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Sample records for reported elevated rates

  1. Elevated mutation rate during meiosis in Saccharomyces cerevisiae.

    Science.gov (United States)

    Rattray, Alison; Santoyo, Gustavo; Shafer, Brenda; Strathern, Jeffrey N

    2015-01-01

    Mutations accumulate during all stages of growth, but only germ line mutations contribute to evolution. While meiosis contributes to evolution by reassortment of parental alleles, we show here that the process itself is inherently mutagenic. We have previously shown that the DNA synthesis associated with repair of a double-strand break is about 1000-fold less accurate than S-phase synthesis. Since the process of meiosis involves many programmed DSBs, we reasoned that this repair might also be mutagenic. Indeed, in the early 1960's Magni and Von Borstel observed elevated reversion of recessive alleles during meiosis, and found that the revertants were more likely to be associated with a crossover than non-revertants, a process that they called "the meiotic effect." Here we use a forward mutation reporter (CAN1 HIS3) placed at either a meiotic recombination coldspot or hotspot near the MAT locus on Chromosome III. We find that the increased mutation rate at CAN1 (6 to 21 -fold) correlates with the underlying recombination rate at the locus. Importantly, we show that the elevated mutation rate is fully dependent upon Spo11, the protein that introduces the meiosis specific DSBs. To examine associated recombination we selected for random spores with or without a mutation in CAN1. We find that the mutations isolated this way show an increased association with recombination (crossovers, loss of crossover interference and/or increased gene conversion tracts). Polζ appears to contribute about half of the mutations induced during meiosis, but is not the only source of mutations for the meiotic effect. We see no difference in either the spectrum or distribution of mutations between mitosis and meiosis. The correlation of hotspots with elevated mutagenesis provides a mechanism for organisms to control evolution rates in a gene specific manner.

  2. Elevated mutation rate during meiosis in Saccharomyces cerevisiae.

    Directory of Open Access Journals (Sweden)

    Alison Rattray

    2015-01-01

    Full Text Available Mutations accumulate during all stages of growth, but only germ line mutations contribute to evolution. While meiosis contributes to evolution by reassortment of parental alleles, we show here that the process itself is inherently mutagenic. We have previously shown that the DNA synthesis associated with repair of a double-strand break is about 1000-fold less accurate than S-phase synthesis. Since the process of meiosis involves many programmed DSBs, we reasoned that this repair might also be mutagenic. Indeed, in the early 1960's Magni and Von Borstel observed elevated reversion of recessive alleles during meiosis, and found that the revertants were more likely to be associated with a crossover than non-revertants, a process that they called "the meiotic effect." Here we use a forward mutation reporter (CAN1 HIS3 placed at either a meiotic recombination coldspot or hotspot near the MAT locus on Chromosome III. We find that the increased mutation rate at CAN1 (6 to 21 -fold correlates with the underlying recombination rate at the locus. Importantly, we show that the elevated mutation rate is fully dependent upon Spo11, the protein that introduces the meiosis specific DSBs. To examine associated recombination we selected for random spores with or without a mutation in CAN1. We find that the mutations isolated this way show an increased association with recombination (crossovers, loss of crossover interference and/or increased gene conversion tracts. Polζ appears to contribute about half of the mutations induced during meiosis, but is not the only source of mutations for the meiotic effect. We see no difference in either the spectrum or distribution of mutations between mitosis and meiosis. The correlation of hotspots with elevated mutagenesis provides a mechanism for organisms to control evolution rates in a gene specific manner.

  3. Elevated mutation rate during meiosis in Saccharomyces cerevisiae.

    Directory of Open Access Journals (Sweden)

