of resulting effects on ozone for this case gave ODPs≤0.05. Furthermore, through interactions with the National Institute of Standards and Technology (NIST, we analyzed the potential effects on ozone resulting from using CF3I in fire fighting connected with engine nacelle and auxiliary power unit applications. The scenarios evaluated using the NIST estimate suggested that the ODPs obtained by assuming aircraft flights occurring in several different latitude regions of the Northern Hemisphere are extremely low. According to the model calculation, the altitude where CF3I is released from aircraft is a dominant factor in its ozone depletion effects. On the assumption that the CF3I emission profile is representative of actual release characteristics, aircraft-released CF3I has much lower impacts on the ozone layer and can be a qualified substitute of CF3Br in engine nacelles.

  18. Potential impacts of CF3I on ozone as a replacement for CF3Br in aircraft applications

    Directory of Open Access Journals (Sweden)

    Y. Li

    2006-01-01

    Full Text Available Iodotrifluoromethane (CF3I has been considered to be a candidate replacement for bromotrifluoromethane (CF3Br, which is used in aircraft for fuel inerting and for fire fighting. In this study, the chemical effects of aircraft-released CF3I on atmospheric ozone were examined with the University of Illinois at Urbana-Champaign two-dimensional chemical-radiative-transport (UIUC 2-D CRT model. Using an earlier estimate of the aircraft emission profile for tank inerting in military aircraft, the resulting equivalent Ozone Depletion Potentials (ODPs for CF3I were in the range of 0.07 to 0.25. As a sensitivity study, we also analyzed CF3I emissions associated with fuel inerting if it were to occur at lower altitudes using an alternative estimate. The model calculations of resulting effects on ozone for this case gave ODPs≤0.05. Furthermore, through interactions with the National Institute of Standards and Technology (NIST, we analyzed the potential effects on ozone resulting from using CF3I in fire fighting connected with engine nacelle and auxiliary power unit applications. The scenarios evaluated using the NIST estimate suggested that the ODPs obtained by assuming aircraft flights occurring in several different latitude regions of the Northern Hemisphere are extremely low. According to the model calculation, the altitude where CF3I is released from aircraft is a dominant factor in its ozone depletion effects. On the assumption that the CF3I emission profile is representative of actual release characteristics, aircraft-released CF3I has much lower impacts than CF3Br.

  19. Current Mood vs. Recalled Impacts of Current Moods after Exposures to Sequences of Uncertain Monetary Outcomes

    Science.gov (United States)

    Olsson, Lars E.; Gärling, Tommy; Ettema, Dick; Friman, Margareta; Ståhl, Michael

    2017-01-01

    Events in a sequence may each be evaluated as good or bad. We propose that such good-bad evaluations evoke emotional responses that change current mood. A model of recurrent updating of current mood is developed and compared to a model of how a sequence of events evoking emotional responses is evaluated retrospectively. In Experiment 1, 149 undergraduates are presented sequences of lottery outcomes with a fixed probability of losing or winning different amounts of money. Ratings of current mood are made after the sequence. Retrospective evaluations are either made after the ratings of current mood or, in a control condition, when no ratings of current mood are made. The results show an expected effect on current mood of the valence of the end of the sequence. The results are less clear in showing an expected beginning effect on the retrospective evaluations. An expected beginning effect on retrospective evaluations is found in Experiment 2 in which 41 undergraduates are first asked to remember the different amounts of money, then to evaluate the sequence as lottery outcomes.

  20. Current Mood vs. Recalled Impacts of Current Moods after Exposures to Sequences of Uncertain Monetary Outcomes.

    Science.gov (United States)

    Olsson, Lars E; Gärling, Tommy; Ettema, Dick; Friman, Margareta; Ståhl, Michael

    2017-01-01

    Events in a sequence may each be evaluated as good or bad. We propose that such good-bad evaluations evoke emotional responses that change current mood. A model of recurrent updating of current mood is developed and compared to a model of how a sequence of events evoking emotional responses is evaluated retrospectively. In Experiment 1, 149 undergraduates are presented sequences of lottery outcomes with a fixed probability of losing or winning different amounts of money. Ratings of current mood are made after the sequence. Retrospective evaluations are either made after the ratings of current mood or, in a control condition, when no ratings of current mood are made. The results show an expected effect on current mood of the valence of the end of the sequence. The results are less clear in showing an expected beginning effect on the retrospective evaluations. An expected beginning effect on retrospective evaluations is found in Experiment 2 in which 41 undergraduates are first asked to remember the different amounts of money, then to evaluate the sequence as lottery outcomes.

  1. The impact of hormone replacement therapy on menopausal symptoms in younger high-risk women after prophylactic salpingo-oophorectomy

    NARCIS (Netherlands)

    J.B. Madalinska; M. van Beurden; E.M.A. Bleiker; H.B. Valdimarsdottir; J. Hollenstein; L.F. Massuger; K.N. Gaarenstroom; M.J.E. Mourits; R.H.M. Verheijen; E.B.L. van Dorst; H. van der Putten; K. van der Velden; H. Boonstra; N.K. Aaronson

    2006-01-01

    Purpose Preventive health strategies for women at increased hereditary risk of ovarian cancer include gynecologic screening (GS) and/or prophylactic oophorectomy (PBSO). Hormone replacement therapy (HRT) is often prescribed to compensate for postsurgical endocrine deficiencies. This study examined t

  2. The impact of hormone replacement therapy on menopausal symptoms in younger high-risk women after prophylactic salpingo-oophorectomy.

    NARCIS (Netherlands)

    Madalinska, J.B.; Beurden, M. van; Bleiker, E.M.A.; Valdimarsdottir, H.B.; Hollenstein, J.; Massuger, L.F.A.G.; Gaarenstroom, K.N.; Mourits, M.J.E.; Verheijen, R.H.; Dorst, E.B.L. van; Putten, H. van der; Velden, K. van der; Boonstra, H.; Aaronson, N.K.

    2006-01-01

    PURPOSE: Preventive health strategies for women at increased hereditary risk of ovarian cancer include gynecologic screening (GS) and/or prophylactic oophorectomy (PBSO). Hormone replacement therapy (HRT) is often prescribed to compensate for postsurgical endocrine deficiencies. This study examined

  3. The impact of hormone replacement therapy on menopausal symptoms in younger high-risk women after prophylactic salpingo-oophorectomy.

    NARCIS (Netherlands)

    Madalinska, J.B.; Beurden, M. van; Bleiker, E.M.A.; Valdimarsdottir, H.B.; Hollenstein, J.; Massuger, L.F.A.G.; Gaarenstroom, K.N.; Mourits, M.J.E.; Verheijen, R.H.; Dorst, E.B.L. van; Putten, H. van der; Velden, K. van der; Boonstra, H.; Aaronson, N.K.

    2006-01-01

    PURPOSE: Preventive health strategies for women at increased hereditary risk of ovarian cancer include gynecologic screening (GS) and/or prophylactic oophorectomy (PBSO). Hormone replacement therapy (HRT) is often prescribed to compensate for postsurgical endocrine deficiencies. This study examined

  4. Nausea: current knowledge of mechanisms, measurement and clinical impact.

    Science.gov (United States)

    Kenward, Hannah; Pelligand, Ludovic; Savary-Bataille, Karine; Elliott, Jonathan

    2015-01-01

    Nausea is a subjective sensation, which often acts as a signal that emesis is imminent. It is a widespread problem that occurs as a clinical sign of disease or as an adverse effect of a drug therapy or surgical procedure. The mechanisms of nausea are complex and the neural pathways are currently poorly understood. This review summarises the current knowledge of nausea mechanisms, the available animal models for nausea research and the anti-nausea properties of commercially available anti-emetic drugs. The review also presents subjective assessment and scoring of nausea. A better understanding of the underlying mechanisms of nausea might reveal potential clinically useful biomarkers for objective measurement of nausea in species of veterinary interest.

  5. Drift in ocean currents impacts intergenerational microbial exposure to temperature.

    Science.gov (United States)

    Doblin, Martina A; van Sebille, Erik

    2016-05-17

    Microbes are the foundation of marine ecosystems [Falkowski PG, Fenchel T, Delong EF (2008) Science 320(5879):1034-1039]. Until now, the analytical framework for understanding the implications of ocean warming on microbes has not considered thermal exposure during transport in dynamic seascapes, implying that our current view of change for these critical organisms may be inaccurate. Here we show that upper-ocean microbes experience along-trajectory temperature variability up to 10 °C greater than seasonal fluctuations estimated in a static frame, and that this variability depends strongly on location. These findings demonstrate that drift in ocean currents can increase the thermal exposure of microbes and suggests that microbial populations with broad thermal tolerance will survive transport to distant regions of the ocean and invade new habitats. Our findings also suggest that advection has the capacity to influence microbial community assemblies, such that regions with strong currents and large thermal fluctuations select for communities with greatest plasticity and evolvability, and communities with narrow thermal performance are found where ocean currents are weak or along-trajectory temperature variation is low. Given that fluctuating environments select for individual plasticity in microbial lineages, and that physiological plasticity of ancestors can predict the magnitude of evolutionary responses of subsequent generations to environmental change [Schaum CE, Collins S (2014) Proc Biol Soc 281(1793):20141486], our findings suggest that microbial populations in the sub-Antarctic (∼40°S), North Pacific, and North Atlantic will have the most capacity to adapt to contemporary ocean warming.

  6. Current perspectives: the impact of cyberbullying on adolescent health

    OpenAIRE

    Nixon CL

    2014-01-01

    Charisse L Nixon Pennsylvania State University, the Behrend College, Erie, PA, USA Abstract: Cyberbullying has become an international public health concern among adolescents, and as such, it deserves further study. This paper reviews the current literature related to the effects of cyberbullying on adolescent health across multiple studies worldwide and provides directions for future research. A review of the evidence suggests that cyberbullying poses a threat to adolescents' health...

  7. Drift in ocean currents impacts intergenerational microbial exposure to temperature

    Science.gov (United States)

    Doblin, Martina A.; van Sebille, Erik

    2016-01-01

    Microbes are the foundation of marine ecosystems [Falkowski PG, Fenchel T, Delong EF (2008) Science 320(5879):1034–1039]. Until now, the analytical framework for understanding the implications of ocean warming on microbes has not considered thermal exposure during transport in dynamic seascapes, implying that our current view of change for these critical organisms may be inaccurate. Here we show that upper-ocean microbes experience along-trajectory temperature variability up to 10 °C greater than seasonal fluctuations estimated in a static frame, and that this variability depends strongly on location. These findings demonstrate that drift in ocean currents can increase the thermal exposure of microbes and suggests that microbial populations with broad thermal tolerance will survive transport to distant regions of the ocean and invade new habitats. Our findings also suggest that advection has the capacity to influence microbial community assemblies, such that regions with strong currents and large thermal fluctuations select for communities with greatest plasticity and evolvability, and communities with narrow thermal performance are found where ocean currents are weak or along-trajectory temperature variation is low. Given that fluctuating environments select for individual plasticity in microbial lineages, and that physiological plasticity of ancestors can predict the magnitude of evolutionary responses of subsequent generations to environmental change [Schaum CE, Collins S (2014) Proc Biol Soc 281(1793):20141486], our findings suggest that microbial populations in the sub-Antarctic (∼40°S), North Pacific, and North Atlantic will have the most capacity to adapt to contemporary ocean warming. PMID:27140608

  8. Soil Quality Impacts of Current South American Agricultural Practices

    Directory of Open Access Journals (Sweden)

    Ana B. Wingeyer

    2015-02-01

    Full Text Available Increasing global demand for oil seeds and cereals during the past 50 years has caused an expansion in the cultivated areas and resulted in major soil management and crop production changes throughout Bolivia, Paraguay, Uruguay, Argentina and southern Brazil. Unprecedented adoption of no-tillage as well as improved soil fertility and plant genetics have increased yields, but the use of purchased inputs, monocropping i.e., continuous soybean (Glycine max (L. Merr., and marginal land cultivation have also increased. These changes have significantly altered the global food and feed supply role of these countries, but they have also resulted in various levels of soil degradation through wind and water erosion, soil compaction, soil organic matter (SOM depletion, and nutrient losses. Sustainability is dependent upon local interactions between soil, climate, landscape characteristics, and production systems. This review examines the region’s current soil and crop conditions and summarizes several research studies designed to reduce or prevent soil degradation. Although the region has both environmental and soil resources that can sustain current agricultural production levels, increasing population, greater urbanization, and more available income will continue to increase the pressure on South American croplands. A better understanding of regional soil differences and quantifying potential consequences of current production practices on various soil resources is needed to ensure that scientific, educational, and regulatory programs result in land management recommendations that support intensification of agriculture without additional soil degradation or other unintended environmental consequences.

  9. Environmental impacts of barley cultivation under current and future climatic conditions

    DEFF Research Database (Denmark)

    Dijkman, Teunis Johannes; Birkved, Morten; Saxe, Henrik

    2017-01-01

    The purpose of this work is to compare the environmental impacts of spring barley cultivation in Denmark under current (year 2010) and future (year 2050) climatic conditions. Therefore, a Life Cycle Assessment was carried out for the production of 1 kg of spring barley in Denmark, at farm gate......-products, the resulting environmental impacts were allocated between the main product and their respective by-products using economic allocation. Impact assessment was done using the ReCiPe (H) methodology, except for toxicity impacts, which were assessed using USEtox. The results show that the impacts for all impact...... for the increased impacts. This finding was confirmed by the sensitivity analysis. Because this study focused solely on the impacts of climate change, technological improvements and political measures to reduce impacts in the 2050 scenario are not taken into account. Options to mitigate the environmental impacts...

  10. Current Approaches Regarding the Knowledge Management Impact on SMEs Performance

    Directory of Open Access Journals (Sweden)

    Ionela Carmen RIZEA (PIRNEA

    2011-12-01

    Full Text Available Managing knowledge is a critical capability for small to medium-sized enterprises (SMEs to master because it helps them leverage their most critical resource. Organizational knowledge is the most salient resource at the disposal of SMEs in terms of availability, access, and depth. Successful SMEs are those who can leverage their knowledge in an effective and efficient manner, so as to make up for deficiencies in traditional resources, like land, labor, and capital. The purpose of this article is to identify the knowledge management impact on SMEs performance and to compare knowledge management in SMEs with knowledge management in large companies. The research discovered that SMEs do not manage knowledge the same way as larger organizations.

  11. Origins and impacts of mesoscale meanders in the Agulhas Current

    Science.gov (United States)

    Elipot, S.; Beal, L. M.

    2014-12-01

    The Agulhas Current (AC) is the western boundary current of the South Indian subtropical gyre and is also the pathway for the inter-basin exchange of water, heat and salt between the Indian Ocean and the Atlantic Ocean, and thus a crucial part of the global overturning circulation of the world ocean. The AC, which otherwise flows stably along the coast of South Africa, undergoes dramatic offshore excursions from its mean path, forming large mesoscale solitary meanders propagating downstream and potentially linked to the leakage of Indian Ocean waters to the South Atlantic. These irregular meander events have been referred to as Natal Pulses.Here we present new observations and analyses of Agulhas meanders using full-depth velocity mooring observations from the Agulhas Current Time series experiment (ACT). Detailed analyses of the in-situ velocity reveal important differences between the behavior of the flow during solitary meander events and during meander events of smaller amplitude. During solitary meanders, an onshore cyclonic circulation and an offshore anticyclonic circulation act in concert to displace the jet offshore, leading to sudden and strong positive conversion of kinetic energy of the mean flow to the meander. In contrast, smaller amplitude meanderings are principally represented by a single cyclonic circulation spanning the entire jet that acts to displace the jet without significantly extracting kinetic energy from the mean flow. Solitary meander events can be traced upstream using satellite altimetry and linked to either Mozambique Channel eddies or Madagascar dipoles, the latter possibly part of a basin-wide pattern of propagating sea level anomalies consistent with Rossby wave dynamics. However, only a small number of these anomalies lead to solitary meanders. Altimetric observations suggest 1.5 meanders per year and show that the two-year period during ACT when no events were observed is unprecedented in the 20-year satellite record.

  12. A systematic review of antibiotic dosing regimens for septic patients receiving continuous renal replacement therapy: do current studies supply sufficient data?

    Science.gov (United States)

    Li, A M M Y; Gomersall, C D; Choi, G; Tian, Q; Joynt, G M; Lipman, J

    2009-11-01

    Drug dosing for septic patients with acute renal failure receiving continuous renal replacement therapy (CRRT) is complicated, and failure to correctly dose may result in either drug toxicity or treatment failure and development of antibiotic resistance. The aim of this study was to establish an ideal dataset that needs to be reported when presenting pharmacokinetic data for these patients and review current literature for completeness of this dataset. An ideal dataset was established of the parameters that should be reported when calculating a drug dosing regimen from first principles. A Medline search was performed of relevant literature producing 64 citations from which completeness of the specified criteria was examined. None of the studies analysed presented the full dataset that we established as necessary. Of concern, basic pharmacokinetic parameters such as volume of distribution (V(d)) and clearance (CL) were specified in only 79% and 81% of studies, respectively. A large proportion of current studies do not report key information necessary to devise a rational dosing regimen for patients with acute renal failure receiving CRRT, and we hope this dataset will be a useful guide when reporting future pharmacokinetic data.

  13. Current perspectives: the impact of cyberbullying on adolescent health.

    Science.gov (United States)

    Nixon, Charisse L

    2014-01-01

    Cyberbullying has become an international public health concern among adolescents, and as such, it deserves further study. This paper reviews the current literature related to the effects of cyberbullying on adolescent health across multiple studies worldwide and provides directions for future research. A review of the evidence suggests that cyberbullying poses a threat to adolescents' health and well-being. A plethora of correlational studies have demonstrated a cogent relationship between adolescents' involvement in cyberbullying and negative health indices. Adolescents who are targeted via cyberbullying report increased depressive affect, anxiety, loneliness, suicidal behavior, and somatic symptoms. Perpetrators of cyberbullying are more likely to report increased substance use, aggression, and delinquent behaviors. Mediating/moderating processes have been found to influence the relationship between cyberbullying and adolescent health. More longitudinal work is needed to increase our understanding of the effects of cyberbullying on adolescent health over time. Prevention and intervention efforts related to reducing cyberbullying and its associated harms are discussed.

  14. Current perspectives: the impact of cyberbullying on adolescent health

    Science.gov (United States)

    Nixon, Charisse L

    2014-01-01

    Cyberbullying has become an international public health concern among adolescents, and as such, it deserves further study. This paper reviews the current literature related to the effects of cyberbullying on adolescent health across multiple studies worldwide and provides directions for future research. A review of the evidence suggests that cyberbullying poses a threat to adolescents’ health and well-being. A plethora of correlational studies have demonstrated a cogent relationship between adolescents’ involvement in cyberbullying and negative health indices. Adolescents who are targeted via cyberbullying report increased depressive affect, anxiety, loneliness, suicidal behavior, and somatic symptoms. Perpetrators of cyberbullying are more likely to report increased substance use, aggression, and delinquent behaviors. Mediating/moderating processes have been found to influence the relationship between cyberbullying and adolescent health. More longitudinal work is needed to increase our understanding of the effects of cyberbullying on adolescent health over time. Prevention and intervention efforts related to reducing cyberbullying and its associated harms are discussed. PMID:25177157

  15. Impact of a board-game approach on current smokers: a randomized controlled trial

    Directory of Open Access Journals (Sweden)

    Khazaal Yasser

    2013-01-01

    Full Text Available Abstract Background The main objective of our study was to assess the impact of a board game on smoking status and smoking-related variables in current smokers. To accomplish this objective, we conducted a randomized controlled trial comparing the game group with a psychoeducation group and a waiting-list control group. Methods The following measures were performed at participant inclusion, as well as after a 2-week and a 3-month follow-up period: “Attitudes Towards Smoking Scale” (ATS-18, “Smoking Self-Efficacy Questionnaire” (SEQ-12, “Attitudes Towards Nicotine Replacement Therapy” scale (ANRT-12, number of cigarettes smoked per day, stages of change, quit attempts, and smoking status. Furthermore, participants were assessed for concurrent psychiatric disorders and for the severity of nicotine dependence with the Fagerström Test for Nicotine Dependence (FTND. Results A time × group effect was observed for subscales of the ANRT-12, ATS-18 and SEQ-12, as well as for the number of cigarettes smoked per day. At three months follow-up, compared to the participants allocated to the waiting list group, those on Pick-Klop group were less likely to remain smoker. Outcomes at 3 months were not predicted by gender, age, FTND, stage of change, or psychiatric disorders at inclusion. Conclusions The board game seems to be a good option for smokers. The game led to improvements in variables known to predict quitting in smokers. Furthermore, it increased smoking-cessation rates at 3-months follow-up. The game is also an interesting alternative for smokers in the precontemplation stage.

  16. Impact of a board-game approach on current smokers: a randomized controlled trial.

    Science.gov (United States)

    Khazaal, Yasser; Chatton, Anne; Prezzemolo, Roberto; Zebouni, Fadi; Edel, Yves; Jacquet, Johan; Ruggeri, Ornella; Burnens, Emilie; Monney, Grégoire; Protti, Anne-Sylvie; Etter, Jean-François; Khan, Riaz; Cornuz, Jacques; Zullino, Daniele

    2013-01-17

    The main objective of our study was to assess the impact of a board game on smoking status and smoking-related variables in current smokers. To accomplish this objective, we conducted a randomized controlled trial comparing the game group with a psychoeducation group and a waiting-list control group. The following measures were performed at participant inclusion, as well as after a 2-week and a 3-month follow-up period: "Attitudes Towards Smoking Scale" (ATS-18), "Smoking Self-Efficacy Questionnaire" (SEQ-12), "Attitudes Towards Nicotine Replacement Therapy" scale (ANRT-12), number of cigarettes smoked per day, stages of change, quit attempts, and smoking status. Furthermore, participants were assessed for concurrent psychiatric disorders and for the severity of nicotine dependence with the Fagerström Test for Nicotine Dependence (FTND). A time × group effect was observed for subscales of the ANRT-12, ATS-18 and SEQ-12, as well as for the number of cigarettes smoked per day. At three months follow-up, compared to the participants allocated to the waiting list group, those on Pick-Klop group were less likely to remain smoker.Outcomes at 3 months were not predicted by gender, age, FTND, stage of change, or psychiatric disorders at inclusion. The board game seems to be a good option for smokers. The game led to improvements in variables known to predict quitting in smokers. Furthermore, it increased smoking-cessation rates at 3-months follow-up. The game is also an interesting alternative for smokers in the precontemplation stage.

  17. Impact of gestational diabetes and lactational insulin replacement on structure and secretory function of offspring rat ventral prostate.

    Science.gov (United States)

    Santos, Sérgio A A; Rinaldi, Jaqueline C; Martins, Amanda E; Camargo, Ana C L; Leonelli, Carina; Delella, Flávia K; Felisbino, Sérgio L; Justulin, Luis A

    2014-09-15

    Clinical and experimental studies have shown that exposure to adverse conditions during the critical stages of embryonic, fetal or neonatal development lead to a significantly increased risk of later disease. Diabetes during pregnancy has been linked to increased risk of obesity and diabetes in offspring. Here, we investigated whether mild gestational diabetes mellitus (GDM) followed or not by maternal insulin replacement affects the ventral prostate (VP) structure and function in male offspring at puberty and adulthood. Pregnant rats were divided into the following 3 groups: control (CT); streptozotocin (STZ)-induced diabetes (D); and D plus insulin replacement during lactation (GDI). The male offspring from different groups were euthanized at postnatal day (PND) 60 and 120. Biometrical parameters, hormonal levels and prostates were evaluated. Mild-GDM promoted reduction in the glandular parenchyma and increased collagen deposition. Insulin replacement during lactation restored the VP morphology. Most importantly, mild-GDM decreased the androgen-induced secretory function as determined by prostatein expression, and insulin replacement reversed this effect. Our results demonstrated that mild GDM impairs VP parenchyma maturation, which is associated with an increase in the fibromuscular stroma compartment. Functionally, the reduction in the VP parenchyma decreases the glandular secretory activity as demonstrated by low expression of prostatein, a potent immunosuppressor factor that protects sperm from immunologic damage into the feminine reproductive tract. This change could lead to impairment of reproductive function in male offspring from diabetic mothers. Maternal insulin replacement during the weaning period apparently restores the prostate function in male offspring.

  18. Directed Replacement

    CERN Document Server

    Karttunen, L

    1996-01-01

    This paper introduces to the finite-state calculus a family of directed replace operators. In contrast to the simple replace expression, UPPER -> LOWER, defined in Karttunen (ACL-95), the new directed version, UPPER @-> LOWER, yields an unambiguous transducer if the lower language consists of a single string. It transduces the input string from left to right, making only the longest possible replacement at each point. A new type of replacement expression, UPPER @-> PREFIX ... SUFFIX, yields a transducer that inserts text around strings that are instances of UPPER. The symbol ... denotes the matching part of the input which itself remains unchanged. PREFIX and SUFFIX are regular expressions describing the insertions. Expressions of the type UPPER @-> PREFIX ... SUFFIX may be used to compose a deterministic parser for a ``local grammar'' in the sense of Gross (1989). Other useful applications of directed replacement include tokenization and filtering of text streams.

  19. Current perspectives: the impact of cyberbullying on adolescent health

    Directory of Open Access Journals (Sweden)

    Nixon CL

    2014-08-01

    Full Text Available Charisse L Nixon Pennsylvania State University, the Behrend College, Erie, PA, USA Abstract: Cyberbullying has become an international public health concern among adolescents, and as such, it deserves further study. This paper reviews the current literature related to the effects of cyberbullying on adolescent health across multiple studies worldwide and provides directions for future research. A review of the evidence suggests that cyberbullying poses a threat to adolescents' health and well-being. A plethora of correlational studies have demonstrated a cogent relationship between adolescents' involvement in cyberbullying and negative health indices. Adolescents who are targeted via cyberbullying report increased depressive affect, anxiety, loneliness, suicidal behavior, and somatic symptoms. Perpetrators of cyberbullying are more likely to report increased substance use, aggression, and delinquent behaviors. Mediating/moderating processes have been found to influence the relationship between cyberbullying and adolescent health. More longitudinal work is needed to increase our understanding of the effects of cyberbullying on adolescent health over time. Prevention and intervention efforts related to reducing cyberbullying and its associated harms are discussed. Keywords: cyberbullying, adolescent health, prevention, intervention

  20. [Current knowledge on the effect of technology and sterilization on the structure, properties and longevity of UHMWPE in total joint replacement].

    Science.gov (United States)

    Pokorný, D; Šlouf, M; Fulín, P

    2012-01-01

    Ultrahigh molecular weight polyethylene (UHMWPE) is the most frequently used bearing surface in currently used total joint replacements (TJR). According to the literature available, UHMWPE is the best polymer material, in terms of biocompatibility, mechanical properties and wear resistance, for this application. In spite of this fact, UHMWPE wear (i.e., release of microscopic particles from the polymer surface) remains one of the main reasons of TJR failures. Consequently, the wear of UHMWPE is a subject of intensive study by both materials scientists and orthopaedic surgeons. The structure and properties of UHMWPE strongly depend on the way of processing and post-processing modifications. The processing includes polymer resin preparation (microparticles about 100 ěm in size) and resin consolidation (forming bulk material). Post-processing modifications aim at increasing wear resistance and oxidation stability which are regarded as major factors involved in TJR failure. In order to maintain high purity materials for medical application, it is not allowed to use additional chemicals during the modification processes. The only exception is the use of vitamin E, a natural stabilizer and antioxidant. Considering all the above mentioned facts, the modifications can be based on (I) ionizing radiation such as gamma rays or accelerated electrons, (II) thermal modification, (III) additional stabilization with vitamin E, and (IV) sterilization. According to the modifications, we usually differentiate three generations of UHMWPE. The 1st generation UHMWPE is not modified except for obligatory sterilization. The sterilization procedures based on chemical procedures (formaldehyde vapours, hot water) have lately been forbidden, abandoned and replaced by gamma-irradiation with doses of 25-45 kGy. In the course of time, sterilization by means of gamma-irradiation showed to be unsuitable due to oxidative degradation of UHMWPE, which resulted in lower wear resistance, worse

  1. Impact of enzyme replacement therapy on survival in adults with Pompe disease: Results from a prospective international observational study

    NARCIS (Netherlands)

    D. Güngör (Deniz); M.E. Kruijshaar (Michelle); I. Plug (Iris); R.B. D'Agostino (Ralph); M.L.C. Hagemans (Marloes); P.A. van Doorn (Pieter); A.J.J. Reuser (Arnold); A.T. van der Ploeg (Ans)

    2013-01-01

    textabstractBackground: Pompe disease is a rare metabolic myopathy for which disease-specific enzyme replacement therapy (ERT) has been available since 2006. ERT has shown efficacy concerning muscle strength and pulmonary function in adult patients. However, no data on the effect of ERT on the survi

  2. The lasting impact of adolescence on left-right identification : Cohort replacement and intracohort change in associations with issue attitudes

    NARCIS (Netherlands)

    Rekker, Roderik

    2016-01-01

    This study examined how the ideological correlates of left-right identification in the Netherlands changed between 1980 and 2008, and whether these changes were driven by cohort replacement. Analyses on repeated cross-sectional data revealed an increasing association with immigration and a decreasin

  3. To remove or to replace traditional electronic games? A crossover randomised controlled trial on the impact of removing or replacing home access to electronic games on physical activity and sedentary behaviour in children aged 10–12 years

    Science.gov (United States)

    Straker, Leon M; Abbott, Rebecca A; Smith, Anne J

    2013-01-01

    Objective To evaluate the impact of (1) the removal of home access to traditional electronic games or (2) their replacement with active input electronic games, on daily physical activity and sedentary behaviour in children aged 10–12 years. Design Crossover randomised controlled trial, over 6 months. Setting Family homes in metropolitan Perth, Australia from 2007 to 2010. Participants 10-year-old to 12-year-old children were recruited through school and community media. From 210 children who were eligible, 74 met inclusion criteria, 8 withdrew and 10 had insufficient primary outcome measures, leaving 56 children (29 female) for analysis. Intervention A counterbalanced randomised order of three conditions sustained for 8 weeks each: no home access to electronic games, home access to traditional electronic games and home access to active input electronic games. Main outcome measures Primary outcome was accelerometer assessed moderate/vigorous physical activity (MVPA). Secondary outcomes included sedentary time and diary assessed physical activity and sedentary behaviours. Results Daily MVPA across the whole week was not significantly different between conditions. However, compared with home access to traditional electronic games, removal of all electronic games resulted in a significant increase in MVPA (mean 3.8 min/day, 95% CI 1.5 to 6.1) and a decrease in sedentary time (4.7 min/day, 0.0 to 9.5) in the after-school period. Similarly, replacing traditional games with active input games resulted in a significant increase in MVPA (3.2 min/day, 0.9 to 5.5) and a decrease in sedentary time (6.2 min/day, 1.4 to 11.4) in the after-school period. Diary reports supported an increase in physical activity and a decrease in screen-based sedentary behaviours with both interventions. Conclusions Removal of sedentary electronic games from the child's home and replacing these with active electronic games both resulted in small, objectively measured improvements in

  4. Subcutaneous Immunoglobulin-G Replacement Therapy with Preparations Currently Available in the United States for Intravenous or Intramuscular Use: Reasons and Regimens

    Directory of Open Access Journals (Sweden)

    Chouksey Akhilesh

    2005-09-01

    Full Text Available Abstract For patients who require replacement therapy for primary immunodeficiency, subcutaneous infusions of immunoglobulin G (IgG may be preferable to intravenous infusions for several reasons. However, at present, there is no preparation marketed for use by this route in North America. In this article, we describe the reasons patients have selected this route of therapy and the range of treatment regimens used. Approximately 20% of our patients have chosen the subcutaneous route, mainly because of adverse effects from intravenous (IV infusions or difficulties with venous access. Unit dose regimens using whole bottles of currently available 16% intramuscular preparations or sucrose-containing lyophilized preparations intended for IV use but reconstituted to 15% IgG for subcutaneous administration were individually tailored to each patient. In most cases, self-infusions or home infusions were administered once or twice a week, most commonly requiring two subcutaneous sites and 2 to 3 hours per infusion. On average, patients took 0.18 mL of IgG per kilogram of body weight per site per hour. There were no systemic adverse effects. In patients for whom comparative data were available, trough serum IgG levels were higher with subcutaneous therapy than with IV therapy.

  5. Knee Replacement

    Science.gov (United States)

    ... need knee replacement surgery usually have problems walking, climbing stairs, and getting in and out of chairs. Some ... a total living space on one floor since climbing stairs can be difficult. Install safety bars or a ...

  6. System Impacts from Interconnection of Distributed Resources: Current Status and Identification of Needs for Further Development

    Energy Technology Data Exchange (ETDEWEB)

    Basso, T. S.

    2009-01-01

    This report documents and evaluates system impacts from the interconnection of distributed resources to transmission and distribution systems, including a focus on renewable distributed resource technologies. The report also identifies system impact-resolution approaches and actions, including extensions of existing approaches. Lastly, the report documents the current challenges and examines what is needed to gain a clearer understanding of what to pursue to better avoid or address system impact issues.

  7. Favorable Impacts of Growth Hormone (GH) Replacement Therapy on Atherogenic Risks in Japanese Children with GH Deficiency

    OpenAIRE

    Kohno, Hitoshi; Tanaka, Toshiaki; Fujieda, Kenji; Chihara, Kazuo; Seino, Yoshiki; Irie, Minoru; Takano, Kazue

    2012-01-01

    Growth hormone (GH) affects body composition and atherogenic risk factors. Severe hyperlipidemia may develop in GH-deficient adults as a consequence of continuous GH deficiency. We investigated changes in lipid profiles in 158 Japanese children (103 boys and 55 girls) with GH deficiency who had been enrolled in the Pfizer International Growth Database Japan during 3 yr of GH replacement therapy to evaluate whether GH treatment has beneficial effects on atherogenic risk factors. Total choleste...

  8. The impact of salt replacers and flavor enhancer on the processing characteristics and consumer acceptance of restructured cooked hams.

    Science.gov (United States)

    Pietrasik, Z; Gaudette, N J

    2014-03-01

    Two salt replacers (Ocean's Flavor - OF45, OF60) and one flavor enhancer [Fonterra™ 'Savoury Powder' (SP)] were evaluated for their ability to effectively reduce sodium, while maintaining the functional and sensory properties of restructured hams. Product functionality and safety were assessed using instrumental measures (yield, purge, pH, expressible moisture, proximate composition, sodium content, color, texture) and microbiological assessment. Sensory attributes were evaluated using consumer sensory panelists. All alternative formulations resulted in products with sodium contents below the Health Check(TM) Program guidelines, without detrimental effect on water binding and texture in treatments when NaCl was substituted with sea salt replacers (OF45, OF60). Sodium reduction had no effect on the shelf life of the cooked ham with up to 60 days of refrigerated storage. Consumer hedonics for flavor and aftertaste were lower for OF45 and OF60 compared to control, suggesting that these salt replacers may not be appropriate for inclusion in these products. Copyright © 2013 Elsevier Ltd. All rights reserved.

  9. Competitive replacement of invasive congeners may relax impact on native species: interactions among zebra, quagga, and native unionid mussels.

    Directory of Open Access Journals (Sweden)

    Lyubov E Burlakova

    Full Text Available Determining when and where the ecological impacts of invasive species will be most detrimental and whether the effects of multiple invaders will be superadditive, or subadditive, is critical for developing global management priorities to protect native species in advance of future invasions. Over the past century, the decline of freshwater bivalves of the family Unionidae has been greatly accelerated by the invasion of Dreissena. The purpose of this study was to evaluate the current infestation rates of unionids by zebra (Dreissena polymorpha and quagga (D. rostriformis bugensis mussels in the lower Great Lakes region 25 years after they nearly extirpated native unionids. In 2011-2012, we collected infestation data for over 4000 unionids from 26 species at 198 nearshore sites in lakes Erie, Ontario, and St. Clair, the Detroit River, and inland Michigan lakes and compared those results to studies from the early 1990 s. We found that the frequency of unionid infestation by Dreissena recently declined, and the number of dreissenids attached to unionids in the lower Great Lakes has fallen almost ten-fold since the early 1990s. We also found that the rate of infestation depends on the dominant Dreissena species in the lake: zebra mussels infested unionids much more often and in greater numbers. Consequently, the proportion of infested unionids, as well as the number and weight of attached dreissenids were lower in waterbodies dominated by quagga mussels. This is the first large-scale systematic study that revealed how minor differences between two taxonomically and functionally related invaders may have large consequences for native communities they invade.

  10. Competitive replacement of invasive congeners may relax impact on native species: Interactions among zebra, quagga, and native unionid mussels

    Science.gov (United States)

    Burlakova, Lyubov E.; Tulumello, Brianne L.; Karatayev, Alexander Y.; Krebs, Robert A.; Schloesser, Donald W.; Paterson, Wendy L.; Griffith, Traci A.; Scott, Mariah W.; Crail, Todd D.; Zanatta, David T

    2014-01-01

    Determining when and where the ecological impacts of invasive species will be most detrimental and whether the effects of multiple invaders will be superadditive, or subadditive, is critical for developing global management priorities to protect native species in advance of future invasions. Over the past century, the decline of freshwater bivalves of the family Unionidae has been greatly accelerated by the invasion of Dreissena. The purpose of this study was to evaluate the current infestation rates of unionids by zebra (Dreissena polymorpha) and quagga (D. rostriformis bugensis) mussels in the lower Great Lakes region 25 years after they nearly extirpated native unionids. In 2011–2012, we collected infestation data for over 4000 unionids from 26 species at 198 nearshore sites in lakes Erie, Ontario, and St. Clair, the Detroit River, and inland Michigan lakes and compared those results to studies from the early 1990s. We found that the frequency of unionid infestation by Dreissena recently declined, and the number of dreissenids attached to unionids in the lower Great Lakes has fallen almost ten-fold since the early 1990s. We also found that the rate of infestation depends on the dominant Dreissena species in the lake: zebra mussels infested unionids much more often and in greater numbers. Consequently, the proportion of infested unionids, as well as the number and weight of attached dreissenids were lower in waterbodies dominated by quagga mussels. This is the first large-scale systematic study that revealed how minor differences between two taxonomically and functionally related invaders may have large consequences for native communities they invade.

  11. Esophageal replacement.

    Science.gov (United States)

    Kunisaki, Shaun M; Coran, Arnold G

    2017-04-01

    This article focuses on esophageal replacement as a surgical option for pediatric patients with end-stage esophageal disease. While it is obvious that the patient׳s own esophagus is the best esophagus, persisting with attempts to retain a native esophagus with no function and at all costs are futile and usually detrimental to the overall well-being of the child. In such cases, the esophagus should be abandoned, and the appropriate esophageal replacement is chosen for definitive reconstruction. We review the various types of conduits used for esophageal replacement and discuss the unique advantages and disadvantages that are relevant for clinical decision-making. Copyright © 2017 Elsevier Inc. All rights reserved.

  12. Research on resistance characteristics of YBCO tape under short-time DC large current impact

    Science.gov (United States)

    Zhang, Zhifeng; Yang, Jiabin; Qiu, Qingquan; Zhang, Guomin; Lin, Liangzhen

    2017-06-01

    Research of the resistance characteristics of YBCO tape under short-time DC large current impact is the foundation of the developing DC superconducting fault current limiter (SFCL) for voltage source converter-based high voltage direct current system (VSC-HVDC), which is one of the valid approaches to solve the problems of renewable energy integration. SFCL can limit DC short-circuit and enhance the interrupting capabilities of DC circuit breakers. In this paper, under short-time DC large current impacts, the resistance features of naked tape of YBCO tape are studied to find the resistance - temperature change rule and the maximum impact current. The influence of insulation for the resistance - temperature characteristics of YBCO tape is studied by comparison tests with naked tape and insulating tape in 77 K. The influence of operating temperature on the tape is also studied under subcooled liquid nitrogen condition. For the current impact security of YBCO tape, the critical current degradation and top temperature are analyzed and worked as judgment standards. The testing results is helpful for in developing SFCL in VSC-HVDC.

  13. Impact of enzyme replacement therapy and hematopoietic stem cell transplantation in patients with Morquio A syndrome

    Directory of Open Access Journals (Sweden)

    Tomatsu S

    2015-04-01

    Full Text Available Shunji Tomatsu,1,2 Kazuki Sawamoto,1 Carlos J Alméciga-Díaz,3 Tsutomu Shimada,1 Michael B Bober,1 Yasutsugu Chinen,4 Hiromasa Yabe,5 Adriana M Montaño,6 Roberto Giugliani,7 Francyne Kubaski,1,8 Eriko Yasuda,1 Alexander Rodríguez-López,3 Angela J Espejo-Mojica,3 Oscar F Sánchez,9 Robert W Mason,1 Luis A Barrera,3 William G Mackenzie,1 Tadao Orii2 1Nemours/Alfred I duPont Hospital for Children, Wilmington, DE, USA; 2Department of Pediatrics, Gifu University, Gifu, Japan; 3Institute for the Study of Inborn Errors of Metabolism, School of Sciences, Pontificia Universidad Javeriana, Bogotá, Colombia; 4Department of Pediatrics, Faculty of Medicine, University of the Ryukyus, Okinawa, 5Department of Cell Transplantation and Regenerative Medicine, Tokai University School of Medicine, Isehara, Japan; 6Department of Pediatrics, Saint Louis University, St Louis, MO, USA; 7Medical Genetics Service/HCPA and Department of Genetics/UFRGS, Porto Alegre, Brazil; 8Department of Biological Sciences, University of Delaware, Newark, DE, 9School of Chemical Engineering, Purdue University, West Lafayette, IN, USA Abstract: Patients with mucopolysaccharidosis IVA (MPS IVA can present with systemic skeletal dysplasia, leading to a need for multiple orthopedic surgical procedures, and often become wheelchair bound in their teenage years. Studies on patients with MPS IVA treated by enzyme replacement therapy (ERT showed a sharp reduction on urinary keratan sulfate, but only modest improvement based on a 6-minute walk test and no significant improvement on a 3-minute climb-up test and lung function test compared with the placebo group, at least in the short-term. Surgical remnants from ERT-treated patients did not show reduction of storage materials in chondrocytes. The impact of ERT on bone lesions in patients with MPS IVA remains limited. ERT seems to be enhanced in a mouse model of MPS IVA by a novel form of the enzyme tagged with a bone

  14. Impact of aspirin use in the incidence of thromboembolic events after bioprosthesis replacement in patients with rheumatic disease

    Directory of Open Access Journals (Sweden)

    André Rodrigues Durães

    2013-09-01

    Full Text Available INTRODUCTION: There is still much debate regarding the kind of antithrombotic therapy in the immediate postoperative period of bioprosthesis replacement (first three months. Thus, the authors consider relevant to determine the contemporary incidence of thromboembolic events in rheumatic patients early after implantation of aortic and mitral bioprosthesis replacement (first 90 days in the post-operative period and perform a comparison between isolated Aspirin uses versus no-antiplatelet therapy, in this same context. METHODS: Between the period of January 2010 to July 2012, all consecutive rheumatic patients, with basal sinus rhythm, who performed mitral and aortic valve replacement with bioprosthesis (pericardial bovine, were included in this prospective cohort study, 184 patients in total. The primary endpoint evaluated were the rate of embolic events. RESULTS: In the first 30 days, there were three cerebral ischemic events among patients treated in Aspirin group (5.2% compared with two events in patients without Aspirin therapy (1.7%, HR = 3.18; 95% CI 0.5 to 19.6; P=0.33. Between 31 and 90 days postoperatively, no patient had a primary outcome. The embolism-free survival, bleeding events and the overall survival were not statistically significant between the aspirin and no-antiplatelet groups. CONCLUSION: In conclusion, in this prospective cohort of rheumatic patients, we found a low and very rare incidence rate of embolic events during the first 90 days postoperative period in mitral and isolated aortic position, respectively. The use of aspirin did not significantly reduce the rate of thromboembolism.

  15. Impact of current on static and kinetic depinning fields of domain wall in ferromagnetic nanostrip

    Indian Academy of Sciences (India)

    R Arun; P Sabareesan; M Daniel

    2015-11-01

    The impact of current on static and kinetic depinning fields of a domain wall in a onedimensional ferromagnetic nanostrip is investigated analytically and numerically by solving the Landau–Lifshitz–Gilbert equation with adiabatic and non-adiabatic spin-transfer torques. The results show that in the absence of current, the static depinning field is greater than the kinetic depinning field. Both the depinning fields decrease by increasing the current applied in a direction opposite to the direction of the applied field. Both the depinning fields can also be tuned by the current to make them equal.

  16. The current clinical application of percutaneous heart valve replacement%经皮心脏瓣膜置换技术临床应用现状

    Institute of Scientific and Technical Information of China (English)

    丁仲如; 秦永文

    2006-01-01

    经皮心脏瓣膜置换技术(percutaneous heart valve replacement, PHVR )是近年介入心脏病学积极研究的又一新领域,包括经皮主动脉瓣置换percutaneous aortic valve replacement, PAVR )和经皮肺动脉瓣置换 ( percutaneous pulmonary valve replacement ,PPVR),目前已处于临床前期或初步临床应用中,由于其微创的特点具有广泛的应用前景。本研究简要介绍其研究应用现状,存在的问题及发展前景。

  17. Impact of ingredient replacers on the physicochemical properties and sensory quality of reduced salt and fat black puddings.

    Science.gov (United States)

    Fellendorf, Susann; O'Sullivan, Maurice G; Kerry, Joseph P

    2016-03-01

    Twenty-two black puddings possessing different fat (10%, 5%) and sodium (0.6%, 0.4%) levels were used as base formulations for 11 different salt and fat replacers. Compositional, physicochemical and sensory analyses were conducted. Black pudding samples with 5% fat and 0.6% sodium containing potassium chloride (KCl), potassium chloride and glycine mixture (KClG), and seaweed, respectively, and 10% fat and 0.4% sodium containing carrageen were rated higher (Psodium containing KClG were rated positively (Psodium containing pectin and a combination of potassium citrate, potassium phosphate and potassium chloride (KCPCl), as well as samples containing 10% fat and 0.4% sodium with waxy maize starch (WMS) were liked (PFood Safety Authority of Ireland (FSAI) recommends a sodium target level of 0.6% and an even lower sodium level (0.4%) was achieved.

  18. The impact of TV mass media campaigns on calls to a National Quitline and the use of prescribed nicotine replacement therapy: a structural vector autoregression analysis.

    Science.gov (United States)

    Haghpanahan, Houra; Mackay, Daniel F; Pell, Jill P; Bell, David; Langley, Tessa; Haw, Sally

    2017-07-01

    To estimate (1) the immediate impact; (2) the cumulative impact; and (3) the duration of impact of Scottish tobacco control TV mass media campaigns (MMCs) on smoking cessation activity, as measured by calls to Smokeline and the volume of prescribed nicotine replacement therapy (NRT). Multivariate time-series analysis using secondary data on population level measures of exposure to TV MMCs broadcast and smoking cessation activity between 2003 and 2012. Population of Scotland. Adult television viewer ratings (TVRs) as a measure of exposure to Scottish mass media campaigns in the adult population; monthly calls to NHS Smokeline; and the monthly volume of prescribed NRT as measured by gross ingredient costs (GIC). Tobacco control TVRs were associated with an increase in calls to Smokeline but not an increase in the volume of prescribed NRT. A 1 standard deviation (SD) increase of 194 tobacco control TVRs led to an immediate and significant increase of 385.9 [95% confidence interval (CI) = 171.0, 600.7] calls to Smokeline (unadjusted model) within 1 month. When adjusted for seasonality the impact was reduced, but the increase in calls remained significant (226.3 calls, 95% CI = 37.3, 415.3). The cumulative impact on Smokeline calls remained significant for 6 months after broadcast in the unadjusted model and 18 months in the adjusted model. However, an increase in tobacco control TVRs of 194 failed to have a significant impact on the GIC of prescribed NRT in either the unadjusted (£1361.4, 95% CI = -£9138.0, £11860.9) or adjusted (£6297.1, 95% CI = -£2587.8, £15182.1) models. Tobacco control television mass media campaigns broadcast in Scotland between 2003 and 2012 were effective in triggering calls to Smokeline, but did not increase significantly the use of prescribed nicotine replacement therapy by adult smokers. The impact on calls to Smokeline occurred immediately within 1 month of broadcast and was sustained for at least 6 months. © 2017 The

  19. The impact of TV mass media campaigns on calls to a National Quitline and the use of prescribed nicotine replacement therapy: a structural vector autoregression analysis

    Science.gov (United States)

    Haghpanahan, Houra; Mackay, Daniel F.; Pell, Jill P.; Bell, David; Langley, Tessa

    2017-01-01

    Abstract Aims To estimate (1) the immediate impact; (2) the cumulative impact; and (3) the duration of impact of Scottish tobacco control TV mass media campaigns (MMCs) on smoking cessation activity, as measured by calls to Smokeline and the volume of prescribed nicotine replacement therapy (NRT). Design Multivariate time–series analysis using secondary data on population level measures of exposure to TV MMCs broadcast and smoking cessation activity between 2003 and 2012. Setting and participants Population of Scotland. Measurements Adult television viewer ratings (TVRs) as a measure of exposure to Scottish mass media campaigns in the adult population; monthly calls to NHS Smokeline; and the monthly volume of prescribed NRT as measured by gross ingredient costs (GIC). Findings Tobacco control TVRs were associated with an increase in calls to Smokeline but not an increase in the volume of prescribed NRT. A 1 standard deviation (SD) increase of 194 tobacco control TVRs led to an immediate and significant increase of 385.9 [95% confidence interval (CI) = 171.0, 600.7] calls to Smokeline (unadjusted model) within 1 month. When adjusted for seasonality the impact was reduced, but the increase in calls remained significant (226.3 calls, 95% CI = 37.3, 415.3). The cumulative impact on Smokeline calls remained significant for 6 months after broadcast in the unadjusted model and 18 months in the adjusted model. However, an increase in tobacco control TVRs of 194 failed to have a significant impact on the GIC of prescribed NRT in either the unadjusted (£1361.4, 95% CI = –£9138.0, £11860.9) or adjusted (£6297.1, 95% CI = –£2587.8, £15182.1) models. Conclusions Tobacco control television mass media campaigns broadcast in Scotland between 2003 and 2012 were effective in triggering calls to Smokeline, but did not increase significantly the use of prescribed nicotine replacement therapy by adult smokers. The impact on calls to Smokeline occurred immediately

  20. Environmental Impact Of The Use Of Contaminated Sediments As Partial Replacement Of The Aggregate Used In Road Construction

    Science.gov (United States)

    The Indiana Harbor Canal (IHC) is a waterway extensively polluted with heavy metals and petroleum. Since there are limited disposal options for the petroleum-contaminated sediments (PCSs) of the canal, the environmental impact of IHC dewatered sediment when used as partial repla...

  1. Impact of magnetic resonance urography on preoperative diagnostic workup in children affected by hydronephrosis: should IVU be replaced?

    Science.gov (United States)

    Leppert, A; Nadalin, S; Schirg, E; Petersen, C; Kardorff, R; Galanski, M; Fuchs, J

    2002-10-01

    The aim of this study was to determine the role of magnetic resonance urography (MRU) in preoperative diagnostic workup of children with hydronephrosis in a prospective clinical study with comparison of MRU, standard diagnostic investigations, and intraoperative findings. Thirty-one children with hydronephrosis secondary to different causes underwent ultrasound scan (US), intravenous urography (IVU), micturation cysto-urethrography (MCU), isotope nephrography (ING) and MRU. For MRU the authors performed sagittal and coronal halve-Fourier SSFSE scans in a 1.5 Tesla MR system. T1- and T2-weighted sequences were used in axial orientation to improve morphologic information. In 24 patients, preoperative data were compared with intraoperative findings. Comparison of the different imaging modalities proved MRU to be able to provide more detailed information about the correct localization of stenoses along the urinary tract and the morphology of renal parenchyma. MRU showed the highest concordance of all imaging modalities with intraoperative findings. As a reliable investigation, MRU has the potentials to replace IVU in preoperative diagnostic workup of hydronephrosis in childhood. Copyright 2002, Elsevier Science (USA). All rights reserved.

  2. Comparative impact of AAV and enzyme replacement therapy on respiratory and cardiac function in adult Pompe mice

    Directory of Open Access Journals (Sweden)

    Darin J Falk

    2015-01-01

    Full Text Available Pompe disease is an autosomal recessive genetic disorder characterized by a deficiency of the enzyme responsible for degradation of lysosomal glycogen (acid α-glucosidase (GAA. Cardiac dysfunction and respiratory muscle weakness are primary features of this disorder. To attenuate the progressive and rapid accumulation of glycogen resulting in cardiorespiratory dysfunction, adult Gaa−/− mice were administered a single systemic injection of rAAV2/9-DES-hGAA (AAV9-DES or bimonthly injections of recombinant human GAA (enzyme replacement therapy (ERT. Assessment of cardiac function and morphology was measured 1 and 3 months after initiation of treatment while whole-body plethysmography and diaphragmatic contractile function was evaluated at 3 months post-treatment in all groups. Gaa−/− animals receiving either AAV9-DES or ERT demonstrated a significant improvement in cardiac function and diaphragmatic contractile function as compared to control animals. AAV9-DES treatment resulted in a significant reduction in cardiac dimension (end diastolic left ventricular mass/gram wet weight; EDMc at 3 months postinjection. Neither AAV nor ERT therapy altered minute ventilation during quiet breathing (eupnea. However, breathing frequency and expiratory time were significantly improved in AAV9-DES animals. These results indicate systemic delivery of either strategy improves cardiac function but AAV9-DES alone improves respiratory parameters at 3 months post-treatment in a murine model of Pompe disease.

  3. Current Situation of Household Income as a Factor, Having Impact on Mortgage Lending in Mongolia

    Directory of Open Access Journals (Sweden)

    Khuselchimeg Batbileg

    2012-04-01

    Full Text Available Amount of household income is the most important factor for housing loan. The article studies mortgage lending in Ulaanbaatar in 2007–2009, the factor, having great impact on the current economy of Mongolia, carries out the comparative analysis of capital’s medium and low income households and presents methods, which will help to solve these problems.

  4. Shared Solar. Current Landscape, Market Potential, and the Impact of Federal Securities Regulation

    Energy Technology Data Exchange (ETDEWEB)

    Feldman, David [National Renewable Energy Lab. (NREL), Golden, CO (United States); Brockway, Anna M. [Office of Energy Efficiency and Renewable Energy (EERE), Washington, DC (United States); Ulrich, Elaine [Office of Energy Efficiency and Renewable Energy (EERE), Washington, DC (United States); Margolis, Robert [National Renewable Energy Lab. (NREL), Golden, CO (United States)

    2015-04-01

    This report provides a high-level overview of the current U.S. shared solar landscape and the impact that a given shared solar program’s structure has on requiring federal securities oversight, as well as an estimate of market potential for U.S. shared solar deployment.

  5. Shared Solar. Current Landscape, Market Potential, and the Impact of Federal Securities Regulation

    Energy Technology Data Exchange (ETDEWEB)

    Feldman, David [National Renewable Energy Laboratory (NREL), Golden, CO (United States); Brockway, Anna M. [U.S. Department of Energy, Washington, DC (United States); Ulrich, Elaine [U.S. Department of Energy, Washington, DC (United States); Margolis, Robert [National Renewable Energy Laboratory (NREL), Golden, CO (United States)

    2015-04-07

    This report provides a high-level overview of the current U.S. shared solar landscape, the impact that a given shared solar program’s structure has on requiring federal securities oversight, as well as an estimate of market potential for U.S. shared solar deployment.

  6. Investigating the Impacts of Previous and Current Learning Experiences on Student Teachers' Teaching Experiences

    Science.gov (United States)

    Ögeyik, Muhlise Cosgun

    2016-01-01

    This study investigated the impacts of the previous and current learning experiences of the student teachers on their microteaching practices. The study pursued threefold research goals: to diagnose the microteaching stance, to treat it, and to explore and evaluate the progress. The participants were 24 undergraduate third year student teachers…

  7. Biogeochemical and ecological impacts of boundary currents in the Indian Ocean

    Science.gov (United States)

    Hood, Raleigh R.; Beckley, Lynnath E.; Wiggert, Jerry D.