    Alison Rattray

    2015-01-01

    Full Text Available Mutations accumulate during all stages of growth, but only germ line mutations contribute to evolution. While meiosis contributes to evolution by reassortment of parental alleles, we show here that the process itself is inherently mutagenic. We have previously shown that the DNA synthesis associated with repair of a double-strand break is about 1000-fold less accurate than S-phase synthesis. Since the process of meiosis involves many programmed DSBs, we reasoned that this repair might also be mutagenic. Indeed, in the early 1960's Magni and Von Borstel observed elevated reversion of recessive alleles during meiosis, and found that the revertants were more likely to be associated with a crossover than non-revertants, a process that they called "the meiotic effect." Here we use a forward mutation reporter (CAN1 HIS3 placed at either a meiotic recombination coldspot or hotspot near the MAT locus on Chromosome III. We find that the increased mutation rate at CAN1 (6 to 21 -fold correlates with the underlying recombination rate at the locus. Importantly, we show that the elevated mutation rate is fully dependent upon Spo11, the protein that introduces the meiosis specific DSBs. To examine associated recombination we selected for random spores with or without a mutation in CAN1. We find that the mutations isolated this way show an increased association with recombination (crossovers, loss of crossover interference and/or increased gene conversion tracts. Polζ appears to contribute about half of the mutations induced during meiosis, but is not the only source of mutations for the meiotic effect. We see no difference in either the spectrum or distribution of mutations between mitosis and meiosis. The correlation of hotspots with elevated mutagenesis provides a mechanism for organisms to control evolution rates in a gene specific manner.

  4. COMPUTATIONAL FLOW RATE FEEDBACK AND CONTROL METHOD IN HYDRAULIC ELEVATORS

    Institute of Scientific and Technical Information of China (English)

    Xu Bing; Ma Jien; Lin Jianjie

    2005-01-01

    The computational flow rate feedback and control method, which can be used in proportional valve controlled hydraulic elevators, is discussed and analyzed. In a hydraulic elevator with this method, microprocessor receives pressure information from the pressure transducers and computes the flow rate through the proportional valve based on pressure-flow conversion real time algorithm. This hydraulic elevator is of lower cost and energy consumption than the conventional closed loop control hydraulic elevator whose flow rate is measured by a flow meter. Experiments are carried out on a test rig which could simulate the load of hydraulic elevator. According to the experiment results, the means to modify the pressure-flow conversion algorithm are pointed out.

  5. Elevated rates of transaminitis during ipilimumab therapy for metastatic melanoma.

    Science.gov (United States)

    Bernardo, Sebastian G; Moskalenko, Marina; Pan, Michael; Shah, Shaily; Sidhu, Harleen K; Sicular, Serge; Harcharik, Sara; Chang, Rui; Friedlander, Philip; Saenger, Yvonne M

    2013-02-01

    Melanoma is the deadliest form of skin cancer. Ipilimumab, a novel immunotherapy, is the first treatment shown to improve survival in patients with metastatic melanoma in large randomized controlled studies. The most concerning side effects reported in clinical studies of ipilimumab fall into the category of immune-related adverse events, which include enterocolitis, dermatitis, thyroiditis, hepatitis, hypophysitis, uveitis, and others. During the course of routine clinical care at Mount Sinai Medical Center, frequent hepatotoxicity was noted when ipilimumab was administered at a dose of 3 mg/kg according to Food and Drug Administration (FDA) guidelines. To better characterize these adverse events, we conducted a retrospective review of the first 11 patients with metastatic melanoma treated with ipilimumab at the Mount Sinai Medical Center after FDA approval. Aspartate aminotransferase (AST) and alanine aminotransferase (ALT) elevation, as defined by the National Cancer Institute's Common Terminology Criteria for Adverse Events, each occurred in six of 11 cases (≥grade 1), a notably higher frequency than could be expected on the basis of the FDA licensing study where elevations were reported in 0.8 and 1.5% of patients for AST and ALT, respectively. Grade 3 elevations in AST occurred in three of 11 patients as compared with 0% in the licensing trial. All cases of transaminitis resolved when ipilimumab was temporarily withheld without administration of immunosuppressive medication. During routine clinical care of late-stage melanoma patients with ipilimumab, physicians should monitor patients closely for hepatotoxicity and be aware that toxicity rates may differ across populations during ipilimumab therapy.