    2017-08-01

    Monsoon forcing and the unique geomorphology of the Indian Ocean basin result in complex boundary currents, which are unique in many respects. In the northern Indian Ocean, several boundary current systems reverse seasonally. For example, upwelling coincident with northward-flowing currents along the coast of Oman during the Southwest Monsoon gives rise to high productivity which also alters nutrient stoichiometry and therefore, the species composition of the resulting phytoplankton blooms. During the Northeast Monsoon most of the northern Indian Ocean boundary currents reverse and favor downwelling. Higher trophic level species have evolved behavioral responses to these seasonally changing conditions. Examples from the western Arabian Sea include vertical feeding migrations of a copepod (Calanoides carinatus) and the reproductive cycle of a large pelagic fish (Scomberomorus commerson). The impacts of these seasonal current reversals and changes in upwelling and downwelling circulations are also manifested in West Indian coastal waters, where they influence dissolved oxygen concentrations and have been implicated in massive fish kills. The winds and boundary currents reverse seasonally in the Bay of Bengal, though the associated changes in upwelling and productivity are less pronounced. Nonetheless, their effects are observed on the East Indian shelf as, for example, seasonal changes in copepod abundance and zooplankton community structure. In contrast, south of Sri Lanka seasonal reversals in the boundary currents are associated with dramatic changes in the intensity of coastal upwelling, chlorophyll concentration, and catch per unit effort of fishes. Off the coast of Java, monsoon-driven changes in the currents and upwelling strongly impact chlorophyll concentrations, seasonal vertical migrations of zooplankton, and sardine catch in Bali Strait. In the southern hemisphere the Leeuwin is a downwelling-favorable current that flows southward along western Australia

  8. Impact of nanoparticles on DNA repair processes: current knowledge and working hypotheses.

    Science.gov (United States)

    Carriere, Marie; Sauvaigo, Sylvie; Douki, Thierry; Ravanat, Jean-Luc

    2017-01-01

    The potential health effects of exposure to nanomaterials (NMs) is currently heavily studied. Among the most often reported impact is DNA damage, also termed genotoxicity. While several reviews relate the DNA damage induced by NMs and the techniques that can be used to prove such effects, the question of impact of NMs on DNA repair processes has never been specifically reviewed. The present review article proposes to fill this gap of knowledge by critically describing the DNA repair processes that could be affected by nanoparticle (NP) exposure, then by reporting the current state of the art on effects of NPs on DNA repair, at the level of protein function, gene induction and post-transcriptional modifications, and taking into account the advantages and limitations of the different experimental approaches. Since little is known about this impact, working hypothesis for the future are then proposed.

  9. Predicting the behavioural impact of transcranial direct current stimulation: issues and limitations

    Directory of Open Access Journals (Sweden)

    Archy Otto De Berker

    2013-10-01

    Full Text Available The transcranial application of weak currents to the human brain has enjoyed a decade of success, providing a simple and powerful tool for non-invasively altering human brain function. However, our understanding of current delivery and its impact upon neural circuitry leaves much to be desired. We argue that the credibility of conclusions drawn with tDCS is contingent upon realistic explanations of how tDCS works, and that our present understanding of tDCS limits the technique’s use to localize function in the human brain. We outline two central issues where progress is required: the localization of currents, and predicting their functional consequence. We encourage experimenters to eschew simplistic explanations of mechanisms of transcranial current stimulation. We suggest the use of individualized current modelling, together with computational neurostimulation to inform mechanistic frameworks in which to interpret the physiological impact of tDCS. We hope that through mechanistically richer descriptions of current flow and action, insight into the biological processes by which transcranial currents influence behaviour can be gained, leading to more effective stimulation protocols and empowering conclusions drawn with tDCS.

  10. A multicenter approach evaluating the impact of vitamin e-blended polyethylene in cementless total hip replacement.

    Science.gov (United States)

    Jäger, Marcus; van Wasen, Andrea; Warwas, Sebastian; Landgraeber, Stefan; Haversath, Marcel; Group, Vitas

    2014-04-22

    Since polyethylene is one of the most frequently used biomaterials as a liner in total hip arthroplasty, strong efforts have been made to improve design and material properties over the last 50 years. Antioxidants seems to be a promising alternative to further increase durability and reduce polyethylene wear in long term. As of yet, only in vitro results are available. While they are promising, there is yet no clinical evidence that the new material shows these advantages in vivo. To answer the question if vitamin-E enhanced ultra-high molecular weight polyethylene (UHMWPE) is able to improve long-term survivorship of cementless total hip arthroplasty we initiated a randomized long-term multicenter trial. Designed as a superiority study, the oxidation index assessed in retrieval analyses of explanted liners was chosen as primary parameter. Radiographic results (wear rate, osteolysis, radiolucency) and functional outcome (Harris Hip Scores, University of California-Los Angeles, Hip Disability and Osteoarthritis Outcome Score, Visual Analogue Scale) will serve as secondary parameters. Patients with the indication for a cementless total hip arthroplasty will be asked to participate in the study and will be randomized to either receive a standard hip replacement with a highly cross-linked UHMWPE-X liner or a highly cross-linked vitamin-E supplemented UHMWPE-XE liner. The follow-up will be 15 years, with evaluation after 5, 10 and 15 years. The controlled randomized study has been designed to determine if Vitamin-E supplemented highly cross-linked polyethylene liners are superior to standard XLPE liners in cementless total hip arthroplasty. While several studies have been started to evaluate the influence of vitamin-E, most of them evaluate wear rates and functional results. The approach used for this multicenter study, to analyze the oxidation status of retrieved implants, should make it possible to directly evaluate the ageing process and development of the implant

  11. A multicenter approach evaluating the impact of vitamin E-blended polyethylene in cementless total hip replacement

    Directory of Open Access Journals (Sweden)

    Marcus Jäger

    2014-04-01

    Full Text Available Since polyethylene is one of the most frequently used biomaterials as a liner in total hip arthroplasty, strong efforts have been made to improve design and material properties over the last 50 years. Antioxidants seems to be a promising alternative to further increase durability and reduce polyethylene wear in long term. As of yet, only in vitro results are available. While they are promising, there is yet no clinical evidence that the new material shows these advantages in vivo. To answer the question if vitamin-E enhanced ultra-high molecular weight polyethylene (UHMWPE is able to improve long-term survivorship of cementless total hip arthroplasty we initiated a randomized long-term multicenter trial. Designed as a superiority study, the oxidation index assessed in retrieval analyses of explanted liners was chosen as primary parameter. Radiographic results (wear rate, osteolysis, radiolucency and functional outcome (Harris Hip Scores, University of California-Los Angeles, Hip Disability and Osteoarthritis Outcome Score, Visual Analogue Scale will serve as secondary parameters. Patients with the indication for a cementless total hip arthroplasty will be asked to participate in the study and will be randomized to either receive a standard hip replacement with a highly cross-linked UHMWPE-X liner or a highly cross-linked vitamin-E supplemented UHMWPE-XE liner. The follow-up will be 15 years, with evaluation after 5, 10 and 15 years. The controlled randomized study has been designed to determine if Vitamin-E supplemented highly cross-linked polyethylene liners are superior to standard XLPE liners in cementless total hip arthroplasty. While several studies have been started to evaluate the influence of vitamin-E, most of them evaluate wear rates and functional results. The approach used for this multicenter study, to analyze the oxidation status of retrieved implants, should make it possible to directly evaluate the ageing process and development

  12. Impact of pharmacist antimicrobial dosing adjustments in septic patients on continuous renal replacement therapy in an intensive care unit.

    Science.gov (United States)

    Jiang, Sai-Ping; Zhu, Zheng-Yi; Ma, Kui-Fen; Zheng, Xia; Lu, Xiao-Yang

    2013-12-01

    Correct dosing of antimicrobial drugs in septic patients receiving continuous renal replacement therapy (CRRT) is complex. This study aimed to evaluate the effects of dosing adjustments performed by pharmacists on the length of intensive care unit (ICU) stay, ICU cost, and antimicrobial adverse drug events (ADEs). A single-center, 2-phase (pre-/post-intervention) study was performed in an ICU of a university-affiliated hospital. Septic patients receiving CRRT in the post-intervention phase received a specialized antimicrobial dosing service from critical care pharmacists, whereas patients in the pre-intervention phase received routine medical care without involving pharmacists. The 2 phases were compared to evaluate the outcomes of pharmacist interventions. Pharmacists made 183 antimicrobial dosing adjustment recommendations for septic patients receiving CRRT. Changes in CRRT-related variables (116, 63.4%) were the most common risk factors for dosing errors, and β-lactams (101, 55.2%) were the antimicrobials most commonly associated with dosing errors. Dosing adjustments were related to a reduced length of ICU stay from 10.7 ± 11.1 days to 7.7 ± 8.3 days (p = 0.037) in the intervention group, and to cost savings of $3525 (13,463 ± 12,045 vs. 9938 ± 8811, p = 0.038) per septic patient receiving CRRT in the ICU. Suspected antimicrobial adverse drug events in the intervention group were significantly fewer than in the pre-intervention group (19 events vs. 8 events, p = 0.048). The involvement of pharmacists in antimicrobial dosing adjustments in septic patients receiving CRRT is associated with a reduced length of ICU stay, lower ICU costs, and fewer ADEs. Hospitals may consider employing clinical pharmacists in ICUs.

  13. The Impact of Dark and Visible Fragmentation on Market Quality (Replaced by CentER DP 2011-069)

    NARCIS (Netherlands)

    Degryse, H.A.; de Jong, F.C.J.M.; van Kervel, V.L.

    2011-01-01

    Two important characteristics of current European equity markets are rooted in changes in financial regulation (the Markets in Financial Instruments Directive). The regulation (i) allows new trading venues to emerge, generating a fragmented market place and (ii) allows for a substantial fraction of

  14. The Impact of Dark and Visible Fragmentation on Market Quality (Replaces EBC Discussion Paper 2011-013)

    NARCIS (Netherlands)

    Degryse, H.A.; de Jong, F.C.J.M.; van Kervel, V.L.

    2011-01-01

    Two important characteristics of current European equity markets are rooted in changes in financial regulation (the Markets in Financial Instruments Directive). The regulation (i) allows new trading venues to emerge, generating a fragmented market place and (ii) allows for a substantial fraction of

  15. The Impact of Dark and Visible Fragmentation on Market Quality (Replaces CentER Discussion Paper 2011-051)

    NARCIS (Netherlands)

    Degryse, H.A.; de Jong, F.C.J.M.; van Kervel, V.L.

    2011-01-01

    Two important characteristics of current European equity markets are rooted in changes in financial regulation (the Markets in Financial Instruments Directive). The regulation (i) allows new trading venues to emerge, generating a fragmented market place and (ii) allows for a substantial fraction of

  16. The Impact of Dark and Visible Fragmentation on Market Quality (Replaced by EBC Discussion Paper 2011-016)

    NARCIS (Netherlands)

    Degryse, H.A.; de Jong, F.C.J.M.; van Kervel, V.L.

    2011-01-01

    Two important characteristics of current European equity markets are rooted in changes in financial regulation (the Markets in Financial Instruments Directive). The regulation (i) allows new trading venues to emerge, generating a fragmented market place and (ii) allows for a substantial fraction of

  17. Impact of patient-prosthesis mismatch on 30-day outcomes in young and middle-aged patients undergoing aortic valve replacement

    Directory of Open Access Journals (Sweden)

    Hernández-Vaquero Daniel

    2012-05-01

    Full Text Available Abstract Background The impact of patient-prosthesis mismatch (PPM on early outcomes in young and middle-aged patients undergoing conventional aortic valve replacement for severe aortic stenosis remains unknown. Our objective was to evaluate the incidence of some degree of PPM and its influence on early mortality and morbidity. Methods We analyzed our single center experience in all patients 2/m2. The influence of PPM on early mortality and postoperative complications was studied using propensity score analysis. Follow up at 30 postoperative days was 100% complete. Results Of 199 patients studied, 61 (30,7% had some degree of PPM. PPM was associated with an increased postoperative mortality (OR = 8,71; 95% CI = 1,67–45,29; p = 0,04 and major postoperative complications (OR = 2,96; CI = 1,03–8,55; p = 0,044. However, no association between PPM and prolonged hospital or ICU stay was demonstrated. Conclusions Moderate PPM is a common finding in young and middle-aged patients undergoing surgery for aortic valve replacement due to severe stenosis. In addition, its influence on early outcomes may be relevant.

  18. “营改增”对交运企业财务绩效的影响%Study on the Impact of Replacing the BT with a VAT on the Financial Performance of Transport Enterprise

    Institute of Scientific and Technical Information of China (English)

    蒋明琳; 舒辉; 林晓伟

    2015-01-01

    these enterprises has been reduced or increased,which aroused more debate on the impact of"replacing the BT with a VAT"on financial performance of transport enterprises. Generally speaking,on the macro level,"replacing the BT with a VAT"can reduce the absolute value of tax burden and promote changes in internal management of these enterprises;but on the micro level,the impact of"replacing the BT with a VAT"on the financial performance of transport enterprises is unclear. On the micro level,taking the financial data of 58 listed transport enterprises in 2 years,which is before and after the point of time when the pilot of"replacing the BT with a VAT"was carried out,as the basis,the author carries out the empirical research on both the margin of NP and the elasticity of EBIT. It is found that the margin is not significant but the elasticity is very significant. It can be assumed that"replacing the BT with a VAT"has no direct impact on enterprise financial performance,and it would promote the enterprises to improve their financial performance through enhancing management and innovation. So,after"replacing the BT with a VAT",to better improve their financial performance,with the consideration of the current management situation, the transport enterprises should improve their own internal strength, improve their own technological level through cost management,tax planning,internal control and audit,strengthen the connection with VAT enterprises,and outsource the not core business to other specific enterprises. Only with that will they eliminate the adverse impact brought by "replacing the BT with a VAT",increase the positive impact of that,and fundamentally improve their financial performance.

  19. DMPD: Interferons at age 50: past, current and future impact on biomedicine. [Dynamic Macrophage Pathway CSML Database

    Lifescience Database Archive (English)

    Full Text Available 18049472 Interferons at age 50: past, current and future impact on biomedicine. Bor...975-90. (.png) (.svg) (.html) (.csml) Show Interferons at age 50: past, current and future impact on biomedi...cine. PubmedID 18049472 Title Interferons at age 50: past, current and future imp

  20. Cumulative human impacts on Mediterranean and Black Sea marine ecosystems: assessing current pressures and opportunities.

    Directory of Open Access Journals (Sweden)

    Fiorenza Micheli

    Full Text Available Management of marine ecosystems requires spatial information on current impacts. In several marine regions, including the Mediterranean and Black Sea, legal mandates and agreements to implement ecosystem-based management and spatial plans provide new opportunities to balance uses and protection of marine ecosystems. Analyses of the intensity and distribution of cumulative impacts of human activities directly connected to the ecological goals of these policy efforts are critically needed. Quantification and mapping of the cumulative impact of 22 drivers to 17 marine ecosystems reveals that 20% of the entire basin and 60-99% of the territorial waters of EU member states are heavily impacted, with high human impact occurring in all ecoregions and territorial waters. Less than 1% of these regions are relatively unaffected. This high impact results from multiple drivers, rather than one individual use or stressor, with climatic drivers (increasing temperature and UV, and acidification, demersal fishing, ship traffic, and, in coastal areas, pollution from land accounting for a majority of cumulative impacts. These results show that coordinated management of key areas and activities could significantly improve the condition of these marine ecosystems.

  1. Cumulative human impacts on Mediterranean and Black Sea marine ecosystems: assessing current pressures and opportunities.

    Science.gov (United States)

    Micheli, Fiorenza; Halpern, Benjamin S; Walbridge, Shaun; Ciriaco, Saul; Ferretti, Francesco; Fraschetti, Simonetta; Lewison, Rebecca; Nykjaer, Leo; Rosenberg, Andrew A

    2013-01-01

    Management of marine ecosystems requires spatial information on current impacts. In several marine regions, including the Mediterranean and Black Sea, legal mandates and agreements to implement ecosystem-based management and spatial plans provide new opportunities to balance uses and protection of marine ecosystems. Analyses of the intensity and distribution of cumulative impacts of human activities directly connected to the ecological goals of these policy efforts are critically needed. Quantification and mapping of the cumulative impact of 22 drivers to 17 marine ecosystems reveals that 20% of the entire basin and 60-99% of the territorial waters of EU member states are heavily impacted, with high human impact occurring in all ecoregions and territorial waters. Less than 1% of these regions are relatively unaffected. This high impact results from multiple drivers, rather than one individual use or stressor, with climatic drivers (increasing temperature and UV, and acidification), demersal fishing, ship traffic, and, in coastal areas, pollution from land accounting for a majority of cumulative impacts. These results show that coordinated management of key areas and activities could significantly improve the condition of these marine ecosystems.

  2. Impact of lipid-induced degradation on the mechanical properties of ultra-high molecular weight polyethylene for joint replacements.

    Science.gov (United States)

    Sakoda, Hideyuki; Niimi, Shingo

    2016-01-01

    Gamma or electron beam irradiation of ultra-high molecular weight polyethylene (UHMWPE) used in artificial joints for sterilization and/or crosslinking purposes generates free radicals in the material, which causes long-term oxidative degradation of UHMWPE. Recently, another mechanism for the degradation of UHMWPE by the absorption of lipids during in vivo clinical use was proposed. However, knowledge on lipid-induced degradation is quite limited, compared with that on radical-induced degradation. In this study, lipid-induced degradation was simulated using squalene absorption and subsequent accelerated aging, and its impact on the mechanical properties of UHMWPE was evaluated. The simulated lipid-induced degradation caused an increased elastic modulus and decreased elongation with maximum degradation at the surfaces. These results imply that degradation of UHMWPE may occur during in vivo long-term use, even if free radicals are completely eliminated. Therefore, further investigation is required to clarify the impact of lipid-induced degradation on clinical outcomes, such as the wear and fatigue characteristics of UHMWPE components.

  3. Impact of Aortic Valve Replacement on Left Ventricular Remodeling in Patients with Severe Aortic Stenosis and Severe Left Ventricular Dysfunction

    Directory of Open Access Journals (Sweden)

    Abderrahmane Bakkali

    2016-12-01

    Full Text Available Objective: The aim of this study was to evaluate the effect of aortic valve replacement on left ventricular function and remodeling among patients with severe aortic stenosis and severe left ventricular dysfunction. Methods: In this retrospective bicentric study extended over a 15-year period, 61 consecutive patients underwent isolated AVR for severe AS associated to reduced LV function. The mean age was 58.21 ± 12.50 years and 83.60 % were men. 70.50% of patients were in class III or IV NYHA. The mean left ventricular ejection fraction (LVEF was 32.9 ± 5.6.The mean LVEDD and LVESD were respectively 63.6 ± 9.2 and 50.2 ± 8.8 mm. The mean calculated logistic EuroScore was 12.2 ±4.5. Results: The hospital mortality was 11.5%. Morbidity was marked mainly by low output syndrome in 40.8% of cases. After a median follow-up of 38 months we have recorded 3 deaths. Almost all survivors were in class I and II of NYHA. The mean LV end-diastolic and end-systolic diameters decreased significantly at late postoperative stage. The mean LV ejection fraction increased significantly from 32.9 ± 5.6 to 38.2 ± 9.3 and to 50.3 ± 9.6 in early and late postoperative stages, respectively. Multivariate linear regression analysis found that increased early postoperative LVEF (β= 0.44, 95% CI [0.14; 0.75], p=0.006 and low mean transprosthesis gradient (β=-0.72, 95% CI [-1.42; -0.02], p= 0.04 were the independent predictors of left ventricular systolic function recovery. Conclusion: Patients with aortic valve stenosis and impaired LV systolic function benefited from AVR as regard improvement of LV function parameters and regression of the LV diameters .This improvement depends mainly on early postoperative LVEF and mean transprosthesis gradient.

  4. The impact of age and severity of comorbid illness on outcomes after isolated aortic valve replacement for aortic stenosis

    Directory of Open Access Journals (Sweden)

    Russo MJ

    2015-05-01

    Full Text Available Mark J Russo,1,2 Alexander Iribarne,3 Emily Chen,2 Ashwin Karanam,2 Chris Pettit,2 Fabio Barili,4 Atman P Shah,5 Craig R Saunders1,2 1Barnabas Health Hospital, Newark/Livingston, NJ, USA; 2Barnabas Health Cardiovascular Clinical Research Center, Newark, NJ, USA; 3Duke University, Durham, NC, USA; 4Department of Cardiovascular Surgery, S Croce Hospital, Cuneo, Italy; 5University of Chicago, Chicago, IL, USA Objectives: This study examines outcomes in a national sample of patients undergoing isolated aortic valve replacement (AVR for aortic stenosis, with particular focus on advanced-age patients and those with extreme severity of comorbid illness (SOI. Methods: Data were obtained from the Nationwide Inpatient Sample and included all patients undergoing AVRs performed from January 1, 2006 to December 31, 2008. Patients with major concomitant cardiac procedures, as well as those aged <20 years, and those with infective endocarditis or aortic insufficiency without aortic stenosis, were excluded from analysis. The analysis included 13,497 patients. Patients were stratified by age and further stratified by All Patient Refined Diagnosis Related Group SOI into mild/moderate, major, and extreme subgroups. Results: Overall in-hospital mortality was 2.96% (n=399; in-hospital mortality for the ≥80-year-old group (n=139, 4.78% was significantly higher than the 20- to 49-year-old (n=9, 0.84%, P<0.001 or 50- to 79-year-old (n=251, 2.64%, P<0.001 groups. In-hospital mortality was significantly higher in the extreme SOI group (n=296, 15.33% than in the minor/moderate (n=22, 0.35%, P<0.001 and major SOI groups (n=81, 1.51%, P<0.001. Median in-hospital costs in the mild/moderate, major, and extreme SOI strata were $29,202.08, $36,035.13, and $57,572.92, respectively. Conclusion: In the minor, moderate, and major SOI groups, in-hospital mortality and costs are low regardless of age; these groups represent >85% of patients undergoing isolated AVR for aortic

  5. Impacto da terapia hormonal sobre o peso corpóreo Impact of hormone replacement therapy on body weight

    Directory of Open Access Journals (Sweden)

    Joana Palmira Martins Almeida

    2011-10-01

    Full Text Available OBJETIVO: avaliar o efeito da terapêutica hormonal (TH no peso de mulheres na peri-menopausa, assim como o efeito de diferentes regimes terapêuticos no referido parâmetro. MÉTODOS: estudo retrospectivo de 139 mulheres, com menopausa há menos de 2 anos, acompanhadas na consulta de climatério do nosso departamento. Obtiveram-se dois grupos: mulheres a quem se iniciou TH (n=89 e outro, grupo controle, sem terapia hormonal (n=50. Em cada grupo, foi avaliada a modificação ponderal no intervalo de 1 ano após a primeira consulta. Nas submetidas a TH, avaliou-se esse mesmo parâmetro em função de diferentes regimes terapêuticos preconizados: estrogênio isolado vs estroprogestagênio e dose standard vs baixa dosagem. A análise estatística foi realizada com recurso ao programa SPSS®, adotando-se como nível de significância valores pPURPOSE: to evaluate the effect of hormone replacement therapy (HT on the weight on perimenopausal women as well as the effect of different treatment regimens on this parameter. METHODS: a retrospective study of 139 women with menopause for less than 2 years, who were monitored with periodical visits in our department. We compared two groups: women who started HT (n=89 with women who had no hormonal treatment (n=50 and in the two groups, we evaluated the changes in body weight over a 1-year period. In the first group, we assessed the same parameter as a function of different treatment regimens: estrogen alone versus estrogen combined with progestin and standard dose versus low dose. The SPSS® program was used for statistical analysis, with the level of significance set at p<0.05. RESULTS: the groups were similar with respect to demographic and baseline characteristics; weight gain was higher in the untreated group (434 vs 76 g, but the difference observed was not significant (p = 0.406; among HT users, those taking estrogen alone had an increased weight gain compared to women taking estrogen with progestin

  6. The Impact of Macro-and Micronutrients on Predicting Outcomes of Critically Ill Patients Requiring Continuous Renal Replacement Therapy.

    Directory of Open Access Journals (Sweden)

    Kittrawee Kritmetapak

    Full Text Available Critically ill patients with acute kidney injury (AKI who receive renal replacement therapy (RRT have very high mortality rate. During RRT, there are markedly loss of macro- and micronutrients which may cause malnutrition and result in impaired renal recovery and patient survival. We aimed to examine the predictive role of macro- and micronutrients on survival and renal outcomes in critically ill patients undergoing continuous RRT (CRRT. This prospective observational study enrolled critically ill patients requiring CRRT at Intensive Care Unit of King Chulalongkorn Memorial Hospital from November 2012 until November 2013. The serum, urine, and effluent fluid were serially collected on the first three days to calculate protein metabolism including dietary protein intake (DPI, nitrogen balance, and normalized protein catabolic rate (nPCR. Serum zinc, selenium, and copper were measured for micronutrients analysis on the first three days of CRRT. Survivor was defined as being alive on day 28 after initiation of CRRT.Dialysis status on day 28 was also determined. Of the 70 critically ill patients requiring CRRT, 27 patients (37.5% survived on day 28. The DPI and serum albumin of survivors were significantly higher than non-survivors (0.8± 0.2 vs 0.5 ±0.3g/kg/day, p = 0.001, and 3.2±0.5 vs 2.9±0.5 g/dL, p = 0.03, respectively while other markers were comparable. The DPI alone predicted patient survival with area under the curve (AUC of 0.69. A combined clinical model predicted survival with AUC of 0.78. When adjusted for differences in albumin level, clinical severity score (APACHEII and SOFA score, and serum creatinine at initiation of CRRT, DPI still independently predicted survival (odds ratio 4.62, p = 0.009. The serum levels of micronutrients in both groups were comparable and unaltered following CRRT. Regarding renal outcome, patients in the dialysis independent group had higher serum albumin levels than the dialysis dependent group, p = 0

  7. Serum testosterone, testosterone replacement therapy and all-cause mortality in men with type 2 diabetes: retrospective consideration of the impact of PDE5 inhibitors and statins.

    Science.gov (United States)

    Hackett, G; Heald, A H; Sinclair, A; Jones, P W; Strange, R C; Ramachandran, S

    2016-03-01

    Low testosterone levels occur in over 40% of men with type 2 diabetes mellitus (T2DM) and have been associated with increased mortality. Testosterone replacement together with statins and phosphodiesterase 5 inhibitors (PDE5I) are widely used in men with T2DM. To determine the impact of testosterone and testosterone replacement therapy (TRT) on mortality and assess the independence of this effect by adjusting statistical models for statin and PDE5I use. We studied 857 men with T2DM screened from five primary care practices during April 2007-April 2009. Of the 857 men, 175/637 men with serum total testosterone ≤ 12 nmol/l or free testosterone (FT) ≤ 0.25 nmol/l received TU for a mean of 3.8 ± 1.2 (SD) years. PDE5I and statins were prescribed to 175/857 and 662/857 men respectively. All-cause mortality was the primary end-point. Cox regression models were used to compare survival in the three testosterone level/treatment groups, the analysis adjusted for age, statin and PDE5I use, BMI, blood pressure and lipids. Compared with the Low T/untreated group, mortality in the Normal T/untreated (HR: 0.62, CI: 0.41-0.94) or Low T/treated (HR: 0.38, CI: 0.16-0.90) groups was significantly reduced. PDE5I use was significantly associated with reduced mortality (HR: 0.21, CI: 0.066-0.68). After repeating the Cox regression in the 682 men not given a PDE5I, mortality in the Normal T/untreated and Low T/treated groups was significantly lower than that in the reference Low T/untreated group. Mortality in the PDE5I/treated was significantly reduced compared with the PDE5I/untreated group (OR: 0.06, CI: 0.009-0.47). Testosterone replacement therapy is independently associated with reduced mortality in men with T2DM. PDE5I use, included as a confounding factor, was associated with decreased mortality in all patients and, those not on TRT, suggesting independence of effect. The impact of PDE5I treatment on mortality (both HR and OR < 0.25) needs confirmation by independent studies

  8. [Estrogen replacement].

    Science.gov (United States)

    Søgaard, A J; Berntsen, G K; Magnus, J H; Tollan, A

    1998-02-10

    Recent research on long-term postmenopausal hormone replacement therapy (HRT) indicates a positive effect on both total mortality and morbidity. This has raised the question of widespread preventive long-term use of HRT. Possible side-effects and ideological issues related to preventive HRT have led to debate and uncertainty among health professionals, in the media, and in the population at large. In order to evaluate the level of knowledge about and attitudes towards HRT, a randomly selected group of 737 Norwegian women aged 16-79 was interviewed by the Central Bureau of Statistics. One in three women had received information about HRT in the last two years, mainly through weekly magazines and physicians. The proportion who answered the questions on knowledge correctly varied from 36% to 47%. Those who had been given information by a physician possessed accurate knowledge, had more positive attitudes towards HRT and were more willing to use HRT than women who had reviewed information through other channels. Women with a higher level of education were better informed and more knowledgeable than others, but were nevertheless more reluctant to use HRT than those who were less educated. The limited number of women who actually receive information on HRT, the low level of knowledge and the ambivalent attitudes toward HRT are a major challenge to the public health service.

  9. The impact of sea surface currents in wave power potential modeling

    Science.gov (United States)

    Zodiatis, George; Galanis, George; Kallos, George; Nikolaidis, Andreas; Kalogeri, Christina; Liakatas, Aristotelis; Stylianou, Stavros

    2015-11-01

    The impact of sea surface currents to the estimation and modeling of wave energy potential over an area of increased economic interest, the Eastern Mediterranean Sea, is investigated in this work. High-resolution atmospheric, wave, and circulation models, the latter downscaled from the regional Mediterranean Forecasting System (MFS) of the Copernicus marine service (former MyOcean regional MFS system), are utilized towards this goal. The modeled data are analyzed by means of a variety of statistical tools measuring the potential changes not only in the main wave characteristics, but also in the general distribution of the wave energy and the wave parameters that mainly affect it, when using sea surface currents as a forcing to the wave models. The obtained results prove that the impact of the sea surface currents is quite significant in wave energy-related modeling, as well as temporally and spatially dependent. These facts are revealing the necessity of the utilization of the sea surface currents characteristics in renewable energy studies in conjunction with their meteo-ocean forecasting counterparts.

  10. Current impact and future directions of high throughput sequencing in plant virus diagnostics.

    Science.gov (United States)

    Massart, Sebastien; Olmos, Antonio; Jijakli, Haissam; Candresse, Thierry

    2014-08-08

    The ability to provide a fast, inexpensive and reliable diagnostic for any given viral infection is a key parameter in efforts to fight and control these ubiquitous pathogens. The recent developments of high-throughput sequencing (also called Next Generation Sequencing - NGS) technologies and bioinformatics have drastically changed the research on viral pathogens. It is now raising a growing interest for virus diagnostics. This review provides a snapshot vision on the current use and impact of high throughput sequencing approaches in plant virus characterization. More specifically, this review highlights the potential of these new technologies and their interplay with current protocols in the future of molecular diagnostic of plant viruses. The current limitations that will need to be addressed for a wider adoption of high-throughput sequencing in plant virus diagnostics are thoroughly discussed.

  11. Impact of currents on surface flux computations and their feedback on dynamics at regional scales

    Science.gov (United States)

    Olita, A.; Iermano, I.; Fazioli, L.; Ribotti, A.; Tedesco, C.; Pessini, F.; Sorgente, R.

    2015-08-01

    A twin numerical experiment was conducted in the seas around the island of Sardinia (Western Mediterranean) to assess the impact, at regional and coastal scales, of the use of relative winds (i.e., taking into account ocean surface currents) in the computation of heat and momentum fluxes through standard (Fairall et al., 2003) bulk formulas. The Regional Ocean Modelling System (ROMS) was implemented at 3 km resolution in order to well resolve mesoscale processes, which are known to have a large influence in the dynamics of the area. Small changes (few percent points) in terms of spatially averaged fluxes correspond to quite large differences of such quantities (about 15 %) in spatial terms and in terms of kinetics (more than 20 %). As a consequence, wind power input P is also reduced by ~ 14 % on average. Quantitative validation with satellite SST suggests that such a modification of the fluxes improves the model solution especially in the western side of the domain, where mesoscale activity (as suggested by eddy kinetic energy) is stronger. Surface currents change both in their stable and fluctuating part. In particular, the path and intensity of the Algerian Current and of the Western Sardinia Current (WSC) are impacted by the modification in fluxes. Both total and eddy kinetic energies of the surface current field are reduced in the experiment where fluxes took into account the surface currents. The main dynamical correction is observed in the SW area, where the different location and strength of the eddies influence the path and intensity of the WSC. Our results suggest that, even at local scales and in temperate regions, it would be preferable to take into account such a contribution in flux computations. The modification of the original code, substantially cost-less in terms of numerical computation, improves the model response in terms of surface fluxes (SST validated) and it also likely improves the dynamics as suggested by qualitative comparison with

  12. Impact of currents on surface fluxes computation and their feedback on coastal dynamics

    Directory of Open Access Journals (Sweden)

    A. Olita

    2015-01-01

    Full Text Available A twin numerical experiment was conducted in the seas of Sardinia (Western Mediterranean to assess the impact, at coastal scales, of the use of relative winds (i.e. taking into account ocean surface currents in the computation of heat and momentum fluxes through bulk formulas. The model, the Regional Ocean Modeling System (ROMS, was implemented at 2 km of resolution in order to well resolve (sub-mesoscale dynamics. Small changes (1–2% in terms of spatially-averaged fluxes correspond to quite large spatial differences of such quantities (up to 15–20% and to comparably significant differences in terms of mean velocities of the surface currents. Wind power input of the wind stress to the ocean surface P results also reduced by a 15%, especially where surface currents are stronger. Quantitative validation with satellite SST suggests that such a modification on the fluxes improves the model solution especially in areas of cyclonic circulation, where the heat fluxes correction is predominant in respect to the dynamical correction. Surface currents changes above all in their fluctuating part, while the stable part of the flow show changes mainly in magnitude and less in its path. Both total and eddy kinetic energies of the surface current field results reduced in the experiment where fluxes took into account for surface currents. Dynamically, the largest correction is observed in the SW area where anticyclonic eddies approach the continental slope. This reduction also impacts the vertical dynamics and specifically the local upwelling that results diminished both in spatial extension as well in magnitude. Simulations suggest that, even at local scales and in temperate regions, it is preferable to take into account for such a component in fluxes computation. Results also confirm the tight relationship between local coastal upwelling and eddy-slope interactions in the area.

  13. Systematic review of current efforts to quantify the impacts of climate change on undernutrition.

    Science.gov (United States)

    Phalkey, Revati K; Aranda-Jan, Clara; Marx, Sabrina; Höfle, Bernhard; Sauerborn, Rainer

    2015-08-18

    Malnutrition is a challenge to the health and productivity of populations and is viewed as one of the five largest adverse health impacts of climate change. Nonetheless, systematic evidence quantifying these impacts is currently limited. Our aim was to assess the scientific evidence base for the impact of climate change on childhood undernutrition (particularly stunting) in subsistence farmers in low- and middle-income countries. A systematic review was conducted to identify peer-reviewed and gray full-text documents in English with no limits for year of publication or study design. Fifteen manuscripts were reviewed. Few studies use primary data to investigate the proportion of stunting that can be attributed to climate/weather variability. Although scattered and limited, current evidence suggests a significant but variable link between weather variables, e.g., rainfall, extreme weather events (floods/droughts), seasonality, and temperature, and childhood stunting at the household level (12 of 15 studies, 80%). In addition, we note that agricultural, socioeconomic, and demographic factors at the household and individual levels also play substantial roles in mediating the nutritional impacts. Comparable interdisciplinary studies based on primary data at a household level are urgently required to guide effective adaptation, particularly for rural subsistence farmers. Systemization of data collection at the global level is indispensable and urgent. We need to assimilate data from long-term, high-quality agricultural, environmental, socioeconomic, health, and demographic surveillance systems and develop robust statistical methods to establish and validate causal links, quantify impacts, and make reliable predictions that can guide evidence-based health interventions in the future.

  14. A woman's journey through the reproductive, transitional and postmenopausal periods of life: impact on cardiovascular and musculo-skeletal risk and the role of estrogen replacement.

    Science.gov (United States)

    Stevenson, John C

    2011-10-01

    Sex hormones are fundamental for female development and they are important physiologically to maintain the health and normal functioning of several organs such as the brain, heart and bone. It is now clear that the hormonal changes that occur during a woman's life, particularly her estrogen status, can modulate disease activity. This is especially true for cardiovascular and musculo-skeletal diseases, which are two leading causes of morbidity and mortality in women. With the general aging of the population they represent a serious and growing public health concern. Estrogen synthesis and blood levels fluctuate during a woman's life and in this review three broad periods will be considered: reproductive phase, transition and postmenopausal phase. Generally speaking, women in the reproductive phase of their life are at low risk of cardiovascular and musculo-skeletal disorders. However, the onset of menopause and the loss of ovarian function is associated with a significant increase in the prevalence of diseases such as coronary heart disease, osteoarthritis and osteoporosis. The prevalence of these debilitating diseases continues to increase through the postmenopausal period. Estrogen replacement is an obvious treatment approach to counter the problems associated with the loss of ovarian function and subsequent estrogen deficiency. Overall, oral and transdermal estrogen replacement are similarly effective in relieving menopausal symptoms and disorders that manifest during this period of a woman's life. Transdermal estrogen may be preferable in older women because of its lower thrombogenic potential. In this journey through a woman's life current best evidence relating to cardiovascular and musculo-skeletal risk will be reviewed in line with well documented management strategies. Copyright © 2011 Elsevier Ireland Ltd. All rights reserved.

  15. Primary total knee replacement: a comparison of a nationally agreed guide to best practice and current surgical technique as determined by the North West Regional Arthroplasty Register.

    Science.gov (United States)

    Malik, M. H. A.; Chougle, A.; Pradhan, N.; Gambhir, A. K.; Porter, M. L.

    2005-01-01

    INTRODUCTION: In 1999, a statement of best practice in primary total hip replacement was approved by the Council of the British Orthopaedic Association (BOA) and by the British Association for Surgery of the Knee (BASK) to provide a basis for regional and national auditable standards: we have compared practice in the North West of England to this document to ascertain adherence to this guide to best practice. MATERIALS AND METHODS: A direct comparison of data held on the North West Hip Arthroplasty Register for 2001/2002 and BASK/BOA guidelines was performed. 86 surgeons from 26 hospitals were included in the study. RESULTS: A mean of 93.3% of operations were performed in the surgeon's usual theatre. All of these theatres had vertical laminar air flow systems. 42.2% of respondents routinely used exhaust suits and 68.1% of respondents routinely used impermeable disposable gowns. All surgeons use some form of anti-thromboembolic prophylaxis; 66.2% use a combination of both mechanical and chemical means. All surgeons used antibiotic prophylaxis. The most popular choice of antibiotic was a cephalosporin. 93.7% of surgeons routinely use antibiotic-loaded cement. The PFC and Kinemax prostheses were the most commonly used prostheses. Interestingly, 97.7% of all first-choice implants were cemented. Only 2 surgeons used uncemented total knee replacement. 69.8% of surgeons used a posterior cruciate retaining design. A midline longitudinal skin incision is used by 87.2% of surgeons, a medial longitudinal skin incision by 7.0% and a lateral longitudinal skin incision by 5.8% of surgeons. A medial parapatellar capsular incision is preferred by 91.9% with the remainder using mid vastus or trivector retaining capsulotomy. Closure of capsulotomies is performed in flexion by 65.1% and in extension by 34.9%. In patients with osteoarthritis, 38.4% routinely resurfaced the patella, 34.9% never resurfaced the patella and 26.7% selectively resurfaced. This was in direct contrast to

  16. Current and Future Impact Risks from Small Debris to Operational Satellites

    Science.gov (United States)

    Liou, Jer-Chyi; Kessler, Don

    2011-01-01

    The collision between Iridium 33 and Cosmos 2251 in 2009 signaled the potential onset of the collision cascade effect, commonly known as the "Kessler Syndrome", in the low Earth orbit (LEO) region. Recent numerical simulations have shown that the 10 cm and larger debris population in LEO will continue to increase even with a good implementation of the commonly-adopted mitigation measures. This increase is driven by collisions involving large and massive intacts, i.e., rocket bodies and spacecraft. Therefore, active debris removal (ADR) of large and massive intacts with high collision probabilities has been argued as a direct and effective means to remediate the environment in LEO. The major risk for operational satellites in the environment, however, comes from impacts with debris just above the threshold of the protection shields. In general, these are debris in the millimeter to centimeter size regime. Although impacts by these objects are insufficient to lead to catastrophic breakup of the entire vehicle, the damage is certainly severe enough to cause critical failure of the key instruments or the entire payload. The focus of this paper is to estimate the impact risks from 5 mm and 1 cm debris to active payloads in LEO (1) in the current environment and (2) in the future environment based on different projection scenarios, including ADR. The goal of the study is to quantify the benefits of ADR in reducing debris impact risks to operational satellites.

  17. Impacts of the current economic crisis on Southeast Asian labour markets

    Directory of Open Access Journals (Sweden)

    John Walsh

    2010-10-01

    Full Text Available The current economic crisis has caused most of the western world to fall into recession because of the credit crunch and the collapse of much of the under-regulated and over-confident banking industry. However, in most of Asia, especially developing Asia, the crisis has affected manufacturing and, hence, employment rather than the finance sectors, especially because the latter had already been restructured following the 1997 Asian Crisis. This paper considers the impact of the crisis on the range of labour markets across the region and assesses the ongoing relevance of the development model that is posited on low labour cost manufacturing aimed at assisting export industries. Impacts considered include migration flows of labour, the possibility of augmenting added value to existing production and the need to upgrade skills and competencies.

  18. Environmental Impacts on Spiking Properties in Hodgkin-Huxley Neuron with Direct Current Stimulus

    Institute of Scientific and Technical Information of China (English)

    YUAN Chang-Qing; ZHAO Tong-Jun; ZHAN Yong; ZHANG Su-Hua; LIU Hui; ZHANG Yu-Hong

    2009-01-01

    Based on the well accepted Hodgkin-Huxley neuron model, the neuronal intrinsic excitability is studied when the neuron is subject to varying environmental temperatures, the typical impact for its regulating ways. With computer simulation, it is found that altering environmental temperature can improve or inhibit the neuronal intrinsic excitability so as to influence the neuronal spiking properties. The impacts from environmental factors can be understood that ,the neuronal spiking threshold is essentially influenced by the fluctuations in the environ-ment. With the environmental temperature varying, burst spiking is realized for the neuronal membrane voltage because of the environment-dependent spiking threshold. This burst induced by changes in spiking threshold is different from that excited by input currents or other stimulus.

  19. Increased frequency of anxiety, depression, quality of life and sexual life in young hypogonadotropic hypogonadal males and impacts of testosterone replacement therapy on these conditions.

    Science.gov (United States)

    Aydogan, Umit; Aydogdu, Aydogan; Akbulut, Halil; Sonmez, Alper; Yuksel, Servet; Basaran, Yalcin; Uzun, Ozcan; Bolu, Erol; Saglam, Kenan

    2012-01-01

    Hypogonadotropic hypogonadism is defined as the failure in production of gonadal hormones, thus resulting in lower amounts of testosterone. Depression, anxiety and decreased quality of life are the most common psychopathological conditions in young hypogonadal men. The aim of the present study was to assess the still debated relationship with testosterone levels and psychological symptoms in young male patients with congenital hypogonadotropic hypogonadism (CHH). Thirty-nine young male patients with CHH and 40 age-matched healthy males were enrolled in the present study. The impact of testosterone replacement treatment (TRT) on the patients' anxiety and depression levels, sexual function and quality of life were assessed before and after 6 months of treatment using valid and reliable scales, including the Short Form-36 (SF-36), Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI), and Arizona Sexual Experiences (ASEX). Patients with CHH had significantly higher scores for BDI, BAI, and ASEX than the control subjects at baseline (p=0.011, p=0.036, pstatistically significant (p=0.135). When compared to the control group, treatment naïve hypogonadal patients had more severe symptoms of sexual dysfunction, anxiety, depression, and worse quality of life. After 6 months of TRT, we observed improvements in the above parameters, suggesting that low endogenous levels of testosterone might be related to the increased incidence of psychological symptoms.

  20. The current situation of impact of coal mine developing on environment in China and government proposal

    Energy Technology Data Exchange (ETDEWEB)

    Lu Yang [China University of Mining and Technology, Beijing (China). Ministry of Land and Resources

    2005-07-01

    Current environmental problems caused by coal mining in China, the importance of management of the environment, impact of coal mining on land and water resources, and upcoming coal development are discussed. It is suggested that the government should act in two ways: take responsibility for management of reclamation of mines existing before 1986, and set up mechanisms to protect the environment, starting with the publishing of relevant laws and regulations. Methods for solving environmental issues include: prepare a practical plan, establish an environmental control fund, establish a special fund to protect the environment, and develop new ways to combine protection of the biological environment and land reclamation. 5 refs., 3 tabs.

  1. Impact and Limitations Deriving from Basel II within the Context of the Current Financial Crisis

    Directory of Open Access Journals (Sweden)

    Oana Miruna DĂNILĂ

    2012-06-01

    Full Text Available The Banking sector risk management framework, geared towards maintaining a solid capital adequacy level, has witnessed a permanent evolution, determined by the global economic and financial reality.Basel II has brought an improvement of the risk management framework by adding minimum capital levels corresponding to market and operational risk and by the introduction of internal rating models. However the current crisis has brought forward some adverse effects as well as limitations.This paper analyses the evolution of prudential rules and regulations introduced by Basel II and their impact on the banking system together with outlining certain limitations.

  2. Assessment of the impact of HTSCs on superconducting fault-current limiters

    Energy Technology Data Exchange (ETDEWEB)

    Giese, R.F. [Argonne National Lab., IL (United States); Runde, M. [Energiforsyningens Forskningsinstitutt A/S, Trondheim (Norway)

    1993-03-01

    The possible impact of nitrogen-cooled superconductors on the desip and cost of superconducting fault-current limiters is assessed by considering the technical specifications such devices must meet and by comparing material properties of 77-K and 4-K superconductors. The main advantages of operating superconductors at 77 K are that the refrigeration operating cost is reduced by a factor of up to 25 and the refrigeration capital cost is reduced by a factor of up to 10. The heat capacity is several orders of magnitude Larger at 77 K and at 4 K. This phenomenon increases conductor stability against flux jumps but makes switching from the superconducting to the normal state slow and difficult. Therefore, a high critical current density, probably at least 10{sup 5} A/cm{sup 2}, is required.

  3. Impact Analysis of Dwell Angles on Current Shape and Torque in Switched Reluctance Motors

    Directory of Open Access Journals (Sweden)

    Syeda Fatima Ghousia

    2012-03-01

    Full Text Available The reduction of torque ripple is the main target in research for designing a variable drive system with switched reluctance motors (SRM for higher torque density and better efficiency. This ripple is due to the transition of excitation current between the adjacent phases. Precise control of turn-on and turn off angle is required to smooth the torque. In this paper, the effects of selecting the turn-on and turn-off angles are simulated in detail. It is observed that with the extended turn-on and turn off angles, the precise selection of turn-on and turn off angle can alter the shape of the excitation current in the stator coil and its point of overlapping with the adjacent coil. Therefore the transition between different phases can be smoothed out. The impact of this alteration on the excitation current and torque ripple as a function of different parameters of dwell angle is studied in detail in this paper. It is found that a sinusoidal current shape can also be obtained with the proper selection of these parameters.

  4. Improving Understanding of the Agulhas Current and Its Global Climate Impacts

    Science.gov (United States)

    Beal, Lisa; Biastoch, Arne

    2010-05-01

    Working Group on the Climatic Importance of the Greater Agulhas System; Portland, Oregon, 20-21 February 2010; The first meeting of the new Scientific Committee on Oceanic Research (SCOR) Working Group 136 was held to discuss recent developments in understanding the greater Agulhas Current system and future research directions. The overarching goal of the working group is to improve understanding and awareness of the regional and global climate impacts of the Agulhas Current, a major western boundary current that flows along the east coast of Africa, and its interocean leakage. In addition to studying modern circulation, the working group is motivated by recent paleodata that suggest that through the currents' southern influence on the Atlantic meridional overturning circulation (AMOC), changes in the leakage of warm and salty Agulhas waters into the Atlantic may have triggered the end of ice ages. In terms of global climate, this arguably puts the importance of the greater Agulhas system on a par with Heinrich (land-ice release) events and high-latitude deepwater formation.

  5. IMPACT OF INTERFERENTIAL CURRENT ON PAIN RELIEF AMONG PATIENTS WITH ORCHIALGIA

    Directory of Open Access Journals (Sweden)

    Hany M.I. Elgohary

    2016-08-01

    Full Text Available Background: Scrotal discomfort can contribute to unusual impact on body scheme and result in behavioral alterations, as well as changes in sexual function such as delay of sexual ability that may affect both man and his companion. There are many physiotherapy modalities to reduce the intratesticular pain such as pelvic floor muscle training, hydrotherapy, ultrasound and electrotherapy. Interferential current therapy is a noninvasive therapy used to reduce acute and chronic, post-operative and post-trauma acute pain. It provides a safe and effective alternative to pharmacological approaches to pain control. The purpose of the current study was to investigate the efficacy of interferential current in alleviating testicular pain. Methods: Randomized clinical study conducted on 50 participants. They divided into two equal groups: Group A received interferential current with two electrodes placed over the upper medial aspects of thighs and the other two electrodes were positioned over the suprapubic area. While group B received placebo interferential current. The treatment protocol was applied 3 times/ week for six successive weeks, in a total of 18 sessions. Patients were evaluated before and after the six weeks of the treatment by visual analogue scale and pain intensity while pain relief scale was measured after the treatment. Results: Group A showed a significant pain improvement in both inter and intra group comparison in all measured parameters (visual analogue scale and pain intensity while pain relief scale (p <0.05. Conclusion: The findings show that interferential current is an effective modality and can be recommended for the treatment of testicular pain.

  6. Primary total hip replacement: a comparison of a nationally agreed guide to best practice and current surgical technique as determined by the North West Regional Arthroplasty Register.

    Science.gov (United States)

    Malik, M. H. A.; Gambhir, A. K.; Bale, L.; Pradhan, N.; Porter, M. L.

    2004-01-01

    BACKGROUND: In 1999, a statement of best practice in primary total hip replacement was approved by the Council of the British Orthopaedic Association (BOA) and by the British Hip Society (BHS) to provide a basis for regional and national auditable standards. We have compared practice in the North West Region of England to this document to ascertain adherence to this guide to best practice. METHODS: A total of 86 surgeons from 26 hospitals were included in a questionnaire study. RESULTS: A mean of 93.3% of operations were performed in the surgeon's usual theatre. All of these theatres had vertical laminar air flow systems. Of respondents, 42.2% routinely used exhaust suits, 68.1% routinely used impermeable disposable gowns, and 26.1% used impermeable re-usable gowns. The Charnley femoral and acetabular prostheses were the most commonly used prostheses. All surgeons used some form of anti-thromboembolic prophylaxis: 66.2% use a combination of both mechanical and chemical means. All surgeons used antibiotic prophylaxis. The most popular choice of antibiotic was a cephalosporin--70.7% used a 3-dose regimen over 24 h, 2.6% of surgeons continued antibiotic prophylaxis for 48 h after surgery, and 93.7% of surgeons routinely use antibiotic-loaded cement. All surgeons routinely cleaned, irrigated and dried the acetabulum and femur before cement insertion. Only one surgeon did not use any form of femoral canal occlusion. 69.4% used an intramedullary bone block. Retrograde filling of the femoral shaft by means of a cement gun was practised by 65.1%. CONCLUSIONS: This study has demonstrated considerable variation of practice in total hip arthroplasty across the North West Region and significant divergence from the statement of best practice approved by the BOA and BHS. The introduction of a properly funded national hip register will surely help to clarify the effect of such diverse practice on patient outcome. We would recommend that all trusts locally audit their practices

  7. Current progress on understanding the impact of mercury on human health.

    Science.gov (United States)

    Ha, Eunhee; Basu, Niladri; Bose-O'Reilly, Stephan; Dórea, José G; McSorley, Emeir; Sakamoto, Mineshi; Chan, Hing Man

    2017-01-01

    Mercury pollution and its impacts on human health is of global concern. The authors of this paper were members of the Plenary Panel on Human Health in the 12th International Conference on Mercury as a Global Pollutant held in Korea in June 2015. The Panel was asked by the conference organizers to address two questions: what is the current understanding of the impacts of mercury exposure on human health and what information is needed to evaluate the effectiveness of the Minamata Convention in lowering exposure and preventing adverse effects. The authors conducted a critical review of the literature published since January 2012 and discussed the current state-of-knowledge in the following areas: environmental exposure and/or risk assessment; kinetics and biomonitoring; effects on children development; effects on adult general populations; effects on artisanal and small-scale gold miners (ASGM); effects on dental workers; risk of ethylmercury in thimerosal-containing vaccines; interactions with nutrients; genetic determinants and; risk communication and management. Knowledge gaps in each area were identified and recommendations for future research were made. The Panel concluded that more knowledge synthesis efforts are needed to translate the research results into management tools for health professionals and policy makers. Copyright © 2016 Elsevier Inc. All rights reserved.

  8. Potential Population-Level Nutritional Impact of Replacing Whole and Reduced-Fat Milk With Low-Fat and Skim Milk Among US Children Aged 2–19 Years

    Science.gov (United States)

    Rehm, Colin D.; Drewnowski, Adam; Monsivais, Pablo

    2015-01-01

    Objective Dietary guidance emphasizes plain low-fat and skim milk over whole, reduced-fat, and flavored milk (milk eligible for replacement [MER]). The objective of this study was to evaluate the population-level impact of such a change on energy, macronutrient and nutrient intakes, and diet cost. Design Cross-sectional modeling study. Setting Data from the 2001–2002 and 2003–2004 National Health and Nutrition Examination Survey. Participants A total of 8,112 children aged 2–19 years. Main Outcome Measures Energy, macronutrient, and micronutrient intake before and after replacement of MER with low-fat or skim milk. Analysis Survey-weighted linear regression models. Results Milk eligible for replacement accounted for 46% of dairy servings. Among MER consumers, replacement with skim or low-fat milk would lead to a projected reduction in energy of 113 (95% confidence interval [CI], 107–119) and 77 (95% CI, 73–82) kcal/d and percent energy from saturated fat by an absolute value of 2.5% of total energy (95% CI, 2.4–2.6) and 1.4% (95% CI, 1.3–1.5), respectively. Replacement of MER does not change diet costs or calcium and potassium intake. Conclusions Substitution of MER has the potential to reduce energy and total and saturated fat intake with no impact on diet costs or micronutrient density. The feasibility of such replacement has not been examined and there may be negative consequences if replacement is done with non-nutrient–rich beverages. PMID:25528079

  9. Potential population-level nutritional impact of replacing whole and reduced-fat milk with low-fat and skim milk among US children aged 2-19 years.

    Science.gov (United States)

    Rehm, Colin D; Drewnowski, Adam; Monsivais, Pablo

    2015-01-01

    Dietary guidance emphasizes plain low-fat and skim milk over whole, reduced-fat, and flavored milk (milk eligible for replacement [MER]). The objective of this study was to evaluate the population-level impact of such a change on energy, macronutrient and nutrient intakes, and diet cost. Cross-sectional modeling study. Data from the 2001-2002 and 2003-2004 National Health and Nutrition Examination Survey. A total of 8,112 children aged 2-19 years. Energy, macronutrient, and micronutrient intake before and after replacement of MER with low-fat or skim milk. Survey-weighted linear regression models. Milk eligible for replacement accounted for 46% of dairy servings. Among MER consumers, replacement with skim or low-fat milk would lead to a projected reduction in energy of 113 (95% confidence interval [CI], 107-119) and 77 (95% CI, 73-82) kcal/d and percent energy from saturated fat by an absolute value of 2.5% of total energy (95% CI, 2.4-2.6) and 1.4% (95% CI, 1.3-1.5), respectively. Replacement of MER does not change diet costs or calcium and potassium intake. Substitution of MER has the potential to reduce energy and total and saturated fat intake with no impact on diet costs or micronutrient density. The feasibility of such replacement has not been examined and there may be negative consequences if replacement is done with non-nutrient-rich beverages. Copyright © 2015. Published by Elsevier Inc.