  6. High strain rate behavior of pure metals at elevated temperature

    Science.gov (United States)

    Testa, Gabriel; Bonora, Nicola; Ruggiero, Andrew; Iannitti, Gianluca; Domenico, Gentile

    2013-06-01

    In many applications and technology processes, such as stamping, forging, hot working etc., metals and alloys are subjected to elevated temperature and high strain rate deformation process. Characterization tests, such as quasistatic and dynamic tension or compression test, and validation tests, such as Taylor impact and DTE - dynamic tensile extrusion -, provide the experimental base of data for constitutive model validation and material parameters identification. Testing material at high strain rate and temperature requires dedicated equipment. In this work, both tensile Hopkinson bar and light gas gun where modified in order to allow material testing under sample controlled temperature conditions. Dynamic tension tests and Taylor impact tests, at different temperatures, on high purity copper (99.98%), tungsten (99.95%) and 316L stainless steel were performed. The accuracy of several constitutive models (Johnson and Cook, Zerilli-Armstrong, etc.) in predicting the observed material response was verified by means of extensive finite element analysis (FEA).

  7. Elevated Suicide Rates at High Altitude: Sociodemographic and Health Issues May Be to Blame

    Science.gov (United States)

    Betz, Marian E.; Valley, Morgan A.; Lowenstein, Steven R.; Hedegaard, Holly; Thomas, Deborah; Stallones, Lorann; Honigman, Benjamin

    2011-01-01

    Suicide rates are higher at high altitudes; some hypothesize that hypoxia is the cause. We examined 8,871 suicides recorded in 2006 in 15 states by the National Violent Death Reporting System, with the victim's home county altitude determined from the National Elevation Dataset through FIPS code matching. We grouped cases by altitude (low less…

  8. Progesterone elevation does not compromise pregnancy rates in high responders

    DEFF Research Database (Denmark)

    Griesinger, Georg; Mannaerts, Bernadette; Andersen, Claus Yding

    2013-01-01

    To compare the impact of elevated P during the late follicular phase on the chance of pregnancy in low, normal, and high responders.......To compare the impact of elevated P during the late follicular phase on the chance of pregnancy in low, normal, and high responders....

  9. Elevated heart rate and nondipping heart rate as potential targets for melatonin: a review.

    Science.gov (United States)

    Simko, Fedor; Baka, Tomas; Paulis, Ludovit; Reiter, Russel J

    2016-09-01

    Elevated heart rate is a risk factor for cardiovascular and all-cause mortalities in the general population and various cardiovascular pathologies. Insufficient heart rate decline during the night, that is, nondipping heart rate, also increases cardiovascular risk. Abnormal heart rate reflects an autonomic nervous system imbalance in terms of relative dominance of sympathetic tone. There are only a few prospective studies concerning the effect of heart rate reduction in coronary heart disease and heart failure. In hypertensive patients, retrospective analyses show no additional benefit of slowing down the heart rate by beta-blockade to blood pressure reduction. Melatonin, a secretory product of the pineal gland, has several attributes, which predict melatonin to be a promising candidate in the struggle against elevated heart rate and its consequences in the hypertensive population. First, melatonin production depends on the sympathetic stimulation of the pineal gland. On the other hand, melatonin inhibits the sympathetic system in several ways representing potentially the counter-regulatory mechanism to normalize excessive sympathetic drive. Second, administration of melatonin reduces heart rate in animals and humans. Third, the chronobiological action of melatonin may normalize the insufficient nocturnal decline of heart rate. Moreover, melatonin reduces the development of endothelial dysfunction and atherosclerosis, which are considered a crucial pathophysiological disorder of increased heart rate and pulsatile blood flow. The antihypertensive and antiremodeling action of melatonin along with its beneficial effects on lipid profile and insulin resistance may be of additional benefit. A clinical trial investigating melatonin actions in hypertensive patients with increased heart rate is warranted.

  10. Meigs' syndrome with elevated CA 125: case report

    Directory of Open Access Journals (Sweden)