  10. Effects of hormone replacement therapy and high-impact physical exercise on skeletal muscle in post-menopausal women: a randomized placebo-controlled study.

    Science.gov (United States)

    Sipilä, S; Taaffe, D R; Cheng, S; Puolakka, J; Toivanen, J; Suominen, H

    2001-08-01

    An age-related decline in muscle performance is a known risk factor for falling, fracture and disability. In women, a clear deterioration is observed from early menopause. The effect of hormone replacement therapy (HRT) in preserving muscle performance is, however, unclear. This trial examined the effects of a 12-month HRT and high-impact physical exercise regimen on skeletal muscle in women in early menopause. A total of 80 women aged 50-57 years were assigned randomly to one of four groups: exercise (Ex), HRT, exercise+HRT (ExHRT) and control (Co). The exercise groups participated in a high-impact training programme. The administration of HRT (oestradiol/noretisterone acetate) or placebo was carried out double-blind. Knee extension torque and vertical jumping height were evaluated. Lean tissue cross-sectional area (LCSA) and the relative proportion of fat within the muscle compartment were measured for the quadriceps and lower leg muscles. The ExHRT group showed significant increases in knee extension torque (8.3%) and vertical jumping height (17.2%) when compared with the Co group (-7.2%). Vertical jumping height also increased after HRT alone (6.8%). The LCSA of the quadriceps was increased significantly in the HRT (6.3%) and ExHRT (7.1%) groups when compared with the Ex (2.2%) and Co (0.7%) groups. Lower leg LCSA was also increased in the ExHRT group (9.1%) when compared with the Ex (3.0%) and Co (4.1%) groups. In addition, the increase in the relative proportion of fat in the quadriceps in the Co group (16.6%) was significant compared with those in the HRT (4.9%) and ExHRT (-0.6%) groups. Thus, in post-menopausal women, muscle performance, muscle mass and muscle composition are improved by HRT. The beneficial effects of HRT combined with high-impact physical training may exceed those of HRT alone.

  11. Trial Protocol: Using genotype to tailor prescribing of nicotine replacement therapy: a randomised controlled trial assessing impact of communication upon adherence

    Directory of Open Access Journals (Sweden)

    Prevost A Toby

    2010-11-01

    Full Text Available Abstract Background The behavioural impact of pharmacogenomics is untested; informing smokers of genetic test results for responsiveness to smoking cessation medication may increase adherence to this medication. The objective of this trial is to estimate the impact upon adherence to nicotine replacement therapy (NRT of informing smokers that their oral dose of NRT has been tailored to a DNA analysis. Hypotheses to be tested are as follows: IAdherence to NRT is greater among smokers informed that their oral dose of NRT is tailored to an analysis of DNA (genotype, compared to one tailored to nicotine dependence questionnaire score (phenotype. II Amongst smokers who fail to quit at six months, motivation to make another quit attempt is lower when informed that their oral dose of NRT was tailored to genotype rather than phenotype. Methods/Design An open label, parallel groups randomised trial in which 630 adult smokers (smoking 10 or more cigarettes daily using National Health Service (NHS stop smoking services in primary care are randomly allocated to one of two groups: i. NRT oral dose tailored by DNA analysis (OPRM1 gene (genotype, or ii. NRT oral dose tailored by nicotine dependence questionnaire score (phenotype The primary outcome is proportion of prescribed NRT consumed in the first 28 days following an initial quit attempt, with the secondary outcome being motivation to make another quit attempt, amongst smokers not abstinent at six months. Other outcomes include adherence to NRT in the first seven days and biochemically validated smoking abstinence at six months. The primary outcome will be collected on 630 smokers allowing sufficient power to detect a 7.5% difference in mean proportion of NRT consumed using a two-tailed test at the 5% level of significance between groups. The proportion of all NRT consumed in the first four weeks of quitting will be compared between arms using an independent samples t-test and by estimating the 95

  12. Impacts of current and projected oil palm plantation expansion on air quality over Southeast Asia

    Science.gov (United States)

    Silva, Sam J.; Heald, Colette L.; Geddes, Jeffrey A.; Austin, Kemen G.; Kasibhatla, Prasad S.; Marlier, Miriam E.

    2016-08-01

    Over recent decades oil palm plantations have rapidly expanded across Southeast Asia (SEA). According to the United Nations, oil palm production in SEA increased by a factor of 3 from 1995 to 2010. We investigate the impacts of current (2010) and near-term future (2020) projected oil palm expansion in SEA on surface-atmosphere exchange and the resulting air quality in the region. For this purpose, we use satellite data, high-resolution land maps, and the chemical transport model GEOS-Chem. Relative to a no oil palm plantation scenario (˜ 1990), overall simulated isoprene emissions in the region increased by 13 % due to oil palm plantations in 2010 and a further 11 % in the near-term future. In addition, the expansion of palm plantations leads to local increases in ozone deposition velocities of up to 20 %. The net result of these changes is that oil palm expansion in SEA increases surface O3 by up to 3.5 ppbv over dense urban regions, and in the near-term future could rise more than 4.5 ppbv above baseline levels. Biogenic secondary organic aerosol loadings also increase by up to 1 µg m-3 due to oil palm expansion, and could increase by a further 2.5 µg m-3 in the near-term future. Our analysis indicates that while the impact of recent oil palm expansion on air quality in the region has been significant, the retrieval error and sensitivity of the current constellation of satellite measurements limit our ability to observe these impacts from space. Oil palm expansion is likely to continue to degrade air quality in the region in the coming decade and hinder efforts to achieve air quality regulations in major urban areas such as Kuala Lumpur and Singapore.

  13. Impact of currents and futures altimetric missions on ocean analysis and forecasting

    Science.gov (United States)

    Verrier, Simon; Le Traon, Pierre-Yves; Remy, Elisabeth

    2016-04-01

    Mercator Ocean, as a major operational oceanography center, must adapt its modeling and data assimilation systems regarding new measurements technologies. As satellite altimetry is one of the major observing systems to constrain ocean models, it is a main concern to assess the impact of the current and future altimeter constellation. The study is based on the OSSE/OSE's (Observing System Simulation Experiments/Observing System Experiments) methods. OSSEs are carried out with a global 1/4° modeling and data assimilation system similar to the operational one but using simulated dataset of observations (altimetry here) in order to assess their contribution and to test the sensitivity of results to different parameters (errors, observation density, type of observations). The SAR technology allows a lower measurement noise close to 1 cm and much better than the LRM's 3cm noise. It is important to assess and quantify its impact on operational systems with data assimilation. Simulated data sets are extracted from a global free 1/12° run and assimilated in the global 1/4° modeling and data assimilation system. Using the 1/12° simulation is justified by the fact that mesoscale variability is better represented than in a 1/4° one. OSEs are carried using the operational system where some observations have been retrieved. This technic allows to assess wich is the contribution of each altimeter data set in the whole prediction/analysing system. The main goal is to assess how the reduction of measurement noise (SAR/LRM) and number of satellites impact the analysis and forecast errors at global and regional (i.e. Gulf Stream, Agullas Current) scales.

  14. Impact of tube current modulation on lesion conspicuity index in hi-resolution chest computed tomography

    Science.gov (United States)

    Szczepura, Katy; Tomkinson, David; Manning, David

    2017-03-01

    Tube current modulation is a method employed in the use of CT in an attempt to optimize radiation dose to the patient. The acceptable noise (noise index) can be varied, based on the level of optimization required; higher accepted noise reduces the patient dose. Recent research [1] suggests that measuring the conspicuity index (C.I.) of focal lesions within an image is more reflective of a clinical reader's ability to perceive focal lesions than traditional physical measures such as contrast to noise (CNR) and signal to noise ratio (SNR). Software has been developed and validated to calculate the C.I. in DICOM images. The aim of this work is assess the impact of tube current modulation on conspicuity index and CTDIvol, to indicate the benefits and limitations of tube current modulation on lesion detectability. Method An anthropomorphic chest phantom was used "Lungman" with inserted lesions of varying size and HU (see table below) a range of Hounsfield units and sizes were used to represent the variation in lesion Hounsfield units found. This meant some lesions had negative Hounsfield unit values.

  15. Determining the Impact of Steady-State PV Fault Current Injections on Distribution Protection

    Energy Technology Data Exchange (ETDEWEB)

    Seuss, John [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Reno, Matthew J. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Broderick, Robert Joseph [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Grijalva, Santiago [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States)

    2017-05-01

    This report investigates the fault current contribution from a single large PV system and the impact it has on existing distribution overcurrent protection devices. Assumptions are made about the modeling of the PV system under fault to perform exhaustive steady - state fault analyses throughout distribution feeder models. Each PV interconnection location is tested to determine how the size of the PV system affects the fault current measured by each protection device. This data is then searched for logical conditions that indicate whether a protection device has operated in a manner that will cause more customer outages due to the addition of the PV system. This is referred to as a protection issue , and there are four unique types of issues that have been identified in the study. The PV system size at which any issues occur are recorded to determine the feeder's PV hosting capacity limitations due to interference with protection settings. The analysis is carried out on six feeder models. The report concludes with a discussion of the prevalence and cause of each protection issue caused by PV system fault current.

  16. The impact of regional economic reliance on the tobacco industry on current smoking in China.

    Science.gov (United States)

    Yang, Tingzhong; Barnett, Ross; Rockett, Ian R H; Yang, Xiaozhao Y; Wu, Dan; Zheng, Weijun; Li, Lu

    2015-05-01

    The purpose of this study was to conduct a preliminary assessment of province of residence and other contextual factors on the likelihood of being a current smoker in China. A cross-sectional, multistage sampling process was used to recruit participants, and their smoking status and sociodemographic characteristics were obtained through face-to-face interviews. The contextual variables were retrieved from a national database. Multilevel logistic regression analysis was performed to assess the impact of provincial economic reliance on the tobacco industry, as well as individual-level characteristics, on the likelihood of being a current smoker. Participants totaled 20,601 from 27 cities located in 26 of the 31 municipalities/provinces in China. Overall smoking prevalence was 31.3% (95% CI: 19.3-33.2%), with rates being highest in Yinchuan City in Ningxia Province (49.8%) and lowest in Shanghai (21.6%). The multilevel analysis showed an excess likelihood of being a current smoker for individuals living in provinces with the highest rate of cigarette production relative to those with the smallest (pmarketing of tobacco products in China. Copyright © 2015. Published by Elsevier Ltd.

  17. Perception of the environmental impacts of current and alternative modes of pig production by stakeholder groups.

    Science.gov (United States)

    Petit, Jean; van der Werf, Hayo M G

    2003-08-01

    The current industrial pig production model is in crisis, due to its association with environmental pollution, doubtful product quality and lack of animal well-being. In Bretagne (France), a region of intensive pig production, a survey of seven stakeholder groups concerned with pig production was conducted, as part of a research programme dedicated to the assessment of the environmental impact of different modes of pig production. A very large majority of pig producers (93%) and their suppliers (100%) considers pig farms as an asset for the region, whereas a majority of scientists (58%), activists (78%) and consumers (54%) sees it as a handicap. Differences among stakeholder groups are minor with respect to the perceived importance of environmental and social issues. Stakeholders agree on the relative level of responsibility of pig farms with respect to specific problems. For all groups unpleasant odours and water quality come first with respect to responsibility, for most groups soil quality comes second, followed by product safety and air quality. For a future improved mode of pig production, 76% of pig producers and their suppliers prefer to adapt the current model, for all other groups the majority prefers an alternative model. While pig producers and their suppliers prefer a slurry-based housing system, all other groups prefer a straw-based system. Pig producers see the slurry-based system as technically superior and associate the straw-based system with poor working conditions, whereas consumers associate the slurry-based system in the first place with poor water quality and associate the straw-based system with less pollution. These results will be of use in the research programme on the environmental impact of modes of pig production, as they indicate the environmental impacts to be considered and their relative importance. The results will also help in deciding which options should be assessed. It is concluded that the poor image of the current pig

  18. Ulnar head replacement.

    Science.gov (United States)

    Herbert, Timothy J; van Schoonhoven, Joerg

    2007-03-01

    Recent years have seen an increasing awareness of the anatomical and biomechanical significance of the distal radioulnar joint (DRUJ). With this has come a more critical approach to surgical management of DRUJ disorders and a realization that all forms of "excision arthroplasty" can only restore forearm rotation at the expense of forearm stability. This, in turn, has led to renewed interest in prosthetic replacement of the ulnar head, a procedure that had previously fallen into disrepute because of material failures with early implants, in particular, the Swanson silicone ulnar head replacement. In response to these early failures, a new prosthesis was developed in the early 1990s, using materials designed to withstand the loads across the DRUJ associated with normal functional use of the upper limb. Released onto the market in 1995 (Herbert ulnar head prosthesis), clinical experience during the last 10 years has shown that this prosthesis is able to restore forearm function after ulnar head excision and that the materials (ceramic head and noncemented titanium stem), even with normal use of the limb, are showing no signs of failure in the medium to long term. As experience with the use of an ulnar head prosthesis grows, so does its acceptance as a viable and attractive alternative to more traditional operations, such as the Darrach and Sauve-Kapandji procedures. This article discusses the current indications and contraindications for ulnar head replacement and details the surgical procedure, rehabilitation, and likely outcomes.

  19. Evaluation of the impact of current antismoking advice in the UK on women with planned pregnancies.

    Science.gov (United States)

    Acharya, G; Jauniaux, E; Sathia, Leena; Griffin, M; Morgan, H

    2002-09-01

    Smoking during pregnancy (active or passive) is associated with increased health risks to the unborn child. Current policy on antismoking advice for pregnant women in the United Kingdom is based essentially on written information by means of leaflets given to them at the first antenatal visit. We evaluated the impact of this policy on the smoking habits of pregnant women. A sample of 180 women with planned pregnancies attending antenatal clinics at two teaching hospitals in North London was recruited over a 6-month period. All women were provided with the current antismoking counselling at their first visit at the end of the first trimester and asked to fill in a questionnaire around mid-gestation. The study population included 117 (65%) women who did not currently smoke (non-smokers) and 63 (35%) who were active smokers at the beginning of their pregnancy. Thirty-nine non-smokers were found to be passive smokers. Three women took up smoking during pregnancy. Among the smokers, 53 (84.1%) women made no change in their smoking behaviour during pregnancy, seven (11.1%) reduced their cigarette consumption and only three (4.8%) gave up smoking during the first half of pregnancy. None of the partners changed their smoking habits. All women were aware that smoking in pregnancy could be deleterious to their health and that of their fetus. Despite awareness of dangers of smoking, the prevalence of smoking among pregnant women remains very high after the first antenatal visit and the current antismoking policy based essentially on leaflets is not effective. Health-care professionals should spend more time to inform women adequately about the dangers of smoking and help them to quit before pregnancy.

  20. [Biomechanical aspects of load-bearing capacity after total endoprosthesis replacement of the hip joint. An evaluation of current knowledge and review of the literature].

    Science.gov (United States)

    Wirtz, D C; Heller, K D; Niethard, F U

    1998-01-01

    Purpose of the study was to summarize the current scientific knowledge of the interaction between rehabilitative procedures and the periprosthetic bone remodeling processes in the early postoperative phase of total hip arthroplasties. In a comprehensive review of the international literature we analysed the interdependence between osseointegration, primary implant stability, relative micromotion of implant versus bone, and joint loading forces during mobilisation or physiotherapy. Accordingly, guidelines for the rehabilitation of cemented as well as cementless hip arthroplasties were established in order to eliminate factors disturbing prosthetic integration and hence provide for the best long-term stability of the implanted prosthesis possible. Osseointegration of cementless implants is impossible if relative micromotions exceed > 150 microns. Furthermore, torsional stresses (i.e. alternate climbing of stairs, rising from seated position without arm support) will destabilize uncemented femoral shaft implants. Cemented prostheses may be loaded with full body weight. Uncemented implants should be loaded only partially for at least 6 weeks. Loadings of the hip joint with more than twice the body-weight (i.e. walking without crutches, physical exercise against high resistances or long levers) are to be avoided for 3 months. The transition from the three-points walking to the two-points walking technique depends particularly on the conditions of the muscles stabilizing the hip joint. The rehabilitation of patients after total hip arthroplasty has to be brought into line with the changed biomechanical situation, the particulars of the implants and the individual requirements of the patients.

  1. The impact of intrinsic alignment on current and future cosmic shear surveys

    CERN Document Server

    Krause, Elisabeth; Blazek, Jonathan

    2015-01-01

    Intrinsic alignment (IA) of source galaxies is one of the major astrophysical systematics for ongoing and future weak lensing surveys. This paper presents the first forecasts of the impact of IA on cosmic shear measurements for current and future surveys (DES, Euclid, LSST, WFIRST) using simulated likelihood analyses and realistic covariances that include higher-order moments of the density field in the computation. We consider a range of possible IA scenarios and test mitigation schemes, which parameterize IA by the fraction of red galaxies, normalization, luminosity and redshift dependence of the IA signal (for a subset we consider joint IA and photo-z uncertainties). Compared to previous studies we find smaller biases in time-dependent dark energy models if IA is ignored in the analysis; the amplitude and significance of these biases vary as a function of survey properties (depth, statistical uncertainties), luminosity function, and IA scenario: Due to its small statistical errors and relatively shallow ob...

  2. Impacts of UV radiation on plankton community metabolism along the Humboldt Current System

    Directory of Open Access Journals (Sweden)

    N. Godoy

    2011-06-01

    Full Text Available The Humbolt Current System along the Chilean coast is one of the most productive regions in the world, where UV levels are particularly high due to stratospheric ozone depletion. Research has shown that phytoplankton photosynthesis can be severely inhibited by surface radiation and there are concerns that this will reduce not only algal carbon fixation, but also the carbon supply for higher trophic level. Experimental estimates of community metabolism (NCP, GPP and R and the impacts of UV on community metabolism were assessed at 8 stations along the meridional track by the Humbold-2009 cruise (54.80° S–23.85° S on board RV Hespérides from 5 to 15 March 2009. The results showed an increase UVB penetration towards the Equator, along the Humboldt Current System, suggesting a more important impact of UVB radiation towards the north. The metabolic rates observed were within average values reported for the Ocean Pacific and did not show the water mass investigated to be exceptionally productive at the time of the study. Experimental evaluation of the effect of UVB radiation on surface waters, those most strongly affected by UVB, showed that UVB radiation suppressed net community production, resulting in a dominance of heterotrophic communities in surface waters, compared to the prevalence of autotrophic communities inferred when materials, excluding UVB radiation, are used for incubation. These results show that UVB radiation, which has increased greatly in the study area, may have suppressed net community production of the plankton communities, possibly driving plankton communities in the Southwest Pacific towards CO2 sources.

  3. Regional economic impacts of current and proposed management alternatives for Charles M. Russell National Wildlife Refuge

    Science.gov (United States)

    Koontz, Lynne; Sexton, Natalie; Ishizaki, Asuka; Ritten, John

    2013-01-01

    The National Wildlife Refuge System Improvement Act of 1997 requires all units of the National Wildlife Refuge System to be managed under a Comprehensive Conservation Plan (CCP). The CCP must describe the desired future conditions of a refuge and provide long-range guidance and management direction to achieve refuge purposes. Charles M. Russell (CMR) National Wildlife Refuge, located in north-central Montana, is in the process of developing a range of management goals, objectives, and strategies for the CCP. The CCP for the Refuge must contain an analysis of expected effects associated with current and proposed refuge-management strategies. For refuge CCP planning, an economic analysis provides a means of estimating how current management (No Action Alternative) and proposed management activities (Alternatives) affect the local economy. This type of analysis provides two critical pieces of information: (1) it illustrates a refuge’s contribution to the local community; and (2) it can help in determining whether economic effects are or are not a real concern in choosing among management alternatives. It is important to note that the economic value of a refuge encompasses more than just the impacts on the regional economy. Refuges also provide substantial nonmarket values (values for items not exchanged in established markets) such as maintaining endangered species, preserving wetlands, educating future generations, and adding stability to the ecosystem (Carver and Caudill, 2007). However, quantifying these types of nonmarket values is beyond the scope of this study. This report first presents a description of the local community and economy near the Refuge. Next, the methods used to conduct a regional economic impact analysis are described. An analysis of the final CCP management strategies that could affect stakeholders and residents and the local economy is then presented. The refuge management activities of economic concern in this analysis are:

  4. Crucial knowledge gaps in current understanding of climate change impacts on coral reef fishes

    KAUST Repository

    Wilson, S. K.

    2010-02-26

    Expert opinion was canvassed to identify crucial knowledge gaps in current understanding of climate change impacts on coral reef fishes. Scientists that had published three or more papers on the effects of climate and environmental factors on reef fishes were invited to submit five questions that, if addressed, would improve our understanding of climate change effects on coral reef fishes. Thirty-three scientists provided 155 questions, and 32 scientists scored these questions in terms of: (i) identifying a knowledge gap, (ii) achievability, (iii) applicability to a broad spectrum of species and reef habitats, and (iv) priority. Forty-two per cent of the questions related to habitat associations and community dynamics of fish, reflecting the established effects and immediate concern relating to climate-induced coral loss and habitat degradation. However, there were also questions on fish demographics, physiology, behaviour and management, all of which could be potentially affected by climate change. Irrespective of their individual expertise and background, scientists scored questions from different topics similarly, suggesting limited bias and recognition of a need for greater interdisciplinary and collaborative research. Presented here are the 53 highest-scoring unique questions. These questions should act as a guide for future research, providing a basis for better assessment and management of climate change impacts on coral reefs and associated fish communities.

  5. Crucial knowledge gaps in current understanding of climate change impacts on coral reef fishes.

    Science.gov (United States)

    Wilson, S K; Adjeroud, M; Bellwood, D R; Berumen, M L; Booth, D; Bozec, Y-Marie; Chabanet, P; Cheal, A; Cinner, J; Depczynski, M; Feary, D A; Gagliano, M; Graham, N A J; Halford, A R; Halpern, B S; Harborne, A R; Hoey, A S; Holbrook, S J; Jones, G P; Kulbiki, M; Letourneur, Y; De Loma, T L; McClanahan, T; McCormick, M I; Meekan, M G; Mumby, P J; Munday, P L; Ohman, M C; Pratchett, M S; Riegl, B; Sano, M; Schmitt, R J; Syms, C

    2010-03-15

    Expert opinion was canvassed to identify crucial knowledge gaps in current understanding of climate change impacts on coral reef fishes. Scientists that had published three or more papers on the effects of climate and environmental factors on reef fishes were invited to submit five questions that, if addressed, would improve our understanding of climate change effects on coral reef fishes. Thirty-three scientists provided 155 questions, and 32 scientists scored these questions in terms of: (i) identifying a knowledge gap, (ii) achievability, (iii) applicability to a broad spectrum of species and reef habitats, and (iv) priority. Forty-two per cent of the questions related to habitat associations and community dynamics of fish, reflecting the established effects and immediate concern relating to climate-induced coral loss and habitat degradation. However, there were also questions on fish demographics, physiology, behaviour and management, all of which could be potentially affected by climate change. Irrespective of their individual expertise and background, scientists scored questions from different topics similarly, suggesting limited bias and recognition of a need for greater interdisciplinary and collaborative research. Presented here are the 53 highest-scoring unique questions. These questions should act as a guide for future research, providing a basis for better assessment and management of climate change impacts on coral reefs and associated fish communities.

  6. Impact of current policies on future air quality and health outcomes in Delhi, India

    Science.gov (United States)

    Dholakia, Hem H.; Purohit, Pallav; Rao, Shilpa; Garg, Amit

    2013-08-01

    A key policy challenge in Indian megacities is to curb high concentrations of PM2.5 and mitigate associated adverse health impacts. Using the Greenhouse Gases and Air Pollution Interactions and Synergies (GAINS) model we carry out an integrated analysis of the air quality regulations across different sectors for the city of Delhi. Our findings show that PM2.5 concentrations for Delhi will not reach the recommended national ambient air quality standards (NAAQS) even by 2030 under the current policies scenario. Adopting advanced control technologies reduces PM2.5 concentrations by about 60% and all-cause mortality by half in 2030. Climate change mitigation policies significantly reduce greenhouse gases, but have a modest impact on reducing PM2.5 concentrations. Stringent policies to control the net flow of air pollution from trans-boundary sources will play a crucial role in reducing pollution levels in Delhi city. Achieving NAAQS requires a stringent policy portfolio that combines advanced control technologies with a switch to cleaner fuels and the control of trans-boundary pollution.

  7. Impact of antipsychotic medication on transcranial direct current stimulation (tDCS) effects in schizophrenia patients.

    Science.gov (United States)

    Agarwal, Sri Mahavir; Bose, Anushree; Shivakumar, Venkataram; Narayanaswamy, Janardhanan C; Chhabra, Harleen; Kalmady, Sunil V; Varambally, Shivarama; Nitsche, Michael A; Venkatasubramanian, Ganesan; Gangadhar, Bangalore N

    2016-01-30

    Transcranial direct current stimulation (tDCS) has generated interest as a treatment modality for schizophrenia. Dopamine, a critical pathogenetic link in schizophrenia, is also known to influence tDCS effects. We evaluated the influence of antipsychotic drug type (as defined by dopamine D2 receptor affinity) on the impact of tDCS in schizophrenia. DSM-IV-TR-diagnosed schizophrenia patients [N=36] with persistent auditory hallucinations despite adequate antipsychotic treatment were administered add-on tDCS. Patients were divided into three groups based on the antipsychotic's affinity to D2 receptors. An auditory hallucinations score (AHS) was measured using the auditory hallucinations subscale of the Psychotic Symptom Rating Scales (PSYRATS). Add-on tDCS resulted in a significant reduction inAHS. Antipsychotic drug type had a significant effect on AHS reduction. Patients treated with high affinity antipsychotics showed significantly lesser improvement compared to patients on low affinity antipsychotics or a mixture of the two. Furthermore, a significant sex-by-group interaction occurred; type of medication had an impact on tDCS effects only in women. Improvement differences could be due to the larger availability of the dopamine receptor system in patients taking antipsychotics with low D2 affinity. Sex-specific differences suggest potential estrogen-mediated effects. This study reports a first-time observation on the clinical utility of antipsychotic drug type in predicting tDCS effects in schizophrenia.

  8. Impact Analysis of The Current English Curriculum for English Majors at The Elementary Stage

    Institute of Scientific and Technical Information of China (English)

    李轶群

    2015-01-01

    Besides the tremendous changes that happened to English education during the latest decade,socialist market economy has also made new requests for the cultivated pattern of English majors in our country.Commissioned by Ministry of Education,English branch of College Foreign Languages Teaching Instructed Committee drafted and handed in new curriculum in 1999,which has been implemented since the year of 2000.Even though the new curriculum has been implemented for several years already,there are still some people who have different opinions towards it.This research takes English majors from the second year and the fourth year as the informants,and investigates the impressions,opinions and impacts of the new curriculum in students’ mind.And then qualitatively analyzes the collected data.Based on both positive and negative impacts analysis of the new curriculum on English majors at the elementary stage,this paper also brings forward some suggestions,which may help the improvement of current curriculum.

  9. The impact of current visa regime policy on tourism recovery and development in Zimbabwe

    Directory of Open Access Journals (Sweden)

    Nelson Zengeni

    2012-12-01

    Full Text Available This paper reports the results on the impact of the current visa regime policy on tourism recovery and development in Zimbabwe. The focus was on finding out how the visa regime could impact on efforts to bring into the country more visitors following the decline in visitor inflows from 2000 to 2008. Data was collected from selected visitors from different member states which require visas to enter into the county in the period between January 2010 and July 2010.The findings shows that visa restrictions play a small part in discouraging visitors to visit Zimbabwe. The visa regime policy was designed in such a way that it was easy for passport holders from traditional markets to have relatively easy passage into Zimbabwe. It was also discovered that visa restrictions were part of international travel conditions but how to get the visa became the competitive advantage or disadvantage a destination can have compared with its competitors. Zimbabwe’s traditional markets believed that the visa was not difficult to get nor was it too expensive as to scare away visitors. However, the emerging markets such as China who are in Group C had problems getting the visa as they were required to apply for the visa before traveling to Zimbabwe.

  10. Estimating the impacts of fishing on dependent predators: a case study in the California Current.

    Science.gov (United States)

    Field, J C; MacCall, A D; Bradley, R W; Sydeman, W J

    2010-12-01

    Juvenile rockfish (Sebastes spp.) are important prey to seabirds in the California Current System, particularly during the breeding season. Both seabird breeding success and the abundance of pelagic juvenile rockfish show high interannual variability. This covariation is largely a response to variable ocean conditions; however, fishing on adult rockfish may have had consequences for seabird productivity (e.g., the number of chicks fledged per breeding pair) by reducing the availability of juvenile rockfish to provisioning seabird parents. We tested the hypothesis that fishing has decreased juvenile rockfish availability and thereby limited seabird productivity over the past 30 years. We quantified relationships between observed juvenile rockfish relative abundance and seabird productivity, used fisheries stock assessment approaches to estimate the relative abundance of juvenile rockfish in the absence of fishing, and compared the differences in seabird productivity that would have resulted without rockfish fisheries. We examined the abundance of juvenile rockfish and the corresponding productivity of three seabird species breeding on Southeast Farallon Island (near San Francisco, California, USA) from the early 1980s to the present. Results show that while the relative abundance of juvenile rockfish has declined to approximately 50% of the estimated unfished biomass, seabirds achieved 75-95% of the estimated un-impacted levels of productivity, depending upon the species of bird and various model assumptions. These results primarily reflect seabirds with "conservative" life histories (one egg laid per year) and may be different for species with more flexible life history strategies (greater reproductive effort). Our results are consistent with the premise that the impacts of local rockfish fisheries on seabird productivity are less than impacts that have occurred to the prey resources themselves due to ocean climate and the ability of seabirds to buffer against

  11. The Impact of the Depth of Embryo Replacement into the Uterine Cavity under Transabdominal Ultrasound Guidance on In Vitro Fertilization and Embryo Transfer Outcome

    Directory of Open Access Journals (Sweden)

    Mitko Ivanovski

    2013-12-01

    Conclusion: In conclusion, our results suggest that depth of embryo replacement inside the uterine cavity may influence the pregnancy rates and should be considered as an important factor to improve the success of IVF cycles.

  12. Significant mitral regurgitation left untreated at the time of aortic valve replacement: a comprehensive review of a frequent entity in the transcatheter aortic valve replacement era.

    Science.gov (United States)

    Nombela-Franco, Luis; Ribeiro, Henrique Barbosa; Urena, Marina; Allende, Ricardo; Amat-Santos, Ignacio; DeLarochellière, Robert; Dumont, Eric; Doyle, Daniel; DeLarochellière, Hugo; Laflamme, Jerôme; Laflamme, Louis; García, Eulogio; Macaya, Carlos; Jiménez-Quevedo, Pilar; Côté, Mélanie; Bergeron, Sebastien; Beaudoin, Jonathan; Pibarot, Philippe; Rodés-Cabau, Josep

    2014-06-24

    Significant mitral regurgitation (MR) is frequent in patients with severe aortic stenosis (AS). In these cases, concomitant mitral valve repair or replacement is usually performed at the time of surgical aortic valve replacement (SAVR). Transcatheter aortic valve replacement (TAVR) has recently been considered as an alternative for patients at high or prohibitive surgical risk. However, concomitant significant MR in this setting is typically left untreated. Moderate to severe MR after aortic valve replacement is therefore a relevant entity in the TAVR era. The purpose of this review is to present the current knowledge on the clinical impact and post-procedural evolution of concomitant significant MR in patients with severe AS who have undergone aortic valve replacement (SAVR and TAVR). This information could contribute to improving both the clinical decision-making process in and management of this challenging group of patients.

  13. Dissolving current gaps in entrepreneurship education and its impact on business development in Slovakia

    Directory of Open Access Journals (Sweden)

    Helena Majdúchová

    2015-10-01

    Full Text Available This paper presents partial outcomes of the research conducted under the cover of the project “V4 Scientific Centers for the Enhancement of Financial Literacy and Entrepreneurship Education“, International Visegrad Fund, Standard Grant No. 21410134. In this paper we focus on dissolving current gaps in entrepreneurship education and its impact on business development in Slovakia (one of participating countries. We do so by using the whole variety of research methods, including structured survey, direct observation, decomposition, implication, etc. We are dealing with the identification of the university education attributes important for the entrepreneurial competences development, followed by further insights into the specific area - university support of individual initiative and entrepreneurial thinking. To avoid the subjective dimension of research outcome, we look at it from two different points of view – students and teachers perceptions. We also use a cross-cultural approach and different cultural dimensions to identify the general perception of normal state of this attribute in the society. The last part of this paper summarizes our recommendations intending to improve the current state of university education system in the field of entrepreneurial competences development.

  14. The impact of calcium current reversal on neurotransmitter release in the electrically stimulated retina

    Science.gov (United States)

    Werginz, Paul; Rattay, Frank

    2016-08-01

    Objective. In spite of intense theoretical and experimental investigations on electrical nerve stimulation, the influence of reversed ion currents on network activity during extracellular stimulation has not been investigated so far. Approach. Here, the impact of calcium current reversal on neurotransmitter release during subretinal stimulation was analyzed with a computational multi-compartment model of a retinal bipolar cell (BC) that was coupled with a four-pool model for the exocytosis from its ribbon synapses. Emphasis was laid on calcium channel dynamics and how these channels influence synaptic release. Main results. Stronger stimulation with anodic pulses caused transmembrane voltages above the Nernst potential of calcium in the terminals and, by this means, forced calcium ions to flow in the reversed direction from inside to the outside of the cell. Consequently, intracellular calcium concentration decreased resulting in a reduced vesicle release or preventing release at all. This mechanism is expected to lead to a pronounced ring-shaped pattern of exocytosis within a group of neighbored BCs when the stronger stimulated cells close to the electrode fail in releasing vesicles. Significance. Stronger subretinal stimulation causes failure of synaptic exocytosis due to reversal of calcium flow into the extracellular space in cells close to the electrode.

  15. A comparative study: the impact of different lipid extraction methods on current microalgal lipid research.

    Science.gov (United States)

    Li, Yan; Ghasemi Naghdi, Forough; Garg, Sourabh; Adarme-Vega, Tania Catalina; Thurecht, Kristofer J; Ghafor, Wael Abdul; Tannock, Simon; Schenk, Peer M

    2014-01-24

    Microalgae cells have the potential to rapidly accumulate lipids, such as triacylglycerides that contain fatty acids important for high value fatty acids (e.g., EPA and DHA) and/or biodiesel production. However, lipid extraction methods for microalgae cells are not well established, and there is currently no standard extraction method for the determination of the fatty acid content of microalgae. This has caused a few problems in microlagal biofuel research due to the bias derived from different extraction methods. Therefore, this study used several extraction methods for fatty acid analysis on marine microalga Tetraselmis sp. M8, aiming to assess the potential impact of different extractions on current microalgal lipid research. These methods included classical Bligh & Dyer lipid extraction, two other chemical extractions using different solvents and sonication, direct saponification and supercritical CO₂ extraction. Soxhlet-based extraction was used to weigh out the importance of solvent polarity in the algal oil extraction. Coupled with GC/MS, a Thermogravimetric Analyser was used to improve the quantification of microalgal lipid extractions. Among these extractions, significant differences were observed in both, extract yield and fatty acid composition. The supercritical extraction technique stood out most for effective extraction of microalgal lipids, especially for long chain unsaturated fatty acids. The results highlight the necessity for comparative analyses of microalgae fatty acids and careful choice and validation of analytical methodology in microalgal lipid research.

  16. Meal Replacement Mass Reduction and Integration Acceptability Study

    Science.gov (United States)

    Sirmons, T.; Barrett, A.; Richardson, M.; Arias, D.; Schneiderman, J.; Slack, K.; Williams, T.; Douglas, G.

    2017-01-01

    NASA, in planning for long-duration missions, has an imperative to provide a food system with the necessary nutrition, acceptability, and safety to ensure sustainment of crew health and performance. The Orion Multi-Purpose Crew Vehicle (MPCV) and future exploration missions are mass constrained; therefore the team is challenged to reduce the mass of the food system by 10% while maintaining product safety, nutrition, and acceptability. Commercially available products do not meet the nutritional requirements for a full meal replacement in the spaceflight food system, and it is currently unknown if daily meal replacements will impact crew food intake and psychosocial health over time. The purpose of this study was to develop a variety of nutritionally balanced breakfast replacement bars that meet spaceflight nutritional, microbiological, sensorial, and shelf-life requirements, while enabling a 10% savings in food mass. To date, six nutrient-dense meal replacement bars (approximately 700 calories per bar) have been developed, using traditional methods of compression as well as novel ultrasonic compression technologies developed by Creative Resonance Inc. (Phoenix, AZ). The four highest rated bars were evaluated in the Human Exploration Research Analog (HERA) to assess the frequency with which actual meal replacement options may be implemented. Specifically, overall impact of bars on mood, satiety, digestive discomfort, and satisfaction with food. These factors are currently being analyzed to inform successful implementation strategies where crew maintain adequate food intake. In addition, these bars are currently undergoing shelf-life testing to determine long-term sensory acceptability, nutritional stability, qualitative stability of analytical measurements (i.e. water activity and texture), and microbiological compliance over two years of storage at room temperature and potential temperature abuse conditions to predict long-term acceptability. It is expected that

  17. Impact of current speed on mass flux to a model flexible seagrass blade

    Science.gov (United States)

    Lei, Jiarui; Nepf, Heidi

    2016-07-01

    Seagrass and other freshwater macrophytes can acquire nutrients from surrounding water through their blades. This flux may depend on the current speed (U), which can influence both the posture of flexible blades (reconfiguration) and the thickness of the flux-limiting diffusive layer. The impact of current speed (U) on mass flux to flexible blades of model seagrass was studied through a combination of laboratory flume experiments, numerical modeling and theory. Model seagrass blades were constructed from low-density polyethylene (LDPE), and 1, 2-dichlorobenzene was used as a tracer chemical. The tracer mass accumulation in the blades was measured at different unidirectional current speeds. A numerical model was used to estimate the transfer velocity (K) by fitting the measured mass uptake to a one-dimensional diffusion model. The measured transfer velocity was compared to predictions based on laminar and turbulent boundary layers developing over a flat plate parallel to flow, for which K∝U0.5 and ∝U, respectively. The degree of blade reconfiguration depended on the dimensionless Cauchy number, Ca, which is a function of both the blade stiffness and flow velocity. For large Ca, the majority of the blade was parallel to the flow, and the measured transfer velocity agreed with laminar boundary layer theory, K∝U0.5. For small Ca, the model blades remained upright, and the flux to the blade was diminished relative to the flat-plate model. A meadow-scale analysis suggests that the mass exchange at the blade scale may control the uptake at the meadow scale.

  18. Comparing snow models under current and future climates: Uncertainties and implications for hydrological impact studies

    Science.gov (United States)

    Troin, Magali; Poulin, Annie; Baraer, Michel; Brissette, François

    2016-09-01

    Projected climate change effects on snow hydrology are investigated for the 2041-2060 horizon following the SRES A2 emissions scenario over three snowmelt-dominated catchments in Quebec, Canada. A 16-member ensemble of eight snow models (SM) simulations, based on the high-resolution Canadian Regional Climate Model (CRCM-15 km) simulations driven by two realizations of the Canadian Global Climate Model (CGCM3), is established per catchment. This study aims to compare a range of SMs in their ability at simulating snow processes under current climate, and to evaluate how they affect the assessment of the climate change-induced snow impacts at the catchment scale. The variability of snowpack response caused by the use of different models within two different SM approaches (degree-day (DD) versus mixed degree-day/energy balance (DD/EB)) is also evaluated, as well as the uncertainty of natural climate variability. The simulations cover 1961-1990 in the present period and 2041-2060 in the future period. There is a general convergence in the ensemble spread of the climate change signals on snow water equivalent at the catchment scale, with an earlier peak and a decreased magnitude in all basins. The results of four snow indicators show that most of the uncertainty arises from natural climate variability (inter-member variability of the CRCM) followed by the snow model. Both the DD and DD/EB models provide comparable assessments of the impacts of climate change on snow hydrology at the catchment scale.

  19. Power Plant Replacement Study

    Energy Technology Data Exchange (ETDEWEB)

    Reed, Gary

    2010-09-30

    This report represents the final report for the Eastern Illinois University power plant replacement study. It contains all related documentation from consideration of possible solutions to the final recommended option. Included are the economic justifications associated with the chosen solution along with application for environmental permitting for the selected project for construction. This final report will summarize the results of execution of an EPC (energy performance contract) investment grade audit (IGA) which lead to an energy services agreement (ESA). The project includes scope of work to design and install energy conservation measures which are guaranteed by the contractor to be self‐funding over its twenty year contract duration. The cost recovery is derived from systems performance improvements leading to energy savings. The prime focus of this EPC effort is to provide a replacement solution for Eastern Illinois University’s aging and failing circa 1925 central steam production plant. Twenty‐three ECMs were considered viable whose net impact will provide sufficient savings to successfully support the overall project objectives.

  20. Power Plant Replacement Study

    Energy Technology Data Exchange (ETDEWEB)

    Reed, Gary

    2010-09-30

    This report represents the final report for the Eastern Illinois University power plant replacement study. It contains all related documentation from consideration of possible solutions to the final recommended option. Included are the economic justifications associated with the chosen solution along with application for environmental permitting for the selected project for construction. This final report will summarize the results of execution of an EPC (energy performance contract) investment grade audit (IGA) which lead to an energy services agreement (ESA). The project includes scope of work to design and install energy conservation measures which are guaranteed by the contractor to be self-funding over its twenty year contract duration. The cost recovery is derived from systems performance improvements leading to energy savings. The prime focus of this EPC effort is to provide a replacement solution for Eastern Illinois University's aging and failing circa 1925 central steam production plant. Twenty-three ECMs were considered viable whose net impact will provide sufficient savings to successfully support the overall project objectives.

  1. Power Plant Replacement Study

    Energy Technology Data Exchange (ETDEWEB)

    Reed, Gary

    2010-09-30

    This report represents the final report for the Eastern Illinois University power plant replacement study. It contains all related documentation from consideration of possible solutions to the final recommended option. Included are the economic justifications associated with the chosen solution along with application for environmental permitting for the selected project for construction. This final report will summarize the results of execution of an EPC (energy performance contract) investment grade audit (IGA) which lead to an energy services agreement (ESA). The project includes scope of work to design and install energy conservation measures which are guaranteed by the contractor to be self-funding over its twenty year contract duration. The cost recovery is derived from systems performance improvements leading to energy savings. The prime focus of this EPC effort is to provide a replacement solution for Eastern Illinois University’s aging and failing circa 1925 central steam production plant. Twenty-three ECMs were considered viable whose net impact will provide sufficient savings to successfully support the overall project objectives.

  2. Big Feet: Assessing the Current and Future Impact of Population Size on a Country's Ecological Footprint

    Science.gov (United States)

    Hogg, R. S.; Takaro, T.; Miller, C.; Hogg, E.; Anema, A.; Gislason, M.; Parkes, M.

    2015-12-01

    Background: Ecological footprints assess the land and water a population needs to procure its resources and handle its waste. Measures derived from these footprints look at a population's ecological overshoot rather than weighting the population to its footprint. The aim of this study was to examine the latter approach by determining what the current and future weighted world population, by income gradient, would be if everyone lived within the boundary of 1.8 hectares per person. Methods: Country-specific ecological footprints and populations for 2007 were obtained from the Global Footprint Network (www.footprintnetwork.org); and projected populations were collected from US Census Bureau (www.census.gov). Footprint growth to 2050 was based on a business as usual approach developed by Kitzes et al. in Phil. Trans. R. Soc. B (2008). Weighted population estimates were derived by multiplying actual population by the ratio of the country's footprint to overall boundary of 1.8 hectares per person. Results: The weighted global population increased by 2.4 billion people (37%) in 2007 based on our adjustment. High and middle-income country populations increased, by 242% and 10%, respectively, while low-income country populations decreased by 33%. The weighed global population in 2050 increased by 10.1 billion with the majority of this growth occurring in high-income countries -- 437% versus 67% and 9% respectively for medium and low-income countries. Conclusions: Our study showed that current and future global weighted demographic and ecological impact would be felt mainly in high-income countries even though actual population growth would occur mainly in low and middle-income countries.

  3. Impact of Current and Emerging Glucose-Lowering Drugs on Body Weight in Type 2 Diabetes.

    Science.gov (United States)

    Lau, David C W; Teoh, Hwee

    2015-12-01

    Type 2 diabetes is a progressive disease, and most people with diabetes will eventually require adjunctive pharmacotherapy to optimize their glycemic control. As the majority of people with type 2 diabetes are overweight or obese, weight management is an essential component of diabetes management to improve their overall health and quality of life. Many of the currently available glucose-lowering drugs are associated with weight gain, which makes it challenging for both prescribing clinicians and patients. The 2015 Canadian Diabetes Association Clinical Practice Guidelines interim update on the pharmacologic management of type 2 diabetes recommend individualization of therapy and glycemic targets. Clinicians should take into consideration not only the drug's efficacy and safety profiles but also its propensity for causing hypoglycemia and weight gain. Given that the number of glucose-lowering drugs is expanding rapidly, a better understanding of the impacts of current and emerging therapies on body weight will serve as a useful guide. Metformin remains the first-line drug after diet and exercise therapy. The next add-on agent could be selected from the incretin or sodium-glucose cotransporter-2 inhibitor class because these drugs rarely cause hypoglycemia and may lead to modest weight loss. When insulin therapy is considered, choosing a basal insulin that is associated with less nocturnal hypoglycemia and weight gain is recommended. Emerging therapies using combination therapy of an incretin-sodium-glucose cotransporter 2 inhibitor or glucagon-like peptide-1 agonist-basal insulin hold promise to achieve robust glycemic control with weight loss and low risk for hypoglycemia.

  4. Impact of fishmeal replacement with Arthrospira platensis on growth performance, body composition and digestive enzyme activities of the freshwater prawn, Macrobrachium rosenbergii

    Directory of Open Access Journals (Sweden)

    S. Radhakrishnan

    2016-05-01

    Full Text Available In this study, we assessed the suitable level of replacement of fishmeal with a blue green microalga, Arthrospira platensis in feed for the post larvae (PL of the freshwater prawn, Macrobrachium rosenbergii by evaluating the growth performance, prawn proximate composition, feed utilization parameters and the activity of digestive enzymes. The prawns were fed 5 different diets: a control diet and 4 different diets containing A. platensis at various levels such as 25%, 50%, 75%, 100%. These diets were fed to the PL for 90 days in triplicates. The growth performance in terms of weight gain, specific growth rate and feed efficiency ratio were found significantly (P  25 > 75 > 100% replacement of fishmeal with A. platensis. These results concluded that a partial replacement of the fishmeal with A. platensis at the level of 50% is beneficial for the growth of prawn M. rosenbergii.

  5. The Interplay of Design and Materials in Orthopedics: Evaluating the Impact of Notch Geometry on Fatigue Failure of UHMWPE Joint Replacements

    OpenAIRE

    Ansari, Farzana

    2015-01-01

    Each year, roughly 750,000 patients in the US receive a total joint replacement (TJR), or a synthetic medical device that serves to replace the natural joint to restore function and relieve pain. TJRs have had a long history of use in the hip, knee and shoulder, yet still retain the same standard design of a hard-on-soft bearing coupling. Today, those bearings are primarily composed of hard cobalt chrome (CoCr) surface articulating against ultrahigh molecular weight polyethylene (UHMWPE), a p...

  6. Evidence of current impact of climate change on life: a walk from genes to the biosphere.

    Science.gov (United States)

    Peñuelas, Josep; Sardans, Jordi; Estiarte, Marc; Ogaya, Romà; Carnicer, Jofre; Coll, Marta; Barbeta, Adria; Rivas-Ubach, Albert; Llusià, Joan; Garbulsky, Martin; Filella, Iolanda; Jump, Alistair S

    2013-08-01

    We review the evidence of how organisms and populations are currently responding to climate change through phenotypic plasticity, genotypic evolution, changes in distribution and, in some cases, local extinction. Organisms alter their gene expression and metabolism to increase the concentrations of several antistress compounds and to change their physiology, phenology, growth and reproduction in response to climate change. Rapid adaptation and microevolution occur at the population level. Together with these phenotypic and genotypic adaptations, the movement of organisms and the turnover of populations can lead to migration toward habitats with better conditions unless hindered by barriers. Both migration and local extinction of populations have occurred. However, many unknowns for all these processes remain. The roles of phenotypic plasticity and genotypic evolution and their possible trade-offs and links with population structure warrant further research. The application of omic techniques to ecological studies will greatly favor this research. It remains poorly understood how climate change will result in asymmetrical responses of species and how it will interact with other increasing global impacts, such as N eutrophication, changes in environmental N : P ratios and species invasion, among many others. The biogeochemical and biophysical feedbacks on climate of all these changes in vegetation are also poorly understood. We here review the evidence of responses to climate change and discuss the perspectives for increasing our knowledge of the interactions between climate change and life.

  7. The current economic situation in China and its impact on the Czech Republic

    Directory of Open Access Journals (Sweden)

    Hana Stverkova

    2016-03-01

    Full Text Available Nowadays, many companies try to enter to the international sector and to extend here their activity. Their international cooperation is an integral part of the action; it is necessary to know the cultural differences. Therefore it is important to understand the social development including the Social Progress Index and the secondary analysis of an economic situation in China; and its subsequent impact on the economy not only in the Czech Republic based on evaluation of Czech-Chinese business relations. China was in the last five years the male rotor of the world economic growth and became a significant importer of commodities. Last year, the Chinese economic growth rate slowed down, which could have negative consequences on other economies. This is also the possible reason for some Czech companies leaving the Chinese market; they transfer their production parts back to Europe or India. A presumption of high living standard, which all countries of the world and their inhabitants want to achieve, is according to the current paradigm of economic science the economic growth. The economy does not take pace in a vertical line, but at the horizontal level as the meaning of sharing in the net among the individuals. And the cooperation does not take place in the horizontal line but in the vertical line, which essentially changes the way of people's working.

  8. Fibrosis assessment: impact on current management of chronic liver disease and application of quantitative invasive tools.

    Science.gov (United States)

    Wang, Yan; Hou, Jin-Lin

    2016-05-01

    Fibrosis, a common pathogenic pathway of chronic liver disease (CLD), has long been indicated to be significantly and most importantly associated with severe prognosis. Nowadays, with remarkable advances in understanding and/or treatment of major CLDs such as hepatitis C, B, and nonalcoholic fatty liver disease, there is an unprecedented requirement for the diagnosis and assessment of liver fibrosis or cirrhosis in various clinical settings. Among the available approaches, liver biopsy remains the one which possibly provides the most direct and reliable information regarding fibrosis patterns and changes in the parenchyma at different clinical stages and with different etiologies. Thus, many endeavors have been undertaken for developing methodologies based on the strategy of quantitation for the invasive assessment. Here, we analyze the impact of fibrosis assessment on the CLD patient care based on the data of recent clinical studies. We discuss and update the current invasive tools regarding their technological features and potentials for the particular clinical applications. Furthermore, we propose the potential resolutions with application of quantitative invasive tools for some major issues in fibrosis assessment, which appear to be obstacles against the nowadays rapid progress in CLD medicine.

  9. Current Progresses in Study of Impacts of the Tibetan Plateau on Asian Summer Climate

    Institute of Scientific and Technical Information of China (English)

    WU Guoxiong; MAO Jiangyu; DUAN Anmin; ZHANG Qiong

    2006-01-01

    The current progresses in the study of impacts of the Tibetan Plateau on Asian summer climate in the last decade are reviewed. By analyzing evolution of the transitional zone between westerly to the north and easterly to the south (WEB), it is shown that due to the strong heating over the Tibetan Plateau in spring, the overturning in the prevailing wind direction from easterly in winter to westerly in summer occurs firstly over the eastern Bay of Bengal (BOB), accompanied with vigorous convective precipitation to its east. The area between eastern BOB and western Indo-China Peninsula thus becomes the area with the earliest onset of Asian monsoon, which may be referred as BOB monsoon in short. It is shown that the summertime circulations triggered by the thermal forcing of the Iranian Plateau and the Tibetan Plateau are embedded in phase with the continental-scale circulation forced by the diabatic heating over the Eurasian Continent. As a result, the East Asian summer monsoon is intensified and the drought climate over the western and central Asian areas is enhanced. Together with perturbations triggered by the Tibetan Plateau,the above scenarios and the associated heating have important influences on the climate patterns over Asia.Furthermore, the characteristics of the Tibetan mode of the summertime South Asian high are compared with those of Iranian mode. Results demonstrate that corresponding to each of the bimodality of the South Asian high, the rainfall anomaly distributions over Asia exhibit different patterns.

  10. The formation, properties and impact of secondary organic aerosol: current and emerging issues

    Directory of Open Access Journals (Sweden)

    M. Hallquist

    2009-02-01

    Full Text Available Secondary organic aerosol (SOA accounts for a significant fraction of ambient tropospheric aerosol and a detailed knowledge of the formation, properties and transformation of SOA is therefore required to evaluate its impact on atmospheric processes, climate and human health. The chemical and physical processes associated with SOA formation are complex and varied, and, despite considerable progress in recent years, a quantitative and predictive understanding of SOA formation does not exist and therefore represents a major research challenge in atmospheric science. This review begins with a description of the current state of knowledge on the global SOA budget and the atmospheric degradation mechanisms for SOA precursors. The topic of gas-particle partitioning theory is followed by an account of the analytical techniques used to determine the chemical composition of SOA. A survey of recent laboratory, field and modeling studies is also presented. The following topical and emerging issues are highlighted and discussed in detail; molecular characterization of biogenic SOA constituents, condensed phase reactions and oligomerization, the interaction of atmospheric organic components with sulfuric acid, the chemical and photochemical processing of organics in the atmospheric aqueous phase, aerosol formation from real plant emissions, interaction of atmospheric organic components with water, thermodynamics and mixtures in atmospheric models. Finally, the major challenges ahead in laboratory, field and modeling studies of SOA are discussed and recommendations for future research directions are proposed.

  11. The formation, properties and impact of secondary organic aerosol: current and emerging issues

    Directory of Open Access Journals (Sweden)

    J. Wildt

    2009-07-01

    Full Text Available Secondary organic aerosol (SOA accounts for a significant fraction of ambient tropospheric aerosol and a detailed knowledge of the formation, properties and transformation of SOA is therefore required to evaluate its impact on atmospheric processes, climate and human health. The chemical and physical processes associated with SOA formation are complex and varied, and, despite considerable progress in recent years, a quantitative and predictive understanding of SOA formation does not exist and therefore represents a major research challenge in atmospheric science. This review begins with an update on the current state of knowledge on the global SOA budget and is followed by an overview of the atmospheric degradation mechanisms for SOA precursors, gas-particle partitioning theory and the analytical techniques used to determine the chemical composition of SOA. A survey of recent laboratory, field and modeling studies is also presented. The following topical and emerging issues are highlighted and discussed in detail: molecular characterization of biogenic SOA constituents, condensed phase reactions and oligomerization, the interaction of atmospheric organic components with sulfuric acid, the chemical and photochemical processing of organics in the atmospheric aqueous phase, aerosol formation from real plant emissions, interaction of atmospheric organic components with water, thermodynamics and mixtures in atmospheric models. Finally, the major challenges ahead in laboratory, field and modeling studies of SOA are discussed and recommendations for future research directions are proposed.