    Sabas Carlos Vieira

    Full Text Available CONTEXT: Meigs' syndrome consists of a benign ovarian tumor accompanied by ascites and hydrothorax. Elevated serum CA 125 levels in postmenopausal women with solid adnexal masses, ascites and pleural effusion are highly suggestive for malignant ovarian tumor. However, patients with Meigs' syndrome can also have elevated serum CA 125 levels. The authors report a case of Meigs' syndrome with elevated CA 125 level. OBJECTIVE: This is a case report of Meigs' syndrome with elevated CA 125 level. CASE REPORT: A 65-year-old Brazilian woman had presented progressive dyspnea, weight loss and decline in general condition over the 7 months preceding admission to our service. In another hospital, the patient had been submitted to thoracic drainage due to pleural effusion. With recurrence of the pleural effusion and increase in abdominal volume due to ascites and a pelvic mass, the patient sought our service. Transvaginal ultrasound showed an extensive adnexal solid mass of 16.4 x 10.8 cm located in the pelvis without exact limits, and the serum CA 125 level was elevated. With a preoperative diagnosis of ovarian carcinoma, the patient was submitted to exploratory laparotomy, which revealed a left ovarian tumor. The frozen section diagnosis was thecoma. Total abdominal hysterectomy with bilateral salpingo-oophorectomy was performed. The histology of the specimen confirmed the diagnosis of thecoma. The patient was asymptomatic with a normal serum CA 125 level 20 months after the operation.

  11. Elevated corrosion rates and hydrogen sulfide in homes with 'Chinese Drywall'

    Energy Technology Data Exchange (ETDEWEB)

    Allen, Joseph G.; MacIntosh, David L. [Environmental Health and Engineering, Inc., 117 Fourth Avenue, Needham, MA (United States); Harvard School of Public Health, 677 Huntington Avenue, Boston, MA (United States); Saltzman, Lori E. [U.S. Consumer Product Safety Commission, Bethesda, MD (United States); Baker, Brian J. [Environmental Health and Engineering, Inc., 117 Fourth Avenue, Needham, MA (United States); Matheson, Joanna M.; Recht, Joel R. [U.S. Consumer Product Safety Commission, Bethesda, MD (United States); Minegishi, Taeko; Fragala, Matt A.; Myatt, Theodore A. [Environmental Health and Engineering, Inc., 117 Fourth Avenue, Needham, MA (United States); Spengler, John D.; Stewart, James H. [Environmental Health and Engineering, Inc., 117 Fourth Avenue, Needham, MA (United States); Harvard School of Public Health, 677 Huntington Avenue, Boston, MA (United States); McCarthy, John F., E-mail: jmcccarthy@eheinc.com [Environmental Health and Engineering, Inc., 117 Fourth Avenue, Needham, MA (United States)

    2012-06-01

    In December 2008, the U.S. Consumer Product Safety Commission (CPSC) began receiving reports about odors, corrosion, and health concerns related to drywall originating from China. In response, a detailed environmental health and engineering evaluation was conducted of 41 complaint and 10 non-complaint homes in the Southeast U.S. Each home investigation included characterization of: 1) drywall composition; 2) indoor and outdoor air quality; 3) temperature, moisture, and building ventilation; and 4) copper and silver corrosion rates. Complaint homes had significantly higher hydrogen sulfide concentrations (mean 0.82 vs. < LOD {mu}g/m{sup 3}, p < 0.05), and significantly greater rates of copper sulfide and silver sulfide corrosion compared to non-complaint homes (Cu{sub 2}S: 476 vs. < 32 A/30 d, p < 0.01; Ag{sub 2}S: 1472 vs. 389 A/30 d, p < 0.01). The abundance of carbonate and strontium in drywall was also elevated in complaint homes, and appears to be useful objective marker of problematic drywall in homes that meet other screening criteria (e.g., constructed or renovated in 2006-2007, reports of malodor and accelerated corrosion). This research provides empirical evidence of the direct association between homes constructed with 'Chinese Drywall' in 2006-2007 and elevated corrosion rates and hydrogen sulfide concentrations in indoor air. - Highlights: Black-Right-Pointing-Pointer Environmental measurements in homes with and without 'Chinese Drywall' Black-Right-Pointing-Pointer Homes with 'Chinese Drywall' had higher hydrogen sulfide concentrations Black-Right-Pointing-Pointer Homes with 'Chinese Drywall' had elevated corrosion rates Black-Right-Pointing-Pointer Study provides empirical evidence of reported associations.