  12. REPLACEMENT OF FRENCH CARDS

    CERN Multimedia

    Human Resources Division; Cards.Service@cern.ch

    2001-01-01

    The French Ministry of Foreign Affairs is currently replacing all diplomatic cards, special cards and employment permits («attestations de fonctions») held by members of the personnel and their families. These cards are replaced by secure, computerized equivalents. The old cards may no longer be used after 31 December 2001. For the purposes of the handover, members of the personnel must go personally to the cards office (33/1-015) between 8h30 and 12h30, in order to fill in a «fiche individuelle» form, taking the following documents for themselves and members of their families already in possession of a French card : A recent identity photograph in 4.5 cm x 3.5 cm format, the French card in their possession, an A4 photocopy of the same French card, certified by the cards office as being a true copy. Those members of the personnel whose cards (and/or cards belonging to members of their families) are shortly due to expire, or have recently done so, are also requested...

  13. Faster Replacement Paths

    CERN Document Server

    Williams, Virginia Vassilevska

    2010-01-01

    The replacement paths problem for directed graphs is to find for given nodes s and t and every edge e on the shortest path between them, the shortest path between s and t which avoids e. For unweighted directed graphs on n vertices, the best known algorithm runtime was \\tilde{O}(n^{2.5}) by Roditty and Zwick. For graphs with integer weights in {-M,...,M}, Weimann and Yuster recently showed that one can use fast matrix multiplication and solve the problem in O(Mn^{2.584}) time, a runtime which would be O(Mn^{2.33}) if the exponent \\omega of matrix multiplication is 2. We improve both of these algorithms. Our new algorithm also relies on fast matrix multiplication and runs in O(M n^{\\omega} polylog(n)) time if \\omega>2 and O(n^{2+\\eps}) for any \\eps>0 if \\omega=2. Our result shows that, at least for small integer weights, the replacement paths problem in directed graphs may be easier than the related all pairs shortest paths problem in directed graphs, as the current best runtime for the latter is \\Omega(n^{2.5...

  14. China's far below replacement fertility and its long-term impact: Comments on the preliminary results of the 2010 census

    Directory of Open Access Journals (Sweden)

    Zhongwei Zhao

    2011-12-01

    Full Text Available The Chinese government conducted its sixth national census in 2010 and released its major results in April 2011. According to the National Bureau of Statistics the quality of the census was very high. Although the currently released census results consist of limited statistics only, they shed new light on China's recent fertility levels, which have been debated among scholars and policy makers for more than a decade. The 2010 census results, however, also show considerable inconsistencies with those published by the United Nations Population Division recently. This paper will, on the basis of newly published census results and other available evidence, further examine China's recent fertility decline and its impact on the country's long-term development. It will also comment on the major discrepancies between the results of Chinese government recent population projection, the United Nations' World Population Prospects, the 2010 Revision and China's 2010 census, and investigate the underlying causes that have led to these differences.

  15. Change in bone mass distribution induced by hormone replacement therapy and high-impact physical exercise in post-menopausal women.

    Science.gov (United States)

    Cheng, S; Sipilä, S; Taaffe, D R; Puolakka, J; Suominen, H

    2002-07-01

    The purpose of this intervention trial was to determine whether changes in bone mass distribution could be observed in postmenopausal women following hormone replacement therapy (HRT) and/or high-impact physical exercise. Eighty healthy women, aged 50-57 years, at menopause and with no previous use of HRT, were randomly assigned to one of four groups: HRT; exercise (Ex); HRT + Ex (ExHRT); and control (Co). HRT administration was conducted in a double-blind manner for 1 year using estradiol plus noretisterone acetate (Kliogest). The exercise groups participated in a 1 year progressive training program consisting of jumping and bounding activities. Subjects participated in two supervised sessions per week and were asked to perform a series of exercises at home 4 days/week. Bone measurements using a quantitative computed tomography scanner (Somatom DR, Siemens) were obtained from the proximal femur, midfemur, proximal tibia, and tibial shaft. Data were analyzed with a software program (BONALYSE 1.3) calculating density (g/cm(3)), cross-sectional area (CSA; mm(2)), and moments of inertia (I(max), I(min), I(polar)). In addition, the bone mass spectrum was determined as a function of the angular distribution around the bone mass center (polar distribution) and the distance from the bone mass center through the diaphyseal wall (radial distribution). After the 1 year period, there was an overall interaction of group x time in bone mineral density (BMD) at the proximal femur (p = 0.05) and tibial shaft (p = 0.035). Women in the ExHRT and HRT groups had increased proximal femur and tibial shaft BMD when compared with the change observed in the Co group (p = 0.024-0.011). The change was more pronounced in the cortical tibia, wherein the ExHRT group also differed from the Ex group (p = 0.038). No significant changes were found in bone CSA at any of the measured sites. The radial distribution indicated an increase of BMD in the endocortical part of the measured sites in the HRT

  16. “营改增”对建筑安装企业的影响及建议%The Impact of"Replacing Business Tax with Value-added Tax" on Construction and Erection Enterprises and the Suggestions

    Institute of Scientific and Technical Information of China (English)

    李淑娟

    2014-01-01

    The implementation of "Replacing Business Tax with Value-added Tax" has improved China's tax system, optimized the structure of tax system, relieved the tax burden of enterprises, transformed the style of economic development, and meanwhile adjusted the economic structure, so it is the inevitable result of China's economic development. Starting from the impact of "Re-placing Business Tax with Value-added Tax" on construction and erection enterprises, this paper proposes the strategies to cope with the adverse impact of "Replacing Business Tax with Value-added Tax" on construction and erection enterprises as well as the suggestions on further value-added tax reform.%“营改增”的实施完善了我国的税务制度,优化了税制结构,减轻了企业的税收负担,转变了经济发展方式,同时也对经济结构进行了调整,是我国经济发展的必然结果。本文从“营改增”对建筑安装企业的影响出发,提出了应对“营改增”对建筑安装企业不利影响的策略及未来进一步增值税改革的建议。

  17. Impact of shamal winds and swells on the coastal currents along the west coast of India

    Digital Repository Service at National Institute of Oceanography (India)

    Samiksha, S.V.; VinodKumar, K.; Vethamony, P.

    , the de-tided current data present a distinct change in the current direction and increase in current speeds (approximately from 0.08 m/s to 0.15 m/s) It can be inferred from the analysis that the waves which propagate from NW and the currents which flow...

  18. Toleration, Synthesis or Replacement?

    DEFF Research Database (Denmark)

    Holtermann, Jakob v. H.; Madsen, Mikael Rask

    2016-01-01

    to have considerable problems keeping a clear focus on the key question: What are the implications of this empirical turn in terms of philosophy of legal science, of the social understanding of IL, and, not least, of the place of doctrinal scholarship after the alleged Wende? What is needed, we argue......, in order to answer is not yet another partisan suggestion, but rather an attempt at making intelligible both the oppositions and the possibilities of synthesis between normative and empirical approaches to law. Based on our assessment and rational reconstruction of current arguments and positions, we...... therefore outline a taxonomy consisting of the following three basic, ideal-types in terms of the epistemological understanding of the interface of law and empirical studies: toleration, synthesis and replacement. This tripartite model proves useful with a view to teasing out and better articulating...

  19. Open access to journal articles in oncology: current situation and citation impact.

    Science.gov (United States)

    Hua, F; Sun, H; Walsh, T; Glenny, A-M; Worthington, H

    2017-10-01

    Recent years have seen numerous efforts and resources devoted to the development of open access (OA), but the current OA situation of the oncology literature remains unknown. We conducted this cross-sectional study to determine the current share and provision methods of OA in the field of oncology, identify predictors of OA status (OA versus non-OA), and study the association between OA and citation counts. PubMed was searched for oncology-related, peer-reviewed journal articles published in December 2014. Google, Google Scholar, PubMed, ResearchGate, OpenDOAR and OAIster were manually checked to assess the OA status of each included article. Citation data were extracted from Web of Science, Scopus and Google Scholar. Descriptive statistics were used to summarize the OA proportion (primary outcome) and OA provision methods. Multivariable logistic regression and multilevel generalized linear model analyses were performed to study predictors of OA status and the association between OA and citation counts, respectively. In a random sample of 1000 articles, 912 were deemed eligible and therefore included. Of these, the full-texts of 530 articles (58.1%; 95% CI: 54.9-61.3) were freely available online: 314 (34.4%) were available from publishers ('Gold road' to OA), 424 (46.5%) were available via self-archiving ('Green road' to OA). According to multivariable regression analyses, impact factor, publisher type, language, research type, number of authors, continent of origin, and country income were significant predictors of articles' OA status; OA articles received a citation rate 1.24 times the incidence rate for non-OA articles (95% CI: 1.05-1.47; P = 0.012). Based on our sample, in the field of oncology, 42% of recent journal articles are behind the pay-wall (non-OA) 1 year after publication; the 'Green road' of providing OA is more common than the 'Gold road'; OA is associated with higher citation counts.

  20. Impact of current cough on health-related quality of life in patients with COPD

    Science.gov (United States)

    Deslee, Gaëtan; Burgel, Pierre-Régis; Escamilla, Roger; Chanez, Pascal; Court-Fortune, Isabelle; Nesme-Meyer, Pascale; Brinchault-Rabin, Graziella; Perez, Thierry; Jebrak, Gilles; Caillaud, Denis; Paillasseur, Jean-Louis; Roche, Nicolas

    2016-01-01

    Background Cough and sputum production are frequent in chronic obstructive pulmonary disease (COPD). The objective of this study was to examine the relationship between cough and sputum production and health-related quality of life in COPD. Methods A cross-sectional study was conducted in the French Initiatives COPD cohort and assessed cough and sputum production within the past 7 days using the cough and sputum assessment questionnaire (CASA-Q), health-related quality of life, spirometry, smoking status, dyspnea, exacerbations, anxiety and depression, and comorbidities. Results One hundred and seventy-eight stable COPD patients were included (age, 62 [56–69] years, 128 male, forced expiratory volume in 1 second [FEV1]: 57 [37–72] % predicted) (median [Q1–Q3]). In univariate analyses, health-related quality of life (Saint George’s respiratory questionnaire total score) was associated with each CASA-Q domain and with chronic bronchitis, exacerbations, dyspnea, FEV1, depression, and anxiety. All four domains introduced separately were independently associated with health-related quality of life. When introduced together in multivariate analyses, only the cough impact domain remained independently associated with health-related quality of life (R2=0.60). With chronic bronchitis (standard definition) instead of the CASA-Q, the R2 was lower (R2=0.54). Conclusion This study provides evidence that current cough in the previous 7 days is an important determinant of health-related quality of life impairment in stable COPD patients. PMID:27695305

  1. Current infant feeding practices and impact on growth in babies during the second half of infancy.

    Science.gov (United States)

    Bandara, T; Hettiarachchi, M; Liyanage, C; Amarasena, S

    2015-08-01

    Sri Lanka has made remarkable improvements in health, social and educational indices. However, child malnutrition exists as a significant health problem. Infant feeding indicators have not reached expected levels and improvements are partly constrained by a lack of data. The present study aimed to determine current infant feeding practices and their impact on growth among 6-12-month-old infants. The study comprised a descriptive cross-sectional investigation conducted in randomly selected (n = 7) Public Health Midwife areas in Galle, Sri Lanka. An interviewer-administered questionnaire was used to obtain data on sociodemographics and infant feeding. Mothers (n = 515) attending well-baby clinics were recruited on voluntary and consecutive basis. Infants' body weights and lengths were measured using standard procedures. Exclusive breastfeeding rate for first 6 months was 49.0%. In total, 42.6% infants (219 out of 515) were given rice as first weaning food, followed by salt (58.6%) and sugar (42.3%). Oil had been introduced to 84.9% of infants by the end of 12 months. Most infants (over 71%) were given dairy products, whereas 62.3% were being fed various liquid foods using bottles. The introduction of commercial infant cereals, chocolates, plain tea, ice cream and deep fried snacks was noted. Age-specific body weight and length were not achieved by 30.5% and 29.5% of infants, respectively. Weight for length was not achieved by 25.5% of the infants. Delayed achievements of motor milestones were observed. Mothers' knowledge scores on basic nutrients were low. Complementary feeding indices of the study group were not satisfactory. Maternal and child healthcare personnel need to identify causative factors for inappropriate feeding with a view to improve the complementary feeding patterns. © 2014 The British Dietetic Association Ltd.

  2. Shoulder Joint Replacement

    Science.gov (United States)

    ... Shoulder Replacement Options Shoulder replacement surgery is highly technical. It should be performed by a surgical team ... area and will meet a doctor from the anesthesia department. You, your anesthesiologist, and your surgeon will ...

  3. Partial knee replacement - slideshow

    Science.gov (United States)

    ... page: //medlineplus.gov/ency/presentations/100225.htm Partial knee replacement - series—Normal anatomy To use the sharing ... A.M. Editorial team. Related MedlinePlus Health Topics Knee Replacement A.D.A.M., Inc. is accredited ...

  4. Biology of tooth replacement in amniotes

    Institute of Scientific and Technical Information of China (English)

    John A Whitlock; Joy M Richman

    2013-01-01

    Tooth replacement is a common trait to most vertebrates, including mammals. Mammals, however, have lost the capacity for continuous tooth renewal seen in most other vertebrates, and typically have only 1–2 generations of teeth. Here, we review the mechanisms of tooth replacement in reptiles and mammals, and discuss in detail the current and historical theories on control of timing and pattern of tooth replacement and development.

  5. Update on Testosterone Replacement Therapy in Hypogonadal Men.

    Science.gov (United States)

    Leung, Kevin Matthew Yen Bing; Alrabeeah, Khalid; Carrier, Serge

    2015-08-01

    Late-onset male hypogonadism has long been recognized as a treatable medical condition; however, misconceptions about the use of testosterone replacement therapy (TRT) have often led urologists away from its more mainstream use. This paper aims to bring the reader up-to-date on the current understanding of TRT, starting with when and who to treat. Various formulations of TRT, each with its own risks and benefits, are also detailed. Finally, a comprehensive analysis of the current literature's views into the various controversies of TRT including its impact on prostate health, sexual health, cardiovascular health, frailty, and mood is discussed.

  6. Shared Solar: Current Landscape, Market Potential, and the Impact of Federal Securities Regulation; NREL (National Renewable Energy Laboratory)

    Energy Technology Data Exchange (ETDEWEB)

    None

    2015-05-27

    This presentation provides a high-level overview of the current U.S. shared solar landscape, the impact that a given shared solar program's structure has on requiring federal securities oversight, as well as an estimate of market potential for U.S. shared solar deployment.

  7. The Impact of Sarcopenia on Survival and Complications in Surgical Oncology: A Review of the Current Literature

    Science.gov (United States)

    JOGLEKAR, SAVITA; NAU, PETER N.; MEZHIR, JAMES J.

    2016-01-01

    Sarcopenia is the subclinical loss of skeletal muscle and strength and has been extensively studied in both the cancer and surgical literature. Specifically, sarcopenia has gained significant recognition as an important prognostic factor for both complications and survival in cancer patients. Herein, we review the current literature to date highlighting the specific impact of sarcopenia in patients undergoing oncologic procedures. PMID:26310812

  8. The impact of sarcopenia on survival and complications in surgical oncology: A review of the current literature.

    Science.gov (United States)

    Joglekar, Savita; Nau, Peter N; Mezhir, James J

    2015-10-01

    Sarcopenia is the subclinical loss of skeletal muscle and strength and has been extensively studied in both the cancer and surgical literature. Specifically, sarcopenia has gained significant recognition as an important prognostic factor for both complications and survival in cancer patients. Herein, we review the current literature to date highlighting the specific impact of sarcopenia in patients undergoing oncologic procedures.

  9. Impact of urban WWTP and CSO fluxes on river peak flow extremes under current and future climate conditions.

    Science.gov (United States)

    Keupers, Ingrid; Willems, Patrick

    2013-01-01

    The impact of urban water fluxes on the river system outflow of the Grote Nete catchment (Belgium) was studied. First the impact of the Waste Water Treatment Plant (WWTP) and the Combined Sewer Overflow (CSO) outflows on the river system for the current climatic conditions was determined by simulating the urban fluxes as point sources in a detailed, hydrodynamic river model. Comparison was made of the simulation results on peak flow extremes with and without the urban point sources. In a second step, the impact of climate change scenarios on the urban fluxes and the consequent impacts on the river flow extremes were studied. It is shown that the change in the 10-year return period hourly peak flow discharge due to climate change (-14% to +45%) was in the same order of magnitude as the change due to the urban fluxes (+5%) in current climate conditions. Different climate change scenarios do not change the impact of the urban fluxes much except for the climate scenario that involves a strong increase in rainfall extremes in summer. This scenario leads to a strong increase of the impact of the urban fluxes on the river system.

  10. Testosterone replacement therapy for late-onset hypogonadism: current trends in Korea%睾酮替代疗法治疗迟发性性腺功能低下:韩国的当前趋势

    Institute of Scientific and Technical Information of China (English)

    Young Hwii Ko; Je Jong Kim

    2011-01-01

    Testosterone levels in men older than 40 years can decrease at a rate of 1%-2% per year, and reports show that more than 50% of 80-year-old men have testosterone levels consistent with hypogonadism. Late-onset hypogonadism (LOH) is a clinical and biochemical syndrome associated with advancing age and characterized by typical symptoms of serum testosterone deficiency. In recent decades,the concept of LOH in ageing men has become familiar in European countries and the United States. It is also a topic of interest and debate throughout Korea. However, most of the data regarding advantages or disadvantages of testosterone replacement therapy (TRT)as treatment for LOH have been primarily obtained from studies on Western populations; therefore, studies of the effects of TRT in Asian men, who may have different serum testosterone compared to Western men, are needed. TRT is commonly prescribed in Korea, despite the paucity of studies on the effects of TRT in Asian populations. Data from various TRT studies based on Korean have shown its efficacy in increasing serum testosterone levels and improving subjective symptoms as assessed by questionnaires. Currently, patches and short-acting intramuscular injections are displaced by gels and long-acting formulations. However, to prevent overdiagnosis and overtreatment, indication for TRT should include both low testosterone levels and symptoms and signs of hypogonadism.

  11. Predicting current and future peatmoss drought stress: Impact of hydrological complexity

    Science.gov (United States)

    Nijp, Jelmer; Metselaar, Klaas; Limpens, Juul; Teutschbein, Claudia; Peichl, Matthias; Nilsson, Mats; Berendse, Frank; van der Zee, Sjoerd

    2016-04-01

    Northern peatlands sequester enormous amounts of carbon and therefore represent a carbon store of global importance. The vegetation in northern peatlands is dominated by peat-forming bryophytes of the genus Sphagnum. The growth of this carbon fixer, and hence its carbon uptake, strongly depends on the moisture availability in the living moss layer, which is a function of both water table and rewetting by rain. Peatland hydrology models are used to predict how changes in climate may modify the future water balance of peatmoss carpets and influence associated carbon and energy balances. These models, however, differ considerably in the number and type of processes included, which will have yet unknown consequences for peatland drought predictions in a future climate. Here, we assessed the importance of rainwater storage and peat volume change for predicting peatmoss drought projections in northern peatlands using an ensemble of downscaled, bias-corrected climate scenarios for current (1991 - 2020) and future (2061 - 2090) climate. Peatmoss drought projections were compared among four model variants with or without rainwater storage in the peatmoss carpet and peat volume change, which are considered as two important hydrological feedbacks controlling moss moisture availability. The performance of the four model variants was assessed using field data from a site in northern Sweden (Degerö Stormyr, 64°N 19°E). Our results show that adding rainwater storage in the moss layer as well as peat volume change significantly improved model performance; the most complex model had best model performance. Compared to the reference model, including both model extensions reduced the predicted drought frequency experienced by peatmoss with around 50%. Moreover, projected climate change is expected to reduce predicted peatmoss drought stress with about 20% for the studied site. In conclusion, this study shows that including rainwater storage in the peatmoss layer and/or peat volume

  12. The Impact of Diabetes on Gynecologic Cancer: Current Status and Future Directions

    OpenAIRE

    Lees, Brittany; Leath, Charles A.

    2015-01-01

    Diabetes mellitus has reached epidemic proportions in both the United States and worldwide with most authorities reporting a doubling in the prevalence of diabetes over the last 20–30 years. While this epidemic is closely tied to obesity, diabetes mellitus presents potential clinical challenges over and above that observed with obesity alone. From a women’s health care prospective, this rise in diabetes may impact a woman’s health across her lifespan. More specifically, diabetes impacts not o...

  13. Impact of lysine and liquid smoke as flavor enhancers on the quality of low-fat Bologna-type sausages with 50% replacement of NaCl by KCl.

    Science.gov (United States)

    Dos Santos Alves, Larissa Aparecida Agostinho; Lorenzo, José Manuel; Gonçalves, Carlos Antonio Alvarenga; Dos Santos, Bibiana Alves; Heck, Rosane Teresinha; Cichoski, Alexandre José; Campagnol, Paulo Cezar Bastianello

    2017-01-01

    Low-fat Bologna-type sausages were produced with 50% of NaCl replaced by KCl and with addition of lysine and/or liquid smoke as flavor enhancers. The influence of sodium reduction on technological, physicochemical, and microbiological properties was determined. In addition, the sensory properties were evaluated using a Check all that apply questionnaire (CATA) and a consumer study. The partial replacement of NaCl by KCl did not have negative impacts on physicochemical, technological, and microbiological properties. However, the addition of KCl affected the sensory acceptance, as consumers identified by CATA questionnaire a reduction in salty taste and an increase in bitter, astringent, and metallic taste. The isolated or combined addition of lysine and liquid smoke reduced the sensory quality defects caused by the addition of KCl. Therefore, high quality low-fat Bologna-type sausages with sodium reduction close to 50% can be produced by replacing 50% NaCl by KCl and with addition of 1% lysine and/or 0.1% liquid smoke. Copyright © 2016 Elsevier Ltd. All rights reserved.

  14. The impact of open access on the medical literature: a review of current literature

    Directory of Open Access Journals (Sweden)

    Nana Turk

    2017-02-01

    Full Text Available Background: the aim of the article is to conduct an overview of the impact of OA on the medical articles based on 3-part categorization.Methods: Data were identified by a search strategy with eight combinations of keywords (open access, citation impact, citation advantage, citation count, article download, article usage, social media attention, altmetrics and searched in three different databases.Results: the analysis was conducted on 107 studies dealing with citations, downloads and social impact. Sixty-seven of them simply employed the counting citations to OA and non-OA articles; nineteen articles compared the downloads and citations counts; and twenty-one articles investigated the social impact of OA articles. Twenty-five articles investigated the citations, download counts, and social impact of medical articles.Conclusions: The studies investigating the citation impact mostly showed citation advantages. Those that employed citation and download counts of medical articles using randomized controlled trials showed that OA articles were downloaded significantly more frequently, but found no evidence of a citation advantage for open access articles. The citation advantage from open access might be caused by other factors. Results of the studies comparing the social media attention and citations/downloads of the medical articles are often diametrically opposed.

  15. The impacts of trail infrastructure on vegetation and soils: Current literature and future directions.

    Science.gov (United States)

    Ballantyne, Mark; Pickering, Catherine Marina

    2015-12-01

    Reflecting the popularity of nature-based activities such as hiking and mountain biking, there are thousands of kilometres of recreational trails worldwide traversing a range of natural areas. These trails have environmental impacts on soils and vegetation, but where has there been research, what impacts have been found and how were they measured? Using a systematic quantitative literature review methodology, we assessed the impacts of trails on vegetation and soils, highlighting what is known, but also key knowledge gaps. Of the 59 original research papers identified on this topic that have been published in English language peer-reviewed academic journals, most were for research conducted in protected areas (71%), with few from developing countries (17%) or threatened ecosystems (14%). The research is concentrated in a few habitats and biodiversity hotspots, mainly temperate woodland, alpine grassland and Mediterranean habitats, often in the USA (32%) or Australia (20%). Most examined formal trails, with just 15% examining informal trails and 11% assessing both types. Nearly all papers report the results of observational surveys (90%), collecting quantitative data (66%) with 24% using geographic information systems. There was an emphasis on assessing trail impacts at a local scale, either on the trail itself and/or over short gradients away from the trail edge. Many assessed changes in composition and to some degree, structure, of vegetation and soils with the most common impacts documented including reduced vegetation cover, changes in plant species composition, trail widening, soil loss and soil compaction. There were 14 papers assessing how these local impacts can accumulate at the landscape scale. Few papers assessed differences in impacts among trails (7 papers), changes in impacts over time (4), species-specific responses (3) and only one assessed effects on plant community functioning. This review provides evidence that there are key research gaps

  16. Impact of transcranial direct current stimulation (tDCS) on neuronal functions

    NARCIS (Netherlands)

    Das, S. (Suman); P. Holland (Peter); M.A. Frens (Maarten); O. Donchin (Opher)

    2016-01-01

    textabstractTranscranial direct current stimulation (tDCS), a non-invasive brain stimulation technique, modulates neuronal excitability by the application of a small electrical current. The low cost and ease of the technique has driven interest in potential clinical applications. However, outcomes a

  17. The impact of the ocean observing system on estimates of the California current circulation spanning three decades

    Science.gov (United States)

    Moore, Andrew M.; Jacox, Michael G.; Crawford, William J.; Laughlin, Bruce; Edwards, Christopher A.; Fiechter, Jérôme

    2017-08-01

    Data assimilation is now used routinely in oceanography on both regional and global scales for computing ocean circulation estimates and for making ocean forecasts. Regional ocean observing systems are also expanding rapidly, and observations from a wide array of different platforms and sensor types are now available. Evaluation of the impact of the observing system on ocean circulation estimates (and forecasts) is therefore of considerable interest to the oceanographic community. In this paper, we quantify the impact of different observing platforms on estimates of the California Current System (CCS) spanning a three decade period (1980-2010). Specifically, we focus attention on several dynamically related aspects of the circulation (coastal upwelling, the transport of the California Current and the California Undercurrent, thermocline depth and eddy kinetic energy) which in many ways describe defining characteristics of the CCS. The circulation estimates were computed using a 4-dimensional variational (4D-Var) data assimilation system, and our analyses also focus on the impact of the different elements of the control vector (i.e. the initial conditions, surface forcing, and open boundary conditions) on the circulation. While the influence of each component of the control vector varies between different metrics of the circulation, the impact of each observing system across metrics is very robust. In addition, the mean amplitude of the circulation increments (i.e. the difference between the analysis and background) remains relatively stable throughout the three decade period despite the addition of new observing platforms whose impact is redistributed according to the relative uncertainty of observations from each platform. We also consider the impact of each observing platform on CCS circulation variability associated with low-frequency climate variability. The low-frequency nature of the dominant climate modes in this region allows us to track through time the

  18. Impact of Replacing Business Tax with Value -added Tax on Finance and Accounting of Enterprises%营改增对企业财务和会计的影响

    Institute of Scientific and Technical Information of China (English)

    孟繁颖

    2016-01-01

    营改增在经过上海等地试点后,2013年8月起已经在全国推行,企业在新税制改革中将面临新的机遇和挑战。以营改增的政策演变背景分析为切入点,从企业税负压力、财务管理和会计核算、财务报表和发票管理层面,深入分析营改增对企业财务和会计的影响,提出营改增下优化企业财务和会计管理的相应策略。%the policy of replacing business tax with value - added tax has been implemented throughout the whole country from August ,2013 after the pilot project is launched in Shanghai and oth‐er places ,and enterprises will confront new chance and challenges in the reform of new tax system .Tak‐ing the evolution background of the policy of replacing business tax with value -added tax as break‐through point ,this paper analyzes the impact of replacing business tax with value -added tax on finance and accounting of enterprises in depth from the aspects of corporate tax pressure ,financial management and accounting ,financial reporting and invoice management to propose the corresponding strategy for optimizing corporate financial reporting and accounting management under the policy of replacing busi‐ness tax with value -added tax .

  19. Impact of current cough on health-related quality of life in patients with COPD

    Directory of Open Access Journals (Sweden)

    Deslee G

    2016-09-01

    [FEV1]: 57 [37–72] % predicted (median [Q1–Q3]. In univariate analyses, health-related quality of life (Saint George’s respiratory questionnaire total score was associated with each CASA-Q domain and with chronic bronchitis, exacerbations, dyspnea, FEV1, depression, and anxiety. All four domains introduced separately were independently associated with health-related quality of life. When introduced together in multivariate analyses, only the cough impact domain remained independently associated with health-related quality of life (R2=0.60. With chronic bronchitis (standard definition instead of the CASA-Q, the R2 was lower (R2=0.54.Conclusion: This study provides evidence that current cough in the previous 7 days is an important determinant of health-related quality of life impairment in stable COPD patients.Keywords: signs and symptoms, respiratory, sputum, questionnaires, dyspnea, multivariate analysis

  20. Nonlocal impacts of the Loop Current on cross-slope near-bottom flow in the northeastern Gulf of Mexico

    Science.gov (United States)

    Nguyen, Thanh-Tam; Morey, Steven L.; Dukhovskoy, Dmitry S.; Chassignet, Eric P.

    2015-04-01

    Cross-slope near-bottom motions near De Soto Canyon in the northeastern Gulf of Mexico are analyzed from a multidecadal ocean model simulation to characterize upwelling and downwelling, important mechanisms for exchange between the deep ocean and shelf in the vicinity of the 2010 BP Macondo well oil spill. Across the continental slope, large-scale depression and offshore movement of isopycnals (downwelling) occur more frequently when the Loop Current impinges upon the West Florida Shelf slope farther south. Upwelling and onshore movement of isopycnals occurs with roughly the same likelihood regardless of Loop Current impingement on the slope. The remote influence of Loop Current on the De Soto Canyon region downwelling is a consequence of a high-pressure anomaly that extends along the continental slope emanating from the location of Loop Current impact.

  1. Deep Submarine Tailings Disposal (DSTP) the Proposed Use of Submarine Canyons and Artificial Turbidity Currents for the Disposal of Mine Waste: Current Practice, Future Plans, and Cumulative Impacts.

    Science.gov (United States)

    Young, R.; Moran, R.

    2015-12-01

    The wastes from mining operations ( tailings) have been disposed of in the fluvial environment (riverine disposal) and in nearshore marine environments for much of the last century. The scale of modern mining operations has led to increasing use of steep slopes and submarine canyons for deposition of these wastes at depths of 2000m - 4000m. Current mine disposal operations in Indonesia and Papua New Guinea which use Deep Sea Tailings Placement (DSTP) release volumes between 5000 tpd and 160,000 tpd. Planning is underway by the"Consortium," an industry and government group in Chile which would deposit mine waste of 1M tpd into the Humbolt Current Large Marine Ecosystem (HCLME) which provides nearly 20% of the fish biomass harvested on a sustainable basis worldwide. Underwater pipelines discharge tailings as a slurry to create a continuous artificial turbidity current with particle size distribtions (PSD's) ranging from sand to clay sized fractions. Potential problems arise from benthic smothering, angular particulate uptake by benthic organisms, and from the bioaccumulation of a complex of heavy metals by both benthic and pelagic species. While much is known about the binding of copper and other toxic heavy metals in a reducing environment, little has been done to consider the implications of ocean dumping where 1% of tailings discharged may consist of unrecovered heavy metals. Synergistic cumulative impacts to just the HCLME from the dumping of the more than 3M tpy of reactive metals in these tailings sediments remains unknown and poses substantial risks. DSTP assumes a stable deep sea depositional environment but upwelling currents and plume shear may make this hard to accomplish.

  2. Aeronautical Information System Replacement -

    Data.gov (United States)

    Department of Transportation — Aeronautical Information System Replacement is a web-enabled, automation means for the collection and distribution of Service B messages, weather information, flight...

  3. Regulatory Impact Assessment: Its Current Status and Development Prospects in Russia

    Directory of Open Access Journals (Sweden)

    A V Minaev

    2011-12-01

    Full Text Available The article examines the procedure of Regulatory Impact Assessment (RIA, which is widely used in developed countries for elaborating and making state-level decisions and is new to Russia. The paper analyzes the origins and essential features of the RIA model applied abroad, reviews major methodological approaches to the preparation of statements on regulatory impact assessment. The study focuses on the Russian RIA model, describing its differences from the foreign analogues; the paper also analyzes the shortcomings of this model. A forecast for the development of RIA in Russia is made by the author.

  4. Impact of Intellectual Property in National and Business Development under the Context of the Current Globalization

    Directory of Open Access Journals (Sweden)

    Stalin Ballesteros García

    2016-12-01

    Full Text Available The objective of the document is to show the impact of the intellectual property on the national and enterprise development in the globalization context since the early twenty-first century. First, it is a historical telling of the intellectual property and its role in the international society; then outlining the arguments to infer the incidence degree of the intellectual property in the economic development of countries and then discussing the inclusion impact of concepts directly related to the intellectual property in business growth activities. It concludes with a reflection on the Colombian situation, in public and private context, in terms of intellectual property.

  5. The Impact of Historical and Current Loss on Chronic Illness: Perceptions of Crow (Apsáalooke) People

    Science.gov (United States)

    Bird, Sloane Real; Held, Suzanne; McCormick, Alma; Hallett, John; Martin, Christine; Trottier, Coleen

    2017-01-01

    The purpose of this research was to gain a better understanding of perceptions about the impact of historical and current loss on Apsáalooke (Crow) people acquiring and coping with chronic illness. This study took a qualitative phenomenological approach by interviewing community members with chronic illness in order to gain insight into their perceptions and experiences. Participants emphasized 10 areas of impact of historical and current loss: the link between mental health and physical health/health behaviors; resiliency and strengths; connection and isolation; importance of language and language loss; changes in cultural knowledge and practices; diet; grieving; racism and discrimination; changes in land use and ownership; and boarding schools. The findings from this research are being used to develop a chronic illness self-care management program for Crow people.

  6. Positive impact of hormone replacement therapy on the fibrinolytic system: a long-term randomized controlled study in healthy postmenopausal women

    DEFF Research Database (Denmark)

    Madsen, J S; Kristensen, S R; Bladbjerg, E M;

    2003-01-01

    be of importance. OBJECTIVES: To investigate the prolonged effect of HRT on the fibrinolytic system and to determine whether two common polymorphisms in the plasminogen activator inhibitor-1 (PAI-1) and tissue-type plasminogen activator (t-PA) genes modulate this effect. Methods: Healthy postmenopausal women (n......BACKGROUND: The mechanisms by which postmenopausal hormone replacement therapy (HRT) may influence risk of cardiovascular disease are still unclear. Impaired fibrinolytic function is associated with an enhanced risk of cardiovascular disease and therefore the effect of HRT on fibrinolysis may...... of smoking and without influence from the two common polymorphisms PAI-1 -675(4G/5G) and t-PA intron8ins311. Furthermore, no difference between opposed estrogen (with norethisterone acetate as the gestagen component) and unopposed estrogen therapy was found. Both an intention-to-treat and a per...

  7. The Impact of Trade Balance in the Current Account of Kosovo’s Balance of Payments

    National Research Council Canada - National Science Library

    Safet Merovci; Edona Sekiraça

    2014-01-01

    .... According to the Balance of Payments Statistics (BOP), the trade balance of goods is the largest component, expressed in absolute and relative terms and consequently it determines the behavior of the current account balance...

  8. The impact of current tobacco use on the outcome of paracetamol poisoning

    DEFF Research Database (Denmark)

    Schmidt, L E; Dalhoff, K

    2003-01-01

    , the effect of current tobacco use on the morbidity and mortality from paracetamol-induced hepatotoxicity. METHODS: A retrospective study was carried out on the basis of the hospital charts of 602 patients admitted with single-dose paracetamol poisoning for whom information on current tobacco use...... was available. RESULTS: In patients admitted with paracetamol poisoning, the rate of current daily tobacco use of 70% (424 of 602 patients) was considerably higher than the rate of 31% in the background population (chi-squared test: P ...: Current tobacco use was very frequent in patients admitted with paracetamol poisoning. It was an independent risk factor of severe hepatotoxicity, acute liver failure and death following paracetamol overdose....

  9. The impact of current tobacco use on the outcome of paracetamol poisoning

    DEFF Research Database (Denmark)

    Schmidt, L E; Dalhoff, K

    2003-01-01

    BACKGROUND: Tobacco smoke contains a number of substances that are capable of inducing cytochrome P450. Consequently, current tobacco use may enhance the hepatotoxicity from a paracetamol overdose by increasing the oxidative metabolism of paracetamol. AIM: To evaluate, by multivariate analysis......, the effect of current tobacco use on the morbidity and mortality from paracetamol-induced hepatotoxicity. METHODS: A retrospective study was carried out on the basis of the hospital charts of 602 patients admitted with single-dose paracetamol poisoning for whom information on current tobacco use...... was available. RESULTS: In patients admitted with paracetamol poisoning, the rate of current daily tobacco use of 70% (424 of 602 patients) was considerably higher than the rate of 31% in the background population (chi-squared test: P tobacco use was an independent risk factor...

  10. Tilt-shift eddy current probe impact on information value of response signal

    OpenAIRE

    Chudacik Vladimir; Smetana Milan

    2016-01-01

    This article deals with the possibility for increasing of the informational value of a response signal using tilt-shift eddy current probe. Numerical simulations based on the FEM method using the OPERA 3D software as well as gained experimental results are presented. The simulated cracks are evaluated at the selected eddy current probe tilts and shifts with respect to conductive plate to obtain additional data needed for its evaluation and localization. Obtained simulation results are compare...

  11. Thermal Impact Analysis of Circulating Current in High Power Modular Online Uninterruptible Power Supplies Application

    DEFF Research Database (Denmark)

    Zhang, Chi; Guerrero, Josep M.; Vasquez, Juan Carlos

    2015-01-01

    . In order to reduce system size and cost, each module shares the same DC and AC bus without any isolation or passive elements in the system. Consequently, potential zero-sequence current is possible to occur and should be paid specific attention. In this paper, a four-module online UPS system is designed....... And thermal and loss distribution condition are investigated under different circulating current condition with conventional three phase H-bridge topology....

  12. IMPACTS OF HISTORIC AND CURRENT-USE CHEMICALS IN WESTERN NATIONAL PARKS

    Science.gov (United States)

    The Western Airborne Contaminants Assessment Project (WACAP) is an interagency effort to determine if airborne contaminants such as semi-volatile organic compounds (sacs) and metals(e.g. mercury) are impacting National Parks in the western United States. Remote, high elev...

  13. Impact of neutrino properties on the estimation of inflationary parameters from current and future observations

    CERN Document Server

    Gerbino, Martina; Vagnozzi, Sunny; Lattanzi, Massimiliano; Mena, Olga; Giusarma, Elena; Ho, Shirley

    2016-01-01

    We study the impact of assumptions about neutrino properties on the estimation of inflationary parameters from cosmological data, with a specific focus on the allowed contours in the $n_s/r$ plane. We study the following neutrino properties: (i) the total neutrino mass $ M_\

  14. The global impact of ozone on agricultural crop yields under current and future air quality legislation

    NARCIS (Netherlands)

    Dingenen, van R.; Dentener, F.J.; Raes, F.; Krol, M.C.; Emberson, L.; Cofala, J.

    2009-01-01

    In this paper we evaluate the global impact of surface ozone on four types of agricultural crop. The study is based on modelled global hourly ozone fields for the year 2000 and 2030, using the global 1°×1° 2-way nested atmospheric chemical transport model (TM5). Projections for the year 2030 are bas

  15. Mitigation of the impact of transformer inrush current on voltage sag by TCSC

    Energy Technology Data Exchange (ETDEWEB)

    Khederzadeh, Mojtaba [Department of Electrical Engineering, Power and Water University of Technology, Tehran (Iran)

    2010-09-15

    Thyristor Controlled Series Capacitor (TCSC) as a dynamic system, besides its capability in increasing power transfer in transmission lines, can be used to enhance different power system issues. In this paper, the effect of TCSC on voltage sag following transformer inrush current is investigated. It is shown that excessive transient inrush current occurring during transformer energizing can be mitigated by TCSC. Hence, voltage sag as one of the key components of the power quality is alleviated for the sensitive loads that are connected to the same bus which the power transformer is energized from. During a fault, TCSC can improve the voltage sag by limiting the current and help to keep the voltage as high as possible. Moreover, the inrush currents and the associated voltage sags that usually occur after clearing heavy single- or multistage faults are mitigated by the presence of TCSC. The model used for simulating inrush current is based on the characteristics of the major hysteresis loop out of which the internal trajectories are defined using the translation principal and a linear compensation to generate closed loops. An arctangent relation between the flux and the exciting current is defined. The expression parameters are deduced by curve fitting empirical data defining the major loop or the single-valued saturation characteristic. (author)

  16. Current status of the impact theory for the terminal Cretaceous extinction

    Energy Technology Data Exchange (ETDEWEB)

    Alvarez, W.; Alvarez, L.W.; Asaro, F.; Michel, H.V.

    1982-06-01

    Iridium is depleted in the earth's crust relative to its normal solar system abundance. Several hundred measurements by at least seven laboratories have disclosed an iridium abundance anomaly at the Cretaceous-Tertiary (C-T) boundary in 36 sites worldwide. Discovery of the first iridium anomaly in non-marine sediments, by Charles Orth and his colleagues, shows that the iridium was not extracted from sea water. Sediment starvation and a nearby supernova have also been eliminated as possible sources. Impact of a large extraterrestrial object is now widely accepted as the best explanation of the iridium anomaly. Paleomagnetic reversal stratigraphy of four marine and five non-marine C-T boundary sections is consistent with simultaneous extinction worldwide, but does not prove it. Ultra-high-resolution stratigraphic studies at Caravaca, in southern Spain, by Jan Smit, give an unparalled record of the extinction of the planktic foraminifera and the associated geochemical patterns. Au/Ir and Pt/Ir ratios from two C-T boundary clays indicate a type I carbonaceous chondrite composition for the impacting object. Iridium anomalies are known from two other stratigraphic horizons, in each case associated with direct evidence for an extraterrestrial impact: in the Pliocene, with chondritic ablation debris, and in the late Eocene with microtektites. The C-T impact site has not been located. Two interesting candidate sites are the circular sea-floor features west of Portugal and the Deccan Traps of India. There is a 20% probability that impact occurred on sea floor that has subsequently been subducted. The killing mechanism has not yet been established, but both temperature changes and darkness due to atmospheric dust are probable contributors. Darkness would have lasted a few months, rather than our originally suggested few years.

  17. Radiation Source Replacement Workshop

    Energy Technology Data Exchange (ETDEWEB)

    Griffin, Jeffrey W.; Moran, Traci L.; Bond, Leonard J.

    2010-12-01

    This report summarizes a Radiation Source Replacement Workshop in Houston Texas on October 27-28, 2010, which provided a forum for industry and researchers to exchange information and to discuss the issues relating to replacement of AmBe, and potentially other isotope sources used in well logging.

  18. The Impact of Trade Balance in the Current Account of Kosovo’s Balance of Payments

    Directory of Open Access Journals (Sweden)

    Safet Merovci

    2014-02-01

    Full Text Available The trade deficit and specifically the current account deficit are the main challenges that Kosovo‘s economy is facing. According to the Balance of Payments Statistics (BOP, the trade balance of goods is the largest component, expressed in absolute and relative terms and consequently it determines the behavior of the current account balance. Trade deficit to GDP ratio is very high - more than 50 percent. Regarding this, financing the constant deficit of the current account is becoming a real problem, because in the long run it is impossible for a country to spend more than its income without becoming a debtor to the rest of the world. Given the unchanged structure of the current account of the Balance of Payments, we conclude that, an improvement of the trade balance is a precondition to the improvement of the current account balance. This can be done through longterm and sustainable substitution of imports with domestic production and also with effective export promotion. Increasing foreign direct investment and export promotion can be considered, in the longer term, the main way to improve Kosovo's Trade Balance.

  19. Incremental impact of adding boys to current human papillomavirus vaccination programs: role of herd immunity.

    Science.gov (United States)

    Brisson, Marc; van de Velde, Nicolas; Franco, Eduardo L; Drolet, Mélanie; Boily, Marie-Claude

    2011-08-01

    Our aim was to examine the potential incremental impact of vaccinating boys against human papillomavirus (HPV) on vaccine-type infection in females and males, using an individual-based HPV transmission-dynamic model. Under base assumptions (vaccine efficacy = 99%, duration of protection = 20 years, coverage = 70%), vaccinating 12-year-old boys, in addition to girls, resulted in an incremental reduction in HPV-16/18 (HPV-6/11) incidence over 70 years of 16% (3%) in females and 23% (4%) in males. The benefit of vaccinating boys decreased with improved vaccination coverage in girls. Given the important predicted herd immunity impact of vaccinating girls under moderate to high vaccine coverage, the potential incremental gains of vaccinating boys are limited.

  20. Impact and cost-effectiveness of current and future tuberculosis diagnostics: the contribution of modelling

    Science.gov (United States)

    Houben, R.; Cohen, T.; Pai, M.; Cobelens, F.; Vassall, A.; Menzies, N. A.; Gomez, G. B.; Langley, I.; Squire, S. B.; White, R.

    2014-01-01

    SUMMARY The landscape of diagnostic testing for tuberculosis (TB) is changing rapidly, and stakeholders need urgent guidance on how to develop, deploy and optimize TB diagnostics in a way that maximizes impact and makes best use of available resources. When decisions must be made with only incomplete or preliminary data available, modelling is a useful tool for providing such guidance. Following a meeting of modelers and other key stakeholders organized by the TB Modelling and Analysis Consortium, we propose a conceptual framework for positioning models of TB diagnostics. We use that framework to describe modelling priorities in four key areas: Xpert® MTB/RIF scale-up, target product profiles for novel assays, drug susceptibility testing to support new drug regimens, and the improvement of future TB diagnostic models. If we are to maximize the impact and cost-effectiveness of TB diagnostics, these modelling priorities should figure prominently as targets for future research. PMID:25189546

  1. Water Resource Impacts Embedded in the Western US Electrical Energy Trade; Current Patterns and Adaptation to Future Drought

    Science.gov (United States)

    Adams, E. A.; Herron, S.; Qiu, Y.; Tidwell, V. C.; Ruddell, B. L.

    2013-12-01

    Water resources are a key element in the global coupled natural-human (CNH) system, because they are tightly coupled with the world's social, environmental, and economic subsystems, and because water resources are under increasing pressure worldwide. A fundamental adaptive tool used especially by cities to overcome local water resource scarcity is the outsourcing of water resource impacts through substitutionary economic trade. This is generally understood as the indirect component of a water footprint, and as ';virtual water' trade. This work employs generalized CNH methods to reveal the trade in water resource impacts embedded in electrical energy within the Western US power grid, and utilizes a general equilibrium economic trade model combined with drought and demand growth constraints to estimate the future status of this trade. Trade in embedded water resource impacts currently increases total water used for electricity production in the Western US and shifts water use to more water-limited States. Extreme drought and large increases in electrical energy demand increase the need for embedded water resource impact trade, while motivating a shift to more water-efficient generation technologies and more water-abundant generating locations. Cities are the largest users of electrical energy, and in the 21st Century will outsource a larger fraction of their water resource impacts through trade. This trade exposes cities to risks associated with disruption of long-distance transmission and distant hydrological droughts.

  2. The impact of current alternative herbal remedies on dental patient management.

    Science.gov (United States)

    Karimi, K

    1999-01-01

    With the recent boom in holistic and herbal medicine and an ever-growing trend among the general population to refer to herbal remedies as an alternative to traditional pharmaceutical therapies, dental health care providers must be aware of the wide consumption of such products and understand their nature. It becomes imperative, therefore, to include questions regarding the use of herbal preparations as a matter of routine in the patient's drug history, since this may impact a safe dental patient care delivery.

  3. Tilt-shift eddy current probe impact on information value of response signal

    Directory of Open Access Journals (Sweden)

    Chudacik Vladimir

    2016-03-01

    Full Text Available This article deals with the possibility for increasing of the informational value of a response signal using tilt-shift eddy current probe. Numerical simulations based on the FEM method using the OPERA 3D software as well as gained experimental results are presented. The simulated cracks are evaluated at the selected eddy current probe tilts and shifts with respect to conductive plate to obtain additional data needed for its evaluation and localization. Obtained simulation results are compared and discussed with the experimental results.

  4. Thermal Impact Analysis of Circulating Current in High Power Modular Online Uninterruptible Power Supplies Application

    DEFF Research Database (Denmark)

    Zhang, Chi; Guerrero, Josep M.; Quintero, Juan Carlos Vasquez

    2017-01-01

    In modular uninterruptible power supplies (UPSs), several DC/AC modules are required to work in parallel. This structure allows the system to be more reliable and flexible. These DC/AC modules share the same DC bus and AC critical bus. Module differences, such as filter inductor, filter capacitor......, control parameters, and so on, will make it possible for the potential zero sequence current to flow among the modules. This undesired type of circulating current will bring extra losses to the power semiconductor devices in the system, which should be paid special attention in high power application...

  5. Impacts of intensification of pastoral agriculture on soils: current and emerging challenges and implications for future land uses.

    Science.gov (United States)

    Mackay, Ad

    2008-12-01

    It is widely believed that New Zealand is blessed with large areas of versatile and élite soils, but the reality is that more than 65% of New Zealand's soils have some physical limitation to their use for pastoral agriculture. Failure to build this constraint into farm-system designs compromises the current production base, ongoing production gains and, increasingly, the wider environment in which we live. Pastoral agriculture is placing mounting pressure on soil pore structure and function, a key attribute that governs a wide range of soil services and ecosystem functions. Combatting accelerated soil erosion in hill land, soil compaction on flat and rolling landscapes, emissions from land to air and water and increasing competition from other land uses are issues that will shape the future of the pastoral industry. Pastoral agriculture will continue to be the dominant land use in hill land. The same cannot be said of lowland, where animals might be seen less as they spend more time on feed pads or indoors, or not seen at all as the animals have been replaced by fodder and grain crops. In keeping with the concept of matching land use to inherent land-use capability, production technologies which are employed to lift production must be matched by technologies to mitigate the additional emissions to air and water. As we seek to produce beyond current ceilings, consideration needs to be given to the suitability of some soils for intensification.

  6. Evidence of current impact of climate change on life : A walk from genes to the biosphere

    NARCIS (Netherlands)

    Penuelas, Josep; Sardans, Jordi; Estiarte, Marc; Ogaya, Roma; Carnicer, Jofre; Coll, Marta; Barbeta, Adria; Rivas-Ubach, Albert; Llusia, Joan; Garbulsky, Martin; Filella, Iolanda; Jump, Alistair S.

    We review the evidence of how organisms and populations are currently responding to climate change through phenotypic plasticity, genotypic evolution, changes in distribution and, in some cases, local extinction. Organisms alter their gene expression and metabolism to increase the concentrations of

  7. The pristine rain forest? Remnants of historical human impacts on current tree species composition and diversity

    NARCIS (Netherlands)

    Gemerden, Barend S. van; Olff, Han; Parren, Marc P.E.; Bongers, Frans

    2003-01-01

    Aim: Tropical rain forests are often regarded as pristine and undisturbed by humans. In Central Africa, community-wide disturbances by natural causes are rare and therefore current theory predicts that natural gap phase dynamics structure tree species composition and diversity. However, the dominant

  8. Impact of heating and current drive mix on the ITER hybrid scenario

    NARCIS (Netherlands)

    Citrin, J.; Artaud, J. F.; Garcia, J.; Hogeweij, G. M. D.; Imbeaux, F.

    2010-01-01

    Hybrid scenario performance in ITER is studied with the CRONOS integrated modelling suite, using the GLF23 anomalous transport model for heat transport prediction. GLF23 predicted core confinement is optimized through tailoring the q-profile shape by a careful choice of current drive actuators, affe

  9. The pristine rain forest? Remnants of historical human impacts on current tree species composition and diversity

    NARCIS (Netherlands)

    Gemerden, van B.S.; Olff, H.; Parren, M.P.E.; Bongers, F.J.J.M.

    2003-01-01

    Aim Tropical rain forests are often regarded as pristine and undisturbed by humans. In Central Africa, community-wide disturbances by natural causes are rare and therefore current theory predicts that natural gap phase dynamics structure tree species composition and diversity. However, the dominant

  10. [Problems of work world and its impact on health. Current financial crisis].

    Science.gov (United States)

    Tomasina, Fernando

    2012-06-01

    Health and work are complex processes. Besides, they are multiple considering the forms they take. These two processes are linked to each other and they are influenced by each other. According to this, it is possible to establish that work world is extremely complex and heterogeneous. In this world, "old" or traditional risks coexist with "modern risks", derived from the new models of work organization and the incorporation of new technologies. Unemployment, work relationships precariousness and work risks outsourcing are results of neoliberal strategies. Some negative results of health-sickness process derived from transformation in work world and current global economic crisis have been noticed in current work conditions. Finally, the need for reconstructing policies focusing on this situation derived from work world is suggested.

  11. Mechanical impacts of poloidal eddy currents on the continuous vacuum vessel of a tokamak

    Energy Technology Data Exchange (ETDEWEB)

    In, Sang Ryul; Yoon, Byung Joo

    1996-11-01

    Poloidal eddy currents are induced on the continuous torus vacuum vessel by changes of the toroidal field during the machine start-up (toroidal field coil charge), shut-down (toroidal field coil discharge) and plasma disruption (plasma diamagnetism change). Analytic forms for the eddy currents flowing on the vessel, consequent pressures and forces acting on it are presented in this report. The results are applied to typical operation modes of the KT-2 tokamak. Stress analysis for two typical operation modes of toroidal field damping during a machine shut-gown and plasma energy quench during a plasma disruption were carried out using 3D FEM code (ANSYS 5.2). (author). 5 tabs., 22 figs., 9 refs.

  12. Impact of transcranial direct current stimulation (tDCS on neuronal functions

    Directory of Open Access Journals (Sweden)

    Suman Das

    2016-11-01

    Full Text Available Transcranial direct current stimulation (tDCS, a noninvasive brain stimulation technique, modulates neuronal excitability by the application of a small electrical current. The low cost and ease of the technique has driven interest in potential clinical applications. However, outcomes are highly sensitive to stimulation parameters, leading to difficulty maximizing the technique’s effectiveness. Although reversing the polarity of stimulation often causes opposite effects, this is not always the case. Effective clinical application will require an understanding of how tDCS works; how it modulates a neuron; how it affects the local network; and how it alters inter-network signaling. We have summarized what is known regarding the mechanisms of tDCS from sub-cellular processing to circuit level communication with a particular focus on what can be learned from the polarity specificity of the effects.

  13. Impact of adaptation currents on synchronization of coupled exponential integrate-and-fire neurons.

    Directory of Open Access Journals (Sweden)

    Josef Ladenbauer

    Full Text Available The ability of spiking neurons to synchronize their activity in a network depends on the response behavior of these neurons as quantified by the phase response curve (PRC and on coupling properties. The PRC characterizes the effects of transient inputs on spike timing and can be measured experimentally. Here we use the adaptive exponential integrate-and-fire (aEIF neuron model to determine how subthreshold and spike-triggered slow adaptation currents shape the PRC. Based on that, we predict how synchrony and phase locked states of coupled neurons change in presence of synaptic delays and unequal coupling strengths. We find that increased subthreshold adaptation currents cause a transition of the PRC from only phase advances to phase advances and delays in response to excitatory perturbations. Increased spike-triggered adaptation currents on the other hand predominantly skew the PRC to the right. Both adaptation induced changes of the PRC are modulated by spike frequency, being more prominent at lower frequencies. Applying phase reduction theory, we show that subthreshold adaptation stabilizes synchrony for pairs of coupled excitatory neurons, while spike-triggered adaptation causes locking with a small phase difference, as long as synaptic heterogeneities are negligible. For inhibitory pairs synchrony is stable and robust against conduction delays, and adaptation can mediate bistability of in-phase and anti-phase locking. We further demonstrate that stable synchrony and bistable in/anti-phase locking of pairs carry over to synchronization and clustering of larger networks. The effects of adaptation in aEIF neurons on PRCs and network dynamics qualitatively reflect those of biophysical adaptation currents in detailed Hodgkin-Huxley-based neurons, which underscores the utility of the aEIF model for investigating the dynamical behavior of networks. Our results suggest neuronal spike frequency adaptation as a mechanism synchronizing low frequency

  14. Spectroscopic Confusion: Its Impact on Current and Future Extragalactic HI Surveys

    CERN Document Server

    Jones, Michael G; Haynes, Martha P; Giovanelli, Riccardo

    2015-01-01

    We present a comprehensive model to predict the rate of spectroscopic confusion in HI surveys, and demonstrate good agreement with the observable confusion in existing surveys. Generically the action of confusion on the HI mass function was found to be a suppression of the number count of sources below the `knee', and an enhancement above it. This results in a bias, whereby the `knee' mass is increased and the faint end slope is steepened. For ALFALFA and HIPASS we find that the maximum impact this bias can have on the Schechter fit parameters is similar in magnitude to the published random errors. On the other hand, the impact of confusion on the HI mass functions of upcoming medium depth interferometric surveys, will be below the level of the random errors. In addition, we find that previous estimates of the number of detections for upcoming surveys with SKA-precursor telescopes may have been too optimistic, as the framework implemented here results in number counts between 60% and 75% of those previously p...

  15. Impact of Testosterone Replacement Therapy on Myocardial Infarction, Stroke, and Death in Men With Low Testosterone Concentrations in an Integrated Health Care System.

    Science.gov (United States)

    Anderson, Jeffrey L; May, Heidi T; Lappé, Donald L; Bair, Tami; Le, Viet; Carlquist, John F; Muhlestein, Joseph B

    2016-03-01

    The aim of this study was to assess the effect of testosterone replacement therapy (TRT) on cardiovascular outcomes. Men (January 1, 1996, to December 31, 2011) with a low initial total testosterone concentration, a subsequent testosterone level, and >3 years of follow-up were studied. Levels were correlated with testosterone supplement use. The primary outcome was major adverse cardiovascular events (MACE), defined as a composite of death, nonfatal myocardial infarction, and stroke at 3 years. Multivariate adjusted hazard ratios (HRs) comparing groups of persistent low (742 ng/dl, n = 1,694) achieved testosterone were calculated by Cox hazard regression. A total of 4,736 men were studied. Three-year rates of MACE and death were 6.6% and 4.3%, respectively. Subjects supplemented to normal testosterone had reduced 3-year MACE (HR 0.74; 95% confidence interval [CI] 0.56 to 0.98, p = 0.04) compared to persistently low testosterone, driven primarily by death (HR 0.65, 95% CI 0.47 to 0.90). HRs for MI and stroke were 0.73 (95% CI 0.40 to 1.34), p = 0.32, and 1.11 (95% CI 0.54 to 2.28), p = 0.78, respectively. MACE was noninferior but not superior for high achieved testosterone with no benefit on MI and a trend to greater stroke risk. In conclusion, in a large general health care population, TRT to normal levels was associated with reduced MACE and death over 3 years but a stroke signal with high achieved levels suggests a conservative approach to TRT.

  16. Balloon Versus Computed Tomography Sizing of the Aortic Annulus for Transcatheter Aortic Valve Replacement and the Impact of Left Ventricular Outflow Tract Calcification and Morphology on Sizing.

    Science.gov (United States)

    Condado, Jose F; Lerakis, Stamatios; Stewart, James; Jensen, Hanna; Henry, Travis S; Ko, Sung Min; Stillman, Arthur; Rajaei, Mohammad H; Mavromatis, Kreton; Devireddy, Chandan; Sarin, Eric; Leshnower, Brad; Guyton, Robert; Kaebnick, Brian; Thourani, Vinod H; Block, Peter C; Babaliaros, Vasilis

    2016-07-01

    To evaluate the role of balloon annular sizing in transcatheter aortic valve replacement (TAVR). Multidetector cardiac computed tomography (MDCT) is the gold standard for aortic annular sizing in TAVR. Balloon sizing is increasingly used in patients with borderline annular size and severe calcification. A comparison between these two techniques is needed. We retrospectively compared baseline characteristics and 30-day outcomes of patients undergoing balloon-expandable TAVR using annular MDCT or balloon sizing. Paravalvular leak (PVL) rates were compared adjusting for access site, valve generation, size, and valve calcification. A total of 205 patients underwent TAVR with MDCT (n = 110) or balloon sizing (n = 95). Balloon-sized patients were older (83 years vs 81 years; P=.03), had more valve calcification (60.2% vs 30.9%; P.99), ≥ mild PVL by angiography (40% vs 35.5%; P=.57), or 30-day transthoracic echocardiography (40.7% vs 29.3%; P=.78), balloon-sized patients had a higher aortic regurgitation index (≥25) of 74.4% vs 54.1% (P=.01). Thirty-day rates of ≥ moderate PVL were 7.0% with balloon and 5.7% with MDCT sizing (P=.34). Balloon sizing recommended a different valve size in 34.0% of patients who underwent both methods (n = 50). A different recommendation occurred more often in patients with moderate/severe annular calcification (50.0% vs 33.3%; P=.01) and non-tubular left ventricular outflow tracts (LVOTs) (70.6% vs 30.3%; P=.01). Balloon sizing can be a complement to MDCT for annular sizing in TAVR, especially in patients with moderate/severe annular calcification, borderline annular size, and non-tubular LVOT.

  17. Impact of β-lactam antibiotic therapeutic drug monitoring on dose adjustments in critically ill patients undergoing continuous renal replacement therapy.

    Science.gov (United States)

    Economou, Caleb J P; Wong, Gloria; McWhinney, Brett; Ungerer, Jacobus P J; Lipman, Jeffrey; Roberts, Jason A

    2017-05-01

    The objective of this study was to describe the effect of therapeutic drug monitoring (TDM) and dose adjustments of β-lactam antibiotics administered to critically ill patients undergoing continuous renal replacement therapy (CRRT) in a 30-bed tertiary intensive care unit (ICU). β-Lactam TDM data in our tertiary referral ICU were retrospectively reviewed. Clinical, demographic and dosing data were collected for patients administered β-lactam antibiotics while undergoing CRRT. The target trough concentration range was 1-10× the minimum inhibitory concentration (MIC). A total of 111 TDM samples from 76 patients (46 male) with a mean ± standard deviation age of 56.6 ± 15.9 years and weight of 89.1 ± 25.8 kg were identified. The duration of antibiotic therapy was between 2 days and 42 days. TDM identified a need for dose modification of β-lactam antibiotics in 39 (35%) instances; in 27 (24%) samples, TDM values resulted in decreasing the prescribed dose of β-lactam antibiotic whereas an increase in the prescribed dose occurred in 12 (11%) cases. In patients treated for hospital-acquired pneumonia and primary or secondary bacteraemia, the dose was required to be decreased in 10/25 (40%) and 7/46 (15%) cases, respectively, to attain target concentrations. β-Lactam TDM is a useful tool for guiding drug dosing in complex patients such as those receiving CRRT. Although over one-third of patients manifested concentrations outside the therapeutic range, most of these CRRT patients had excessive β-lactam concentrations. Copyright © 2017 Elsevier B.V. and International Society of Chemotherapy. All rights reserved.

  18. 再生骨料替代率对混凝土性能影响的实验分析%Experimental Analysis of the Impact of Recycled Aggregates Replacement Rate on Concrete Properties

    Institute of Scientific and Technical Information of China (English)

    方瑾

    2011-01-01

    Recycled concrete is made from different recycled aggregates replacement rate.Comparing recycled concrete with ordinary concrete from workability,elastic modulus and compressive strength,the article analyzes the impact on the concrete properties from the changes of recycled aggregates substitution rate.The experiment proved that the recycled concrete is equal to ordinary concrete,which is compounded by appropriate recycled aggregates replacement rate.With the emphasis on environmental protection,the development of recycled concrete will be more valuable in application.%用不同的再生骨料替代率,制成再生混凝土。从再生混凝土的和易性、弹性模量和抗压强度等三个方面与普通混凝土进行比较,分析再生骨料替代率的变化对混凝土性能的影响。试验证明,采用适当的再生骨料替代率配制的再生混凝土与普通混凝土基本相当。随着人类对环保的日益重视,再生混凝土产业的发展空间很大,对混凝土的工程应用具有一定的价值意义。

  19. The Impact Analysis of Social Marketing Mix on the Intention of Replacing Single-Occupant Vehicles with Urban Public Transport Case Study: Staff Working at State Universities of Isfahan

    Directory of Open Access Journals (Sweden)

    Hossein Rezaie Dolatabadi

    2013-04-01

    Full Text Available Nowadays, the growing use of private cars in cities has led to air pollution; hence, breathing clean air as a basic human right has become drastically difficult. Isfahan as the second industrial city of Iran has struggled for years with this problem. In order to reduce the intensity of air pollution, there are many suggestions amongst which replacing Single-Occupant Vehicles (SOVs with Urban Public Transport (UPT can be noted. In this study, by using the principles of social marketing and Theory of Planned Behavior (TPB a conceptual model has been presented to evaluate the impact analysis of social marketing mix on the intention of staff working at the State Universities of Isfahan City in order to replace SOVs with UPT. Data were collected using a closed questionnaire and the model was evaluated by using Amos Graphic Software. The results show that social marketing mix has a significant positive effect on behavioral beliefs and normative beliefs, but a negative effect on the control beliefs of the staff. The effects of behavioral beliefs on attitude, normative beliefs on subjective norms, and control beliefs on perceived behavioral control are significant positive. Also the effects of three variables: attitude, subjective norm, and perceived behavioral control on the intention of the staff are significant positive. Finally, a significant positive effect of social marketing mix on the intention of staff was approved.

  20. Upper extremity sarcoma: impact of current practice guidelines and controversies on reconstructive approaches

    Directory of Open Access Journals (Sweden)

    Dobke Marek

    2017-01-01

    Full Text Available The goals of sarcoma management include both a cure and the functional preservation of involved tissues and adjacent critical structures with common opinions favoring immediate reconstruction. The question arises whether these goals are contradictory. This paper discusses the question based on the experience of 28 patients with different types of extremity sarcoma, with 24 surgically treated by the University of California San Diego (UCSD orthopedic and plastic surgery team (2011–2016 and the collection of evidence from published practice guidelines, reviews, case studies, and clinical trials. Included are the impact of limb-sparing and functional reconstructive concepts, efforts regarding the adequacy of surgical margins, and the rationale of immediate versus delayed reconstructive approaches, and the disease-free status of sarcoma management.

  1. Current technological advances in magnetic resonance with critical impact for clinical diagnosis and therapy.

    Science.gov (United States)

    Runge, Val M

    2013-12-01

    The last 5 years of technological advances with major impact on clinical magnetic resonance (MR) are discussed, with greater emphasis on those that are most recent. These developments have already had a critical positive effect on clinical diagnosis and therapy and presage continued rapid improvements for the next 5 years. This review begins with a discussion of 2 topics that encompass the breadth of MR, in terms of anatomic applications, contrast media, and MR angiography. Subsequently, innovations are discussed by anatomic category, picking the areas with the greatest development, starting with the brain, moving forward to the liver and kidney, and concluding with the musculoskeletal system, breast, and prostate. Two final topics are then considered, which will likely, with time, become independent major fields in their own right, interventional MR and MR positron emission tomography (PET).The next decade will bring a new generation of MR contrast media, with research focused on substantial improvements (>100-fold) in relaxivity (contrast effect), thus providing greater efficacy, safety, and tissue targeting. Magnetic resonance angiography will see major advances because of the use of compressed sensing, in terms of spatial and temporal resolution, with movement away from nondynamic imaging. The breadth of available techniques and tissue contrast has greatly expanded in brain imaging, benefiting both from the introduction of new basic categories of imaging techniques, such as readout-segmented echo planar imaging and 3D fast spin echo imaging with variable flip angles, and from new refinements specific to anatomic areas, such as double inversion recovery and MP2RAGE. Liver imaging has benefited from the development of techniques to easily and rapidly assess lipid, and will see, overall, a marked improvement in the next 5 years from new techniques on the verge of clinical introduction, such as controlled aliasing in parallel imaging results in higher acceleration

  2. THE IMPACT OF THE ACTIONS OF EDUCATION INSPECTION IN THE CURRENT TEACHER TRAINING

    Directory of Open Access Journals (Sweden)

    Miguel Ángel González Ortiz

    2016-06-01

    Full Text Available This article analyses the impact that a priority action on the assessment process in vocational training has had. It has been carried out by the General Education Inspection of Castilla-La Mancha throughout this school year and it is classified within the overall action and training plan for the teachers who teach this level through the Regional Centre for Teacher Training. For the analysis of this work, we took into account the degree of involvement of the teachers who teach middle and upper-grade vocational training who were enrolled in a specific course organised by the Regional Centre for Teacher Training called Didactic syllabi and assessment processes in Vocational Training. These teachers belonged to schools that offer middle and upper-grade vocational training which were supervised by education inspectors of Castilla-La Mancha.The conclusions obtained in the analysis of this work are a true reflection of the performance of education inspection in vocational training.

  3. Early Childhood Caries and the Impact of Current U.S. Medicaid Program: An Overview

    Directory of Open Access Journals (Sweden)

    Bussma Ahmed Bugis

    2012-01-01

    Full Text Available Pediatric dental caries is the most common chronic disease among children. Above 40% of the U.S. children aged 2–11 years have dental caries; more than 50% of them come from low-income families. Under dental services of the Medicaid program, children enrolled in Medicaid must receive preventive dental services. However, only 1/5 of them utilize preventive dental services. The purpose of this overview is to measure the impact of Medicaid dental benefits on reducing oral health disparities among Medicaid-eligible children. This paper explains the importance of preventive dental care, children at high risk of dental caries, Medicaid dental benefits, utilization of dental preventive services by Medicaid-eligible children, dental utilization influencing factors, and outcome evaluation of Medicaid in preventing dental caries among children. In conclusion, despite the recent increase of children enrolled in Medicaid, utilizing preventive dental care is still a real challenge that faces Medicaid.

  4. THE IMPACT OF PROMOTION CAMPAIGNS OVER THE COMPANIES IN THE CURRENT ECONOMIC CONTEXT

    Directory of Open Access Journals (Sweden)

    FRÂNCU LAURENȚIU GABRIEL

    2015-12-01

    Full Text Available In an increasingly competitive business environment, promotion campaigns have a great significance in terms of market positioning of companies. The promotion campaigns are having a key role, sometimes even vital, because the companies depend on their results. An remarkable promotion campaign will lead to an increase in company sales and a better market positioning. The brand awareness will increase and the customers will become more loyal and may even be attracted new customers. This paper aims to analyze the impact of promotion campaigns over the courier companies from Romania. Thus, will be analysed the courier companies market and the competitive advantage in this market when it is used an efficient strategy of promotion campaigns.

  5. Wave-current interactions in the southern North Sea: The impact on salinity

    Science.gov (United States)

    Schloen, Julia; Stanev, Emil V.; Grashorn, Sebastian

    2017-03-01

    The interplay between wind waves and currents in the coastal zone of the southern North Sea along with the resulting changes in the salinity distribution are quantified using simulations with the unstructured-grid ocean model SCHISM coupled with the wind wave model WWM III. Several sensitivity runs, which are carried out to estimate the individual contributions of different physical mechanisms and forcing, demonstrated that the density gradients in the coastal zone reduce tidal current by 18%, whereas the wind waves enhance the circulation in some cases. The latter happens when along-shore wind speed approaches ∼10 m s-1 resulting in long-shore currents following the western Dutch coast and the German Wadden Sea islands. The wave-induced transport of salt leads to changes in the horizontal salinity distribution. These are most pronounced in front of barrier islands where coherent patterns caused by the coupling between tides, surface drift, and wind waves reveal salinity changes up to 0.5. The weak stratification of salinity in the coastal zone is mostly destroyed by wind waves. Thus, effects created by wind waves tend to substantially modify the estuarine circulation. An explanation of these important processes in the coastal zone has been given based on an analysis of the ratio between significant wave height and tidal range. This control-parameter, which is relatively small under mild weather conditions, can exceed unity under strong wind conditions in the coastal zone, thus mixing due to waves becomes dominant. The effect of fresh water fluxes from subterranean estuaries is relatively small and confined only in the vicinity of corresponding sources.

  6. Lowering district heating temperatures – Impact to system performance in current and future Danish energy scenarios

    DEFF Research Database (Denmark)

    Ommen, Torben; Markussen, Wiebke Brix; Elmegaard, Brian

    2016-01-01

    CHP (Combined heat and power) production in connection with DH (district heating) systems has previously demonstrated a significant reduction in primary energy consumption. With extended installation of intermittent sustainable sources, such as eg. wind turbines rather than thermal units....... Utility plants and demand curves corresponded to the current and future scenarios for the DH system of Greater Copenhagen. Performance curves from typical CHP-plant technologies were used to represent the changed operation of power and heat production for changed DH temperatures. The results show...

  7. Replacing a Missing Tooth

    Science.gov (United States)

    ... vessels in the tooth pulps are rather large. Drilling down these teeth for crowns may expose the ... porcelain replacement tooth is held in place by metal extensions cemented to the backs of the adjacent ...

  8. Hormone Replacement Therapy

    Science.gov (United States)

    ... before and during menopause, the levels of female hormones can go up and down. This can cause ... hot flashes and vaginal dryness. Some women take hormone replacement therapy (HRT), also called menopausal hormone therapy, ...

  9. Knee joint replacement

    Science.gov (United States)

    ... of your kneecap. Your kneecap is called the patella. The replacement part is usually made from a ... long. Then your surgeon will: Move your kneecap (patella) out of the way, then cut the ends ...

  10. Knee joint replacement - slideshow

    Science.gov (United States)

    ... this page: //medlineplus.gov/ency/presentations/100088.htm Knee joint replacement - series—Normal anatomy To use the ... to slide 4 out of 4 Overview The knee is a complex joint. It contains the distal ...

  11. Product Platform Replacements

    DEFF Research Database (Denmark)

    Sköld, Martin; Karlsson, Christer

    2012-01-01

    Purpose – It is argued in this article that too little is known about product platforms and how to deal with them from a manager's point of view. Specifically, little information exists regarding when old established platforms are replaced by new generations in R&D and production environments...... originality and value is achieved by focusing on product platform replacements believed to represent a growing management challenge....

  12. The Impacts of Maximum Temperature and Climate Change to Current and Future Pollen Distribution in Skopje, Republic of Macedonia

    Directory of Open Access Journals (Sweden)

    Vladimir Kendrovski

    2012-02-01

    Full Text Available BACKGROUND. The goal of the present paper was to assess the impact of current and future burden of the ambient temperature to pollen distributions in Skopje. METHODS. In the study we have evaluated a correlation between the concentration of pollen grains in the atmosphere of Skopje and maximum temperature, during the vegetation period of 1996, 2003, 2007 and 2009 as a current burden in context of climate change. For our analysis we have selected 9 representative of each phytoallergen group (trees, grasses, weeds. The concentration of pollen grains has been monitored by a Lanzoni volumetric pollen trap. The correlation between the concentration of pollen grains in the atmosphere and selected meteorological variable from weekly monitoring has been studied with the help of linear regression and correlation coefficients. RESULTS. The prevalence of the sensibilization of standard pollen allergens in Skopje during the some period shows increasing from 16,9% in 1996 to 19,8% in 2009. We detect differences in onset of flowering, maximum and end of the length of seasons for pollen. The pollen distributions and risk increases in 3 main periods: early spring, spring and summer which are the main cause of allergies during these seasons. The largest increase of air temperature due to climate change in Skopje is expected in the summer season. CONCLUSION. The impacts of climate change by increasing of the temperature in the next decades very likely will include impacts on pollen production and differences in current pollen season. [TAF Prev Med Bull 2012; 11(1.000: 35-40

  13. The impact of antiretroviral therapy in resource-limited settings and current HIV therapeutics.

    Science.gov (United States)

    Kumarasamy, N

    2016-04-01

    Four million people of the global total of 35 million with HIV infection are from South-East Asia. ART is currently utilized by 15 million people and has led to a dramatic decline in the mortality rate, including those in low- and middle-income countries. A reduction in sexually transmitted HIV and in comorbidities including tuberculosis has also followed. Current recommendations for the initiation of antiretroviral therapy in people who are HIV+ are essentially to initiate ART irrespective of CD4 cell count and clinical stage. The frequency of HIV testing should be culturally specific and based on the HIV incidence in different key populations but phasing in viral load technology in LMIC is an urgent priority and this needs resources and capacity. With the availability of simplified potent ART regimens, persons with HIV now live longer. The recent WHO treatment guidelines recommending routine HIV testing and earlier initiation of treatment should be the stepping stone for ending the AIDS epidemic and to meet the UNAIDS mission of 90*90*90.

  14. GRAPEVINE VIRUS DISEASES:ECONOMIC IMPACT AND CURRENT ADVANCES IN VIRAL PROSPECTION AND MANAGEMENT

    Directory of Open Access Journals (Sweden)

    MARCOS FERNANDO BASSO

    Full Text Available ABSTRACT Grapevine (Vitis spp. is a major vegetative propagated fruit crop with high socioeconomic importance worldwide. It is susceptible to several graft-transmitted agents that cause several diseases and substantial crop losses, reducing fruit quality and plant vigor, and shorten the longevity of vines. The vegetative propagation and frequent exchanges of propagative material among countries contribute to spread these pathogens, favoring the emergence of complex diseases. Its perennial life cycle further accelerates the mixing and introduction of several viral agents into a single plant. Currently, approximately 65 viruses belonging to different families have been reported infecting grapevines, but not all cause economically relevant diseases. The grapevine leafroll, rugose wood complex, leaf degeneration and fleck diseases are the four main disorders having worldwide economic importance. In addition, new viral species and strains have been identified and associated with economically important constraints to grape production. In Brazilian vineyards, eighteen viruses, three viroids and two virus-like diseases had already their occurrence reported and were molecularly characterized. Here, we review the current knowledge of these viruses, report advances in their diagnosis and prospection of new species, and give indications about the management of the associated grapevine diseases.

  15. The impact of shearing flows on electroactive biofilm formation, structure, and current generation

    Science.gov (United States)

    Jones, A.-Andrew; Buie, Cullen

    2016-11-01

    A special class of bacteria exist that directly produce electricity. First explored in 1911, these electroactive bacteria catalyze hydrocarbons and transport electrons directly to a metallic electron acceptor forming thicker biofilms than other species. Electroactive bacteria biofilms are thicker because they are not limited by transport of oxygen or other terminal electron acceptors. Electroactive bacteria can produce power in fuel cells. Power production is limited in fuel cells by the bacteria's inability to eliminate protons near the insoluble electron acceptor not utilized in the wild. To date, they have not been successfully evolved or engineered to overcome this limit. This limitation may be overcome by enhancing convective mass transport while maintaining substantial biomass within the biofilm. Increasing convective mass transport increases shear stress. A biofilm may respond to increased shear by changing biomass, matrix, or current production. In this study, a rotating disk electrode is used to separate nutrient from physical stress. This phenomenon is investigated using the model electroactive bacterium Geobacter sulfurreducens at nutrient loads comparable to flow-through microbial fuel cells. We determine biofilm structure experimentally by measuring the porosity and calculating the tortuosity from confocal microscope images. Biofilm adaptation for electron transport is quantified using electrical impedance spectroscopy. Our ultimate objective is a framework relating biofilm thickness, porosity, shear stress and current generation for the optimization of bioelectrochemical systems The Alfred P Sloan Foundation MPHD Program.

  16. A Strategy of Suppressing the Underground Impact Scattered Current in Power Grid by Using Insulation Baffle

    Science.gov (United States)

    Zhan, Qinghua; Chen, Zhucheng; Li, Hongtao; Liu, Yijun; Mei, Cheng; He, Zhijie

    2017-05-01

    In order to solve the accidents happened in the ponds or other special places around the tower which were caused by the diffusion current after lightning stroke the transmission tower, the protection measures for the problem tower in the area of Guangdong Province which occurred dead fish in the pond in thunderstorm weather were studied in this paper. The COMSOL mutiphysics simulation software was used in order to calculate the electromagnetic environment of the diffusion situation by grounding device after lightning stroke the power transmission tower. Study concluded that the safe distance between the fish pond and grounding device of transmission tower is 14 meter. The effects of the length and depth or stayed a gap of the insulation baffle on the fish in the fish pond were discussed. The protection method of the insulation baffle has important practical significance to the protection of the grounding device for diffusion current, and can provide some engineering guidance and basis for the grounding arrangement and transformation of the high voltage transmission line tower.

  17. Pulmonary valve replacement in chronic pulmonary regurgitation in adults with congenital heart disease: impact of preoperative QRS-duration and NT-proBNP levels on postoperative right ventricular function.

    Science.gov (United States)

    Westhoff-Bleck, Mechthild; Girke, Stefan; Breymann, Thomas; Lotz, Joachim; Pertschy, Stefanie; Tutarel, Oktay; Roentgen, Philipp; Bertram, Harald; Wessel, Armin; Schieffer, Bernhard; Meyer, Gerd Peter

    2011-09-15

    Chronic severe pulmonary regurgitation (PR) causes progressive right ventricular (RV) dysfunction and heart failure. Parameters defining the optimal time point for surgery of chronic PR are lacking. The present study prospectively evaluated the impact of preoperative clinical parameters, cardiorespiratory function, QRS duration and NT-proBNP levels on post operative RV function and volumes assessed by cardiac magnetic resonance imaging (CMR) in patients with chronic severe PR undergoing pulmonary valve replacement. CMR was performed pre- and 6 months postoperatively in 27 patients (23.6 ± 2.9 years, 15 women) with severe PR. Postoperatively, RV endsystolic (RVESVI) and enddiastolic volume indices (RVEDVI) decreased significantly (RVESVI pre 78.2 ± 20.4 ml/m² BSA vs. RVESVI post 52.2 ± 16.8 ml/m²BSA, pfunction and volumes. Copyright © 2010 Elsevier Ireland Ltd. All rights reserved.

  18. The impact of the AEC mode of tube current on the dose at CT scans

    Energy Technology Data Exchange (ETDEWEB)

    Moon, Il Bong; Dong, Kyung Rae [Dept. of Radiological Technology, Gwangju Health University, Gwangju (Korea, Republic of); Kim, Kwang Cheol [Dept. of of Nuclear Engineering, Chosun University,Gwangju (Korea, Republic of)

    2016-11-15

    In this study, the automatic exposure control (AEC) modes of tube current (SIEMENSCare Dose 4D and GE AEC mode) that CT manufacturers are using was applied to neck, chest and abdomen in order to determine the difference in the respective dose parameters (CTDIvol, DLP and mSv) resulting from the dose reduction. Equipment in use at C university adopted Care Dose 4D of Siemens and AEC mode of General Electric (GE), and the x-ray exposure conditions were adjusted to be as identical as possible between the experiments. For the assessment of the dose reduction, the differences between the doses with and without the use of the tube current AEC mode by the respective manufacturer were measured for each body part including neck, chest and abdomen of a human phantom, Rando Phantom (Art-200x, Fluke Biomedical, USA). First, the assessment of SIEMENS-Care Dose 4D yielded the following results. At the neck, the automatic exposure control resulted in a 3.3% reduction in CTDIvol and DLP, and a 3% reduction in the effective dose, mSv, compared to manual exposure control. The automatic exposure control at the chest displayed the reduction in CTDIvol and DLP by 25.5%, and in the effective dose, mSv, by 25.4% compared to the manual exposure control. In case of abdomen, CTDIvol and DLP were shown to be reduced by 16%, and the effective dose (mSv) by 16.3% under the automatic exposure control compared to the manual exposure. Second, the assessment results of GE AEC mode are as follows. The automatic exposure control at the neck resulted in a 45.1% reduction in CTDIvol and DLP, and a 44.7% reduction in the effective dose (mSv) in comparison to the manual exposure control. At the chest, the automatic exposure control displayed a 47.6% reduction in CTDIvol and DLP, and a 47.5% reduction in the effective dose, mSv, compared to the manual exposure control. At the abdomen, it was shown that CTDIvol and DLP were reduced by 26.9%, and the effective dose (mSv) by 26.8% under the automatic

  19. Assessment of the impact of HTSCs on superconducting fault-current limiters. [High Temperature SuperConductors (HTSCs)

    Energy Technology Data Exchange (ETDEWEB)

    Giese, R.F. (Argonne National Lab., IL (United States)); Runde, M. (Energiforsyningens Forskningsinstitutt A/S, Trondheim (Norway))

    1993-01-01

    The possible impact of nitrogen-cooled superconductors on the desip and cost of superconducting fault-current limiters is assessed by considering the technical specifications such devices must meet and by comparing material properties of 77-K and 4-K superconductors. The main advantages of operating superconductors at 77 K are that the refrigeration operating cost is reduced by a factor of up to 25 and the refrigeration capital cost is reduced by a factor of up to 10. The heat capacity is several orders of magnitude Larger at 77 K and at 4 K. This phenomenon increases conductor stability against flux jumps but makes switching from the superconducting to the normal state slow and difficult. Therefore, a high critical current density, probably at least 10[sup 5] A/cm[sup 2], is required.

  20. The Gulf Stream pathway and the impacts of the eddy-driven abyssal circulation and the Deep Western Boundary Current

    Science.gov (United States)

    Hurlburt, Harley E.; Hogan, Patrick J.

    2008-08-01

    A hydrodynamic model of the subtropical Atlantic basin and the Intra-Americas Sea (9-47°N) is used to investigate the dynamics of Gulf Stream separation from the western boundary at Cape Hatteras and its mean pathway to the Grand Banks. The model has five isopycnal Lagrangian layers in the vertical and allows realistic boundary geometry, bathymetry, wind forcing, and a meridional overturning circulation (MOC), the latter specified via ports in the northern and southern boundaries. The northward upper ocean branch of the MOC (14 Sv) was always included but the southward Deep Western Boundary Current (DWBC) was excluded in some simulations, allowing investigation of the impacts of the DWBC and the eddy-driven mean abyssal circulation on Gulf Stream separation from the western boundary. The result is resolution dependent with the DWBC playing a crucial role in Gulf Stream separation at 1/16° resolution but with the eddy-driven abyssal circulation alone sufficient to obtain accurate separation at 1/32° resolution and a realistic pathway from Cape Hatteras to the Grand Banks with minimal DWBC impact except southeast of the Grand Banks. The separation from the western boundary is particularly sensitive to the strength of the eddy-driven abyssal circulation. Farther to the east, between 68°W and the Grand Banks, all of the 1/16° and 1/32° simulations with realistic topography (with or without a DWBC) gave similar generally realistic mean pathways with clear impacts of the topographically constrained eddy-driven abyssal circulation versus very unrealistic Gulf Stream pathways between Cape Hatteras and the Grand Banks from otherwise identical simulations run with a flat bottom, in reduced-gravity mode, or with 1/8° resolution and realistic topography. The model is realistic enough to allow detailed model-data comparisons and a detailed investigation of Gulf Stream dynamics. The corresponding linear solution with a Sverdrup interior and Munk viscous western boundary

  1. Neutral-current neutrino-nucleus reactions and their impact to supernova physics

    Science.gov (United States)

    Tsakstara, V.; Kosmas, T. S.; Dzhioev, A. A.; Vdovin, A. I.

    2013-02-01

    We study neutral-current neutrino-nucleus reactions in nuclei that are relevant for supernova (SN) simulations and for terrestrial experiments aiming at neutrino astrophysics as well as ν-nucleus scattering cross sections measurements. Such studies allow us to improve estimates of nuclear responses to low energy neutrinos in light of the operation of nuclear v-detectors with very-low threshold and very high sensitivity. The adopted ν-energy range is extended to rather high energies (up to 100 MeV) so as to consider allowed and forbidden multipole contributions to cross sections. Both contributions are calculated within the quasi-particle random phase approximation by using realistic two-body forces (Bonn CD potential) for the residual interaction of the nuclear Hamiltonian. As a special application the 56Fe isotope is chosen due to its significant role in SN physics and ν-detection.

  2. Longitudinal impedance and wake from XFEL undulators. Impact on current-enhanced SASE schemes

    CERN Document Server

    Geloni, Gianluca; Schneidmiller, Evgeni; Yurkov, Mikhail

    2007-01-01

    In this article we derive longitudinal impedance and wake function for an undulator setup with arbitrary undulator parameter, taking into account a finite transverse size of the electron bunch. Earlier studies considered a line density-distribution of electrons instead. We focus our attention on the long-wavelength asymptote (compared with resonance wavelength), at large distance of the electron bunch from the undulator entrance compared to the overtaking length, and for large vacuum-chamber size compared to the typical transverse size of the field. These restrictions define a parameter region of interest for practical applications. We calculate a closed expression for impedance and wake function that may be evaluated numerically in the most general case. Such expression allows us to derive an analytical solution for a Gaussian transverse and longitudinal bunch shape. Finally, we study the feasibility of current-enhanced SASE schemes (ESASE) recently proposed for LCLS, that fall well-within our approximations...

  3. The impact of climate change on food security in South Africa: Current realities and challenges ahead

    Directory of Open Access Journals (Sweden)

    Tshepo S. Masipa

    2017-01-01

    Full Text Available This article aims to examine the impact of climate change on food security in South Africa. For this purpose, the article adopted a desktop study approach. Previous studies, reports, surveys and policies on climate change and food (insecurity. From this paper’s analysis, climate change presents a high risk to food security in sub-Saharan countries from crop production to food distribution and consumption. In light of this, it is found that climate change, particularly global warming, affects food security through food availability, accessibility, utilisation and affordability. To mitigate these risks, there is a need for an integrated policy approach to protect the arable land against global warming. The argument advanced in this article is that South Africa’s ability to adapt and protect its food items depends on the understanding of risks and the vulnerability of various food items to climate change. However, this poses a challenge in developing countries, including South Africa, because such countries have weak institutions and limited access to technology. Another concern is a wide gap between the cost of adapting and the necessary financial support from the government. There is also a need to invest in technologies that will resist risks on food systems.

  4. The Impact of Trampling on Reef Macrobenthos in Northeastern Brazil: How Effective are Current Conservation Strategies?

    Science.gov (United States)

    Santos, Gleice S.; Burgos, Douglas C.; Lira, Simone M. A.; Schwamborn, Ralf

    2015-10-01

    Tropical reefs are used for intensive tourism in various parts of the world. However, few studies have investigated the effect of regular trampling on these fragile ecosystems. The aim of this study was to assess the effect of different conservation strategies (open access, partial protection, and total long-term closure) on intertidal reef tops in Porto de Galinhas and Tamandaré, Pernambuco State, Brazil. Analysis of the macrobenthic community was performed with photo transects and image analysis (CPCe). Twenty-seven transects were surveyed from January to August 2012, in intensively impacted (I) open-access sites, in partially protected (P) sites with occasional, illegal trampling, and in a permanently closed (C) site. In I sites, total live cover was half the cover found in adjacent P sites. The area of bare rock averaged 53.6 and 25.0 % in I and P sites, respectively. In the C site, the area of bare rock was only 19.8 %. In I and P sites, macroalgae ( Palisada perforata) were dominating, while in the C site, the zoanthid Zoanthus sociatus was most abundant. Shell-bearing vermetids ( Petaloconchus varians) and bivalves ( Isognomon bicolor) were more abundant at the C site, being possible bioindicators for areas with zero or little trampling. Twelve years of total closure produced near-pristine communities in the C site, dominated by zoanthids and fragile mollusks. This study showed that trampling has severe and long-lasting consequences for the structure of these ecosystems.

  5. Independent control of ion current and ion impact energy onto electrodes in dual frequency plasma devices

    Energy Technology Data Exchange (ETDEWEB)

    Boyle, P C; Ellingboe, A R; Turner, M M [Plasma Research Laboratory, National Centre for Plasma Science and Technology and School of Physical Sciences, Dublin City University, Dublin 9 (Ireland)

    2004-03-07

    Dual frequency capacitive discharges are designed to offer independent control of the flux and energy of ions impacting on an object immersed in a plasma. This is desirable in applications such as the processing of silicon wafers for microelectronics manufacturing. In such discharges, a low frequency component couples predominantly to the ions, while a high frequency component couples predominantly to electrons. Thus, the low frequency component controls the ion energy, while the high frequency component controls the plasma density. Clearly, this desired behaviour is not achieved for arbitrary configurations of the discharge, and in general one expects some unwanted coupling of ion flux and energy. In this paper we use computer simulations with the particle-in-cell method to show that the most important governing parameter is the ratio of the driving frequencies. If the ratio of the high and low frequencies is great enough, essentially independent control of the ion energy and flux is possible by manipulation of the high and low frequency power sources. Other operating parameters, such as pressure, discharge geometry, and absolute power, are of much less significance.

  6. Current and potential impacts of mosquitoes and the pathogens they vector in the Pacific region

    Science.gov (United States)

    LaPointe, Dennis

    2007-01-01

    Mosquitoes and the pathogens they transmit are ubiquitous throughout most of the temperate and tropical regions of the world. The natural and pre-European distribution and diversity of mosquitoes and mosquito-borne diseases throughout much of the Pacific region, however, depicts a depauperate and relatively benign fauna reinforcing the dream of “paradise regained”. In the central and South Pacific few mosquito species were able to colonize the remotest islands and atolls. Native mosquitoes are limited to a few far-ranging species and island endemics are typically restricted to the genera of Aedes and Culex. Only lymphatic filariasis appears to have been present as an endemic mosquito-borne disease before European contact. In nearby Australia, however, some 242 species of mosquitoes are known to occur and more than 70 arboviruses have been identified (Mackenzie 1999). In this regard Australia is more similar to the rest of the tropic and subtropical world than the smaller islands of Oceania. In our ever-shrinking world of global commerce, military activity and travel, the nature of mosquito-borne disease in the Pacific was bound to change. This paper is a brief summary of introduced mosquitoes in the Pacific and their potential impacts on human and wildlife health.

  7. An experimental study of impact loading on deck of shore-connecting jetties ex-posed to oblique waves and current

    Institute of Scientific and Technical Information of China (English)

    孟艳秋; 陈国平; 严士常; 童朝锋

    2014-01-01

    The impact pressure from waves is an important issue to be considered in the design of coastal structures. In this paper, the waves acting on the deck of a shore-connecting jetty on a slope exposed to oblique waves and in the presence of current are examined based on laboratory experiments. The impact pressures are measured on a 1:50 scale model of a jetty head with down-standing beams and berthing members. The relations of the impact pressure with the incident wave angle and the current velocity are examined. It is shown that the impact pressure is sensitive to the wave angle and the current velocity. A computational model for the impact load on the deck of shore-connecting jetties exposed to oblique waves and current is developed.

  8. Historic emergence, impact and current status of shrimp pathogens in the Americas.

    Science.gov (United States)

    Lightner, D V; Redman, R M; Pantoja, C R; Tang, K F J; Noble, B L; Schofield, P; Mohney, L L; Nunan, L M; Navarro, S A

    2012-06-01

    eastern USA via frozen commodity products and it reached the main shrimp farming countries of the Americas located on the Pacific side of the continents by the same mechanism in 1999. As is the case in Asia, WSD is the dominant disease problem of farmed shrimp in the Americas. The most recent disease to emerge in the Americas was infectious myonecrosis caused by IMN virus. As had happened before, within 3years of its discovery, the disease had been transferred to SE Asia with live P. vannamei, and because of its impact on the industry and potential for further spread in was listed by the OIE in 2005. Despite the huge negative impact of disease on the shrimp farming industry in the Americas, the industry has continued to grow and mature into a more sustainable industry. In marked contrast to 15-20years ago when PLs produced from wild adults and wild PLs were used to stock farms in the Americas, the industry now relies on domesticated lines of broodstock that have undergone selection for desirable characteristics including disease resistance.

  9. The impact on CT dose of the variability in tube current modulation technology: a theoretical investigation

    Science.gov (United States)

    Li, Xiang; Segars, W. Paul; Samei, Ehsan

    2014-08-01

    Body CT scans are routinely performed using tube-current-modulation (TCM) technology. There is notable variability across CT manufacturers in terms of how TCM technology is implemented. Some manufacturers aim to provide uniform image noise across body regions and patient sizes, whereas others aim to provide lower noise for smaller patients. The purpose of this study was to conduct a theoretical investigation to understand how manufacturer-dependent TCM scheme affects organ dose, and to develop a generic approach for assessing organ dose across TCM schemes. The adult reference female extended cardiac-torso (XCAT) phantom was used for this study. A ray-tracing method was developed to calculate the attenuation of the phantom for a given projection angle based on phantom anatomy, CT system geometry, x-ray energy spectrum, and bowtie filter filtration. The tube current (mA) for a given projection angle was then calculated as a log-linear function of the attenuation along that projection. The slope of this function, termed modulation control strength, α, was varied from 0 to 1 to emulate the variability in TCM technology. Using a validated Monte Carlo program, organ dose was simulated for five α values (α = 0, 0.25, 0.5, 0.75, and 1) in the absence and presence of a realistic system mA limit. Organ dose was further normalized by volume-weighted CT dose index (CTDIvol) to obtain conversion factors (h factors) that are relatively independent of system specifics and scan parameters. For both chest and abdomen-pelvis scans and for 24 radiosensitive organs, organ dose conversion factors varied with α, following second-order polynomial equations. This result suggested the need for α-specific organ dose conversion factors (i.e., conversion factors specific to the modulation scheme used). On the other hand, across the full range of α values, organ dose in a TCM scan could be derived from the conversion factors established for a fixed-mA scan (hFIXED). This was possible by

  10. Impact of neutrino properties on the estimation of inflationary parameters from current and future observations

    Science.gov (United States)

    Gerbino, Martina; Freese, Katherine; Vagnozzi, Sunny; Lattanzi, Massimiliano; Mena, Olga; Giusarma, Elena; Ho, Shirley

    2017-02-01

    We study the impact of assumptions about neutrino properties on the estimation of inflationary parameters from cosmological data, with a specific focus on the allowed contours in the ns/r plane, where ns is the scalar spectral index and r is the tensor-to-scalar ratio. We study the following neutrino properties: (i) the total neutrino mass Mν=∑i mi (where the index i =1 , 2, 3 runs over the three neutrino mass eigenstates); (ii) the number of relativistic degrees of freedom Neff at the time of recombination; and (iii) the neutrino hierarchy. Whereas previous literature assumed three degenerate neutrino masses or two massless neutrino species (approximations that clearly do not match neutrino oscillation data), we study the cases of normal and inverted hierarchy. Our basic result is that these three neutrino properties induce measurements are included, the standard contours in the ns/r plane are basically reproduced. Larger shifts of the contours in the ns/r plane (up to 0.8 σ ) arise for nonstandard values of Neff. We also provide forecasts for the future CMB experiments Cosmic Origins Explorer (COrE, satellite) and Stage-IV (ground-based) and show that the incomplete knowledge of neutrino properties, taken into account by a marginalization over Mν, could induce a shift of ˜0.4 σ toward lower values in the determination of ns (or a ˜0.8 σ shift if one marginalizes over Neff). Comparison to specific inflationary models is shown. Imperfect knowledge of neutrino properties must be taken into account properly, given the desired precision in determining whether or not inflationary models match the future data.

  11. Longitudinal impedance and wake from XFEL undulators. Impact on current-enhanced SASE schemes

    Energy Technology Data Exchange (ETDEWEB)

    Geloni, G.; Saldin, E.; Schneidmiller, E.; Yurkov, M.

    2007-06-15

    In this article we derive longitudinal impedance and wake function for an undulator setup with arbitrary undulator parameter, taking into account a finite transverse size of the electron bunch. Earlier studies considered a line density-distribution of electrons instead. We focus our attention on the long-wavelength asymptote (compared with resonance wavelength), at large distance of the electron bunch from the undulator entrance compared to the overtaking length, and for large vacuumchamber size compared to the typical transverse size of the field. These restrictions define a parameter region of interest for practical applications. We calculate a closed expression for impedance and wake function that may be evaluated numerically in the most general case. Such expression allows us to derive an analytical solution for a Gaussian transverse and longitudinal bunch shape. Finally, we study the feasibility of current-enhanced SASE schemes (ESASE) recently proposed for LCLS, that fall well-within our approximations. Numerical estimations presented in this paper indicate that impedance-induced energy spread is sufficient to seriously degrade the FEL performance. Our conclusion is in contrast with results in literature, where wake calculations for the LCLS case are given in free-space, as if the presence of the undulator were negligible. (orig.)

  12. The Current Crisis in Emergency Care and the Impact on Disaster Preparedness

    Directory of Open Access Journals (Sweden)

    Trainer Marcia

    2008-05-01

    Full Text Available Abstract Background The Homeland Security Act (HSA of 2002 provided for the designation of a critical infrastructure protection program. This ultimately led to the designation of emergency services as a targeted critical infrastructure. In the context of an evolving crisis in hospital-based emergency care, the extent to which federal funding has addressed disaster preparedness will be examined. Discussion After 9/11, federal plans, procedures and benchmarks were mandated to assure a unified, comprehensive disaster response, ranging from local to federal activation of resources. Nevertheless, insufficient federal funding has contributed to a long-standing counter-trend which has eroded emergency medical care. The causes are complex and multifactorial, but they have converged to present a severely overburdened system that regularly exceeds emergency capacity and capabilities. This constant acute overcrowding, felt in communities all across the country, indicates a nation at risk. Federal funding has not sufficiently prioritized the improvements necessary for an emergency care infrastructure that is critical for an all hazards response to disaster and terrorist emergencies. Summary Currently, the nation is unable to meet presidential preparedness mandates for emergency and disaster care. Federal funding strategies must therefore be re-prioritized and targeted in a way that reasonably and consistently follows need.

  13. Impacts of China's Current Appliance Standards and LabelingProgram to 2020

    Energy Technology Data Exchange (ETDEWEB)

    Fridley, David; Aden, Nathaniel; Zhou, Nan; Lin, Jiang

    2007-03-03

    The report summarizes the history and nature of China sstandardsand labeling program in the Introduction in Section 1. Trends indomestic production, exports, penetration rates, unit energy consumptionand the history of S&L technical levels by product are discussed ingreat detail in Section 2. The national energy impactsanalysis found inSection 3 concludes that overall China s standards and labeling programsreduce total electricity consumption in 2020 by an annual 106 TWh, or 16percent of what would otherwise been expected in that year in the absenceof standards and labeling programs.In total, the report concludes thatthe S&L programs currently in place in China are expected to save acumulative 1143 TWh by 2020, or 9 percent of the cumulative consumptionof residential electricity to that year. In 2020 alone, annual savingsare expected to be equivalent to 11 percent of residential electricityuse. In average generation terms, this is equivalent to 27 1-GW coalfired plants that would have required around 75 million tonnes of coal tooperate.In comparison, savings from the US appliance standards programalone is expected to save 10 percent of residential electricityconsumption in 2020.

  14. Lymph node-positive prostate cancer: current issues, emerging technology and impact on clinical outcome.

    Science.gov (United States)

    Adams, Julia; Cheng, Liang

    2011-09-01

    Lymph node metastasis in patients with prostate cancer indicates a poorer prognosis compared with patients without lymph node metastasis; however, some patients with node-positive disease have long-term survival. Many studies have attempted to discern what characteristics of lymph node metastasis are prognostically significant. These characteristics include nodal tumor volume, number of positive lymph nodes, lymph node density, extranodal extension, lymphovascular invasion and tumor dedifferentiation. Favorable characteristics of regional lymph node involvement included a smaller tumor size and smaller tumor volume. However, the current staging system for prostate cancer does not provide different subclassifications for patients with node-positive prostate cancer. In recent years numerous advanced technologies for the detection of lymph node metastasis have been developed, including molecular imaging techniques and the CellSearch Circulating Tumor Cell System. With the increased detection of patients with prostate cancer, emergence of new technology to identify lymph node metastasis and the number of radical prostatectomies being performed on the rise, subclassifying patients with lymph node-positive disease is imperative. Subclassification would provide a better picture of patient prognosis and allow for a better understanding of targeted therapies to treat patients with lymph node metastasis.

  15. Current and future impacts of ultraviolet radiation on the terrestrial carbon balance

    Institute of Scientific and Technical Information of China (English)

    W. Kolby SMITH; Wei GAO; Heidi STELTZER

    2009-01-01

    One of the most documented effects of human activity on our environment is the reduction of stratospheric ozone resulting in an increase of biologically harmful ultraviolet (UV) radiation. In a less predictable manner, UV radiation incident at the surface of the earth is expected to be further modified in the future as a result of altered cloud condition, atmospheric aerosol concentration, and snow cover. Although UV radiation comprises only a small fraction of the total solar radiation that is incident at the earth's surface, it has the greatest energy per unit wavelength and, thus, the greatest potential to damage the biosphere. Recent investigations have highlighted numerous ways that UV radiation could potentially affect a variety of ecological processes, including nutrient cycling and the terrestrial carbon cycle. The objectives of the following literature review are to summarize and synthesize the available information relevant to the effects of UV radiation and other climate change factors on the terrestrial carbon balance in an effort to highlight current gaps in knowledge and future research directions for UV radiation research.

  16. Impact of potential changes to the current bovine spongiform encephalopathy surveillance programs for slaughter cattle and fallen stock in Japan.

    Science.gov (United States)

    Sugiura, Katsuaki; Murray, Noel; Shinoda, Naoki; Onodera, Takashi

    2009-07-01

    Cattle slaughtered in Japan for human consumption, regardless of their age, have been tested for bovine spongiform encephalopathy (BSE) since October 2001. Beginning in April 2004, all fallen stock from 24 months of age also have been tested. We evaluated the impact of potential changes to the current BSE surveillance programs for both slaughter cattle and fallen stock using a simple stochastic model. We calculated the probability that a BSE-infected dairy cow, Wagyu beef animal, Wagyu-Holstein cross steer or heifer, or Holstein steer slaughtered for human consumption or arising as fallen stock would be tested and detected. Four surveillance strategies were explored for cattle slaughtered for human consumption, with the minimum age at testing set at 0, 21, 31, or 41 months. Three surveillance strategies were explored for fallen stock, with the minimum age at testing set at 24, 31, or 41 months. Increasing the minimum age of testing from 0 to 21 months for both dairy cattle and Wagyu beef cattle had very little impact on the probability that a BSE-infected animal slaughtered for human consumption would be detected. Although increasing the minimum age at testing from 21 to 31 or 41 months would lead to fewer slaughtered animals being tested, the impact on the probability of detecting infected animals would be insignificant. The probability of infected Wagyu-Holstein crosses and Holstein steers being detected at slaughter or as fallen stock would be very low under all surveillance strategies.

  17. Educating My Replacement

    Science.gov (United States)

    Tarter, Jill

    The search for extraterrestrial intelligence (SETI) could succeed tomorrow, decades from now, or never. The nature of this scientific exploration is such that we cannot predict success on any timescale; we only know that if we do not search, we cannot succeed. Having spent my scientific career in this field, I know perhaps better than anyone that the researchers of tomorrow may hold the key. Thus I have an enormous and vested interest in trying to educate the next generation of scientists. Because SETI excites such enthusiasm in young and old alike, I have an excellent opportunity to capture hearts and minds and leverage this interest into science education at many levels. Astrobiology is the new banner for inter- and cross-disciplinary investigations aimed at answering the big question "Are we alone?" The story of cosmic evolution is one that scientists at the SETI Institute have been telling for decades. We have used it as the framework for developing supplementary materials for elementary and middle schools called Life In The Universe. Currently we are tackling a year-long curriculum called Voyages Through Time for ninth grade students. This curriculum is delivered on CD-ROM and supported by the web. It focuses on evolution as a theme and stresses the contributions made from all the traditionally isolated branches of science --- and by the way, it's fun! I am a product of the post-Sputnik era and the American emphasis on science and engineering education. In the New York City bedroom community where I grew up, every school bond issue passed at every election. So I am appalled at the difficulties, the impecuniousness, and bureaucratic nonsense our pilot and field test teachers encounter on a daily basis. I am also overjoyed that even under such unreasonable conditions, I meet enthusiastic teachers who care about their students and are dedicated to helping them achieve the best possible education. Not all students will become scientists, nor should they. However

  18. Occupational health impacts of climate change: current and future ISO standards for the assessment of heat stress.

    Science.gov (United States)

    Parsons, Ken

    2013-01-01

    The current system of International Standards (ISO) is assessed to consider whether standards are fit for purpose for the future in the context of climate change. ISO 7243, ISO 7933 and ISO 9886 provide the current ISO system for the assessment of heat stress. These involve a simple monitoring index, an analytical approach and physiological monitoring, respectively. The system relies on accurate measurement of the thermal conditions experienced by the worker (ISO 7726); and estimations of metabolic heat production due to work (ISO 8996) and the thermal properties of clothing (ISO 9920). As well as standards for heat stress assessment, the full range of ISO standards and the physical environment is listed as well as current work and proposed standards. A particular 'gap' in anticipating requirements for ISO standards in the future is the link between meteorological data and ISO standards. This is important for predicting the global consequences of a changing climate and anticipating potential impacts on occupational health across countries and cultures.

  19. Symptom severity of depressive symptoms impacts on social cognition performance in current but not remitted major depressive disorder.

    Science.gov (United States)

    Air, Tracy; Weightman, Michael J; Baune, Bernhard T

    2015-01-01

    The aim of the present study was to investigate the social cognitive functioning of participants with depression when compared with healthy controls, and to assess the impact of symptom severity. One hundred and eight patients with depression (66 remitted and 42 current) and 52 healthy controls were assessed using the Wechsler Advanced Clinical Solutions: Social Perception Subtest, measuring facial affect recognition in isolation and in combination with prosody and body language interpretation. When healthy controls, remitted depression and currently depressed groups were compared, no associations were found on any of the social cognition subscales. Severity of depressive and anxious symptoms predicted performance on all social cognition subscales in currently depressed participants, controlling for age, gender, education and psychotropic medication. Affective depressive symptoms were inversely related to ACS Pairs and Prosody subscales, while somatic symptoms were inversely related to the ACS Affect Recognition and Total scores. There was no association between severity and the WAIS ACS in remitted depression participants. People with MDD exhibiting more severe depressive and anxious symptoms and a cluster of affective symptoms have greater difficulty undertaking complex social cognitive tasks. Given the state like nature to these deficits, these impairments may cause problems with day to day functioning and have implications in targeted therapeutic interventions.

  20. 瓣膜类型对主动脉瓣置换术后早期心功能影响的分析%Analysis of Valve Type Impact on Early Heart Function after Aortic Valve Replacement

    Institute of Scientific and Technical Information of China (English)

    闫成雷; 高长青; 李伯君; 叶卫华

    2012-01-01

    目的 分析主动脉瓣置换术后瓣膜类型对患者术后早期心功能的影响.方法 回顾性分析在我科行主动脉瓣置换手术的68例患者,年龄23 ~73(48.9±11.2)岁,其中男54例,女14例.病变类型:单纯主动脉瓣狭窄5例,主动脉瓣狭窄伴关闭不全21例,单纯主动脉瓣关闭不全42例.其中53例植入机械瓣,15例植入生物瓣.结果 无死亡及其他严重并发症.术后超声心动图示升主动脉内径[(37.9±5.3) vs (40.5±5.7) mm,P<0.05]较术前明显减小,术后左心室舒张末内径[(46.2±9.1) vs (58.9±11.6) mm,P<0.05]较术前明显减小,生物瓣及机械瓣两组患者术前及术后左心室舒张末内径、左心室射血分数、升主动脉直径等比较,差异无统计学意义,左心室舒张末内径和升主动脉直径的术前及术后的变化值比较,差异无统计学意义.结论 主动脉瓣置换术可改善患者心功能,瓣膜的类型在主动脉瓣置换术中对心功能的改善无影响.%Objective To analyze the impact of valve type on early heart function after aortic valve replacement. Methods We retrospectively analyzed 68 patients who underwent aortic valve replacement. Patients were aged (48.9±11.2) years on average ( range ,23 to 73 years ), including 54 males and 14 females. 5 patients had pure aortic stenosis,21 patients pure aortic insufficiency,and 42 patients aortic stenosis with insufficiency. Among them,53 underwent mechanical valve replacement,and 15 underwent bioprosthetic valve replacement. Results No death or other serious complications. The postoperative ascending aortic di-ametei{(37.9±5.3)vs(40. 5 ±5. 7 )mm,P <0. 05 land LVEDD[ ( 46. 2 ±9. 1 )vs(58.9 ±11.6)mm, P <0.05 Jwere both less than the preoperative data. Between bioprosthetic valve group and mechanical valve group,postoperative and preoperative ascending aortic diameter,LVEDD and LVEF were similar. Conclusion Aortic valve replacement can improve heart function, and valve type has

  1. Robotic mitral valve replacement.

    Science.gov (United States)

    Senay, Sahin; Gullu, Ahmet Umit; Kocyigit, Muharrem; Degirmencioglu, Aleks; Karabulut, Hasan; Alhan, Cem

    2014-01-01

    Robotic surgical techniques allow surgeons to perform mitral valve surgery. This procedure has gained acceptance, particularly for mitral valve repair in degenerative mitral disease. However, mitral repair may not always be possible, especially in severely calcified mitral valve of rheumatic origin. This study demonstrates the basic concepts and technique of robotic mitral valve replacement for valve pathologies that are not suitable for repair.