  12. Elevated Extinction Rates as a Trigger for Diversification Rate Shifts: Early Amniotes as a Case Study

    Science.gov (United States)

    Brocklehurst, Neil; Ruta, Marcello; Müller, Johannes; Fröbisch, Jörg

    2015-01-01

    Tree shape analyses are frequently used to infer the location of shifts in diversification rate within the Tree of Life. Many studies have supported a causal relationship between shifts and temporally coincident events such as the evolution of “key innovations”. However, the evidence for such relationships is circumstantial. We investigated patterns of diversification during the early evolution of Amniota from the Carboniferous to the Triassic, subjecting a new supertree to analyses of tree balance in order to infer the timing and location of diversification shifts. We investigated how uneven origination and extinction rates drive diversification shifts, and use two case studies (herbivory and an aquatic lifestyle) to examine whether shifts tend to be contemporaneous with evolutionary novelties. Shifts within amniotes tend to occur during periods of elevated extinction, with mass extinctions coinciding with numerous and larger shifts. Diversification shifts occurring in clades that possess evolutionary innovations do not coincide temporally with the appearance of those innovations, but are instead deferred to periods of high extinction rate. We suggest such innovations did not cause increases in the rate of cladogenesis, but allowed clades to survive extinction events. We highlight the importance of examining general patterns of diversification before interpreting specific shifts. PMID:26592209

  13. Elevated Extinction Rates as a Trigger for Diversification Rate Shifts: Early Amniotes as a Case Study.

    Science.gov (United States)

    Brocklehurst, Neil; Ruta, Marcello; Müller, Johannes; Fröbisch, Jörg

    2015-11-23

    Tree shape analyses are frequently used to infer the location of shifts in diversification rate within the Tree of Life. Many studies have supported a causal relationship between shifts and temporally coincident events such as the evolution of "key innovations". However, the evidence for such relationships is circumstantial. We investigated patterns of diversification during the early evolution of Amniota from the Carboniferous to the Triassic, subjecting a new supertree to analyses of tree balance in order to infer the timing and location of diversification shifts. We investigated how uneven origination and extinction rates drive diversification shifts, and use two case studies (herbivory and an aquatic lifestyle) to examine whether shifts tend to be contemporaneous with evolutionary novelties. Shifts within amniotes tend to occur during periods of elevated extinction, with mass extinctions coinciding with numerous and larger shifts. Diversification shifts occurring in clades that possess evolutionary innovations do not coincide temporally with the appearance of those innovations, but are instead deferred to periods of high extinction rate. We suggest such innovations did not cause increases in the rate of cladogenesis, but allowed clades to survive extinction events. We highlight the importance of examining general patterns of diversification before interpreting specific shifts.

  14. Elevated resting heart rate, physical fitness and all-cause mortality

    DEFF Research Database (Denmark)

    Jensen, Magnus Thorsten; Suadicani, Poul; Hein, Hans Ole

    2013-01-01

    To examine whether elevated resting heart rate (RHR) is an independent risk factor for mortality or a mere marker of physical fitness (VO2Max).......To examine whether elevated resting heart rate (RHR) is an independent risk factor for mortality or a mere marker of physical fitness (VO2Max)....

  15. Fatigue crack growth rates of rotor steel at elevated temperatures

    Institute of Scientific and Technical Information of China (English)

    LIU Chang-hai; MA Li-juan; TANG Li-qiang

    2008-01-01

    Low fatigue samples were obtained from the outer edges of rotor steel (30CrlMolV) which had operated under different temperatures conditions.Based on this data,the effects of temperature on fatigue crack growth rates were investigated.This paper presents a derivation of the superposition expression of two natural logarithms governing crack growth rates and also discusses the relationship between a material's constants and temperature.These results can provide experimental and theoretical references for fatigue life design of root steel in steam turbines.

  16. Estrogen elevates the peak overnight production rate of acylated ghrelin.

    Science.gov (United States)

    Paulo, Remberto C; Brundage, Richard; Cosma, Mihaela; Mielke, Kristi L; Bowers, Cyril Y; Veldhuis, Johannes D