  2. Replacing America's Job Bank

    Science.gov (United States)

    Vollman, Jim

    2009-01-01

    The Job Central National Labor Exchange (www.jobcentral.com) has become the effective replacement for America's Job Bank with state workforce agencies and, increasingly, with community colleges throughout the country. The American Association of Community Colleges (AACC) has formed a partnership with Job Central to promote its use throughout the…

  3. Replacing America's Job Bank

    Science.gov (United States)

    Vollman, Jim

    2009-01-01

    The Job Central National Labor Exchange (www.jobcentral.com) has become the effective replacement for America's Job Bank with state workforce agencies and, increasingly, with community colleges throughout the country. The American Association of Community Colleges (AACC) has formed a partnership with Job Central to promote its use throughout the…

  4. Drug Dosing During Continuous Renal Replacement Therapies

    OpenAIRE

    Thompson, A. Jill

    2008-01-01

    Continuous renal replacement therapies (CRRT) are used to manage fluid overload and/or renal failure. The continuous nature of the fluid and solute removal has less impact on hemodynamic variables in critically ill patients, making CRRT preferred over intermittent hemodialysis for some patients in the intensive care arena. The impact of CRRT on drug removal is variable depending on the CRRT modality, the ultrafiltrate and dialysate flow rates, the filter, and the patient's residual renal func...

  5. Impact of charge transport on current-voltage characteristics and power-conversion efficiency of organic solar cells.

    Science.gov (United States)

    Würfel, Uli; Neher, Dieter; Spies, Annika; Albrecht, Steve

    2015-04-24

    This work elucidates the impact of charge transport on the photovoltaic properties of organic solar cells. Here we show that the analysis of current-voltage curves of organic solar cells under illumination with the Shockley equation results in values for ideality factor, photocurrent and parallel resistance, which lack physical meaning. Drift-diffusion simulations for a wide range of charge-carrier mobilities and illumination intensities reveal significant carrier accumulation caused by poor transport properties, which is not included in the Shockley equation. As a consequence, the separation of the quasi Fermi levels in the organic photoactive layer (internal voltage) differs substantially from the external voltage for almost all conditions. We present a new analytical model, which considers carrier transport explicitly. The model shows excellent agreement with full drift-diffusion simulations over a wide range of mobilities and illumination intensities, making it suitable for realistic efficiency predictions for organic solar cells.

  6. Pickup impact on high-voltage multifinger LDMOS-SCR with low trigger voltage and high failure current

    Science.gov (United States)

    Yang, Liu; Jin, Xiangliang; Wang, Yang; Zhou, Acheng

    2015-12-01

    The impact of inserting P+ pickup on high-voltage multi-finger laterally diffused metal-oxide-semiconductor-silicon-controlled rectifier (LDMOS-SCR) has been studied in this article. Four-finger LDMOS-SCR structures with finger length of 50 μm using 0.5 μm 18 V complementarily diffused metal oxide semiconductor (CDMOS) process were fabricated and tested. Theoretical analysis is carried out to make detailed comparisons between LDMOS-SCR with and without P+ pickup. It verifies that the multi-finger LDMOS-SCR with P+ pickup has greater electrostatic discharge (ESD) robustness and effectiveness. Furthermore, transmission line pulse (TLP) test has been done and the results show that the trigger voltage (Vt1) of the LDMOS-SCR with P+ pickup remarkably decreases from 46.19 to 35.39 V and the second breakdown current (It2) effectively increases from 8.13 to 10.08 A.

  7. Total ankle replacement. Design evolution and results.

    Science.gov (United States)

    van den Heuvel, Alexander; Van Bouwel, Saskia; Dereymaeker, Greta

    2010-04-01

    The ankle joint has unique anatomical, biomechanical and cartilaginous structural characteristics that allow the joint to withstand the very high mechanical stresses and strains over years. Any minor changes to any of these features predispose the joint to osteoarthritis. Total ankle replacement (TAR) is evolving as an alternative to ankle arthrodesis for the treatment of end-stage ankle osteoarthritis. Initial implant designs from the early 1970s had unacceptably high failure and complication rates. As a result many orthopaedic surgeons have restricted the use of TAR in favour of ankle arthrodesis. Long term follow-up studies following ankle arthrodesis show risks of developing adjacent joint osteoarthritis. Therefore research towards a successful ankle replacement continues. Newer designs and longer-term outcome studies have renewed the interest in ankle joint replacement. We present an overview of the evolution, results and current concepts of total ankle replacement.

  8. Total ankle replacement - surgical treatment and rehabilitation.

    Science.gov (United States)

    Prusinowska, Agnieszka; Krogulec, Zbigniew; Turski, Piotr; Przepiórski, Emil; Małdyk, Paweł; Księżopolska-Orłowska, Krystyna

    2015-01-01

    Functions of the ankle joint are closely connected with the gait and ability to maintain an upright position. Degenerative lesions of the joint directly contribute to postural disorders and greatly restrict propulsion of the foot, thus leading to abnormal gait. Development of total ankle replacement is connected with the use of the method as an efficient treatment of joint injuries and continuation of achievements in hip and knee surgery. The total ankle replacement technique was introduced as an alternative to arthrodesis, i.e. surgical fixation, which made it possible to preserve joint mobility and to improve gait. Total ankle replacement is indicated in post-traumatic degenerative joint disease and joint destruction secondary to rheumatoid arthritis. In this paper, total ankle replacement and various types of currently used endoprostheses are discussed. The authors also describe principles of early postoperative rehabilitation as well as rehabilitation in the outpatient setting.

  9. Renal replacement therapy for acute renal failure.

    Science.gov (United States)

    Macedo, E; Bouchard, J; Mehta, R L

    2009-09-01

    Renal replacement therapy became a common clinical tool to treat patients with severe acute kidney injury (AKI) since the 1960s. During this time dialytic options have expanded considerably; biocompatible membranes, bicarbonate dialysate and dialysis machines with volumetric ultrafiltration control have improved the treatment for acute kidney injury. Along with advances in methods of intermittent hemodialysis, continuous renal replacement therapies have gained widespread acceptance in the treatment of dialysis-requiring AKI. However, many of the fundamental aspects of the renal replacement treatment such as indication, timing of dialytic intervention, and choice of dialysis modality are still controversial and may influence AKI patient's outcomes. This review outlines current concepts in the use of dialysis techniques for AKI and suggests an approach for selecting the optimal method of renal replacement therapy.

  10. Changes in glaciers in the Swiss Alps and impact on basin hydrology: current state of the art and future research.

    Science.gov (United States)

    Pellicciotti, F; Carenzo, M; Bordoy, R; Stoffel, M

    2014-09-15

    Switzerland is one of the countries with some of the longest and best glaciological data sets. Its glaciers and their changes in response to climate have been extensively investigated, and the number and quality of related studies are notable. However, a comprehensive review of glacier changes and their impact on the hydrology of glacierised catchments for Switzerland is missing and we use the opportunity provided by the EU-FP7 ACQWA project to review the current state of knowledge about past changes and future projections. We examine the type of models that have been applied to infer glacier evolution and identify knowledge gaps that should be addressed in future research in addition to those indicated in previous publications. Common characteristics in long-term series of projected future glacier runoff are an initial peak followed by a decline, associated with shifts in seasonality, earlier melt onset and reduced summer runoff. However, the quantitative predictions are difficult to compare, as studies differ in terms of model structure, calibration strategies, input data, temporal and spatial resolution as well as future scenarios used for impact studies. We identify two sources of uncertainties among those emerging from recent research, and use simulations over four glaciers to: i) quantify the importance of the correct extrapolation of air temperature, and ii) point at the key role played by debris cover in modulating glacier response. Copyright © 2014 Elsevier B.V. All rights reserved.

  11. Sudden Oak Death-Induced Tanoak Mortality in Coast Redwood Forests: Current and Predicted Impacts to Stand Structure

    Directory of Open Access Journals (Sweden)

    Kevin L. O’Hara

    2010-08-01

    Full Text Available Tanoak (Notholithocarpus densiflorus syn. Lithocarpus densiflorus is one of the most widespread and abundant associates of coast redwood (Sequoia sempervirens, but little is known about the structural relationships between these two species. Knowledge of such relationships is essential for a thorough understanding of the impacts of sudden oak death (caused by the exotic pathogen Phytophthora ramorum, which is currently decimating tanoak populations throughout the redwood range. In this study, we utilized a stratified plot design and a stand reconstruction technique to assess structural impacts, at present and in the future, of this emerging disease. We found that residual trees in diseased plots were more aggregated than trees in unaffected plots, and we predicted that the loss of tanoak will lead to the following short-term changes: greater average diameter, height, height-to-live-crown, and crown length, as well as an increase in average nearest neighbor differences for diameter, height, and crown length. In addition, plots lacking tanoak (living or dead—as compared to plots with tanoak—exhibited greater average diameter and increased nearest neighbor differences with regard to diameter, height, and crown length. We also conducted a preliminary exploration of how sudden oak death-induced structural changes compare with typical old-growth characteristics, and how this disease may affect the structure of old-growth forests.

  12. Unreviewed Disposal Question Evaluation: Impact of New Information since 2008 PA on Current Low-Level Solid Waste Operations

    Energy Technology Data Exchange (ETDEWEB)

    Flach, G.; Smith, F.; Hamm, L.; Butcher, T.

    2014-10-06

    Solid low-level waste disposal operations are controlled in part by an E-Area Low-Level Waste Facility (ELLWF) Performance Assessment (PA) that was completed by the Savannah River National Laboratory (SRNL) in 2008 (WSRC 2008). Since this baseline analysis, new information pertinent to disposal operations has been identified as a natural outcome of ongoing PA maintenance activities and continuous improvement in model simulation techniques (Flach 2013). An Unreviewed Disposal Question (UDQ) Screening (Attachment 1) has been initiated regarding the continued ability of the ELLWF to meet Department of Energy (DOE) Order 435.1 performance objectives in light of new PA items and data identified since completion of the original UDQ Evaluation (UDQE). The present UDQE assesses the ability of Solid Waste (SW) to meet performance objectives by estimating the influence of new information items on a recent sum-of-fractions (SOF) snapshot for each currently active E-Area low-level waste disposal unit. A final SOF, as impacted by this new information, is projected based on the assumptions that the current disposal limits, Waste Information Tracking System (WITS) administrative controls, and waste stream composition remain unchanged through disposal unit operational closure (Year 2025). Revision 1 of this UDQE addresses the following new PA items and data identified since completion of the original UDQE report in 2013: New Kd values for iodine, radium and uranium; Elimination of cellulose degradation product (CDP) factors; Updated radionuclide data; Changes in transport behavior of mobile radionuclides; Potential delay in interim closure beyond 2025; and Component-in-grout (CIG) plume interaction correction. Consideration of new information relative to the 2008 PA baseline generally indicates greater confidence that PA performance objectives will be met than indicated by current SOF metrics. For SLIT9, the previous prohibition of non-crushable containers in revision 0

  13. Effect of growth hormone replacement therapy on pituitary hormone secretion and hormone replacement therapies in GHD adults

    DEFF Research Database (Denmark)

    Hubina, Erika; Mersebach, Henriette; Rasmussen, Ase Krogh;

    2004-01-01

    We tested the impact of commencement of GH replacement therapy in GH-deficient (GHD) adults on the circulating levels of other anterior pituitary and peripheral hormones and the need for re-evaluation of other hormone replacement therapies, especially the need for dose changes.......We tested the impact of commencement of GH replacement therapy in GH-deficient (GHD) adults on the circulating levels of other anterior pituitary and peripheral hormones and the need for re-evaluation of other hormone replacement therapies, especially the need for dose changes....

  14. Assessment of Power Potential of Tidal Currents and Impacts of Power Extraction on Flow Conditions in Indonesia

    Science.gov (United States)

    Orhan, Kadir; Mayerle, Roberto

    2017-04-01

    kinetic energy dissipation. Preliminary results show the effectiveness of the method to capture the effects of power extraction, and wake characteristics and recovery reasonably well with low computational cost. It was found that although there is no significant change regarding water levels, an impact has been observed on current velocities as a result of velocity profile adjusting to the increased momentum transfer. It was also seen that, depending on the level of energy dissipation, currently recommended tidal farm configurations can be conservative regarding the spacing of the tidal turbines.

  15. Examining impacts of current-use pesticides in Southern Ontario using in situ exposures of the amphipod Hyalella azteca.

    Science.gov (United States)

    Bartlett, Adrienne J; Struger, John; Grapentine, Lee C; Palace, Vince P

    2016-05-01

    In situ exposures with Hyalella azteca were used to assess impacts of current-use pesticides in Southern Ontario, Canada. Exposures were conducted over 2 growing seasons within areas of high pesticide use: 1 site on Prudhomme Creek and 3 sites on Twenty Mile Creek. Three sites on Spencer Creek, an area of low pesticide use, were added in the second season. Surface water samples were collected every 2 wk to 3 wk and analyzed for a suite of pesticides. Hyalella were exposed in situ for 1 wk every 4 wk to 6 wk, and survival and acetylcholinesterase (AChE) activity were measured. Pesticides in surface waters reflected seasonal use patterns: lower concentrations in spring and fall and higher concentrations during summer months. Organophosphate insecticides (chlorpyrifos, azinphos methyl, diazinon) and acid herbicides (2,4-dichlorophenoxyacetic acid [2,4-D], mecoprop) were routinely detected in Prudhomme Creek, whereas neutral herbicides (atrazine, metolachlor) dominated the pesticide signature of Twenty Mile Creek. Spencer Creek contained fewer pesticides, which were measured at lower concentrations. In situ effects also followed seasonal patterns: higher survival and AChE activity in spring and fall, and lower survival and AChE activity during summer months. The highest toxicity was observed at Prudhomme Creek and was primarily associated with organophosphates. The present study demonstrated that current-use pesticides in Southern Ontario were linked to in situ effects and identified sites of concern requiring further investigation.

  16. Modeling the Impacts of El Nino Events on Nutrients and Productivity in the Northern Humboldt Current System

    Science.gov (United States)

    Espinoza Morriberon, D.; Echevin, V.; Colas, F.; Tam, J.; Ledesma, J. A.; Vasquez, L.

    2016-12-01

    The Humboldt Current System is one of the most important coastal upwelling system with an intense oxygen minimum zone, a high productivity and an important fishery activity. Every 2 to 7 years, ENSO events profoundly alter the environmental landscape of the system for several months. The ENSO warm phase, El Nino, is characterized by high sea surface temperature and low nutrient and chlorophyll concentration. A regional coupled physical-biogeochemical model is used to describe and understand the physical-biogeochemical coupled processes involved in the decrease of phytoplankton during El Nino, with a particular focus on the strong events. Comparison between observational data from surveys and satellites with model outputs show that our model configuration is able to reproduce the inter-annual dynamic variability off the Peruvian coast and the impacts of El Niño events. Temperature and sea level anomalies increase, while chlorophyll and nutrients concentration decrease. Passages of strong coastal-trapped waves during El Niño deepen both the thermocline and the nutricline and chlorophyll concentrations decrease. The upwelling intensity weakens because of a zonal geostrophic current flowing toward the coast. We show that the depth of upwelled waters does not change considerably, however their nitrate concentration decreases dramatically limiting the phytoplankton growth. We also illustrate that eddies also play an important role in nitrate loss during El Nino by increasing the offshore subduction.

  17. Incremental Innovation and Progress in Advanced Squamous Cell Lung Cancer: Current Status and Future Impact of Treatment.

    Science.gov (United States)

    Langer, Corey J; Obasaju, Coleman; Bunn, Paul; Bonomi, Philip; Gandara, David; Hirsch, Fred R; Kim, Edward S; Natale, Ronald B; Novello, Silvia; Paz-Ares, Luis; Pérol, Maurice; Reck, Martin; Ramalingam, Suresh S; Reynolds, Craig H; Socinski, Mark A; Spigel, David R; Wakelee, Heather; Mayo, Carlos; Thatcher, Nick

    2016-12-01

    Squamous cell lung cancer (sqCLC) is an aggressive form of cancer that poses many therapeutic challenges. Patients tend to be older, present at a later stage, and have a high incidence of comorbidities, which can compromise treatment delivery and exacerbate toxicity. In addition, certain agents routinely available for nonsquamous cell histologic subtypes, such as bevacizumab and pemetrexed, are contraindicated or lack efficacy in sqCLC. Therapeutic progress has been much slower for advanced sqCLC, with median survival times of approximately 9 to 11 months in most studies. Herein, we discuss the current therapeutic landscape for patients with sqCLC versus with nonsquamous NSCLC. Current evidence indicates that new targeted treatments, notably monoclonal antibodies such as ramucirumab and necitumumab, and immunotherapies such as nivolumab and pembrolizumab can provide survival prolongation, although the benefits are still relatively modest. These incremental improvements, all realized since 2012, in aggregate, will very likely have a clinically meaningful impact for patients with sqCLC. We also discuss recent genomic studies of sqCLC that have identified potentially actionable molecular targets, as well as the relevant targeted agents in clinical development. Finally, we discuss the magnitude of survival benefit and the risk-to-benefit ratio that would prove clinically meaningful in this underserved patient population with unmet needs.

  18. Air-sea Energy Transfer at Mesoscale in a Coupled High-resolution Model: Impact of Resolution and Current Feedback

    Science.gov (United States)

    Jullien, S.; Colas, F.; Masson, S. G.; Oerder, V.; Echevin, V.; Samson, G.; Crétat, J.; Berthet, S.; Hourdin, C.

    2015-12-01

    Winds are usually considered to force the ocean but recent studies suggested that oceanic mesoscale activity, characterized by eddies, filaments and fronts, could also affect the wind field. These structures feature abrupt changes in sea surface temperature (SST), surface pressure and surface currents that could impact the atmosphere by enhancing/reducing air-sea fluxes, accelerating/decelerating winds, modifying the wind-pressure balance… At this time, the detailed processes associated to such coupling, its intensity and significance remain a matter of research. Here, a state-of-the-art WRF-OASIS-NEMO coupled model is set up over a wide tropical channel (45°S-45°N) at various resolutions: 3/4°, 1/4° and 1/12° in both the ocean and the atmosphere. Several experiments are conducted in forced, partially or fully coupled modes, to highlight the effect of resolution and the role of SST vs. current feedback to energy injection into the ocean and the atmosphere. In strong mesoscale activity regions, a negative wind power input from the atmosphere to the ocean is seen at scales ranging from 100km to more than 1000km. Nonexistent at 3/4°, this negative forcing, acting against oceanic mesoscale activity, is almost twice more important at 1/12° than at 1/4°. In addition, partially coupled simulations, i.e. without current feedback, show that the impact of thermal coupling on this process is very limited. Energy injection to the marine atmospheric boundary layer also features imprints from oceanic mesoscale. Energy injection by scales shorter than 300km represents up to 20% of the total. Finally we show that increasing oceanic resolution, and therefore mesoscale activity, is necessary to resolve the full wind stress spectrum and has an upscaling effect by enhancing atmospheric mesoscale, which is larger scale than in the ocean. Using 1/4°oceanic resolution instead of 1/12° leads to a 50% loss of energy in the atmospheric mesoscale.

  19. Research on Impact and Strategies of Business Tax Replaced with VAT for Construction Enterprise in China%"营改增"对我国建筑企业的影响及应对策略

    Institute of Scientific and Technical Information of China (English)

    徐瑶

    2016-01-01

    从税负、经营成果、税收征管角度,分析建筑业实施"营改增"的影响,并针对性地提出降低试点企业一般纳税人认定标准、加强材料采购管理、解决"甲供材"结算不利影响、加强合同评审、提高税款抵扣比例、在工程项目所在地预征增值税、借鉴企业所得税汇算清缴制度均衡税款入库时间等对策和建议.%The paper analyzes the impact of replacing business tax with value-added tax(VAT)from the perspective of tax burden,operating results,tax collection and management,and puts forward the suggestions naming reducing the certification standard of general taxpayer of pilot enterprise,strengthening the management of material procurement,solving the adverse effects of material settlement of materials provided by the first party,strengthening contract review,raising the proportion of tax deduction,pre-collecting VAT in the place that the project exists,balancing the receipt entry of tax by drawing lessons from settlement system of corporate income tax.

  20. 再生骨料取代率对再生混凝土物理力学性能的影响%Impact of Recycled Aggregate's Replacement Rate on Physical and Mechanical Properties of Recycled Aggregate Concrete

    Institute of Scientific and Technical Information of China (English)

    陈国慧; 彭泽艳

    2014-01-01

    Taking ordinary concrete C30 as the benchmark, technological indexed like water absorption, water-binder ratio, slump,strength,apparent densi-ty and cracking index of natural aggregate concrete and recycled aggregate concrete are respectively measured with experiment. The impact of different replacement rates of recycled aggregate on its mixture and physical and mechanical properties in settling and hardening process are also studied with com-parative analysis method.%以C30普通混凝土为基准,通过实验分别测定天然骨料和再生骨料混凝土吸水率、水胶比、坍落度、强度、表观密度、开裂指数等技术指标,运用对比分析法研究再生骨料不同取代率对再生混凝土拌合物及其凝结硬化过程物理力学性能的影响。

  1. Property Assessment of Sponge Cake Added with Egg Replacer

    Directory of Open Access Journals (Sweden)

    Yaqiang He

    2015-08-01

    Full Text Available Chicken egg which is always used in sponge cake production is likely to deteriorate during storage or transportation. This weakness prevents the wide use of chicken egg in sponge cake making. In order to solve this problem, egg replacer has been developed. In this study, effect of egg replacer on the property of sponge cake was analyzed. The result indicated egg replacer could improve the yield rate and specific volume of sponge cake. However, high content of egg replacer would negatively impact the internal structure and sensory property of sponge cake. Based on the result of this research, optimum content of egg replacer in sponge cake is 3.6 g. In the industrial production of sponge cake, different types of wheat flour and additives would be used. The optimum content of egg replacer may be different from the result of this research. Therefore, in the industrial production, the optimum content of egg replacer should be determined based on experiment.

  2. Dynamics of the Leeuwin Current: Part 2. Impacts of mixing, friction, and advection on a buoyancy-driven eastern boundary current over a shelf

    Science.gov (United States)

    Benthuysen, Jessica; Furue, Ryo; McCreary, Julian P.; Bindoff, Nathaniel L.; Phillips, Helen E.

    2014-03-01

    The boundary currents over the Western Australian continental shelf and slope consist of the poleward flowing Leeuwin Current (LC) and the equatorward flowing Leeuwin Undercurrent (LUC). Key properties of the LC are its poleward strengthening, deepening to the south, and shelfbreak intensification. The alongshore flow reverses direction below about 300 m, forming the LUC at greater depths. To investigate the processes that cause these features, we obtain solutions to an idealized, regional ocean model of the South Indian Ocean. Solutions are forced by relaxing surface density to a prescribed, meridionally varying density profile ρ*(y) with a timescale of δt. In addition, vertical diffusion is intensified near the ocean surface. This diffusion establishes the minimum thickness over which density is well-mixed. We define this thickness as the “upper layer”. Solutions are obtained with and without a continental shelf and slope off Western Australia and for a range of values of δt and mixing parameters. Within this upper layer, there is a meridional density gradient that balances a near-surface, eastward geostrophic flow. The eastward current downwells near the eastern boundary, leading to westward flow at depth. The upper layer's meridional structure and zonal currents crucially depend on coastal processes, including the presence of topography near the eastern boundary. Kelvin waves inhibit the upper layer from deepening at the coast. Rossby waves propagate the coastal density structure offshore, hence modifying the interior currents. A comparison of the solutions with or without a continental shelf and slope demonstrate that topographic trapping of Rossby waves is a necessary process for maintaining realistic eastern boundary current speeds. Significant poleward speeds occur only onshore of where the upper layer intersects the slope, that is, at a grounding line. Its poleward transport increases when surface-enhanced vertical mixing is applied over a greater

  3. REMINDER REPLACEMENT OF FRENCH CARDS

    CERN Multimedia

    Human Resources Division; Cards.Service@cern.ch

    2001-01-01

    The French Ministry of Foreign Affairs is currently replacing all diplomatic cards, special cards and employment permits («attestations de fonctions») held by members of the personnel and their families. These cards are replaced by secure, computerized equivalents. The old cards may no longer be used after 31 December 2001. For the purposes of the handover, members of the personnel must go personally to the cards office (33/1-015) between 8h30 and 12h30, in order to fill in a «fiche individuelle» form, taking the following documents for themselves and members of their families already in possession of a French card : A recent identity photograph in 4.5 cm x 3.5 cm format, the French card in their possession, an A4 photocopy of the same French card, certified by the cards office as being a true copy. Those members of the personnel whose cards (and/or cards belonging to members of their families) are shortly due to expire, or have recently done so, are also requested...

  4. Prosthesis infections after orthopedic joint replacement

    DEFF Research Database (Denmark)

    Song, Zhijun; Borgwardt, Lotte; Høiby, Niels

    2013-01-01

    Prosthesis-related infection is a serious complication for patients after orthopedic joint replacement, which is currently difficult to treat with antibiotic therapy. Consequently, in most cases, removal of the infected prosthesis is the only solution to cure the infection. It is, therefore...

  5. Functionality of Inulin as a Sucrose Replacer in Cookie Baking

    Science.gov (United States)

    Inulin was evaluated as a sucrose replacer for healthy cookie production with benefits of low glycemic impact and prebiotic soluble fiber. Sucrose (as a reference) and three inulin products of different concentrations (as soluble fibers) were used to explore the effects of sugar-replacer type on so...

  6. Controversies in hormone replacement therapy

    Directory of Open Access Journals (Sweden)

    A. Baziad

    2001-09-01

    Full Text Available Deficiency of estrogen hormone will result in either long-term or short-term health problems which may reduce the quality of life. There are numerous methods by which the quality of female life can be achieved. Since the problems occuring are due to the deficiency of estrogen hormone, the appropriate method to tackle the problem is by administration of estrogen hormone. The administration of hormone replacement therapy (HRT with estrogen may eliminate climacteric complaints, prevent osteoporosis, coronary heart disease, dementia, and colon cancer. Although HRT has a great deal of advantage, its use is still low and may result in controversies. These controversies are due to fact that both doctor and patient still hold on to the old, outmoded views which are not supported by numerous studies. Currently, the use of HRT is not only based on experience, or temporary observation, but more on evidence based medicine. (Med J Indones 2001; 10: 182-6Keywords: controversies, HRT

  7. Aortic valve replacement

    DEFF Research Database (Denmark)

    Kapetanakis, Emmanouil I; Athanasiou, Thanos; Mestres, Carlos A

    2008-01-01

    BACKGROUND AND AIMS OF THE STUDY: Prompted by anecdotal evidence and observations by surgeons, an investigation was undertaken into the potential differences in implanted aortic valve prosthesis sizes, during aortic valve replacement (AVR) procedures, between northern and southern European...... countries. METHODS: A multi-institutional, non-randomized, retrospective analysis was conducted among 2,932 patients who underwent AVR surgery at seven tertiary cardiac surgery centers throughout Europe. Demographic and perioperative variables including valve size and type, body surface area (BSA) and early...

  8. Total ankle joint replacement.

    Science.gov (United States)

    2016-02-01

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

  9. Impact of boundary regions on the interior circulation of the California Current System in a regional modeling framework

    Science.gov (United States)

    Veneziani, M.; Edwards, C.; Moore, A.

    2008-12-01

    We use the Regional Ocean Modeling System (ROMS) to model the circulation of the California Current System (CCS) using ECCO-GODAE products to force the model at the open boundaries of the domain. We investigate the impact that lateral boundary forcing (and the boundary region in general) has on particular metrics of the interior circulation by adopting both an adjoint model and a traditional sensitivity approach. Adjoint methods are naturally suited to sensitivity studies as they provide the direct dependencies of circulation metrics on uncertainties of the model initial conditions, surface and lateral external forcing, and model parameters, but their results are only valid within the time scale during which the linearity assumption underlying adjoint models can be considered to hold. More traditional sensitivity studies must be conducted to investigate longer time scales. We describe the adjoint model results for two metrics that represent the upwelling processes of the Central California region and the mean sea level field of the coastal circulation, respectively. The spatial distribution of the adjoint sensitivity fields allows us to quantify the contribution of the boundary regions over a biweekly time scale. We investigate longer time scales by adopting two methods: 1) apply different ECCO products at the open boundaries and evaluate mean stratification changes in the CalCOFI coastal region; 2) release passive tracers at the boundaries and calculate ventilation time scales and pathways from the boundary areas to the CCS interior.

  10. The impact of digital technology on health of populations affected by humanitarian crises: Recent innovations and current gaps.

    Science.gov (United States)

    Mesmar, Sandra; Talhouk, Reem; Akik, Chaza; Olivier, Patrick; Elhajj, Imad H; Elbassuoni, Shady; Armoush, Sarah; Kalot, Joumana; Balaam, Madeline; Germani, Aline; Ghattas, Hala

    2016-11-01

    Digital technology is increasingly used in humanitarian action and promises to improve the health and social well-being of populations affected by both acute and protracted crises. We set out to (1) review the current landscape of digital technologies used by humanitarian actors and affected populations, (2) examine their impact on health and well-being of affected populations, and (3) consider the opportunities for and challenges faced by users of these technologies. Through a systematic search of academic databases and reports, we identified 50 digital technologies used by humanitarian actors, and/or populations affected by crises. We organized them according to the stage of the humanitarian cycle that they were used in, and the health outcomes or determinants of health they affected. Digital technologies were found to facilitate communication, coordination, and collection and analysis of data, enabling timely responses in humanitarian contexts. A lack of evaluation of these technologies, a paternalistic approach to their development, and issues of privacy and equity constituted major challenges. We highlight the need to create a space for dialogue between technology designers and populations affected by humanitarian crises.

  11. Anthropogenic impact on Antarctic surface mass balance, currently masked by natural variability, to emerge by mid-century

    Science.gov (United States)

    Previdi, Michael; Polvani, Lorenzo M.

    2016-09-01

    Global and regional climate models robustly simulate increases in Antarctic surface mass balance (SMB) during the twentieth and twenty-first centuries in response to anthropogenic global warming. Despite these robust model projections, however, observations indicate that there has been no significant change in Antarctic SMB in recent decades. We show that this apparent discrepancy between models and observations can be explained by the fact that the anthropogenic climate change signal during the second half of the twentieth century is small compared to the noise associated with natural climate variability. Using an ensemble of 35 global coupled climate models to separate signal and noise, we find that the forced SMB increase due to global warming in recent decades is unlikely to be detectable as a result of large natural SMB variability. However, our analysis reveals that the anthropogenic impact on Antarctic SMB is very likely to emerge from natural variability by the middle of the current century, thus mitigating future increases in global sea level.

  12. The Optimum Replacement of Weapon

    Institute of Scientific and Technical Information of China (English)

    ZHANG Xiao; ZHANG Jin-chun

    2002-01-01

    The theory of LCC (Life Cycle Cost) is applied in this paper. The relation between the economic life of weapon and the optimum replacement is analyzed. The method to define the optimum replacement time of weapon is discussed.

  13. Total disc replacement.

    Science.gov (United States)

    Vital, J-M; Boissière, L

    2014-02-01

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

  14. REPLACEMENT OF FRENCH CARDS

    CERN Multimedia

    HR/SOC

    2001-01-01

    The French Ministry of Foreign Affairs has informed the Organization that it is shortly to replace all diplomatic cards, special cards and employment permits ('attestations de fonctions') now held by members of the personnel and their families. Between 2 July and 31 December 2001, these cards are to be replaced by secure, computerized equivalents. The old cards may continue to be used until 31 December 2001. For the purposes of the handover, members of the personnel must go personally to the cards office (33/1-015), in order to fill in a 'fiche individuelle' form, taking the following documents for themselves and members of their families already in possession of a French card : A recent identity photograph in 4.5 cm x 3.5 cm format. The French card in their possession. An A4 photocopy of the same French card, certified by the cards office as being a true copy. Those members of the personnel whose cards (and/or cards belonging to members of their families) are shortly due to expire, or have recently done...

  15. REPLACEMENT OF FRENCH CARDS

    CERN Multimedia

    Human Resources Division

    2001-01-01

    The French Ministry of Foreign Affairs has informed the Organization that it is shortly to replace all diplomatic cards, special cards and employment permits ('attestations de fonctions') now held by members of the personnel and their families. Between 2 July and 31 December 2001, these cards are to be replaced by secure, computerized equivalents. The old cards may continue to be used until 31 December 2001. For the purposes of the handover, members of the personnel are asked to go to the cards office (33/1-015), taking the following documents for themselves and members of their families already in possession of a French card : A recent identity photograph in 4.5 cm x 3.5 cm format, The French card in their possession, an A4 photocopy of the same French card, certified by the cards office as being a true copy. Those members of the personnel whose cards (and/or cards belonging to members of their families) are shortly due to expire, or have recently done so, are also requested to take these items to the c...

  16. REPLACEMENT OF FRENCH CARDS

    CERN Multimedia

    Human Resources Division

    2001-01-01

    The French Ministry of Foreign Affairs has informed the Organization that it is shortly to replace all diplomatic cards, special cards and employment permits ('attestations de fonctions') now held by members of the personnel and their families. Between 2 July and 31 December 2001, these cards are to be replaced by secure, computerized equivalents. A 'personnel office' stamped photocopy of the old cards may continue to be used until 31 December 2001. For the purposes of the handover, members of the personnel must go personally to the cards office (33/1-015), between 8:30 and 12:30, in order to fill a 'fiche individuelle' form (in black ink only), which has to be personally signed by themselves and another separately signed by members of their family, taking the following documents for themselves and members of their families already in possession of a French card : A recent identity photograph in 4.5 cm x 3.5 cm format (signed on the back) The French card in their possession an A4 photocopy of the same Fre...

  17. The pragmatics of a diachronic journal impact factor

    DEFF Research Database (Denmark)

    Ingwersen, Peter

    2012-01-01

    With reference to Vanclay (Scientometrics in press, 2012) the paper argues for a pragmatic approach to the Thomson-Reuter’s journal impact factor. The paper proposes and discusses to replace the current synchronous Thomson-Reuter journal impact factor by an up-to-date diachronic version (DJIF...

  18. Total Knee Replacement

    Science.gov (United States)

    ... walking, swimming, golf, driving, light hiking, biking, ballroom dancing, and other low-impact sports. With appropriate activity ... help prevent leg swelling and blood clots. Physical Therapy Most patients begin exercising their knee the day ...

  19. Antipodal Magnetic Anomalies on the Moon, Contributions from Impact Induced Currents Due to Positive Holes and Flexoelectric Phenomina and Dynamo

    Science.gov (United States)

    Kletetschka, G.; Freund, F.; Wasilewski, P. J.; Mikula, V.; Kohout, Tomas

    2005-01-01

    Large impacts on the Moon generate large pressure pulses that penetrate the whole body. Several of these large impacts may have generated antipodal structure with anomalous magnetic intensity.These regions can be more than a thousand km across, with fields of the order of tens to hundreds of nT. This is the case of Orientale, Imbrium, Serenitatis, Crisium, and Nectaris impact basins. The production of large-scale magnetic fields and associated crustal magnetization due to lunar basin-forming impacts was hypothesized to have an origin in fields external to the impact plasma cloud that are produced by the magnetohydrodynamic interaction of the cloud with ambient magnetic fields and plasmas. During the period of compressed antipodal field amplification, seismic compressional waves from the impact converge at the antipode resulting in transient shock pressures that reach 2 GPa (20 kbar). This can produce conditions for shock magnetic acquisition of the crust antipodal to impact basins.

  20. The Impact of Neighborhood Social and Built Environment Factors across the Cancer Continuum: Current Research, Methodologic Considerations, and Future Directions

    Science.gov (United States)

    Gomez, Scarlett Lin; Shariff-Marco, Salma; De Rouen, Mindy; Keegan, Theresa H. M.; Yen, Irene H.; Mujahid, Mahasin; Satariano, William A.; Glaser, Sally L.

    2015-01-01

    Neighborhood social and built environments have been recognized as important contexts in which health is shaped. We review the extent to which these neighborhood factors have been addressed in population-level cancer research, with a scan of the literature for research that focuses on specific social and/or built environment characteristics and association with outcomes across the cancer continuum, including incidence, diagnosis, treatment, survivorship, and survival. We discuss commonalities and differences in methodologies across studies, current challenges in research methodology, and future directions in this research area. The assessment of social and built environment factors in relation to cancer is a relatively new field, with 82% of 34 reviewed papers published since 2010. Across the wide range of social and built environment exposures and cancer outcomes considered by the studies, numerous associations were reported. However, the directions and magnitudes of association varied, due in large part to the variation in cancer sites and outcomes being studied, but also likely due to differences in study populations, geographical region, and, importantly, choice of neighborhood measure and geographic scale. We recommend that future studies consider the life course implications of cancer incidence and survival, integrate secondary and self-report data, consider work neighborhood environments, and further develop analytical and statistical approaches appropriate to the geospatial and multilevel nature of the data. Incorporating social and built environment factors into research on cancer etiology and outcomes can provide insights into disease processes, identify vulnerable populations, and generate results with translational impact of relevance for interventionists and policy makers. PMID:25847484

  1. 持续性肾脏替代治疗抗凝技术的应用%The current state and prospect of continuous renal replacement treatment anticoagulation technique

    Institute of Scientific and Technical Information of China (English)

    管向东; 孙冠青; 陈娟

    2012-01-01

    Continuous renal replacement treatment (CRRT) is a common organ function support ive technique in the field of Critical Care Medicine. Since sepsis patients are always combined with hemodynamic instability and coagulation dysfunction , anticoagulation therapy has been an indispensable component part in CRRT for sepsis patients. Anticoagulation therapy enables to slow or reduce the clottings in pipeline and/or filter so as to prolong its life,improve the efficacy of CRRT treatment, and reduce the loss of blood components and thrombosis under pathological state. So far,the common CRRT anticoagulation drugs include heparin,antithrombin,low molecular weight heparin (LMWH) and/or hyparinoids from animal organs, II factor antagonists, nafamostat, sodium citrate and antiplatelet agents. Coagulation function should be regularly monitored in the process of CRRT anticoagulation treatment. Under the circumstance of anticoagulation taboo, heparin-saline priming, predilution and hydrophilic filter can be used to reduce the clottings in pipeline and/or filter.%持续性肾脏替代治疗(CRRT)是重症医学领域常用的器官功能支持技术.由于脓毒症患者常合并血流动力学不稳定及凝血功能障碍,抗凝技术已成为脓毒症患者CRRT过程中必不可少的组成部分.抗凝技术能延缓或减少管路和(或)滤器的凝血,延长其寿命,提高CRRT治疗效率,减少血液成分的丢失及病理状态下的血栓形成.目前常用的CRRT抗凝药物包括肝素、抗凝酶、低分子肝素和(或)肝素类似物、Ⅱ因子拮抗剂、萘莫斯他、枸橼酸钠及抗血小板药物.CRRT抗凝治疗过程中需动态监测凝血功能等指标.在抗凝禁忌的情况下,可用肝素盐水浸泡、前稀释及选择高亲水性滤器等方法减少管路和(或)滤器凝血.

  2. Current use of impact models for agri-environment schemes and potential for improvements of policy design and assessment

    DEFF Research Database (Denmark)

    Primdahl, Jorgen; Vesterager, Jens Peter; Finn, John A.

    2010-01-01

    Agri-Environment Schemes (AES) to maintain or promote environmentally-friendly farming practices were implemented on about 25% of all agricultural land in the EU by 2002. This article analyses and discusses the actual and potential use of impact models in supporting the design, implementation...... and evaluation of AES. Impact models identify and establish the causal relationships between policy objectives and policy outcomes. We review and discuss the role of impact models at different stages in the AES policy process, and present results from a survey of impact models underlying 60 agri-environmental...... schemes in seven EU member states. We distinguished among three categories of impact models (quantitative, qualitative or common sense), depending on the degree of evidence in the formal scheme description, additional documents, or key person interviews. The categories of impact models used mainly...

  3. Current use of impact models for agri-environment schemes and potential for improvements of policy design and assessment.

    Science.gov (United States)

    Primdahl, Jørgen; Vesterager, Jens Peter; Finn, John A; Vlahos, George; Kristensen, Lone; Vejre, Henrik

    2010-06-01

    Agri-Environment Schemes (AES) to maintain or promote environmentally-friendly farming practices were implemented on about 25% of all agricultural land in the EU by 2002. This article analyses and discusses the actual and potential use of impact models in supporting the design, implementation and evaluation of AES. Impact models identify and establish the causal relationships between policy objectives and policy outcomes. We review and discuss the role of impact models at different stages in the AES policy process, and present results from a survey of impact models underlying 60 agri-environmental schemes in seven EU member states. We distinguished among three categories of impact models (quantitative, qualitative or common sense), depending on the degree of evidence in the formal scheme description, additional documents, or key person interviews. The categories of impact models used mainly depended on whether scheme objectives were related to natural resources, biodiversity or landscape. A higher proportion of schemes dealing with natural resources (primarily water) were based on quantitative impact models, compared to those concerned with biodiversity or landscape. Schemes explicitly targeted either on particular parts of individual farms or specific areas tended to be based more on quantitative impact models compared to whole-farm schemes and broad, horizontal schemes. We conclude that increased and better use of impact models has significant potential to improve efficiency and effectiveness of AES. (c) 2009 Elsevier Ltd. All rights reserved.

  4. Simultaneous transcranial direct current stimulation (tDCS) and whole-head magnetoencephalography (MEG): Assessing the impact of tDCS on slow cortical magnetic fields

    NARCIS (Netherlands)

    Garcia Cossio, E.; Witkowski, M.; Robinson, S.E.; Cohen, L.G.; Birbaumer, N.; Soekadar, S.R.

    2016-01-01

    Transcranial direct current stimulation (tDCS) can influence cognitive, affective or motor brain functions. Whereas previous imaging studies demonstrated widespread tDCS effects on brain metabolism, direct impact of tDCS on electric or magnetic source activity in task-related brain areas could not b

  5. Iron replacement therapy

    DEFF Research Database (Denmark)

    Nielsen, Ole Haagen; Coskun, Mehmet; Weiss, Günter

    2016-01-01

    PURPOSE OF REVIEW: Approximately, one-third of the world's population suffers from anemia, and at least half of these cases are because of iron deficiency. With the introduction of new intravenous iron preparations over the last decade, uncertainty has arisen when these compounds should be admini...... treatment, when to follow-up for relapse, which dosage and type of therapy should be recommended or not recommended, and if some patients should not be treated....... be administered and under which circumstances oral therapy is still an appropriate and effective treatment. RECENT FINDINGS: Numerous guidelines are available, but none go into detail about therapeutic start and end points or how iron-deficiency anemia should be best treated depending on the underlying cause...... of iron deficiency or in regard to concomitant underlying or additional diseases. SUMMARY: The study points to major issues to be considered in revisions of future guidelines for the true optimal iron replacement therapy, including how to assess the need for treatment, when to start and when to stop...

  6. Impacts of household coal and biomass combustion on indoor and ambient air quality in China: Current status and implication.

    Science.gov (United States)

    Li, Qing; Jiang, Jingkun; Wang, Shuxiao; Rumchev, Krassi; Mead-Hunter, Ryan; Morawska, Lidia; Hao, Jiming

    2017-01-15

    This review briefly introduces current status of indoor and ambient air pollution originating from household coal and biomass combustion in mainland China. Owing to low combustion efficiency, emissions of CO, PM2.5, black carbon (BC), and polycyclic aromatic hydrocarbons have significant adverse consequences for indoor and ambient air qualities, resulting in relative contributions of more than one-third in all anthropogenic emissions. Their contributions are higher in less economically developed regions, such as Guizhou (61% PM2.5, 80% BC), than that in more developed regions, such as Shanghai (4% PM2.5, 17% BC). Chimneys can reduce ~80% indoor PM2.5 level when burning dirty solid fuels, such as plant materials. Due to spending more time near stoves, housewives suffer much more (~2 times) PM2.5 than the adult men, especially in winter in northern China (~4 times). Improvement of stove combustion/thermal efficiencies and solid fuel quality are the two essential methods to reduce pollutant emissions. PM2.5 and BC emission factors (EFs) have been identified to increase with volatile matter content in traditional stove combustion. EFs of dirty fuels are two orders higher than that of clean ones. Switching to clean ones, such as semi-coke briquette, was identified to be a feasible path for reducing >90% PM2.5 and BC emissions. Otherwise, improvement of thermal and combustion efficiencies by using under-fire technology can reduce ~50% CO2, 87% NH3, and 80% PM2.5 and BC emissions regardless of volatile matter content in solid fuel. However, there are still some knowledge gaps, such as, inventory for the temporal impact of household combustion on air quality, statistic data for deployed clean solid fuels and advanced stoves, and the effect of socioeconomic development. Additionally, further technology research for reducing air pollution emissions is urgently needed, especially low cost and clean stove when burning any type of solid fuel. Furthermore, emission

  7. Impact Factors on Transformer Neutral Point Current and Its Laws%变压器中性点电流的影响因素及其规律

    Institute of Scientific and Technical Information of China (English)

    王晓毛; 谢应耿; 夏成军

    2014-01-01

    针对广东电网多回直流输电系统对变电站主变压器的影响,从电路原理出发,设计了一个简单的电流分布计算模型,并推导出地中直流电流的数学表达式,论证了中性点电流的主要影响因素;引入线性回归分析方法计算各影响因素与中性点电流关系的回归模型,利用回归方程来估计直流极的影响范围。分析计算以±800 kV楚穗直流输电线路为例,验证了变压器中性点电流与直流输送功率的线性特点,并且说明了在合适位置投入直流抑制装置,可以抑制区域内流入电网的直流电流的总值。%Aiming at impact on the main transformer of substation by multi-loop direct current power transmission system in Guang-dong power grid,a simple current distribution calculation model was design based on principles of electric circuits,mathematical ex-pression for direct current was derived and main impact factors on neutral point current were demonstrated.In addition,a linear re-gression analysis method was introduced to calculate the regression model of various impact factors and neutral point current.Mean-while,the regression equation was used to estimate impact range of the direct current pole.Taking ±800 kV Chusui direct current power transmission lines as analysis and calculation example,linear characteristics of transformer neutral point current and direct current transmission power were verified.Meanwhile,it was proved to be effective in restraining total value of direct current flow-ing into the power grid in the region by installing direct current suppression device.

  8. Principles of human joint replacement design and clinical application

    CERN Document Server

    Buechel, Frederick F

    2015-01-01

    This book is written for the users and designers of joint replacements. In its second extended edition it conveys to the reader the knowledge accumulated by the authors during their forty year effort on the development of replacement devices for the lower limb for the purpose of aiding the reader in their design and evaluation of joint replacement devices. The early chapters describe the engineering, scientific and medical principles needed for replacement joint evaluation. One must understand the nature and performance of the materials involved and their characteristics in vivo, i.e. the response of the body to implant materials. It is also essential to understand the response of the implants to applied loading and motion, particularly in the hostile physiological environment. A chapter describes the design methodology now required for joint replacement in the USA and EU countries. The remaining chapters provide a history of joint replacement, an evaluation of earlier and current devices and sample case hist...

  9. Innovative Solid State Lighting Replacements for Industrial and Test Facility Locations Project

    Data.gov (United States)

    National Aeronautics and Space Administration — The proposed innovation is the replacement of existing test stand and parking lot fixtures with current SSL LED technology. The replacement fixtures will reduce...

  10. Sources and Impacts of Atmospheric NH3: Current Understanding and Frontiers for Modeling, Measurements, and Remote Sensing in North America

    Science.gov (United States)

    Ammonia (NH3) contributes to widespread adverse health impacts, affects the climate forcing of ambient aerosols, and is a significant component of reactive nitrogen, deposition of which threatens many sensitive ecosystems. Historically, the scarcity of in situ measurements and th...

  11. Sources and Impacts of Atmospheric NH3: Current Understanding and Frontiers for Modeling, Measurements, and Remote Sensing in North America

    Science.gov (United States)

    Ammonia (NH3) contributes to widespread adverse health impacts, affects the climate forcing of ambient aerosols, and is a significant component of reactive nitrogen, deposition of which threatens many sensitive ecosystems. Historically, the scarcity of in situ measurements and th...

  12. Using your shoulder after replacement surgery

    Science.gov (United States)

    Joint replacement surgery - using your shoulder; Shoulder replacement surgery - after ... You have had shoulder replacement surgery to replace the bones of your shoulder joint with artificial parts. The parts include a stem made of metal and a ...

  13. Impact of Masked Replacement of Sugar-Sweetened with Sugar-Free Beverages on Body Weight Increases with Initial BMI: Secondary Analysis of Data from an 18 Month Double-Blind Trial in Children.

    Directory of Open Access Journals (Sweden)

    Martijn B Katan

    Full Text Available Substituting sugar-free for sugar-sweetened beverages reduces weight gain. This effect may be more pronounced in children with a high body mass index (BMI because their sensing of kilocalories might be compromised. We investigated the impact of sugar-free versus sugary drinks separately in children with a higher and a lower initial BMI z score, and predicted caloric intakes and degree of compensation in the two groups.This is a secondary, explorative analysis of our double-blind randomized controlled trial (RCT which showed that replacement of one 250-mL sugary drink per day by a sugar-free drink for 18 months significantly reduced weight gain. In the 477 children who completed the trial, mean initial weights were close to the Dutch average. Only 16% were overweight and 3% obese. Weight changes were expressed as BMI z-score, i.e. as standard deviations of the BMI distribution per age and sex group. We designated the 239 children with an initial BMI z-score below the median as 'lower BMI' and the 238 children above the median as 'higher BMI'. The difference in caloric intake from experimental beverages between treatments was 86 kcal/day both in the lower and in the higher BMI group. We used a multiple linear regression and the coefficient of the interaction term (initial BMI group times treatment, indicated whether children with a lower BMI responded differently from children with a higher BMI. Statistical significance was defined as p ≤ 0.05. Relative to the sugar sweetened beverage, consumption of the sugar-free beverage for 18 months reduced the BMI z-score by 0.05 SD units within the lower BMI group and by 0.21 SD within the higher BMI group. Body weight gain was reduced by 0.62 kg in the lower BMI group and by 1.53 kg in the higher BMI group. Thus the treatment reduced the BMI z-score by 0.16 SD units more in the higher BMI group than in the lower BMI group (p = 0.04; 95% CI -0.31 to -0.01. The impact of the intervention on body weight

  14. Impact of Masked Replacement of Sugar-Sweetened with Sugar-Free Beverages on Body Weight Increases with Initial BMI: Secondary Analysis of Data from an 18 Month Double-Blind Trial in Children.

    Science.gov (United States)

    Katan, Martijn B; de Ruyter, Janne C; Kuijper, Lothar D J; Chow, Carson C; Hall, Kevin D; Olthof, Margreet R

    2016-01-01

    Substituting sugar-free for sugar-sweetened beverages reduces weight gain. This effect may be more pronounced in children with a high body mass index (BMI) because their sensing of kilocalories might be compromised. We investigated the impact of sugar-free versus sugary drinks separately in children with a higher and a lower initial BMI z score, and predicted caloric intakes and degree of compensation in the two groups. This is a secondary, explorative analysis of our double-blind randomized controlled trial (RCT) which showed that replacement of one 250-mL sugary drink per day by a sugar-free drink for 18 months significantly reduced weight gain. In the 477 children who completed the trial, mean initial weights were close to the Dutch average. Only 16% were overweight and 3% obese. Weight changes were expressed as BMI z-score, i.e. as standard deviations of the BMI distribution per age and sex group. We designated the 239 children with an initial BMI z-score below the median as 'lower BMI' and the 238 children above the median as 'higher BMI'. The difference in caloric intake from experimental beverages between treatments was 86 kcal/day both in the lower and in the higher BMI group. We used a multiple linear regression and the coefficient of the interaction term (initial BMI group times treatment), indicated whether children with a lower BMI responded differently from children with a higher BMI. Statistical significance was defined as p ≤ 0.05. Relative to the sugar sweetened beverage, consumption of the sugar-free beverage for 18 months reduced the BMI z-score by 0.05 SD units within the lower BMI group and by 0.21 SD within the higher BMI group. Body weight gain was reduced by 0.62 kg in the lower BMI group and by 1.53 kg in the higher BMI group. Thus the treatment reduced the BMI z-score by 0.16 SD units more in the higher BMI group than in the lower BMI group (p = 0.04; 95% CI -0.31 to -0.01). The impact of the intervention on body weight gain differed by 0

  15. Impact

    NARCIS (Netherlands)

    Lohse, Detlef; Bergmann, Raymond; Mikkelsen, Rene; Zeilstra, Christiaan; Meer, van der Devaraj; Versluis, Michel

    2004-01-01

    A lot of information on impacts of solid bodies on planets has been extracted from remote observations of impact craters on planetary surfaces; experiments however with large enough impact energies as compared to the energy stored in the ground are difficult. We approach this problem by downscaled e

  16. 直流控制系统对直流近区交流线路短路电流幅值的影响%Impacts of Direct Current Control System on Alternating Current Circuit Short-Circuit Current Amplitude near Direct Current Region

    Institute of Scientific and Technical Information of China (English)

    樊佳辉; 都洪基

    2016-01-01

    在故障期间良好的直流控制系统可以减少故障对电网的伤害。介绍了目前主流的直流控制系统逆变侧的结构及其主要参数,分析了控制系统的低压限流、最大触发角控制、电流放大器和换相失败预测等环节的基本结构,通过PSCAD/EMTDC软件搭建仿真模型,在故障期间分别限制不同控制环节的信号输出,研究其对短路电流幅值的影响,指出换相失败预测环节是影响直流近区交流线路短路电流幅值的直接因素,最大触发角控制和电流放大器环节间接影响短路电流幅值。%During malfunction a good direct current control system could reduce harm to grid from faults. Introduction was made to the structure of the main stream direct current control system at the side of inverter side and its major parameter at present. Analysis was made to the basic struc-ture of low-voltage current-limiting, maximum ifring angle control, current ampliifer and commutation defeating prediction etc links. The software PSCAD/EMTDC was used to construct the simulation model. During malfunction the signal outputs of different control links were limited. This paper studied its impact on the short-circuit current amplitude, and pointed out that the commutation defeating prediction link is the direct factor inlfuencing on the alternating current circuit short-circuit current amplitude near direct current region and the maximum ifring angle control and cur-rent ampliifer links indirectly affect on the short-circuit current amplitude.