    2008-11-01

    Acylated ghrelin is the putatively bioactive GH secretagogue. Estradiol (E2) stimulates the synthesis rather than inhibits the metabolic clearance of acylated ghrelin. The study took place at an academic medical center. Healthy postmenopausal women participated. Interventions included prospectively randomized, double-blind separate-day iv infusions of saline or five graded doses of ghrelin in estrogen-deficient (n=12) and E2-supplemented (n=8) women. Metabolic clearance rate (MCR), volume of distribution, half-life, and secretion rate of acylated ghrelin were assessed. In pilot iv bolus ghrelin infusions, the median half-lives of acylated and total ghrelin were 21 and 36 min (Prate (638+/-12 slope units), 2) MCR of acylated ghrelin and ghrelin infusion rate (10+/-2.5 slope units), and 3) MCR and plasma concentration of acylated ghrelin (0.017+/-0.004 slope units). These data predict peak nighttime production rates of acylated ghrelin of 3.8+/-0.9 (E2) and 1.9+/-0.2 (no E2) ng/kg.min (P=0.039). Acylated ghrelin has a multifold larger distribution volume and MCR than total ghrelin. An estrogenic milieu augments synthesis and/or acylation of ghrelin peptide without altering its MCR.

  17. Effect of elevated pressure on fluidization phenomena. Final report

    Energy Technology Data Exchange (ETDEWEB)

    Yang, W. C.; Keairns, D. L.

    1983-01-01

    This program consists of five tasks: (1) review of literature on fluidization velocities; (2) extension of existing fluidization correlations; (3) state-of-the-art review concerning flow regime transitions; (4) flow regime data analysis; and (5) identification of data gaps. This report summarizes the results obtained during the contract period. A critical review of the literature concerning the effect of elevated pressure and particle characteristics on minimum fluidization velocity, beginning fluidization velocity, minimum bubbling velocity, total fluidization velocity, and complete fluidization velocity was performed. Fluidization data from various sources were compiled and compared. A fundamental correlation with improved methodology was developed for estimating the minimum fluidization velocity at elevated pressure with good agreement. The developed correlation was found to be applicable at elevated temperature as well. The state-of-the-art of the effect of pressure and particle characteristics on flow regime transitions from bubbling to turbulent fluidization and from turbulent to fast fluidization were reviewed. Available data on the effect of elevated pressure and particle characteristics on flow regime transitions were analyzed, however, the information available in the literature was meager at best. The critical fluidization development areas were identified as the instrumentation development and the experiments carried out with reactive systems, under elevated temperature and pressure, and in large scale fluidization units. Potential research areas which are within the capability of the existing PETC high pressure test facility were also summarized. This was compiled on the basis of a literature survey on currently available literature information in those areas. 54 references, 10 figures, 7 tables.

  18. Minnesota Multiphasic Personality Inventory-2-Restructured Form (MMPI-2-RF) normative elevation rates: comparisons with epidemiological prevalence rates.

    Science.gov (United States)

    Tarescavage, Anthony M; Marek, Ryan J; Finn, Jacob A; Hicks, Adam; Rapier, Jessica L; Ben-Porath, Yossef S

    2013-01-01

    Odland, Berthelson, Sharma, Martin, and Mittenberg ( 2013 ) caution that clinically elevated scale scores produced by members of the Minnesota Multiphasic Personality Inventory-2-Restructured Form (MMPI-2-RF; Ben-Porath & Tellegen, 2008 /2011) normative sample raise concerns about the potential for false positive findings of psychopathology. However, the MMPI-2-RF normative sample is intended to represent the general population of the United States, 26.2% of which met criteria for a Diagnostic and Statistical Manual-IV (APA, 1994 ) disorder in a 12-month period (Kessler, Chiu, Demler, & Walters, 2005 ). In the current study we compare scale elevation rates in the MMPI-2-RF normative sample to prevalence rates of mental disorders primarily drawn from the National Comorbidity Study Replication (Kessler et al., 2005 ). Our objective was to evaluate MMPI-2-RF elevation rates in an epidemiological context. Results indicate that MMPI-2-RF scale elevation rates were generally consistent with epidemiological data when examined in the context of standard interpretation guidelines for the inventory. We also reiterate Ben-Porath and Tellegen's (2008/2011) caution that MMPI-2-RF scale elevations alone are not sufficient to indicate the presence of psychiatric disorder. Rather they are best viewed as indications of the need to evaluate the individual for possible disorder(s). Implications of these results, limitations of this study, and future directions in research are discussed.

  19. Effects of elevated CO2 leaf diets on gypsy moth (Lepidoptera: Lymantriidae) respiration rates.

    Science.gov (United States)

    Foss, Anita R; Mattson, William J; Trier, Terry M

    2013-06-01

    Elevated levels of CO2 affect plant growth and leaf chemistry, which in turn can alter host plant suitability for insect herbivores. We examined the suitability of foliage from trees grown from seedlings since 1997 at Aspen FACE as diet for the gypsy moth (Lymantria dispar L.) Lepidoptera: Lymantriidae: paper birch (Betula papyrifera Marshall) in 2004-2005, and trembling aspen (Populus tremuloides Michaux) in 2006-2007, and measured consequent effects on larval respiration. Leaves were collected for diet and leaf chemistry (nutritional and secondary compound proxies) from trees grown under ambient (average 380 ppm) and elevated CO2 (average 560 ppm) conditions. Elevated CO2 did not significantly alter birch or aspen leaf chemistry compared with ambient levels with the exception that birch percent carbon in 2004 and aspen moisture content in 2006 were significantly lowered. Respiration rates were significantly higher (15-59%) for larvae reared on birch grown under elevated CO2 compared with ambient conditions, but were not different on two aspen clones, until larvae reached the fifth instar, when those consuming elevated CO2 leaves on clone 271 had lower (26%) respiration rates, and those consuming elevated CO2 leaves on clone 216 had higher (36%) respiration rates. However, elevated CO2 had no apparent effect on the respiration rates of pupae derived from larvae fed either birch or aspen leaves. Higher respiration rates for larvae fed diets grown under ambient or elevated CO2 demonstrates their lower efficiency of converting chemical energy of digested food stuffs extracted from such leaves into their biosynthetic processes.

  20. Innovative Rates Program. Final report

    Energy Technology Data Exchange (ETDEWEB)

    1982-06-21

    Title II of the Energy Conservation and Production Act (ECPA) as amended by the Public Utility Regulatory Policies Act (PURPA) provided financial assistance to state utility regulatory commissions, nonregulated electric utilities, and the Tennessee Valley Authority through the Innovative Rates Program. The financial assistance was to be used to plan or carry out electric utility regulatory rate reform initiatives relating to innovative rate structures that encourage conservation of energy, electric utility efficiency and reduced costs, and equitable rates to consumers. The Federal and local objectives of the project are described. Activities planned and accomplishments are summarized for the following: project management, data collection, utility bill evaluation, billing enclosure/mailing evaluation, media program evaluation, display evaluation, rate study sessions evaluation, speakers bureau evaluation, and individual customer contacts. A timetable/milestone chart and financial information are included. (MHR)

  1. Case Report: Elevated CPK, an indicator of idiopathic inflammatory myopathy? [version 1; referees: 2 approved

    Directory of Open Access Journals (Sweden)

    Hina N. Khan

    2016-02-01

    Full Text Available Polymyositis is a rare disease with incidence rates at about 1 per 100,000 people annually. In this case report we will review a case of proximal muscle weakness with an elevated creatine phosphokinase that was initially misdiagnosed twice as rhabdomyolysis. Therefore, emphasizing that idiopathic inflammatory myopathy is a potential cause of myasthenia that must be considered in the differential. The case will also describe the current treatment and treatment response in polymyositis.

  2. Elevated atmospheric CO2 increases microbial growth rates and enzymes activity in soil

    Science.gov (United States)