  17. 主动脉瓣不匹配对老年病人术后生活质量的影响%Impact of prosthesis-patient mismatch on the quality of life of elderly patients after aortic valve replacement

    Institute of Scientific and Technical Information of China (English)

    钱希明; 钟世镇

    2009-01-01

    目的 研究主动脉瓣置换术后远期病人生活质量指数的变化,并评估瓣膜-病人不匹配对老年人主动脉瓣置换术后改善生活质量的影响.方法 使用了前瞻性研究设计,将1995年8月10日到1998年8月19日期间,在我医疗中心实施单纯主动脉瓣置换术或同时施行冠状动脉旁路移植术,且年龄在70岁以上的100例病人列入本研究.临床随访定期在术后4周、6个月、以后每隔一年进行,收集并比较分析病人长期生存,跨瓣压差等数据;生活质量采用短期健康调查表(SF-36量表)问卷评估.结果 病人年龄为(74.7±5.7)岁(范围70~87岁),随访(7.3±4.7)年,术后30 d死亡率,病人-瓣膜不匹配组6.3%,病人-瓣膜匹配组,3.3%.在第1年、第3年、第5年随访,病人长期生存率在组间并未表现出显著差异,但第7年随访,病人-瓣膜匹配与不匹配组两组间差异显著.在第1、第5年随访点,心脏超声数据显示病人-瓣膜匹配与不匹配组两组间跨主动脉平均压差差异显著,在随访的大多数点位上,病人的一般健康状况、体力/活力较术前都有所改善.社会活动、精神健康评估在第3、5和7个年的随访中较术前没有显着改善;而情感、社会活动,尤其是精神健康评估在术后第1年的随访中较术前有非常显著的改善,但组间差异不明显.结论 老年患者主动脉瓣置换术后生活质量改善,但在生活质量的改善程度似乎与病人-瓣膜不匹配不相关.病人-瓣膜不匹配对主动脉瓣置换术后临床结果的影响仍然是一个有争议的问题.%Objective To evaluate the long-term changes in the quality of life (QOL) scores in elderly patients after aortic valve replacement, and assess the impact of prosthesis-patient mismatch on the QQL of the patients. Methods A prospective cohort study was conducted involving 100 consecutive elderly patients above 70 years of age, who underwent isolated aortic valve or

  18. Orthogonal Matching Pursuit with Replacement

    CERN Document Server

    Jain, Prateek; Dhillon, Inderjit S

    2011-01-01

    In this paper, we consider the problem of compressed sensing where the goal is to recover almost all the sparse vectors using a small number of fixed linear measurements. For this problem, we propose a novel partial hard-thresholding operator that leads to a general family of iterative algorithms. While one extreme of the family yields well known hard thresholding algorithms like ITI (Iterative Thresholding with Inversion) and HTP (Hard Thresholding Pursuit), the other end of the spectrum leads to a novel algorithm that we call Orthogonal Matching Pursuit with Replacement (OMPR). OMPR, like the classic greedy algorithm OMP, adds exactly one coordinate to the support at each iteration, based on the correlation with the current residual. However, unlike OMP, OMPR also removes one coordinate from the support. This simple change allows us to prove that OMPR has the best known guarantees for sparse recovery in terms of the Restricted Isometry Property (a condition on the measurement matrix). In contrast, OMP is kn...

  19. Visual Image Sensor Organ Replacement

    Science.gov (United States)

    Maluf, David A.

    2014-01-01

    This innovation is a system that augments human vision through a technique called "Sensing Super-position" using a Visual Instrument Sensory Organ Replacement (VISOR) device. The VISOR device translates visual and other sensors (i.e., thermal) into sounds to enable very difficult sensing tasks. Three-dimensional spatial brightness and multi-spectral maps of a sensed image are processed using real-time image processing techniques (e.g. histogram normalization) and transformed into a two-dimensional map of an audio signal as a function of frequency and time. Because the human hearing system is capable of learning to process and interpret extremely complicated and rapidly changing auditory patterns, the translation of images into sounds reduces the risk of accidentally filtering out important clues. The VISOR device was developed to augment the current state-of-the-art head-mounted (helmet) display systems. It provides the ability to sense beyond the human visible light range, to increase human sensing resolution, to use wider angle visual perception, and to improve the ability to sense distances. It also allows compensation for movement by the human or changes in the scene being viewed.

  20. [Ascending aorta replacement late after aortic valve replacement].

    Science.gov (United States)

    Hayashi, Yasunari; Ito, Toshiaki; Maekawa, Atsuo; Sawaki, Sadanari; Fujii, Genyo; Hoshino, Satoshi; Tokoro, Masayoshi; Yanagisawa, Junji

    2013-07-01

    Replacement of the asceding aorta is indicated in patients undergoing aortic valve replacement( AVR), if the diameter of the ascending aorta is greater than 5.0 cm. If the diameter of the asceding aorta is from 4.0 to 5.0 cm, it was arguable whether replacement of the ascending aorta should be performed. Nine patients who underwent reoperative ascending aorta replacement after AVR were reviewed retrospectively. Reoperation on the asending aorta replacement was performed 11.8±7.2 years (range 1y5m~23y3m) after AVR. Mean patient age was 69.9±6.3 (range 60~81). In 2 cases, reoperations were performed early year after AVR. Although ascending aorta was dilated at the 1st operation, replacement wasn't performed for the age and minimally invasive cardiac surgery (MICS). In 3 cases, reoperations were performed more than 10 years later. On these cases, ascending aorta aneurysm and dissection occurred with no pain and were pointed out by computed tomography(CT) or ultrasonic cardiogram(UCG). We think that patients with dilatation of the ascending aorta should undergo AVR and aorta replacement at the 1st operation regardness of age. It is important that patients who underwent AVR should undergo a regular checkup on the ascending aorta.

  1. Is physiological glucocorticoid replacement important in children?

    Science.gov (United States)

    Porter, John; Blair, Joanne; Ross, Richard J

    2017-01-01

    Cortisol has a distinct circadian rhythm with low concentrations at night, rising in the early hours of the morning, peaking on waking and declining over the day to low concentrations in the evening. Loss of this circadian rhythm, as seen in jetlag and shift work, is associated with fatigue in the short term and diabetes and obesity in the medium to long term. Patients with adrenal insufficiency on current glucocorticoid replacement with hydrocortisone have unphysiological cortisol concentrations being low on waking and high after each dose of hydrocortisone. Patients with adrenal insufficiency complain of fatigue, a poor quality of life and there is evidence of poor health outcomes including obesity potentially related to glucocorticoid replacement. New technologies are being developed that deliver more physiological glucocorticoid replacement including hydrocortisone by subcutaneous pump, Plenadren, a once-daily modified-release hydrocortisone and Chronocort, a delayed and sustained absorption hydrocortisone formulation that replicates the overnight profile of cortisol. In this review, we summarise the evidence regarding physiological glucocorticoid replacement with a focus on relevance to paediatrics. PMID:27582458

  2. Nicotine replacement therapies: patient safety and persistence

    Directory of Open Access Journals (Sweden)

    Ferguson SG

    2011-06-01

    Full Text Available Stuart G Ferguson1,2, Saul Shiffman3,4, Joseph G Gitchell51School of Pharmacy, 2Menzies Research Institute Tasmania, University of Tasmania, Hobart, Australia; 3Pinney Associates, 4University of Pittsburgh, Pittsburgh, PA, USA; 5Pinney Associates, Bethesda, MD, USAAbstract: Nicotine replacement therapy (NRT has become a central part of the treatment of nicotine dependence. However, NRT’s potential efficacy is limited to some extent by patient adherence and persistence. Here we review the relationship between NRT compliance and adherence, and overall treatment outcome. We then examine the factors that likely impact on treatment compliance and persistence, with a special focus on users’ perceptions of treatment safety and efficacy as possible mediators. Potential clinical strategies for improving suboptimal medication use are also discussed.Keywords: nicotine replacement therapy, compliance, safety

  3. A comparative study on the efficacy of impact of hormone and hormone impact associated plasma replacement in treatment of ANCA re-lated vasculitis%激素冲击和激素冲击联合血浆置换治疗ANCA相关性血管炎的疗效比较

    Institute of Scientific and Technical Information of China (English)

    周培一; 白文英; 武剑; 崔玉萍; 贾丽芳

    2016-01-01

    Objective To compare the efficacy of impact of hormone and impact of hormone combined plasma replacement in treatment of anti - neutrophil cytoplasmic antibodies(ANCA)related vasculitis(AAV). Methods A total of 63 cases pathologically diagnosed as AAV with clinical manifestations eligible to rapidly progressive glomerulonephritis syndrome were randomly divided into two groups:control group(n = 31) and obversation group(n = 32),patients in control group were given with hormone and immunosuppressant therapy,and patients in observation group were given with plasma replacement therapy on the basis of treatment in control group. BVAS2003 scores,levels of ANCA,creatinine(SCr) and urea nitrogen(BUN)and incidence of complications were compared between patients of these 2 groups. Results The rating of BVAS2003 in patients of these two groups were significantly lower than those before treatmennt( P 0. 05). The difference in incidence of complicated infections in patients between these 2 groups was not significant( P > 0. 05). Conclusion The efficacy of treatment with impact of hormone combined plasma replacement in treatment of patients with AAV is significantly better than that of simple hormonal impact,and it has better effect in removal of ANCA and it can improve the renal func-tion with high safety.%目的:比较单纯激素冲击和激素冲击联合血浆置换治疗抗中性粒细胞胞质抗体( ANCA)相关性血管炎(AAV)的临床疗效。方法将63例病理诊断为 AAV 且临床表现符合急进性肾小球肾炎综合征的患者随机分为两组,对照组(n =31)单纯给予激素免疫抑制剂治疗,观察组(n =32)在对照组治疗方案基础上联合血浆置换治疗,比较两组患者的 BVAS2003评分,ANCA、肌酐(SCr)、尿素氮(BUN)水平和感染并发症发生情况。结果两组患者的 BVAS2003评分均较治疗前有明显降低( P 0.05);两组患者的感染并发症情况无显著差异( P >0.05

  4. THE IMPACT OF THE CONVERSION OF HISTORICAL COST TO CORRECTED CURRENT COST ON RETURN ON ASSETS AND EQUITY: ANALYSIS FROM DUPONT SYSTEM.

    Directory of Open Access Journals (Sweden)

    Roberto Silva da Penha

    2013-12-01

    Full Text Available Historical cost is the most used form of accounting valuation, but it does not reflect the effect of currency in time. The Theory of Corrected Current Cost, albeit with limitations, may show evidence of real and relevant accounting information of the entity. In this context, a question can be formulated: What is the impact of the conversion of historical cost to corrected current cost in return on assets and equity? In order to answer this question, the DuPont system was applied in a model company as a tool for analysis. The results showed that the return of assets at historical cost and corrected current cost were 12.11% and 3.14%, respectively, a decrease of 74.07%, and the result of the return on equity, the historical cost and corrected current cost were 20.59% and 4.96%, respectively, decreased 75.91%. Based on these variations it is observed that the impacts of the conversion of the corrected current cost were significant,confirming the importance of the adoption of this practice, whenever possible.

  5. Study of the impact of board orientation on radiated emissions due to common-mode currents on attached cables

    DEFF Research Database (Denmark)

    Sørensen, Morten; Hubing, Todd H.; Jensen, Kim

    2016-01-01

    Common-mode current on attached cables is a typical source for radiated emission. Several models have been made for conversion of the intended differential signal to unwanted common-mode current on cables. In this paper we refine a method for identifying the radiation sources arising from a long...... microstrip. This method is used to show that the radiated emission from a PCB with attached cable(s) caused by a long trace depends on whether the trace is facing up or down with different result for voltage and current sources....

  6. Impacts of Wave and Current on Drag Coefficient and Wind Stress over the Tropical and Northern Pacific

    Institute of Scientific and Technical Information of China (English)

    DENG Zengan; ZHAO Dongliang; WU Kejian; YU Ting; SHI Jian

    2008-01-01

    By taking into consideration the effects of ocean surface wave-induced Stokes drift velocity U,w and current velocityU,c on the drag coefficient,the spatial distributions of drag coefficient and wind stress in 2004 are computed over the tropical andnorthern Pacific using an empirical drag coefficient parameterization formula based on wave steepness and wind speed.The globalocean current field is generated from the Hybrid Coordinate Ocean Model (HYCOM) and the wave data are generated from Wave-watch Ⅲ (WW3).The spatial variability of the drag coefficient and wind stress is analyzed.Preliminary results indicate that theocean surface Stokes drift velocity and current velocity exert an important influence on the wind stress.The results also show thatconsideration of the effects of the ocean surface Stokes drift velocity and current velocity on the wind stress can significantly im-prove the modeling of ocean circulation and air-sea interaction processes.

  7. Upper Midwest farmer perceptions: Too much uncertainty about impacts of climate change to justify changing current agricultural practices

    Science.gov (United States)

    Lois Wright Morton; Gabrielle E. Roesch-McNally; Adam Wilke

    2017-01-01

    To be uncertain is to be unsure or have doubt. Results from a random sample survey show the majority (89.5%) of farmers in the Upper Midwest perceived there was too much uncertainty about the impacts of climate to justify changing their agricultural practices and strategies, despite scientific evidence regarding the causes and potential consequences of climate change....

  8. Autonomous versus Merged Marketing Departments: The Impact of Current Department Structure and Previous Restructuring Experience on Faculty Perceptions

    Science.gov (United States)

    Neese, William T.; Batory, Stephen S.

    2005-01-01

    This study details faculty perceptions concerning administrative structure and its impact on issues such as collegiality or student success. Faculty members in autonomous marketing departments are compared with those in combined units. Then, faculty never involved with departmental change are compared with faculty previously involved splitting…

  9. Long Term Treatment with Enzyme Replacement Therapy in Patients with Fabry Disease.

    Science.gov (United States)

    Oder, Daniel; Nordbeck, Peter; Wanner, Christoph

    2016-01-01

    Anderson-Fabry disease is a potentially life-threatening hereditary lysosomal storage disorder taking origin in over 1,000 known pathogenic mutations in the alpha-galactosidase A encoding gene. Over the past 15 years, intravenous replacement therapy of the deficient alpha agalsidase A enzyme has been well-established retarding the progression of a multisystemic disease and organ involvement. Despite this innovative treatment approach, premature deaths still do occur. The response to enzyme replacement therapy (ERT) varies considerably and appears to depend on gender, genotype (classic or later onset/non-classic), stage of disease or age and agalsidase inhibition by anti-agalsidase antibodies. Early ERT treatment at young age, a personalized approach, and adjunctive therapies for specific disease manifestations appear to impact on prognosis and are currently favored with the expectance of more effective intravenous and oral treatments in the short future.

  10. Construction and operation of replacement hazardous waste handling facility at Lawrence Berkeley Laboratory. Environmental Assessment

    Energy Technology Data Exchange (ETDEWEB)

    1992-09-01

    The US Department of Energy (DOE) has prepared an environmental assessment (EA), DOE/EA-0423, for the construction and operation of a replacement hazardous waste handling facility (HWHF) and decontamination of the existing HWHF at Lawrence Berkeley Laboratory (LBL), Berkeley, California. The proposed facility would replace several older buildings and cargo containers currently being used for waste handling activities and consolidate the LBL`s existing waste handling activities in one location. The nature of the waste handling activities and the waste volume and characteristics would not change as a result of construction of the new facility. Based on the analysis in the EA, DOE has determined that the proposed action would not constitute a major Federal action significantly affecting the quality of the human environment within the meaning of the National Environmental Policy Act (NEPA) of 1969, 42 USC. 4321 et seq. Therefore, an environmental impact statement is not required.

  11. A model for composing meat replacers

    NARCIS (Netherlands)

    Mierlo, Van Klara; Rohmer, Sonja; Lemmen-Gerdessen, van Joke

    2017-01-01

    Current food consumption patterns have a substantial impact on our environment and are thus considered unsustainable. In the context of global warming and a rising world population, shifting from meat towards more plant-based products holds potential to reduce the environmental impact of our food

  12. Assessing the impacts of changing precipitation and temperature extremes on the current and future ecohydrology of grassland ecosystems

    Science.gov (United States)

    Brunsell, N. A.; Nippert, J. B.; Ocheltree, T.

    2012-12-01

    Extreme weather events have profound impacts on water and carbon cycling. However, events of similar magnitude may have very different impacts depending upon the timing of the event in the phenological cycle. We assess these impacts of extreme daily weather events including precipitation, maximum and minimum temperature using data collected from the Konza Prairie Long Term Ecological Research site in the central U.S. We utilize the long term weather and biomass collection data at the LTER site to examine the historical variability of extreme events and the impacts on annual carbon dynamics. Timescales of interactions between daily weather and fluxes are quantified through a multiscale information theoretic approach. In addition, we quantify the impacts of the timing and magnitude of extreme events through a Critical Climate Period (CCP) analysis. Results indicate a strong sensitivity to spring precipitation and summer temperature. Using six years of eddy covariance data, we can isolate more of the biophysical mechanisms governing the responses to extreme weather events. Of particular interest is the heat wave of July, 2011, where daily maximum temperatures were over 38 C for 24 consecutive days and resulted in drastically reduced above ground carbon allocation than in previous years. In addition, we employ the Agro-BGC model to assess the biophysical processes responsible for determining the response of water and carbon dynamics to extreme weather events. This is done by employing a stochastic weather generator with prescribed changes in annual precipitation and temperature conistent with GCM projections. Developing a more thorough understanding of extreme events and the differential responses due to the timing and magnitude of the events will potentially assist in the mitigation of future climate change.

  13. The Impact of Current CH4 and N2O Loss Process Uncertainties on Model Calculated Ozone and Global Lifetimes

    Science.gov (United States)

    Fleming, E. L.; Burkholder, J. B.; Kurylo, M. J., III; Jackman, C. H.

    2015-12-01

    The atmospheric loss processes of CH4 and N2O, their estimated uncertainties, lifetimes, and impacts on ozone abundance and long-term trends are examined using atmospheric model calculations and updated kinetic and photochemical parameters and uncertainty factors from SPARC (2013). Uncertainties in CH4 loss due to reaction with OH and O(1D) have relatively small impacts on present day calculated global total ozone (±0.2-0.3%), with the OH+CH4 uncertainty impacting tropospheric ozone by ±3-5%. Uncertainty in the Cl+CH4 reaction affects the amount of chlorine in radical vs. reservoir forms and has a modest impact on present day SH polar ozone (~±6%), and on the rate of past SH polar ozone decline and future recovery. The O(1D)+N2O reaction has uncertainty in both the total rate coefficient and branching ratio for the O2+N2 and 2*NO product channels. This uncertainty results in a substantial range in present day stratospheric odd nitrogen (±10-25%) and global total ozone (±1-2.5%). This uncertainty also impacts the rate of past global total ozone decline and future recovery, with a range in future ozone projections of ±1-1.5% by 2100, relative to present day. The uncertainty ranges in calculated CH4 and N2O global lifetimes are also examined: these ranges are significantly reduced when using the updated SPARC estimated uncertainties compared with those from JPL-2010.

  14. Electrocatalysts Prepared by Galvanic Replacement

    OpenAIRE

    Athanasios Papaderakis; Ioanna Mintsouli; Jenia Georgieva; Sotiris Sotiropoulos

    2017-01-01

    Galvanic replacement is the spontaneous replacement of surface layers of a metal, M, by a more noble metal, Mnoble, when the former is treated with a solution containing the latter in ionic form, according to the general replacement reaction: nM + mMnoblen+ → nMm+ + mMnoble. The reaction is driven by the difference in the equilibrium potential of the two metal/metal ion redox couples and, to avoid parasitic cathodic processes such as oxygen reduction and (in some cases) hydrogen evolution too...

  15. Changes in the Tsushima Warm Current and the Impact under a Global Warming Scenario in Coupled Climate Models

    Directory of Open Access Journals (Sweden)

    A-Ra Choi

    2013-06-01

    Full Text Available In this study we investigated changes in the Tsushima Warm Current (TWC under the global warming scenario RCP 4.5 by analysing the results from the World Climate Research Program’s (WCRP Coupled Model Intercomparison Project Phase 5 (CMIP5. Among the four models that had been employed to analyse the Tsushima Warm Current during the 20th Century, in the CSIRO-Mk3.6.0 and HadGEM2-CC models the transports of the Tsushima Warm Current were 2.8 Sv and 2.1 Sv, respectively, and comparable to observed transport, which is between 2.4 and 2.77 Sv. In the other two models the transports were much greater or smaller than the observed estimates. Using the two models that properly reproduced the transport of the Tsushima Warm Current we investigated the response of the current under the global warming scenario. In both models the volume transports and the temperature were greater in the future climate scenario. Warm advection into the East Sea was intensified to raise the temperature and consequently the heat loss to the air.

  16. Which downscaled rainfall data for climate change impact studies in urban areas? Review of current approaches and trends

    Science.gov (United States)

    Gooré Bi, Eustache; Gachon, Philippe; Vrac, Mathieu; Monette, Frédéric

    2017-02-01

    Changes in extreme precipitation should be one of the primary impacts of climate change (CC) in urban areas. To assess these impacts, rainfall data from climate models are commonly used. The main goal of this paper is to report on the state of knowledge and recent works on the study of CC impacts with a focus on urban areas, in order to produce an integrated review of various approaches to which future studies can then be compared or constructed. Model output statistics (MOS) methods are increasingly used in the literature to study the impacts of CC in urban settings. A review of previous works highlights the non-stationarity nature of future climate data, underscoring the need to revise urban drainage system design criteria. A comparison of these studies is made difficult, however, by the numerous sources of uncertainty arising from a plethora of assumptions, scenarios, and modeling options. All the methods used do, however, predict increased extreme precipitation in the future, suggesting potential risks of combined sewer overflow frequencies, flooding, and back-up in existing sewer systems in urban areas. Future studies must quantify more accurately the different sources of uncertainty by improving downscaling and correction methods. New research is necessary to improve the data validation process, an aspect that is seldom reported in the literature. Finally, the potential application of non-stationarity conditions into generalized extreme value (GEV) distribution should be assessed more closely, which will require close collaboration between engineers, hydrologists, statisticians, and climatologists, thus contributing to the ongoing reflection on this issue of social concern.

  17. Impact of cercal air currents on singing motor pattern generation in the cricket (Gryllus bimaculatus DeGeer)

    Science.gov (United States)

    2015-01-01

    The cercal system of crickets detects low-frequency air currents produced by approaching predators and self-generated air currents during singing, which may provide sensory feedback to the singing motor network. We analyzed the effect of cercal stimulation on singing motor pattern generation to reveal the response of a singing interneuron to predator-like signals and to elucidate the possible role of self-generated air currents during singing. In fictive singing males, we recorded an interneuron of the singing network while applying air currents to the cerci; additionally, we analyzed the effect of abolishing the cercal system in freely singing males. In fictively singing crickets, the effect of short air stimuli is either to terminate prematurely or to lengthen the interchirp interval, depending on their phase in the chirp cycle. Within our stimulation paradigm, air stimuli of different velocities and durations always elicited an inhibitory postsynaptic potential in the singing interneuron. Current injection in the singing interneuron elicited singing motor activity, even during the air current-evoked inhibitory input from the cercal pathway. The disruptive effects of air stimuli on the fictive singing pattern and the inhibitory response of the singing interneuron point toward the cercal system being involved in initiating avoidance responses in singing crickets, according to the established role of cerci in a predator escape pathway. After abolishing the activity of the cercal system, the timing of natural singing activity was not significantly altered. Our study provides no evidence that self-generated cercal sensory activity has a feedback function for singing motor pattern generation. PMID:26334014

  18. The Reliable Replacement Warhead Program: Background and Current Developments

    Science.gov (United States)

    2009-07-27

    Cong., 2nd sess., Senate Hearing 99-937, 1986, pp. 167-168. 18 Ray Kidder, Stockpile Reliability and Nuclear Test Bans: Response to J.W. Rosengren’s...24 Letter from Norris Bradbury , J. Carson Mark, and Richard Garwin to President Jimmy Carter, August 15, 1978, reprinted

  19. REPLACEMENT CONTROL OF INNOVATION MANAGERS: ORGANIZATIONAL AND ECONOMIC ASPECTS

    Directory of Open Access Journals (Sweden)

    E. V. Gurina

    2011-01-01

    Full Text Available The paper substantiates phases of specialists’ replacement ensuring innovation development of the national economy in Belarus, i.e. managers of innovation activity. Realization of replacement phases is presented within the system consisting of four blocks – objective, managing, controllable and providing. Analysis results of the current state of the innovation activity managers replacement system reveal main problems in interaction of its basic agents. The paper considers solution of specified problems in the context of formation of organizational and economic approaches to managing the innovation activity managers replacement system which presupposes modernization of organizational interrelations between state- run public authorities in the managing block and micro-incentive structures in the controllable block as well as the usage of the process approach in every phase of the replacement process. 

  20. Total joint replacement preadmission programs.

    Science.gov (United States)

    Messer, B

    1998-01-01

    Patients begin to formulate their expectations of the postoperative hospitalization during the preadmission program. The challenge is to better understand the factors patients consider when formulating judgments about the quality of preadmission education. For example, it may be that perceptions of the preadmission program are influenced by what patients believe about their postoperative pain and functional abilities. Specific attention needs to be given both preoperatively and postoperatively to instructing patients on realistic expectations for recovery. One other method of measuring patient outcomes is with the Health Status Profile (SF-36) (Response Healthcare Information Management, 1995). The SF-36 approach emphasizes the outcome of medical care as the patient sees it, in addition to a clinical evaluation of successful health care. This form is currently initiated in the physician's office and returned for scanning at the preadmission class. The patient then completes another SF-36 at 6 months and every year thereafter to compare measurable outcomes. Patients intending to have elective total joint replacements experience anxiety and require much support and education. An effective preadmission program is a major investment in a patient's recovery, as well as a unique marketing tool to customers. Preadmission programs can be viewed as an opportunity to enhance customer satisfaction. Preadmission clinics are an excellent means for nurses to improve the quality of patient care through patient education. the overall goal of preadmission testing programs is to ensure patient preparedness while increasing quality health care and overall customer satisfaction. To enhance program effectiveness, health care providers must lead collaborative efforts to improve the efficiency of systems.

  1. Minimally invasive aortic valve replacement

    DEFF Research Database (Denmark)

    Foghsgaard, Signe; Schmidt, Thomas Andersen; Kjaergard, Henrik K

    2009-01-01

    In this descriptive prospective study, we evaluate the outcomes of surgery in 98 patients who were scheduled to undergo minimally invasive aortic valve replacement. These patients were compared with a group of 50 patients who underwent scheduled aortic valve replacement through a full sternotomy....... The 30-day mortality rate for the 98 patients was zero, although 14 of the 98 mini-sternotomies had to be converted to complete sternotomies intraoperatively due to technical problems. Such conversion doubled the operative time over that of the planned full sternotomies. In the group of patients whose...... is an excellent operation in selected patients, but its true advantages over conventional aortic valve replacement (other than a smaller scar) await evaluation by means of randomized clinical trial. The "extended mini-aortic valve replacement" operation, on the other hand, is a risky procedure that should...

  2. The Impact of Current Developments in Post-Compulsory Education on Young People with Learning Difficulties and/or Disabilities.

    Science.gov (United States)

    Cooper, Deborah

    1999-01-01

    This article considers ways in which opportunities for children with special educational needs in England and Wales are being affected by current developments in post-compulsory education. The development of a Lifelong Learning Partnership by the Milton Keynes Council is used to illustrate how major developments affect local authorities.…

  3. Impact of village-based health education of tobacco control on the current smoking rate in Chinese rural areas.

    Science.gov (United States)

    Wang, Jian-miao; Xiong, Wei-ning; Xie, Jun-gang; Liu, Xian-sheng; Zhao, Jian-ping; Zhang, Zhen-xiang; Xu, Yong-jian

    2016-02-01

    The number of smokers in Chinese rural areas is more than 200 million, which is twice that in cities. It is very significant to carry out tobacco control interventions in rural areas. We performed this community intervention study to evaluate the efficacy of village-based health education of tobacco control on the male current smoking rate in rural areas. The population of this study was the males above 15 years old from 6 villages in rural areas. The villages were randomly assigned to intervention group or control group (3 villages in each group). Self-designed smoking questionnaire was applied. The intervention group received the village-based health education of tobacco control for one year. The primary outcome measurement was the male current smoking rate. In the baseline investigation, completed surveys were returned by 814 male residents from the control group and 831 male residents from the intervention group. The male current smoking rate in the control group and the intervention group was 61.2% and 58.5%, respectively, before intervention. There was no significant difference between these two groups (P>0.05). After one-year intervention, the current smoking rate in the intervention group (51.2%) was significantly lower than that in the control group (62.8%) (Pareas, which could be a suitable and feasible way for tobacco control in the Chinese rural areas.

  4. The Effect of Driver Rise-Time on Pinch Current and its Impact on Plasma Focus Performance and Neutron Yield

    Science.gov (United States)

    Sears, Jason; Schmidt, Andrea; Link, Anthony; Welch, Dale

    2016-10-01

    Experiments have suggested that dense plasma focus (DPF) neutron yield increases with faster drivers [Decker NIMP 1986]. Using the particle-in-cell code LSP [Schmidt PRL 2012], we reproduce this trend in a kJ DPF [Ellsworth 2014], and demonstrate how driver rise time is coupled to neutron output. We implement a 2-D model of the plasma focus including self-consistent circuit-driven boundary conditions. Driver capacitance and voltage are varied to modify the current rise time, and anode length is adjusted so that run-in coincides with the peak current. We observe during run down that magnetohydrodynamic (MHD) instabilities of the sheath shed blobs of plasma that remain in the inter-electrode gap during run in. This trailing plasma later acts as a low-inductance restrike path that shunts current from the pinch during maximum compression. While the MHD growth rate increases slightly with driver speed, the shorter anode of the fast driver allows fewer e-foldings and hence reduces the trailing mass between electrodes. As a result, the fast driver postpones parasitic restrikes and maintains peak current through the pinch during maximum compression. The fast driver pinch therefore achieves best simultaneity between its ion beam and peak target density, which maximizes neutron production. Prepared by LLNL under Contract DE-AC52-07NA27344.

  5. Effect of origin and composition of diet on ecological impact of the organic egg production chain

    NARCIS (Netherlands)

    Dekker, S.E.M.; Boer, de I.J.M.; Krimpen, van M.M.; Aarnink, A.J.A.; Groot Koerkamp, P.W.G.

    2013-01-01

    The objective of this research was to assess the potential to reduce the integral ecological impact (i.e. impact along the egg production chain per kg egg) of Dutch organic egg production by replacing currently used imported diet ingredients with Dutch diet ingredients. We realized this objective by

  6. Post-impact sedimentation in the Ritland impact structure, Southwestern Norway

    OpenAIRE

    Tomczyk, Michal

    2010-01-01

    A succession of crater infill sediments is preserved within the Ritland impact structure. Ritland is good example of a small depositional basin where a range of processes from debris flows to turbiditic currents and finally suspension fall-out took place within a very restricted area. Immediately after impact slumps/slides, and mass flows dominated, later to be replaced by running water activities in much calmer basin environment, like fine-grained sedimentation. The sedimentary successions o...

  7. Impact of weight-loss medications on the cardiovascular system: focus on current and future anti-obesity drugs.

    Science.gov (United States)

    Drolet, Benoit; Simard, Chantale; Poirier, Paul

    2007-01-01

    Overweight and obesity have been rising dramatically worldwide and are associated with numerous co-morbidities such as cardiovascular disease (CVD), type 2 diabetes mellitus, hypertension, certain cancers, and sleep apnea. In fact, obesity is an independent risk factor for CVD and CVD risks have also been documented in obese children. The majority of overweight and obese patients who achieve a significant short-term weight loss do not maintain their lower bodyweight in the long term. This may be due to a lack of intensive counseling and support from a facilitating environment including dedicated healthcare professionals such as nutritionists, kinesiologists, and behavior specialists. As a result, there has been a considerable focus on the role of adjunctive therapy such as pharmacotherapy for long-term weight loss and weight maintenance. Beyond an unfavorable risk factor profile, overweight and obesity also impact upon heart structure and function. Since the beginning, the quest for weight loss drugs has encountered warnings from regulatory agencies and the withdrawal from the market of efficient but unsafe medications. Fenfluramine was withdrawn from the market because of unacceptable pulmonary and cardiac adverse effects. Nevertheless, there is extensive research directed at the development of new anti-obesity compounds. The effect of these molecules on CVD risk factors has been studied and reported but information regarding their impact on the cardiovascular system is sparse. Thus, instead of looking at the benefit of weight loss on metabolism and risk factor management, this article discusses the impact of weight loss medications on the cardiovascular system. The potential interaction of available and potential new weight loss drugs with heart function and structure is reviewed.

  8. Impact of the Diamond Light Source on research in Earth and environmental sciences: current work and future perspectives

    OpenAIRE

    Burke, IT; Mosselmans, FW; S. Shaw; Peacock, CL; Benning, LG; Coker, VS

    2015-01-01

    Diamond Light Source Ltd celebrated its 10th anniversary as a company in December 2012 and has now accepted user experiments for over 5 years. This paper describes the current facilities available at Diamond and future developments that enhance its capacities with respect to the Earth and environmental sciences. A review of relevant research conducted at Diamond thus far is provided. This highlights how synchrotron-based studies have brought about important advances in our understanding of th...

  9. The impact of antiretroviral therapy on HPV and cervical intraepithelial neoplasia: current evidence and directions for future research

    Directory of Open Access Journals (Sweden)

    Sahasrabuddhe Vikrant V

    2010-05-01

    Full Text Available Abstract Increasing numbers of human immunodeficiency virus (HIV-infected women are now accessing life-prolonging highly active antiretroviral therapy (HAART in developing countries. There is a need for better understanding of interactions of human papillomavirus (HPV and HIV, especially in the context of increasing life expectancy due to HAART. The data regarding the impact of HAART on reducing the incidence and progression and facilitating the regression of HPV infection and cervical abnormalities is largely inconsistent. Published studies differ in their study designs (prospective or retrospective cohorts or record linkage studies, screening and diagnostic protocols, duration and type of HAART use, recruitment and referral strategies, and definitions of screening test and disease positivity. Due to the ethical and resource limitations in conducting randomized trials of the impact of HAART on incidence of HPV, CIN, and cervical cancer among HIV-infected women, it is important to consider innovative study designs, including quasi-experimental trials and operations research in sentinel populations to answer the critical research questions in this area.

  10. Modulations of aerosol impacts on cloud microphysics induced by the warm Kuroshio Current under the East Asian winter monsoon

    Science.gov (United States)

    Koike, M.; Asano, N.; Nakamura, H.; Sakai, S.; Nagao, T. M.; Nakajima, T. Y.

    2016-10-01

    In our previous aircraft observations, the possible influence of high sea surface temperature (SST) along the Kuroshio Current on aerosol-cloud interactions over the western North Pacific was revealed. The cloud droplet number concentration (Nc) was found to increase with decreasing near-surface static stability (NSS), which was evaluated locally as the difference between the SST and surface air temperature (SAT). To explore the spatial and temporal extent to which this warm SST influence can be operative, the present study analyzed Nc values estimated from Moderate Resolution Imaging Spectroradiometer (MODIS) satellite measurements. The comparison of the local Nc values between the high and low SST - SAT days revealed a marked increase in Nc (up to a factor of 1.8) along the Kuroshio Current in the southern East China Sea, where particularly high SST - SAT values (up to 8 K) were observed in winter under monsoonal cold air outflows from the Asian Continent. This cold airflow destabilizes the atmospheric boundary layer, which leads to enhanced updraft velocities within the well-developed mixed layer and thus greater Nc. The monsoonal northwesterlies also bring a large amount of anthropogenic aerosols from the Asian continent that increase Nc in the first place. These results suggest that the same modulations of cloud microphysics can occur over other warm western boundary currents, including the Gulf Stream, under polluted cool continental airflows. Possibilities of influencing the cloud liquid water path are also discussed.

  11. A multi-model assessment of the impact of currents, waves and wind in modelling surface drifters and oil spill

    Science.gov (United States)

    De Dominicis, M.; Bruciaferri, D.; Gerin, R.; Pinardi, N.; Poulain, P. M.; Garreau, P.; Zodiatis, G.; Perivoliotis, L.; Fazioli, L.; Sorgente, R.; Manganiello, C.

    2016-11-01

    Validation of oil spill forecasting systems suffers from a lack of data due to the scarcity of oil slick in situ and satellite observations. Drifters (surface drifting buoys) are often considered as proxy for oil spill to overcome this problem. However, they can have different designs and consequently behave in a different way at sea, making it not straightforward to use them for oil spill model validation purposes and to account for surface currents, waves and wind when modelling them. Stemming from the need to validate the MEDESS4MS (Mediterranean Decision Support System for Marine Safety) multi-model oil spill prediction system, which allows access to several ocean, wave and meteorological operational model forecasts, an exercise at sea was carried out to collect a consistent dataset of oil slick satellite observations, in situ data and trajectories of different type of drifters. The exercise, called MEDESS4MS Serious Game 1 (SG1), took place in the Elba Island region (Western Mediterranean Sea) during May 2014. Satellite images covering the MEDESS4MS SG1 exercise area were acquired every day and, in the case an oil spill was observed from satellite, vessels of the Italian Coast Guard (ITCG) were sent in situ to confirm the presence of the pollution. During the exercise one oil slick was found in situ and drifters, with different water-following characteristics, were effectively deployed into the oil slick and then monitored in the following days. Although it was not possible to compare the oil slick and drifter trajectories due to a lack of satellite observations of the same oil slick in the following days, the oil slick observations in situ and drifters trajectories were used to evaluate the quality of MEDESS4MS multi-model currents, waves and winds by using the MEDSLIK-II oil spill model. The response of the drifters to surface ocean currents, different Stokes drift parameterizations and wind drag has been examined. We found that the surface ocean currents

  12. 10 CFR 830 Major Modification Determination for the ATR Diesel Bus (E-3) and Switchgear Replacement

    Energy Technology Data Exchange (ETDEWEB)

    Noel Duckwtiz

    2011-05-01

    Near term replacement of aging and obsolescent original ATR equipment has become important to ensure ATR capability in support of NE’s long term national missions. To that end, a mission needs statement has been prepared for a non-major system acquisition which is comprised of three interdependent subprojects. The first project, subject of this determination, will replace the existent diesel-electrical bus (E-3) and associated switchgear. More specifically, INL proposes transitioning ATR to 100% commercial power with appropriate emergency backup to include: • Provide commercial power as the normal source of power to the ATR loads currently supplied by diesel-electric power. • Provide backup power to the critical ATR loads in the event of a loss of commercial power. • Replace obsolescent critical ATR power distribution equipment, e.g., switchgear, transformers, motor control centers, distribution panels. Completion of this and two other age-related projects (primary coolant pump and motor replacement and emergency firewater injection system replacement) will resolve major age related operational issues plus make a significant contribution in sustaining the ATR safety and reliability profile. The major modification criteria evaluation of the project pre-conceptual design identified several issues make the project a major modification: 1. Evaluation Criteria #2 (Footprint change). The addition of a new PC-4 structure to the ATR Facility to house safety-related SSCs requires careful attention to maintaining adherence to applicable engineering and nuclear safety design criteria (e.g., structural qualification, fire suppression) to ensure no adverse impacts to the safety-related functions of the housed equipment. 2. Evaluation Criteria #3 (Change of existing process). The change to the strategy for providing continuous reliable power to the safety-related emergency coolant pumps requires careful attention and analysis to ensure it meets a project primary object

  13. Nursing procedures during continuous renal replacement therapies: a national survey

    OpenAIRE

    Ricci, Zaccaria; Benelli, Sonia; Barbarigo, Fabio; Cocozza, Giulia; Pettinelli, Noemi; Di Luca, Emanuela; Mettifogo, Mariangela; Toniolo, Andrea; Ronco, Claudio

    2015-01-01

    Introduction The current role of nurses in the management of critically ill patients needing continuous renal replacement therapies is clearly fundamental. The care of these complex patients is typically shared by critical care and dialysis nurses: their precise duties may vary from country to country. Methods To clarify this issue we conducted a national-level survey at a recent Italian course on nursing practices during continuous renal replacement therapies. Results A total of 119 question...

  14. Current State of Numerical Simulations and Testing for the Blast and Impact Protection of the Build Civil Engineering Infrastructure

    Institute of Scientific and Technical Information of China (English)

    GEBBEKEN Norbert

    2006-01-01

    The identification of the critical infrastructure has shown that the build civil engineering infrastructure is almost involved everywhere,even with the IT-infrastructure.Therefore,the passive safety of structures is demanded.Security associations have analysed that most assaults came along with explosion and impact scenarios,which amount in 80% of assaults.Consequently,these are the extraordinary loads the structures have to be planned and designed for.To carry out such an engineering job,the engineer has to be educated in multiple disciplines as physics,material science,continuum mechanics,numerical mechanics,testing,structural engineering and related specific fields as wave propagation etc.In this paper we will concentrate on the subjects of numerical simulation and testing.

  15. Assessment Of Current State And Impact Of REDD On Livelihood Of Local People In Rungwe District Tanzania

    Directory of Open Access Journals (Sweden)

    Fredrick Ojija

    2015-08-01

    Full Text Available Abstract A climate change mitigation mechanism Reducing Emission from Deforestation and forest Degradation REDD is anticipated to affect livelihoods of forest dependent communities. This study was conducted to establish this impact on livelihoods of local people in Rungwe District Tanzania. Data were collected through questionnaires group discussions and interviews from three villages Syukula Ilolo and Kibisi. Results showed that households annual income and crop production are higher after REDD implementation. The older respondents 40 years old considered REDD to be important for forest management compared to younger generation 40 years old p0.05. Similarly the older respondents considered wood forest products such as fuelwood charcoal timber and poles to be reduced. There was a widespread awareness about REDDs objectives among household respondents. Therefore REDD proponents should implement alternative sources of livelihoods to help local people improve their income and reduce dependence on the forest resources and eventually decrease deforestation and forest degradation.

  16. Chlorinated volatile organic compounds (Cl-VOCs) in environment - sources, potential human health impacts, and current remediation technologies.

    Science.gov (United States)

    Huang, Binbin; Lei, Chao; Wei, Chaohai; Zeng, Guangming

    2014-10-01

    Chlorinated volatile organic compounds (Cl-VOCs), including polychloromethanes, polychloroethanes and polychloroethylenes, are widely used as solvents, degreasing agents and a variety of commercial products. These compounds belong to a group of ubiquitous contaminants that can be found in contaminated soil, air and any kind of fluvial mediums such as groundwater, rivers and lakes. This review presents a summary of the research concerning the production levels and sources of Cl-VOCs, their potential impacts on human health as well as state-of-the-art remediation technologies. Important sources of Cl-VOCs principally include the emissions from industrial processes, the consumption of Cl-VOC-containing products, the disinfection process, as well as improper storage and disposal methods. Human exposure to Cl-VOCs can occur through different routes, including ingestion, inhalation and dermal contact. The toxicological impacts of these compounds have been carefully assessed, and the results demonstrate the potential associations of cancer incidence with exposure to Cl-VOCs. Most Cl-VOCs thus have been listed as priority pollutants by the Ministry of Environmental Protection (MEP) of China, Environmental Protection Agency of the U.S. (U.S. EPA) and European Commission (EC), and are under close monitor and strict control. Yet, more efforts will be put into the epidemiological studies for the risk of human exposure to Cl-VOCs and the exposure level measurements in contaminated sites in the future. State-of-the-art remediation technologies for Cl-VOCs employ non-destructive methods and destructive methods (e.g. thermal incineration, phytoremediation, biodegradation, advanced oxidation processes (AOPs) and reductive dechlorination), whose advantages, drawbacks and future developments are thoroughly discussed in the later sections.

  17. Assessment of Power Potential of Tidal Currents and Impacts of Power Extraction on Flow Speeds in Indonesia

    Science.gov (United States)

    Orhan, K.; Mayerle, R.

    2016-12-01

    A methodology comprising of the estimates of power yield, evaluation of the effects of power extraction on flow conditions, and near-field investigations to deliver wake characteritics, recovery and interactions is described and applied to several straits in Indonesia. Site selection is done with high-resolution, three-dimensional flow models providing sufficient spatiotemporal coverage. Much attention has been given to the meteorological forcing, and conditions at the open sea boundaries to adequately capture the density gradients and flow fields. Model verification using tidal records shows excellent agreement. Sites with adequate depth for the energy conversion using horizontal axis tidal turbines, average kinetic power density greater than 0.5 kW/m2, and surface area larger than 0.5km2 are defined as energy hotspots. Spatial variation of the average extractable electric power is determined, and annual tidal energy resource is estimated for the straits in question. The results showed that the potential for tidal power generation in Indonesia is likely to exceed previous predictions reaching around 4,800MW. To assess the impact of the devices, flexible mesh models with higher resolutions have been developed. Effects on flow conditions, and near-field turbine wakes are resolved in greater detail with triangular horizontal grids. The energy is assumed to be removed uniformly by sub-grid scale arrays of turbines, and calculations are made based on velocities at the hub heights of the devices. An additional drag force resulting in dissipation of the pre-existing kinetic power from %10 to %60 within a flow cross-section is introduced to capture the impacts. It was found that the effect of power extraction on water levels and flow speeds in adjacent areas is not significant. Results show the effectivess of the method to capture wake characteritics and recovery reasonably well with low computational cost.

  18. Perspectives for computational modeling of cell replacement for neurological disorders

    Directory of Open Access Journals (Sweden)

    James B Aimone

    2013-11-01

    Full Text Available Mathematical modeling of anatomically-constrained neural networks has provided significant insights regarding the response of networks to neurological disorders or injury. A logical extension of these models is to incorporate treatment regimens to investigate network responses to intervention. The addition of nascent neurons from stem cell precursors into damaged or diseased tissue has been used as a successful therapeutic tool in recent decades. Interestingly, models have been developed to examine the incorporation of new neurons into intact adult structures, particularly the dentate granule neurons of the hippocampus. These studies suggest that the unique properties of maturing neurons can impact circuit behavior in unanticipated ways. In this perspective, we review the current status of models used to examine damaged CNS structures with particular focus on cortical damage due to stroke. Secondly, we suggest that computational modeling of cell replacement therapies can be made feasible by implementing approaches taken by current models of adult neurogenesis. The development of these models is critical for generating hypotheses regarding transplant therapies and improving outcomes by tailoring transplants to desired effects.

  19. Perspectives for computational modeling of cell replacement for neurological disorders

    Energy Technology Data Exchange (ETDEWEB)

    Aimone, James B.; Weick, Jason P.

    2013-01-01

    Mathematical modeling of anatomically-constrained neural networks has provided significant insights regarding the response of networks to neurological disorders or injury. A logical extension of these models is to incorporate treatment regimens to investigate network responses to intervention. The addition of nascent neurons from stem cell precursors into damaged or diseased tissue has been used as a successful therapeutic tool in recent decades. Interestingly, models have been developed to examine the incorporation of new neurons into intact adult structures, particularly the dentate granule neurons of the hippocampus. These studies suggest that the unique properties of maturing neurons, can impact circuit behavior in unanticipated ways. In this perspective, we review the current status of models used to examine damaged CNS structures with particular focus on cortical damage due to stroke. Secondly, we suggest that computational modeling of cell replacement therapies can be made feasible by implementing approaches taken by current models of adult neurogenesis. The development of these models is critical for generating hypotheses regarding transplant therapies and improving outcomes by tailoring transplants to desired effects.

  20. Perspectives for computational modeling of cell replacement for neurological disorders

    Energy Technology Data Exchange (ETDEWEB)

    Aimone, James B. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Weick, Jason P. [Univ. of New Mexico, Albuquerque, NM (United States)

    2013-01-01

    In mathematical modeling of anatomically-constrained neural networks we provide significant insights regarding the response of networks to neurological disorders or injury. Furthermore, a logical extension of these models is to incorporate treatment regimens to investigate network responses to intervention. The addition of nascent neurons from stem cell precursors into damaged or diseased tissue has been used as a successful therapeutic tool in recent decades. Interestingly, models have been developed to examine the incorporation of new neurons into intact adult structures, particularly the dentate granule neurons of the hippocampus. These studies suggest that the unique properties of maturing neurons, can impact circuit behavior in unanticipated ways. In this perspective, we review the current status of models used to examine damaged CNS structures with particular focus on cortical damage due to stroke. Secondly, we suggest that computational modeling of cell replacement therapies can be made feasible by implementing approaches taken by current models of adult neurogenesis. The development of these models is critical for generating hypotheses regarding transplant therapies and improving outcomes by tailoring transplants to desired effects.

  1. The impact of array genomic hybridization on mental retardation research: a review of current technologies and their clinical utility.

    Science.gov (United States)

    Zahir, F; Friedman, J M

    2007-10-01

    Our understanding of the causes of mental retardation is benefiting greatly from whole-genome scans to detect submicroscopic pathogenic copy number variants (CNVs) that are undetectable by conventional cytogenetic analysis. The current method of choice for performing whole-genome scans for CNVs is array genomic hybridization (AGH). Several platforms are available for AGH, each with its own strengths and limitations. This review discusses considerations that are relevant to the clinical use of whole-genome AGH platforms for the diagnosis of pathogenic CNVs in children with mental retardation. Whole-genome AGH studies are a maturing technology, but their high diagnostic utility assures their increasing use in clinical genetics.

  2. Transdermal testosterone replacement therapy in men

    Directory of Open Access Journals (Sweden)

    Ullah MI

    2014-01-01

    Full Text Available M Iftekhar Ullah,1 Daniel M Riche,1,2 Christian A Koch1,31Department of Medicine, University of Mississippi Medical Center, 2Department of Pharmacy Practice, The University of Mississippi, 3GV (Sonny Montgomery VA Medical Center, Jackson, MS, USAAbstract: Androgen deficiency syndrome in men is a frequently diagnosed condition associated with clinical symptoms including fatigue, decreased libido, erectile dysfunction, and metabolic syndrome. Serum testosterone concentrations decline steadily with age. The prevalence of androgen deficiency syndrome in men varies depending on the age group, known and unknown comorbidities, and the respective study group. Reported prevalence rates may be underestimated, as not every man with symptoms of androgen deficiency seeks treatment. Additionally, men reporting symptoms of androgen deficiency may not be correctly diagnosed due to the vagueness of the symptom quality. The treatment of androgen deficiency syndrome or male hypogonadism may sometimes be difficult due to various reasons. There is no consensus as to when to start treating a respective man or with regards to the best treatment option for an individual patient. There is also lack of familiarity with treatment options among general practitioners. The formulations currently available on the market are generally expensive and dose adjustment protocols for each differ. All these factors add to the complexity of testosterone replacement therapy. In this article we will discuss the general indications of transdermal testosterone replacement therapy, available formulations, dosage, application sites, and recommended titration schedule.Keywords: hypogonadism, transdermal, testosterone, sexual function, testosterone replacement therapy, estradiol

  3. Knee Replacement: What you can Expect

    Science.gov (United States)

    ... improves function lessen with each additional surgery. Artificial knees can wear out Another risk of knee replacement ... replacement surgery to last about two hours. After knee replacement surgery After surgery, you're wheeled to ...

  4. A spatial evaluation of historic iron mining impacts on current impaired waters in Lake Superior's Mesabi Range.

    Science.gov (United States)

    Baeten, John; Langston, Nancy; Lafreniere, Don

    2017-10-05

    This paper examines the water quality legacies of historic and current iron mining in the Mesabi Range, the most productive iron range in the history of North America, producing more than 42% of the world's iron ore in the 1950s. Between 1893 and 2016, 3.5 × 10(9) t of iron ore were shipped from the Mesabi Range to steel plants throughout the world. We map historic sites and quantities of iron mining, ore processing, water use, and tailings deposition within subwatershed boundaries. We then map the locations of impaired lakes within HUC-12 subwatershed boundaries within the Mesabi Range, using government datasets created for US federal Clean Water Act reporting. Comparing watersheds with and without historic mining activity, watersheds with historic mining activity currently contain a greater percentage of impaired lakes than control watersheds within the same range. These results suggest that historic iron ore mining and processing in the Mesabi Range affected water quality on a landscape scale, and these legacies persist long after the mines have closed. This paper outlines a novel spatial approach that land managers and policy makers can apply to other landscapes to assess the effects of past mining activity on watershed health.

  5. Net current measurements and secondary electron emission characteristics of the Voyager plasma science experiment and their impact on data interpretation

    Science.gov (United States)

    Mcnutt, Ralph L., Jr.

    1988-01-01

    The Voyager Plasma Science (PLS) instrument is capable of returning integral (DC) current measurements, similar in some respects to measurements made with a Langmuir probe or a retarding potential analyzer, although there are significant differences. The integral measurements were made during a calibration sequence in the solar wind, during Cruise Science Maneuvers, and within the magnetospheres of Jupiter and Saturn by Voyager 1. After the failure of the PLS experiment following the Saturn encounter, that instrument was placed in the DC return mode returning possibly usable data from early 1981 through early 1985. The DC return measurements are difficult to interpret and are above threshold values only for relatively large fluxes; the determination of the measured current level is dependent on the operating temperature of the preamplifiers which further complicates the interpretation. Nevertheless, these measurements can be used to determine the efficiency of the suppressor grid at preventing the loss of secondary electrons off the collector plate. Some DC return measurements have been invaluable in aiding in the interpretation of some electron plasma measurements not previously understood. It is found that electron spectra can be significantly modified by the presence of second generation secondary electrons produced by either first generation secondaries or photoelectrons on the support ring of the negative high voltage modulator grid within the instrument housing.

  6. [Impact of early benefit assessment on patients with epilepsy in Germany: Current healthcare provision and therapeutic needs].

    Science.gov (United States)

    Strzelczyk, A; Hamer, H M

    2016-04-01

    Epilepsy is one of the most common chronic neurological diseases and represents a significant burden for patients, their families and society. In more than 75 % of patients anticonvulsant therapy consists of valproate, carbamazepine, lamotrigine or levetiracetam. There is a need for polytherapy in drug-refractory patients and they suffer from negative effects on quality of life and employment that is associated with high indirect costs. To allow a comprehensive treatment in this patient group, access to new anticonvulsants with novel modes of action is needed; however, all applications for new antiepileptic drugs failed to prove added benefits during the Pharmaceutical Market Restructuring Act (AMNOG) in Germany. One of the main reasons is the mandatory definition of a standard comparative therapy. It remains unclear whether there will be studies in the future which will fulfill the requirements of the current version of AMNOG. Observational studies after approval and marketing of new antiepileptic drugs could be better alternatives to prove added benefits for individual patients in the current German healthcare system.

  7. Homologous gene replacement in Physarum

    Energy Technology Data Exchange (ETDEWEB)

    Burland, T.G. [Univ. of Wisconsin, Madison, WI (United States); Pallotta, D. [Laval Univ., Quebec (Canada)

    1995-01-01

    The protist Physarum polycephalum is useful for analysis of several aspects of cellular and developmental biology. To expand the opportunities for experimental analysis of this organism, we have developed a method for gene replacement. We transformed Physarum amoebae with plasmid DNA carrying a mutant allele, ardD{Delta}1, of the ardD actin gene; ardD{Delta}1 mutates the critical carboxy-terminal region of the gene product. Because ardD is not expressed in the amoeba, replacement of ardD{sup +} with ardD{Delta}1 should not be lethal for this cell type. Transformants were obtained only when linear plasmid DNA was used. Most transformants carried one copy of ardD{Delta}1 in addition to ardD{sup +}, but in two (5%), ardD{sup +} was replaced by a single copy of ardD{Delta}1. This is the first example of homologous gene replacement in Physarum. ardD{Delta}1 was stably maintained in the genome through growth, development and meiosis. We found no effect of ardD{Delta}l on viability, growth, or development of any of the various cell types of Physarum. Thus, the carboxy-terminal region of the ardD product appears not to perform a unique essential role in growth or development. Nevertheless, this method for homologous gene replacement can be applied to analyze the function of any cloned gene. 38 refs., 6 figs., 1 tab.

  8. The impact of interface states on the mobility and drive current of In0.53Ga0.47 As semiconductor n-MOSFETs

    Science.gov (United States)

    Osgnach, Patrik; Caruso, Enrico; Lizzit, Daniel; Palestri, Pierpaolo; Esseni, David; Selmi, Luca

    2015-06-01

    Accurate Schrödinger-Poisson and Multi-Subband Monte Carlo simulations are used to investigate the effect of interface states at the channel-insulator interface of In0.53Ga0.47 As MOSFETs. Acceptor states with energy inside the conduction band of the semiconductor can explain the dramatic Fermi level pinning observed in the experiments. Our results show that these states significantly impact the electrical mobility measurements but they appear to have a limited influence on the static current drive of short channel devices.

  9. Current Scientific Impact of Ss Cyril and Methodius University of Skopje, Republic of Macedonia in the Scopus Database (1960-2014)

    OpenAIRE

    2015-01-01

    Aim: The aim of this study was to analyze current scientific impact of Ss Cyril and Methodius University of Skopje, Republic of Macedonia in the Scopus Database (1960-2014). Material and Methods: Affiliation search of the Scopus database was performed on November 23, 2014 in order to identify published papers from the Ss Cyril and Methodius University of Skopje (UC&M), Republic of Macedonia. A total number of 3960 articles (3055 articles from UC&M, 861 articles from Faculty of Medicine, U...

  10. The impact of financial globalization and financialization on the economy in the current crisis through banking corporate governance

    Directory of Open Access Journals (Sweden)

    Juan Antonio Azkunaga

    2013-10-01

    Full Text Available This work analyzes the role of governance of financial entities in the current crisis. Neoliberal economic policies, deregulation and liberalization have characterized financial globalization, giving rise to the financialization of the economy. This paper, using the analysis-synthesis method, shows that the corporate governance of entities has adapted to the new social environment under the influence of the interests of the investors. The results of this paper suggest the need to monitor the over-emphasis on the maximization of short-term shareholder value without relativizing the risk taken to achieve it, as such, the emphasis on short-term shareholder value is considered a crucial contributing factor to the present crisis.

  11. Impact of the Diamond Light Source on research in Earth and environmental sciences: current work and future perspectives

    Science.gov (United States)

    Burke, Ian T.; Mosselmans, J. Frederick W.; Shaw, Samuel; Peacock, Caroline L.; Benning, Liane G.; Coker, Victoria S.

    2015-01-01

    Diamond Light Source Ltd celebrated its 10th anniversary as a company in December 2012 and has now accepted user experiments for over 5 years. This paper describes the current facilities available at Diamond and future developments that enhance its capacities with respect to the Earth and environmental sciences. A review of relevant research conducted at Diamond thus far is provided. This highlights how synchrotron-based studies have brought about important advances in our understanding of the fundamental parameters controlling highly complex mineral–fluid–microbe interface reactions in the natural environment. This new knowledge not only enhances our understanding of global biogeochemical processes, but also provides the opportunity for interventions to be designed for environmental remediation and beneficial use. PMID:25624516

  12. Impact of the Diamond Light Source on research in Earth and environmental sciences: current work and future perspectives.

    Science.gov (United States)

    Burke, Ian T; Mosselmans, J Frederick W; Shaw, Samuel; Peacock, Caroline L; Benning, Liane G; Coker, Victoria S

    2015-03-06

    Diamond Light Source Ltd celebrated its 10th anniversary as a company in December 2012 and has now accepted user experiments for over 5 years. This paper describes the current facilities available at Diamond and future developments that enhance its capacities with respect to the Earth and environmental sciences. A review of relevant research conducted at Diamond thus far is provided. This highlights how synchrotron-based studies have brought about important advances in our understanding of the fundamental parameters controlling highly complex mineral-fluid-microbe interface reactions in the natural environment. This new knowledge not only enhances our understanding of global biogeochemical processes, but also provides the opportunity for interventions to be designed for environmental remediation and beneficial use.

  13. Cobra Probes Containing Replaceable Thermocouples

    Science.gov (United States)

    Jones, John; Redding, Adam

    2007-01-01

    A modification of the basic design of cobra probes provides for relatively easy replacement of broken thermocouples. Cobra probes are standard tube-type pressure probes that may also contain thermocouples and that are routinely used in wind tunnels and aeronautical hardware. They are so named because in side views, they resemble a cobra poised to attack. Heretofore, there has been no easy way to replace a broken thermocouple in a cobra probe: instead, it has been necessary to break the probe apart and then rebuild it, typically at a cost between $2,000 and $4,000 (2004 prices). The modified design makes it possible to replace the thermocouple, in minimal time and at relatively low cost, by inserting new thermocouple wire in a tube.

  14. Backreef and beach carbonate sediments of the Red Sea, Saudi Arabia: impacts of reef geometry and currents on sediment composition

    KAUST Repository

    Missimer, T. M.

    2017-07-01

    Three sites in the Red Sea were investigated to assess the variability of composition in Holocene sediments of the backreef environment within 0–2 m of water depth. This is important because composition of the sediment is commonly used to estimate water depth in ancient carbonate rocks. The site located at the King Abdullah Economic City (Saudi Arabia) contains a fringing reef with the reef tract located very close to the beach at the north end, flaring to the south to produce a narrower backreef area compared to the other two sites. This geometry produces a north to south current with a velocity of up to 15 cm s−1, particularly during high onshore winds. The sediments contain predominantly non-skeletal grains, including peloids, coated grains, ooids, and grapestones that form on the bottom. The percentage of coralgal grains in the sediment was significantly lower than at the other two sites studied. Om Al Misk Island and Shoaiba have a much lower-velocity current within the backreef zone and contain predominantly coralgal sediments from the beach to the landward edge of the reef tract. The two locations containing the predominantly coralgal microfacies were statistically similar, but the King Abdullah Economic City site was statistically different despite having a similar water depth profile. Slight differences in reef configuration, including reef orientation and distance from the shore, can produce considerable differences in sediment thickness and composition within the backreef environment, which should induce caution in the interpretation of water depth in ancient carbonate rocks using composition.

  15. Simulated impacts of climate change on current farming locations of striped catfish (Pangasianodon hypophthalmus; Sauvage) in the Mekong Delta, Vietnam.

    Science.gov (United States)

    Nguyen, Anh L; Dang, Vinh H; Bosma, Roel H; Verreth, Johan A J; Leemans, Rik; De Silva, Sena S

    2014-12-01

    In Vietnam, culturing striped catfish makes an important contribution to the Mekong Delta's economy. Water level rise during rainy season and salt intrusion during dry season affect the water exchange and quality for this culture. Sea level rise as a consequence of climate change will worsen these influences. In this study, water level rise and salt water intrusion for three sea level rise (SLR) scenarios (i.e., +30, +50, and +75 cm) were simulated. The results showed that at SLR +50, the 3-m-flood level would spread downstream and threaten farms located in AnGiang, DongThap and CanTho provinces. Rising salinity levels for SLR +75 would reduce the window appropriate for the culture in SocTrang and BenTre provinces, and in TienGiang's coastal districts. Next to increasing dikes to reduce the impacts, the most tenable and least disruptive option to the farming community would be to shift to a salinity tolerant strain of catfish.

  16. A Fiscal Cliff: The Current U.S. Federal Budget, Potential Cuts, and Impacts on Science Funding

    Science.gov (United States)

    Uhlenbrock, K. M.; Landau, E. A.; Hankin, E. R.

    2012-12-01

    As lawmakers on Capitol Hill face challenges to reach an agreement on how to cut the deficit while growing the economy, scientists must join the discussion and outline the serious impacts cuts to federal science programs will have on our society. Consistent and sustained federal science funding (discretionary spending) is an ever increasing struggle with the rising costs of mandatory spending and decrease in revenues. In 2011 Congress passed the Budget Control Act, which will require automatic across-the-board cuts, known as sequestration, and will take effect on 2 January 2013. Estimated cuts of $1.2 trillion and discretionary spending caps set at Fiscal Year 2012 levels will trigger non-defense program cuts of 9.8% in the first year as reported by the Congressional Research Service. Funding from non-defense program agencies such as NSF, NASA, DOE, NOAA, USGS, and others drive science and technological innovation, support public safety, create jobs, educate generations of scientists, stimulate the economy, protect our environment, and enrich lives. With non-defense discretionary programs representing less than one-fifth of the federal budget, severe cuts to these programs will not alleviate our deficit, but instead restrict our growth.

  17. Projecting the Current & Future Impact of Storm Surges on Coastal Flood Extent at Pigeon Point, South-West Tobago, through Hydrodynamic Modelling Analyses

    Science.gov (United States)

    Seenath, Avidesh; Wilson, Matthew; Miller, Keith

    2014-05-01

    Under climate change, sea levels will continue to rise and the intensity of tropical storms and hurricanes will amplify. Consequently, the incidence rate of high magnitude storm surges may increase which will enhance the probability of coastal flood events in low lying coastal communities. The purpose of this study is to determine the current and potential future areas that may be at risk of flooding from storm surges, of different magnitudes, for the low lying Pigeon Point area of south-west Tobago. The objective of this research is to develop an understanding of the extent of flooding that these events can ensue on low lying coastal areas that are widespread through the Caribbean under current and future sea level conditions. A two-dimensional hydrodynamic flood model was created for Pigeon Point using the model code LISFLOOD-FP by incorporating topographic data of the terrain and sea bed referenced to mean sea level together with tides. This was used to assess the impact of different storm surge levels on the study area. Storm surge scenarios were computed using information acquired from the Saffir-Simpson hurricane scale which provides an estimate of storm surge height based on the category of hurricane, existing projections of global sea level rise and recorded values of high tide for Pigeon Point. Results indicate that the quantity of area likely to flood, in each surge scenario, increases significantly under future projected global sea level conditions compared to current conditions. The potential implications of this on the local population, island's economy and beach geomorphology are examined. Results obtained were incorporated into a Geographic Information System (GIS) to produce current and future flood maps indicating potential inundation extent based on storm surge height to guide coastal flood management programmes in south-west Tobago. We conclude that greater focus should be placed on implementing flood mitigation measures to protect our coasts and

  18. Renal replacement therapy in ICU

    Directory of Open Access Journals (Sweden)

    C Deepa

    2012-01-01

    Full Text Available Diagnosing and managing critically ill patients with renal dysfunction is a part of the daily routine of an intensivist. Acute kidney insufficiency substantially contributes to the morbidity and mortality of critically ill patients. Renal replacement therapy (RRT not only does play a significant role in the treatment of patients with renal failure, acute as well as chronic, but also has spread its domains to the treatment of many other disease conditions such as myaesthenia gravis, septic shock and acute on chronic liver failure. This article briefly outlines the role of renal replacement therapy in ICU.

  19. Prioritization methodology for chemical replacement

    Science.gov (United States)

    Goldberg, Ben; Cruit, Wendy; Schutzenhofer, Scott

    1995-01-01

    This methodology serves to define a system for effective prioritization of efforts required to develop replacement technologies mandated by imposed and forecast legislation. The methodology used is a semi quantitative approach derived from quality function deployment techniques (QFD Matrix). QFD is a conceptual map that provides a method of transforming customer wants and needs into quantitative engineering terms. This methodology aims to weight the full environmental, cost, safety, reliability, and programmatic implications of replacement technology development to allow appropriate identification of viable candidates and programmatic alternatives.

  20. Wafer Replacement Cluster Tool (Presentation);

    Energy Technology Data Exchange (ETDEWEB)

    Branz, H. M.

    2008-04-01

    This presentation on wafer replacement cluster tool discusses: (1) Platform for advanced R and D toward SAI 2015 cost goal--crystal silicon PV at area costs closer to amorphous Si PV, it's 15% efficiency, inexpensive substrate, and moderate temperature processing (<800 C); (2) Why silicon?--industrial and knowledge base, abundant and environmentally benign, market acceptance, and good efficiency; and (3) Why replace wafers?--expensive, high embedded energy content, and uses 50-100 times more silicon than needed.

  1. Impacts

    NARCIS (Netherlands)

    Hellmuth, M.; Kabat, P.

    2003-01-01

    Even without the impacts of climate change, water managers face prodigious challenges in meeting sustainable development goals. Growing populations need affordable food, water and energy. Industrial development demands a growing share of water resources and contaminates those same resources with its

  2. Impacts

    NARCIS (Netherlands)

    Hellmuth, M.; Kabat, P.

    2003-01-01

    Even without the impacts of climate change, water managers face prodigious challenges in meeting sustainable development goals. Growing populations need affordable food, water and energy. Industrial development demands a growing share of water resources and contaminates those same resources with its

  3. The current deglaciation of the Ortles-Cevedale massif (Eastern Italian Alps): impacts, controls and degree of imbalance

    Science.gov (United States)

    Carturan, L.; Filippi, R.; Seppi, R.; Gabrielli, P.; Notarnicola, C.; Bertoldi, L.; Paul, F.; Rastner, P.; Cazorzi, F.; Dalla Fontana, G.

    2012-04-01

    glaciers by comparing the current Accumulation Area Ratios (AAR) with the balanced-budget AAR (AAR0), the latter also accounting for the debris cover of glaciers. We found that the total area loss of the Ortles-Cevedale glaciers from 1987 to 2009 amounts to 23.5 km2, i.e. 23.4% of the initial area. On the other hand, the AAR of the entire glacier system was 0.3 in both investigated years. The overall debris cover increased from 10.5% to 16.3%. The geodetic mass balance rate was -0.7 m w.e. y-1(as an average on 112 ice bodies), ranging from -0.1 to -1.7 m w.e. y-1. We also found that the main controls of the differing change of single glaciers are related to their hypsometry (elevation range and slope), AAR, feeding source and debris cover. Interestingly, a significant correlation was found between AAR, AAR0 and debris cover. This information was used to assess and visualize the needed additional reduction of individual glaciers to reach equilibrium with the current size of their accumulation areas. This amounts on average to a further reduction of ~40% of the current areal extent of glaciers.

  4. Legacy and Current-Use Insecticides in Agricultural Sediments from South China: Impact of Application Pattern on Occurrence and Risk.

    Science.gov (United States)

    Wei, Yanli; Li, Huizhen; Zhang, Junjie; Xiong, Jingjing; Yi, Xiaoyi; You, Jing

    2017-05-31

    Legacy and current-use insecticides were analyzed in sediments collected from a typical rice-planting region in South China. Total concentrations of insecticides varied from 1.63 to 775 ng g(-1) with mean and median values of 67.0 and 11.5 ng g(-1), respectively. Pyrethroids predominated pesticide composition (31.7%), followed by organophosphates (23.0%) and fiproles (20.8%). Sediment risk analysis showed that pyrethroids, fiproles, and abamectin posed significant risk to benthic invertebrates in one-third of sediments. Different distributions of pyrethroids and organophosphates in urban and agricultural areas were consistent with their application patterns, whereas legacy organochlorine pesticides showed no region-specific distribution because of rapid transition of land use pattern from agricultural to urban areas. Likely illegal use of pyrethroids and fipronil caused serious ecological risks in agricultural waterways. Pyrethroids and fipronil were restricted to use in paddy fields, but their occurrence and risk in agricultural waterways were high, calling for better measures to regulate the illegal use of insecticides.

  5. Impact of physical properties of formulations on bioavailability of active substance: current and novel drugs with cyclosporine.

    Science.gov (United States)

    Andrysek, T

    2003-07-01

    During the long period of cyclosporine-containing dosage forms development a lot of significant findings have been done especially in the field of drug delivery systems. Currently available drugs are based, from technological point of view, on self-dispersible drug delivery systems, which contain cyclosporine solved in pharmaceutically acceptable vehicle. One can find difference among particular systems: (a) at particle size distribution after dispergation; (b) at composition; and (c) at bioavailability of cyclosporine. As far as improvement of bioavailability between original brand leader formulation Sandimmune and recent brand leader formulation Neoral was followed by significant improvement in particle size distribution, it was generally assumed that the reason for this improvement have been found. Several other formulations, e.g. Consupren or SangCyA-self-dispersible systems, more or less correspond with above-mentioned theory that smaller is better and by this principle bridged liquid based dosage forms with solid dosage forms. Bioavailability of novel drug delivery system which gives coarse dispersion with average particle size between 1-150 microm when dispersed have been tested on healthy volunteers. No difference among pharmacokinetic parameters of novel drug delivery system and microemulsion system have been observed in spite of fact that average particle size of novel system is almost 1000x bigger.

  6. Impact of Neutral Point Current Control on Copper Loss Distribution of Five Phase PM Generators Used in Wind Power Plants

    Directory of Open Access Journals (Sweden)

    ARASHLOO, R. S.

    2014-05-01

    Full Text Available Efficiency improvement under faulty conditions is one of the main objectives of fault tolerant PM drives. This goal can be achieved by increasing the output power while reducing the losses. Stator copper loss not only directly affects the total efficiency, but also plays an important role in thermal stress generations of iron core. In this paper, the effect of having control on neutral point current is studied on the efficiency of five-phase permanent magnet machines. Open circuit fault is considered for both one and two phases, and the distribution of copper loss along the windings are evaluated in each case. It is shown that only by having access to neutral point, it is possible to generate less stator thermal stress and more mechanical power in five-phase permanent magnet generators. Wind power generation and their applications are kept in mind, and the results are verified via simulations and experimental tests on an outer-rotor type of five-phase PM machine.

  7. Measuring cohabitation and family structure in the United States: assessing the impact of new data from the Current Population Survey.

    Science.gov (United States)

    Kennedy, Sheela; Fitch, Catherine A

    2012-11-01

    In 2007, the Current Population Survey (CPS) introduced a measure that identifies all cohabiting partners in a household, regardless of whether they describe themselves as "unmarried partners" in the relationship to householder question. The CPS now also links children to their biological, step-, and adoptive parents. Using these new variables, we analyze the prevalence of cohabitation as well as the demographic and socioeconomic characteristics of different-sex cohabiting couples during the years 2007-2009. Estimates of cohabitation produced using only unmarried partnerships miss 18 % of all cohabiting unions and 12 % of children residing with cohabiting parents. Although differences between unmarried partners and most newly identified cohabitors are small, newly identified cohabitors are older, on average, and are less likely to be raising shared biological or adopted children. These new measures also allow us to identify a small number of young, disadvantaged couples who primarily reside in households of other family members, most commonly with parents. We conclude with an examination of the complex living arrangements and poverty status of American children, demonstrating the broader value of these new measures for research on American family and household structure.

  8. Replacement of saturated with unsaturated fats had no impact on vascular function but beneficial effects on lipid biomarkers, E-selectin, and blood pressure: results from the randomized, controlled Dietary Intervention and VAScular function (DIVAS) study.

    Science.gov (United States)

    Vafeiadou, Katerina; Weech, Michelle; Altowaijri, Hana; Todd, Susan; Yaqoob, Parveen; Jackson, Kim G; Lovegrove, Julie A

    2015-07-01

    Public health strategies to lower cardiovascular disease (CVD) risk involve reducing dietary saturated fatty acid (SFA) intake to ≤10% of total energy (%TE). However, the optimal type of replacement fat is unclear. We investigated the substitution of 9.5-9.6%TE dietary SFAs with either monounsaturated fatty acids (MUFAs) or n-6 (ω-6) polyunsaturated fatty acids (PUFAs) on vascular function and other CVD risk factors. In a randomized, controlled, single-blind, parallel-group dietary intervention, 195 men and women aged 21-60 y from the United Kingdom with moderate CVD risk (≥50% above the population mean) followed one of three 16-wk isoenergetic diets (%TE target compositions, total fat:SFA:MUFA:n-6 PUFA) that were rich in SFAs (36:17:11:4, n = 65), MUFAs (36:9:19:4, n = 64), or n-6 PUFAs (36:9:13:10, n = 66). The primary outcome measure was flow-mediated dilatation; secondary outcome measures included fasting serum lipids, microvascular reactivity, arterial stiffness, ambulatory blood pressure, and markers of insulin resistance, inflammation, and endothelial activation. Replacing SFAs with MUFAs or n-6 PUFAs did not affect the percentage of flow-mediated dilatation (primary endpoint) or other measures of vascular reactivity. Of the secondary outcome measures, substitution of SFAs with MUFAs attenuated the increase in night systolic blood pressure (-4.9 mm Hg, P = 0.019) and reduced E-selectin (-7.8%, P = 0.012). Replacement with MUFAs or n-6 PUFAs lowered fasting serum total cholesterol (-8.4% and -9.2%, respectively), low-density lipoprotein cholesterol (-11.3% and -13.6%), and total cholesterol to high-density lipoprotein cholesterol ratio (-5.6% and -8.5%) (P ≤ 0.001). These changes in low-density lipoprotein cholesterol equate to an estimated 17-20% reduction in CVD mortality. Substitution of 9.5-9.6%TE dietary SFAs with either MUFAs or n-6 PUFAs did not significantly affect the percentage of flow-mediated dilatation or other measures of vascular

  9. How extending motor vehicle's replacement cycle affects Japanese economy Impact assessment using macroeconometric and input-output simulations. Jidosha kaikae cycle no chokika ga kokunai keizai ni ataeru eikyo ni tsuite. Makuro keizai sangyo renkan model ni yoru hyoka

    Energy Technology Data Exchange (ETDEWEB)

    Wakabayashi, M.

    1999-01-01

    The motor vehicle industry, which has inspired domestic production activities since the 1960's, is coming up against inevitable changes. One of the typical phenomena is that the domestic motor vehicle market is getting ripe. Since almost 80 percent of households in our country already have at least one motor vehicle and the population is going to reduce, it isn't expected that the newly car demand will increase rapidly as it did before the end of 1980's. It is strongly predicted that purchase of cars motivated mainly for replacement is going to take a leading part of domestic sales. In this paper, we calculate the impacts of extending motor vehicle's replacement cycles, as one aspect of maturation of the domestic motor vehicle market, on Japanese economy. Reduction of new car demands affects production not only in the motor vehicle industry, but also in the various industries. It is because motor vehicles are manufactured goods those need many step of production by the time of selling. Using CRIEPI's macroeconometric and input-output models, we clarified that retrenchment of car replacement would decrease 2.6 trillion yen of total industry output in 1990 constant price value added terms. The loss of output in the motor vehicle industry would be 381 billion yen, and in the retail and wholesale sector it would amount td 666 billion yen. Also, electric power industry would lose 47 billion yen's takings. Considering low economic growth since 1990, this impact could have a great influence on our prospective growing process. (author)

  10. How extending motor vehicle`s replacement cycle affects Japanese economy ? Impact assessment using macroeconometric and input-output simulations; Jidosha kaikae cycle no chokika ga kokunai keizai ni ataeru eikyo ni tsuite. Makuro keizai sangyo renkan model ni yoru hyoka

    Energy Technology Data Exchange (ETDEWEB)

    Wakabayashi, M.

    1999-01-01

    The motor vehicle industry, which has inspired domestic production activities since the 1960`s, is coming up against inevitable changes. One of the typical phenomena is that the domestic motor vehicle market is getting ripe. Since almost 80 percent of households in our country already have at least one motor vehicle and the population is going to reduce, it isn`t expected that the newly car demand will increase rapidly as it did before the end of 1980`s. It is strongly predicted that purchase of cars motivated mainly for replacement is going to take a leading part of domestic sales. In this paper, we calculate the impacts of extending motor vehicle`s replacement cycles, as one aspect of maturation of the domestic motor vehicle market, on Japanese economy. Reduction of new car demands affects production not only in the motor vehicle industry, but also in the various industries. It is because motor vehicles are manufactured goods those need many step of production by the time of selling. Using CRIEPI`s macroeconometric and input-output models, we clarified that retrenchment of car replacement would decrease 2.6 trillion yen of total industry output in 1990 constant price value added terms. The loss of output in the motor vehicle industry would be 381 billion yen, and in the retail and wholesale sector it would amount td 666 billion yen. Also, electric power industry would lose 47 billion yen`s takings. Considering low economic growth since 1990, this impact could have a great influence on our prospective growing process. (author)

  11. Approach to Recover Hydrocarbons from Currently Off-Limit Areas of the Antrim Formation, MI Using Low-Impact Technologies

    Energy Technology Data Exchange (ETDEWEB)

    James Wood; William Quinlan

    2008-09-30

    The goal of this project was to develop and execute a novel drilling and completion program in the Antrim Shale near the western shoreline of Northern Michigan. The target was the gas in the Lower Antrim Formation (Upper Devonian). Another goal was to see if drilling permits could be obtained from the Michigan DNR that would allow exploitation of reserves currently off-limits to exploration. This project met both of these goals: the DNR (Michigan Department of Natural Resources) issued permits that allow drilling the shallow subsurface for exploration and production. This project obtained drilling permits for the original demonstration well AG-A-MING 4-12 HD (API: 21-009-58153-0000) and AG-A-MING 4-12 HD1 (API: 21-009-58153-0100) as well as for similar Antrim wells in Benzie County, MI, the Colfax 3-28 HD and nearby Colfax 2-28 HD which were substituted for the AG-A-MING well. This project also developed successful techniques and strategies for producing the shallow gas. In addition to the project demonstration well over 20 wells have been drilled to date into the shallow Antrim as a result of this project's findings. Further, fracture stimulation has proven to be a vital step in improving the deliverability of wells to deem them commercial. Our initial plan was very simple; the 'J-well' design. We proposed to drill a vertical or slant well 30.48 meters (100 feet) below the glacial drift, set required casing, then angle back up to tap the resource lying between the base to the drift and the conventional vertical well. The 'J'-well design was tested at Mancelona Township in Antrim County in February of 2007 with the St. Mancelona 2-12 HD 3.

  12. Impacts of Kelvin wave forcing in the Peru Humboldt Current system: Scenarios of spatial reorganizations from physics to fishers

    Science.gov (United States)

    Bertrand, Sophie; Dewitte, Boris; Tam, Jorge; Díaz, Erich; Bertrand, Arnaud

    2008-10-01

    Because climate change challenges the sustainability of important fish populations and the fisheries they support, we need to understand how large scale climatic forcing affects the functioning of marine ecosystems. In the Humboldt Current system (HCS), a main driver of climatic variability is coastally-trapped Kelvin waves (KWs), themselves originating as oceanic equatorial KWs. Here we (i) describe the spatial reorganizations of living organisms in the Humboldt coastal system as affected by oceanic KWs forcing, (ii) quantify the strength of the interactions between the physical and biological component dynamics of the system, (iii) formulate hypotheses on the processes which drive the redistributions of the organisms, and (iv) build scenarios of space occupation in the HCS under varying KW forcing. To address these questions we explore, through bivariate lagged correlations and multivariate statistics, the relationships between time series of oceanic KW amplitude (TAO mooring data and model-resolved baroclinic modes) and coastal Peruvian oceanographic data (SST, coastal upwelled waters extent), anchoveta spatial distribution (mean distance to the coast, spatial concentration of the biomass, mean depth of the schools), and fishing fleet statistics (trip duration, searching duration, number of fishing sets and catch per trip, features of the foraging trajectory as observed by satellite vessel monitoring system). Data sets span all or part of January 1983 to September 2006. The results show that the effects of oceanic KW forcing are significant in all the components of the coastal ecosystem, from oceanography to the behaviour of the top predators - fishers. This result provides evidence for a bottom-up transfer of the behaviours and spatial stucturing through the ecosystem. We propose that contrasting scenarios develop during the passage of upwelling versus downwelling KWs. From a predictive point of view, we show that KW amplitudes observed in the mid-Pacific can

  13. Impact of critical care-trained flight paramedics on casualty survival during helicopter evacuation in the current war in Afghanistan.

    Science.gov (United States)

    Mabry, Robert L; Apodaca, Amy; Penrod, Jason; Orman, Jean A; Gerhardt, Robert T; Dorlac, Warren C

    2012-08-01

    The US Army pioneered medical evacuation (MEDEVAC) by helicopter, yet its system remains essentially unchanged since the Vietnam era. Care is provided by a single combat medic credentialed at the Emergency Medical Technician - Basic level. Treatment protocols, documentation, medical direction, and quality improvement processes are not standardized and vary significantly across US Army helicopter evacuation units. This is in contrast to helicopter emergency medical services that operate within the United States. Current civilian helicopter evacuation platforms are routinely staffed by critical care-trained flight paramedics (CCFP) or comparably trained flight nurses who operate under trained EMS physician medical direction using formalized protocols, standardized patient care documentation, and rigorous quality improvement processes. This study compares mortality of patients with injury from trauma between the US Army's standard helicopter evacuation system staffed with medics at the Emergency Medical Technician - Basic level (standard MEDEVAC) and one staffed with experienced CCFP using adopted civilian helicopter emergency medical services practices. This is a retrospective study of a natural experiment. Using data from the Joint Theater Trauma Registry, 48-hour mortality for severely injured patients (injury severity score ≥ 16) was compared between patients transported by standard MEDEVAC units and CCFP air ambulance units. The 48-hour mortality for the CCFP-treated patients was 8% compared to 15% for the standard MEDEVAC patients. After adjustment for covariates, the CCFP system was associated with a 66% lower estimated risk of 48-hour mortality compared to the standard MEDEVAC system. These findings demonstrate that using an air ambulance system based on modern civilian helicopter EMS practice was associated with a lower estimated risk of 48-hour mortality among severely injured patients in a combat setting.

  14. Impact of morphometry, myelinization and synaptic current strength on spike conduction in human and cat spiral ganglion neurons.

    Directory of Open Access Journals (Sweden)

    Frank Rattay

    Full Text Available BACKGROUND: Our knowledge about the neural code in the auditory nerve is based to a large extent on experiments on cats. Several anatomical differences between auditory neurons in human and cat are expected to lead to functional differences in speed and safety of spike conduction. METHODOLOGY/PRINCIPAL FINDINGS: Confocal microscopy was used to systematically evaluate peripheral and central process diameters, commonness of myelination and morphology of spiral ganglion neurons (SGNs along the cochlea of three human and three cats. Based on these morphometric data, model analysis reveales that spike conduction in SGNs is characterized by four phases: a postsynaptic delay, constant velocity in the peripheral process, a presomatic delay and constant velocity in the central process. The majority of SGNs are type I, connecting the inner hair cells with the brainstem. In contrast to those of humans, type I neurons of the cat are entirely myelinated. Biophysical model evaluation showed delayed and weak spikes in the human soma region as a consequence of a lack of myelin. The simulated spike conduction times are in accordance with normal interwave latencies from auditory brainstem response recordings from man and cat. Simulated 400 pA postsynaptic currents from inner hair cell ribbon synapses were 15 times above threshold. They enforced quick and synchronous spiking. Both of these properties were not present in type II cells as they receive fewer and much weaker (∼26 pA synaptic stimuli. CONCLUSIONS/SIGNIFICANCE: Wasting synaptic energy boosts spike initiation, which guarantees the rapid transmission of temporal fine structure of auditory signals. However, a lack of myelin in the soma regions of human type I neurons causes a large delay in spike conduction in comparison with cat neurons. The absent myelin, in combination with a longer peripheral process, causes quantitative differences of temporal parameters in the electrically stimulated human cochlea

  15. Double emulsions as fat replacers

    NARCIS (Netherlands)

    Oppermann, Anika

    2017-01-01

    The use of double (w1/o/w2) emulsions, in which part of the oil is replaced by small water droplets, is a promising strategy to reduce oil content in food products. For successful applications, (1) significant levels of fat reduction (i.e. significant amounts of water inside the oil droplets) have

  16. Replacement policies for dairy cows

    DEFF Research Database (Denmark)

    Nielsen, Lars Relund

    In a recent paper a hierarchical Markov decision processes (MDP) with finite state and action space was formulated for the dairy cow replacement problem with stage lengths of 1 d. Bayesian updating was used to predict the performance of each cow in the herd and economic decisions were based...

  17. Electrocatalysts Prepared by Galvanic Replacement

    Directory of Open Access Journals (Sweden)

    Athanasios Papaderakis

    2017-03-01

    Full Text Available Galvanic replacement is the spontaneous replacement of surface layers of a metal, M, by a more noble metal, Mnoble, when the former is treated with a solution containing the latter in ionic form, according to the general replacement reaction: nM + mMnoblen+ → nMm+ + mMnoble. The reaction is driven by the difference in the equilibrium potential of the two metal/metal ion redox couples and, to avoid parasitic cathodic processes such as oxygen reduction and (in some cases hydrogen evolution too, both oxygen levels and the pH must be optimized. The resulting bimetallic material can in principle have a Mnoble-rich shell and M-rich core (denoted as Mnoble(M leading to a possible decrease in noble metal loading and the modification of its properties by the underlying metal M. This paper reviews a number of bimetallic or ternary electrocatalytic materials prepared by galvanic replacement for fuel cell, electrolysis and electrosynthesis reactions. These include oxygen reduction, methanol, formic acid and ethanol oxidation, hydrogen evolution and oxidation, oxygen evolution, borohydride oxidation, and halide reduction. Methods for depositing the precursor metal M on the support material (electrodeposition, electroless deposition, photodeposition as well as the various options for the support are also reviewed.

  18. IMPACTS !

    CERN Multimedia

    2008-01-01

    (Photo courtesy of Don Davis / NASA)The University of Geneva (UNIGE) and the Ecole Polytechnique Fédérale of Lausanne (EPFL) are organising the 4th series of public lectures on astronomy, on the theme of "Impacts". The schedule is as follows: Il y a 100 ans : une explosion dans la Tunguska – Dr. Frédéric COURBIN, EPFL Les impacts sur Terre – Prof. Didier Queloz, UNIGE La fin des dinosaures – Dr. Stéphane Paltani, UNIGE Wednesday 7 May 2008, from 7.00 p.m. to 9.00 p.m. Auditoire CO1, EPFL, Ecublens Thursday 08 May 2008, from 7.00 p.m. to 9.00 p.m. Auditoire Rouiller, Uni-Dufour, Genève All 3 lectures will be givent each evening! Admission free Information: 022 379 22 00

  19. Environmental Assessment and (FONSI) Winnett School District Boiler Replacement Project.

    Science.gov (United States)

    Department of Energy, Washington, DC.

    An analysis is presented of the environmental impacts of replacing the Winnett School District's existing oil-fired heating system with a new coal-fired heating system with funds provided from a grant under the Institutional Conservation Program. The report first covers the background and need for action, along with the alternative actions…

  20. Bonding over Dentin Replacement Materials.

    Science.gov (United States)

    Meraji, Naghmeh; Camilleri, Josette

    2017-08-01

    Dentin replacement materials are necessary in large cavities to protect the pulp and reduce the bulk of filling material. These materials are layered with a composite resin restorative material. Microleakage caused by poor bonding of composite resin to underlying dentin replacement material will result in pulp damage. The aim of this study was to characterize the interface between dentin replacement materials and composite resin and to measure the shear bond strength after dynamic aging. Biodentine (Septodont, Saint Maur-des-Fosses, France), Theracal LC (Bisco, Schaumburg, IL), and Fuji IX (GC, Tokyo, Japan) were used as dentin replacement materials. They were then overlaid with a total-etch and bonding agent or a self-etch primer and composite resin or a glass ionomer cement. All combinations were thermocycled for 3000 cycles. The interface was characterized using scanning electron microscopy and elemental mapping. Furthermore, the shear bond strength was assessed. The Biodentine surface was modified by etching. The Theracal LC and Fuji IX microstructure was unchanged upon the application of acid etch. The Biodentine and glass ionomer interface showed an evident wide open space, and glass particles from the glass ionomer adhered to the Biodentine surface. Elemental migration was shown with aluminum, barium, fluorine, and ytterbium present in Biodentine from the overlying composite resin. Calcium was more stable. The bond strength between Theracal LC and composite using a total-etch technique followed by self-etch primer achieved the best bond strength values. Biodentine exhibited the weakest bond with complete failure of bonding shown after demolding and thermocycling. Dynamic aging is necessary to have clinically valid data. Bonding composite resin to water-based dentin replacement materials is still challenging, and further alternatives for restoration of teeth using such materials need to be developed. Copyright © 2017 American Association of Endodontists

  1. The Research of Artificial Cervical Disc Replacement

    Institute of Scientific and Technical Information of China (English)

    Zhao Zhua; Qiang Shenb

    2008-01-01

    Cervical arthroplasty after anterior decompression with insertion of a prosthetic total disc replacement has been suggested as an alternate to anterior cervical fusion. It develops quickly during recent years. Currently there are several cervical arthroplasty devices. Each device varies in terms of materials, range of motion and constraint. Early studies suggest that in the short term, the complication rate and efficacy is no worse than fusion surgery. Long-term results have not yet been reported. This review examines the current prostheses as well as discussing issues regarding indications and technique. It is hoped that an improvement of cervical arthroplasty occurs in terms of materials and design as spinal surgeons enter a new dines of the management of cervical spine disease.

  2. Total ankle replacement – surgical treatment and rehabilitation

    Science.gov (United States)

    Krogulec, Zbigniew; Turski, Piotr; Przepiórski, Emil; Małdyk, Paweł; Księżopolska-Orłowska, Krystyna

    2015-01-01

    Functions of the ankle joint are closely connected with the gait and ability to maintain an upright position. Degenerative lesions of the joint directly contribute to postural disorders and greatly restrict propulsion of the foot, thus leading to abnormal gait. Development of total ankle replacement is connected with the use of the method as an efficient treatment of joint injuries and continuation of achievements in hip and knee surgery. The total ankle replacement technique was introduced as an alternative to arthrodesis, i.e. surgical fixation, which made it possible to preserve joint mobility and to improve gait. Total ankle replacement is indicated in post-traumatic degenerative joint disease and joint destruction secondary to rheumatoid arthritis. In this paper, total ankle replacement and various types of currently used endoprostheses are discussed. The authors also describe principles of early postoperative rehabilitation as well as rehabilitation in the outpatient setting. PMID:27407223

  3. Registry data trends of total ankle replacement use.

    Science.gov (United States)

    Roukis, Thomas S; Prissel, Mark A

    2013-01-01

    Joint arthroplasty registry data are meaningful when evaluating the outcomes of total joint replacement, because they provide unbiased objective information regarding survivorship and incidence of use. Critical evaluation of the registry data information will benefit the surgeon, patient, and industry. However, the implementation and acceptance of registry data for total ankle replacement has lagged behind that of hip and knee implant arthroplasty. Currently, several countries have national joint arthroplasty registries, with only some procuring information for total ankle replacement. We performed an electronic search to identify publications and worldwide registry databanks with pertinent information specific to total ankle replacement to determine the type of prostheses used and usage trends over time. We identified worldwide registry data from 33 countries, with details pertinent to total ankle replacement identified in only 6 countries. The obtained information was arbitrarily stratified into 3 distinct periods: 2000 to 2006, 2007 to 2010, and 2011. Within these study periods, the data from 13 total ankle replacement systems involving 3,980 ankles were identified. The vast majority (97%) of the reported ankle replacements were 3-component, mobile-bearing, uncemented prostheses. Three usage trends were identified: initial robust embracement followed by abrupt disuse, minimal use, and initial embracement followed by sustained growth in implantation. Before the widespread acceptance of new total ankle replacements, the United States should scrutinize and learn from the international registry data and develop its own national joint registry that would include total ankle replacement. Caution against the adoption of newly released prostheses, especially those without readily available revision components, is recommended.

  4. Toward replacement fertility in Egypt and Tunisia.

    Science.gov (United States)

    Eltigani, Eltigani E

    2009-09-01

    Egypt and Tunisia began their fertility transition at almost identical fertility levels and at roughly the same time period, yet the difference in the pace of decline has been such that the total fertility rate (TFR) in Tunisia reached replacement level by the year 2001, whereas the TFR in Egypt remains above three live births per woman. This article draws on the secondary literature and on several nationally representative surveys from the two countries between 1978 and 2005 to provide empirical evidence of the difference in the pace of fertility decline and to analyze the determinants of the differential. Findings include (a) variation across the two countries in the consistency of fertility decline among the segments of the population leading the transition; (b) that the success of each country's family planning program was influenced by the role of political leaders and the extent of the program's integration within socioeconomic development objectives; (c) that the impact of contraception on TFR decline became an important factor in the mid-1980s; and (d) that the greatest determinant of the discrepancy in the pace of fertility decline is the disparity in age at marriage, which rose more significantly in Tunisia than in Egypt. The latter finding indicates that reaching replacement fertility in Egypt hinges primarily on further declines in marital fertility, resulting from reduction of wanted fertility and from an expansion of family planning program coverage and improved efficiency of service delivery and use.

  5. Dynamic biomechanics of the human head in lateral impacts

    OpenAIRE

    Zhang, Jiangyue; Yoganandan, Narayan; Pintar, Frank A.

    2009-01-01

    The biomechanical responses of human head (translational head CG accelerations, rotational head accelerations, and HIC) under lateral impact to the parietal-temporal region were investigated in the current study. Free drop tests were conducted at impact velocities ranging from 2.44 to 7.70 m/s with a 40 durometer, a 90 durometer flat padding, and a 90 durometer cylinder. Specimens were isolated from PMHS subjects at the level of occipital condyles, and the intracranial substance was replaced ...

  6. Urbanization, Ikization, and Replacement Dynamics

    CERN Document Server

    Chen, Yanguang

    2015-01-01

    The phenomenon of Iks was first found by anthropologists and biologists, but it is actually a problem of human geography. However, it has not yet drawn extensive attention of geographers. In this paper, a hypothesis of ikization is presented that sudden and violent change of geographical environments results in dismantling of traditional culture, which then result in collective depravity of a nationality. By quantitative analysis and mathematical modeling, the causality between urbanization and ikization is discussed, and the theory of replacement dynamics is employed to interpret the process of ikization. Urbanization is in essence a nonlinear process of population replacement. Urbanization may result in ikization because that the migration of population from rural regions to urban regions always give rise to abrupt changes of geographical environments and traditional culture. It is necessary to protect the geographical environment against disruption, and to inherit and develop traditional culture in order t...

  7. [MINIMALLY INVASIVE AORTIC VALVE REPLACEMENT].

    Science.gov (United States)

    Tabata, Minoru

    2016-03-01

    Minimally invasive aortic valve replacement (MIAVR) is defined as aortic valve replacement avoiding full sternotomy. Common approaches include a partial sternotomy right thoracotomy, and a parasternal approach. MIAVR has been shown to have advantages over conventional AVR such as shorter length of stay and smaller amount of blood transfusion and better cosmesis. However, it is also known to have disadvantages such as longer cardiopulmonary bypass and aortic cross-clamp times and potential complications related to peripheral cannulation. Appropriate patient selection is very important. Since the procedure is more complex than conventional AVR, more intensive teamwork in the operating room is essential. Additionally, a team approach during postoperative management is critical to maximize the benefits of MIAVR.

  8. Mitochondrial Replacement: Ethics And Identity

    OpenAIRE

    Wrigley, Anthony; Wilkinson, Stephen; Appleby, John B

    2015-01-01

    Mitochondrial replacement techniques (MRTs) have the potential to allow prospective parents who are at risk of passing on debilitating or even life-threatening mitochondrial disorders to have healthy children to whom they are genetically related. Ethical concerns have however been raised about these techniques. This article focuses on one aspect of the ethical debate, the question of whether there is any moral difference between the two types of MRT proposed: Pronuclear Transfer (PNT) and Mat...

  9. Testosterone Replacement Therapy and the Cardiovascular System.

    Science.gov (United States)

    Naderi, Sahar

    2016-04-01

    As testosterone replacement therapy (TRT) has emerged as a commonly prescribed therapy for symptomatic low testosterone, conflicting data have been reported in terms of both its efficacy and potential adverse outcomes. One of the most controversial associations has been that of TRT and cardiovascular morbidity and mortality. This review briefly provides background on the history of TRT, the indications for TRT, and the data behind TRT for symptomatic low testosterone. It then specifically delves into the rather limited data for cardiovascular outcomes of those with low endogenous testosterone and those who receive TRT. The available body of literature strongly suggests that more work, by way of clinical trials, needs to be done to better understand the impact of testosterone and TRT on the cardiovascular system.

  10. Replacing magnets at the LHC

    CERN Multimedia

    LHC, LSI2, Point 4

    2013-01-01

    CERN engineers have been working through the night this week to move the final replacement dipole magnets into position on the Large Hadron Collider (LHC). Though there are several still to go, the teams expect to have completed the task by the end of this month. Dipole magnets bend the paths of particles as they travel around the circular accelerator. Of the LHC's 1232 dipoles – each 15 metres long and weighing 35 tonnes – 15 are being replaced as part of the long shutdown of CERN's accelerator complex. These 15 magnets suffered wear and tear during the LHC's first 4-year run. Three quadrupole-magnet assemblies – which help to focus particles into a tight beam – have also been replaced. Moving such heavy magnets requires specially adapted cranes and trailers both above and below ground. There are several access points on the LHC. Some, such as the 100-metre vertical access shaft down to the ALICE experiment, are equipped with lifts to allow technical personnel and visitors down to the caverns. Other ...

  11. Results of Austin Moore replacement.

    Directory of Open Access Journals (Sweden)

    Jadhav A

    1996-04-01

    Full Text Available Forty cases of Austin Moore Replacement done for transcervical fractures of the femur in patients were reviewed after a period of 12 to 48 months postoperatively (mean 26 mth. 30 cases (75% had mild to severe pain of non-infective origin, starting as early as 6 months postoperatively. This was irrespective of the make, size or position (varus/valgus of the prosthesis. Though the Aufranc and Sweet clinical scoring was satisfactory in 65% cases, radiological evidence of complications like sinking, protrusion, etc. were seen in majority of the cases. Calcar resorption was seen in 34 cases (85% as early as 4 months postoperatively. Results of THR and bipolar replacement done for transcervical fractures in recent literature show 85% pain-free cases at 5 years. We feel that Austin Moore Replacement should be reserved for patients more than 65 years of age and those who are less active or debilitated because of other factors, because of increased acetabular wear with time in the younger individual. This is corroborated by unsatisfactory results in patients less than 65 years of age (p < 0.05.

  12. The caudal septum replacement graft.

    Science.gov (United States)

    Foda, Hossam M T

    2008-01-01

    To describe a technique for reconstructing the lost tip support in cases involving caudal septal and premaxillary deficiencies. The study included 120 patients with aesthetic and functional nasal problems resulting from the loss of caudal septal and premaxillary support. An external rhinoplasty approach was performed to reconstruct the lost support using a cartilaginous caudal septum replacement graft and premaxillary augmentation with Mersilene mesh. The majority of cases (75%) involved revisions in patients who had previously undergone 1 or more nasal surgical procedures. A caudal septum replacement graft was combined with premaxillary augmentation in 93 patients (77.5%). The mean follow-up period was 3 years (range, 1-12 years). The technique succeeded in correcting the external nasal deformities in all patients and resulted in a significant improvement in breathing in 74 patients (86%) with preoperative nasal obstruction. There were no cases of infection, displacement, or extrusion. The caudal septum replacement graft proved to be very effective in restoring the lost tip support in patients with caudal septal deficiency. Combining the graft with premaxillary augmentation using Mersilene mesh helped increase support and stability over long-term follow-up.

  13. Minimal flavour violation in the quark and lepton sector and the impact of extra dimensions on flavour changing neutral currents and electroweak symmetry breaking

    Energy Technology Data Exchange (ETDEWEB)

    Weiler, A.

    2007-01-16

    We study flavor-changing decays of hadrons and leptons and an extra-dimensional approach to electroweak symmetry breaking. Specifically we study the framework of Minimal Flavour Violation (MFV) as an explanation of the flavour problem. We discuss the impact of a specific extra-dimensional model of the MFV class on flavour changing neutral currents. We derive model-independent upper bounds on rare decays. -We discuss the extension of the MFV framework from the quark to the lepton sector and show how baryogenesis through leptogenesis can be achieved and examine if possible correlations with charged lepton flavour violation exist. We discuss the dynamical breaking of the electroweak symmetry in extra dimensions by unifying gauge and Higgs fields and we show that realistic models are possible once the extra dimension is strongly curved. (orig.)

  14. Mactaquac intake tendons removal and replacement

    Energy Technology Data Exchange (ETDEWEB)

    Campbell, I. [NB Power Generation Corp., Mactaquac Generating Station, Keswick Ridge, NB (Canada); Mee, A. [Hatch Energy, Niagara Falls, ON (Canada)

    2007-07-01

    In 1988 and 1989, multi-strand tendons were installed in the intake structure of the Mactaquac generating station. In order to control displacements caused by alkali aggregate reaction (AAR), they were installed in preparation for a slot cutting program in the intake structure to guard against the possibility of a sliding failure of a section of the structure along a plane coincident with the bottom of the water passage. Unique problems for the designers were present in the expansion affect of AAR that were compounded by field conditions that resulted in further difficulties. For example, concrete expansion required the installation of a thick shim pack under the upper anchor head and the periodic testing of the tendons. Once tested, shims could be gradually removed to maintain the correct load over the life of the tendon. However, during the first round of testing and de-stressing five years after the original installation, it was found that some of the tendons had already failed. Over half of the tendons have been replaced in the 20 years since the installation. This paper discussed the original design considerations and examined the conditions that contributed to the premature failure of the tendons. It outlined the history of tendon testing procedures, tendon failure modes and tendon replacement methods. Specifically, the paper discussed the remedial techniques that were employed and the iterations that lead to the current repair approach, while considering the unique field conditions. The application of various corrosion protection schemes and installation and testing methodologies were discussed. It was concluded that tendons were successfully installed in numerous concrete dams around the world but have needed replacement for a variety of reasons. 1 ref., 10 figs.

  15. The combined and separate impacts of climate extremes on the current and future US rainfed maize and soybean production under elevated CO 2

    Energy Technology Data Exchange (ETDEWEB)

    Jin, Zhenong [Department of Earth, Atmospheric, and Planetary Sciences, Purdue University, West Lafayette IN 47907 USA; Zhuang, Qianlai [Department of Earth, Atmospheric, and Planetary Sciences, Purdue University, West Lafayette IN 47907 USA; Department of Agronomy, Purdue University, West Lafayette IN 47907 USA; Wang, Jiali [Environmental Science Division, Argonne National Laboratory, Lemont IL 60439 USA; Archontoulis, Sotirios V. [Department of Agronomy, Iowa State University, Ames IA 50011 USA; Zobel, Zachary [Department of Atmospheric Sciences, University of Illinois Champaign-Urbana, Urbana IL 61801 USA; Kotamarthi, Veerabhadra R. [Environmental Science Division, Argonne National Laboratory, Lemont IL 60439 USA

    2017-01-25

    Heat and drought stresses are two emerging climatic threats to the US maize and soybean production, yet their impacts on yields are collectively determined by the magnitude of climate change and rising atmospheric CO2 concentration. Here we present a study that quantified the current and future yield responses of US rainfed maize and soybean to climate extremes, and for the first time characterized spatial shifts in the relative importance of temperature, heat and drought stress. Crop yields are simulated using the Agricultural Production Systems sIMulator (APSIM), driven by the high-resolution (12 km) Weather Research and Forecasting (WRF) Model downscaled future climate scenarios at two time slices (1995-2005 and 2085-2094). Our results show that climatic yield gaps and interannual variability are greater in the core production area than in the remaining US by the late 21st century under both Representative Concentration Pathway (RCP) 4.5 and RCP8.5 scenarios, and the magnitude of change is highly dependent on the current climate sensitivity and vulnerability. Elevated CO2 partially offsets the climatic yield gaps and reduces interannual yield variability, and effect is more prominent in soybean than in maize. We demonstrate that drought will continue to be the largest threat to US rainfed maize and soybean production, although its dominant role gradually gives way to other impacts of heat extremes. We also reveal that shifts in the geographic distributions of dominant stressors are characterized by increases in the concurrent stress, especially for the US Midwest. These findings imply the importance of considering drought and extreme heat simultaneously for future agronomic adaptation and mitigation strategies, particularly for breeding programs and crop management.

  16. Greedy feature replacement for online value function approximation

    Institute of Scientific and Technical Information of China (English)

    Feng-fei ZHAO; Zheng QIN; Zhuo SHAO; Jun FANG; Bo-yan REN

    2014-01-01

    Reinforcement learning (RL) in real-world problems requires function approximations that depend on selecting the appropriate feature representations. Representational expansion techniques can make linear approximators represent value functions more effectively;however, most of these techniques function well only for low dimensional problems. In this paper, we present the greedy feature replacement (GFR), a novel online expansion technique, for value-based RL algorithms that use binary features. Given a simple initial representation, the feature representation is expanded incrementally. New feature dependencies are added automatically to the current representation and conjunctive features are used to replace current features greedily. The virtual temporal difference (TD) error is recorded for each conjunctive feature to judge whether the replacement can improve the approximation. Correctness guarantees and computational complexity analysis are provided for GFR. Experimental results in two domains show that GFR achieves much faster learning and has the capability to handle large-scale problems.

  17. PYFLOW_2.0. A new open-source software for quantifying impact parameters and deposition rates of dilute pyroclastic density currents

    Science.gov (United States)

    Dioguardi, Fabio; Dellino, Pierfrancesco; Mele, Daniela

    2016-04-01

    Dilute pyroclastic density currents (DPDCs) are one of the hazardous events that can happen during explosive eruptions. They are ground-hugging turbulent gas-particle flows that move down volcano slopes under the combined action of density contrast and gravity. DPDCs are dangerous for human lives and infrastructures both because they exert a dynamic pressure in their direction of motion and transport volcanic ash particles, which remain in the atmosphere during and after the passage of DPDC until they settle on the ground. Deposits formed by the passage of a DPDC show peculiar characteristics that can be linked to flow field variables. This has been the subject of extensive investigations in the past years leading to the formulation of a sedimentological model (Dellino et al. 2008), which has been used for evaluating the impact parameters of past eruptions on a statistical basis for hazard assessment purposes. The model has been recently translated in a Fortran code (PYFLOW, Dioguardi and Dellino, 2014). Here we present the latest release of this code (PYFLOW_2.0) which, besides significant improvements in the code structure, computation times and the introduction of a user friendly data input method, allows to calculate the deposition time and rate of the ash and lapilli layer formed by a DPDC by linking deposit (e.g. componentry, grainsize) to flow (e.g. flow average density and shear velocity) characteristics as calculated by the aforementioned sedimentological model. The deposition rate is calculated by summing the contributions of each grainsize class of all components constituting the deposit (e.g. juvenile particles, crystals, etc.), which are in turn computed as a function of particle density, terminal velocity, concentration and deposition probability. Here we apply the concept of deposition probability, previously introduced for estimating the deposition rates of turbidity currents (Stow and Bowen, 1980), to DPDCs, although with a different approach, i

  18. Political Participation Online: The Replacement and the Mobilisation Hypotheses Revisited

    DEFF Research Database (Denmark)

    Jensen, Jakob Linaa

    2013-01-01

    of the Internet. The pure replacement hypothesis is rejected. Instead, it is found that the Internet still supplements rather than replaces other media, even among heavy Internet users. The Internet is one among several media used by ‘media omnivores’, and political participation online supplements rather than...... participation, efficacy and social capital seem to have less impact on online political participation. In the end, these findings are related to more overall discussions on the democratising potential of the Internet....

  19. Transdermal testosterone replacement therapy in men.

    Science.gov (United States)

    Ullah, M Iftekhar; Riche, Daniel M; Koch, Christian A

    2014-01-01

    Androgen deficiency syndrome in men is a frequently diagnosed condition associated with clinical symptoms including fatigue, decreased libido, erectile dysfunction, and metabolic syndrome. Serum testosterone concentrations decline steadily with age. The prevalence of androgen deficiency syndrome in men varies depending on the age group, known and unknown comorbidities, and the respective study group. Reported prevalence rates may be underestimated, as not every man with symptoms of androgen deficiency seeks treatment. Additionally, men reporting symptoms of androgen deficiency may not be correctly diagnosed due to the vagueness of the symptom quality. The treatment of androgen deficiency syndrome or male hypogonadism may sometimes be difficult due to various reasons. There is no consensus as to when to start treating a respective man or with regards to the best treatment option for an individual patient. There is also lack of familiarity with treatment options among general practitioners. The formulations currently available on the market are generally expensive and dose adjustment protocols for each differ. All these factors add to the complexity of testosterone replacement therapy. In this article we will discuss the general indications of transdermal testosterone replacement therapy, available formulations, dosage, application sites, and recommended titration schedule.

  20. Concomitant aortic valve replacement and myocardial revascularization.

    Science.gov (United States)

    Craver, J M; Jones, E L; Hatcher, C R; Farmer, J H

    1977-01-01

    Twenty-six consecutive patients underwent combined aortic valve replacement and myocardial revascularization at the Emory University Affiliated Hospitals between May, 1973 and March, 1976. Acute myocardial infarction resulted in two operative deaths (8%). There have been four late deaths, all Class IV preoperative. The age range was 37 to 79 years with an average age of 60. Preoperatively all patients were Class IV or late Class III. Twenty-three patients had symptoms of angina pectoris; congestive heart failure was evident in 56%. Postoperatively, 70% are now Class 1 or II. Single coronary bypass was performed in 16 patients, double in 6, and triple in three. Double bypass plus mitral valve replacement was required in two with aneurysmectomy in one. The rate of intraoperative infarction was 27% for the series but only 7% in the last year. The methods of intraoperative myocardial preservation and the technical approach for the operative procedures were variable. Results with each method are correlated, and currently preferred techniques are presented and discussed. Best results were obtained in patients who presented early in their symptomatic course with isolated proximal coronary lesions and good renoff vessels. Excellent results could be achieved despite advanced age of patients, requirement for multiple bypass grafts, and correction of other associated cardiac lesions. Poorest results were obtained when long-standing ventricular failure was combined with poor vessels distal to coronary stenoses. PMID:860881