    Blagodatskaya, Evgenia; Blagodatsky, Sergey; Dorodnikov, Maxim; Kuzyakov, Yakov

    2010-05-01

    Increasing the belowground translocation of assimilated carbon by plants grown under elevated CO2 can cause a shift in the structure and activity of the microbial community responsible for the turnover of organic matter in soil. We investigated the long-term effect of elevated CO2 in the atmosphere on microbial biomass and specific growth rates in root-free and rhizosphere soil. The experiments were conducted under two free air carbon dioxide enrichment (FACE) systems: in Hohenheim and Braunschweig, as well as in the intensively managed forest mesocosm of the Biosphere 2 Laboratory (B2L) in Oracle, AZ. Specific microbial growth rates (μ) were determined using the substrate-induced respiration response after glucose and/or yeast extract addition to the soil. We evaluated the effect of elevated CO2 on b-glucosidase, chitinase, phosphatase, and sulfatase to estimate the potential enzyme activity after soil amendment with glucose and nutrients. For B2L and both FACE systems, up to 58% higher μ were observed under elevated vs. ambient CO2, depending on site, plant species and N fertilization. The μ-values increased linearly with atmospheric CO2 concentration at all three sites. The effect of elevated CO2 on rhizosphere microorganisms was plant dependent and increased for: Brassica napus=Triticum aestivumyeast extract then for those growing on glucose, i.e. the effect of elevated CO2 was smoothed on rich vs. simple substrate. So, the r/K strategies ratio can be better revealed by studying growth on simple (glucose) than on rich substrate mixtures (yeast extract). After adding glucose, enzyme activities under elevated CO2 were 1.2-1.9-fold higher than under ambient CO2. This indicates the increased activity of microorganisms, which leads to accelerated C turnover in soil under elevated CO2. Our results clearly showed that the functional characteristics of the soil microbial community (i.e. specific growth rates and enzymes activity) rather than total microbial biomass

  3. 77 FR 62265 - Long Elevator & Machine Company, Inc., Including Workers Whose Wages Were Reported Through Kone...

    Science.gov (United States)

    2012-10-12

    ... Elevator & Machine Company, Inc., Including Workers Whose Wages Were Reported Through Kone, Inc., Riverton... workers of Long Elevator & Machine Company, Inc., including workers whose wages were reported through Kone, Inc., Riverton, Illinois (hereafter referred to as Long Elevator & Machine Company or the subject...

  4. Elevated Resting Heart Rate is Associated with Dyslipidemia in Middle-aged and Elderly Chinese

    Institute of Scientific and Technical Information of China (English)

    SUN Ji Chao; NING Guang; HUANG Xiao Lin; DENG Xin Ru; LV Xiao Fei; LU Jie Li; CHEN Yu Hong; BI Yu Fang; WANG Wei Qing; XU Min

    2014-01-01

    Objective To study the relationship between resting heart rate and blood lipid level. Methods A total of 9 415 subjects aged≥40 years were included in the present study. Their resting heart rate was monitored and their serum levels of triglyceride (TG), total cholesterol (TC), low density lipoprotein cholesterol (LDL-C) and high density lipoprotein cholesterol (HDL-C) were measured to define dyslipidemia according to the 2007 Chinese Guidelines on Prevention and Treatment of Dyslipidemia in Adults. Results The subjects were divided into group A with their resting heart rate Conclusion Elevated resting heart rate is associated with high TG and TC in middle-aged and elderly Chinese subjects.

  5. Flood Insurance Rate Maps and Base Flood Elevations, FIRM, DFIRM, BFE - MO 2014 Springfield FEMA Base Flood Elevations (SHP)

    Data.gov (United States)

    NSGIC State | GIS Inventory — This polyline layer indicates the approximate effective FEMA Base Flood Elevation (BFE) associated with the corresponding Special Flood Hazard Area (SFHA). Each line...

  6. Flood Insurance Rate Maps and Base Flood Elevations, FIRM, DFIRM, BFE - MO 2010 Springfield FEMA Base Flood Elevations (SHP)

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — This polyline layer indicates the approximate effective FEMA Base Flood Elevations (BFE) associated with the corresponding Special Flood Hazard Area (SFHA). Each...

  7. Qualitatively distinct factors contribute to elevated rates of paranoia in autism and schizophrenia.

    Science.gov (United States)

    Pinkham, Amy E; Sasson, Noah J; Beaton, Derek; Abdi, Hervé; Kohler, Christian G; Penn, David L

    2012-08-01

    A converging body of clinical and empirical reports indicates that autism features elevated rates of paranoia comparable to those of individuals with paranoid schizophrenia. However, the distinct developmental courses and symptom manifestations of these two disorders suggest that the nature of paranoid ideation may differ between them in important and meaningful ways. To evaluate this hypothesis, we compared patterns of responses on the Paranoia Scale between actively paranoid individuals with schizophrenia (SCZP), individuals with schizophrenia who were not actively paranoid (SCZNP), adults with an Autism Spectrum Disorder (ASD), and healthy controls. Despite an overall similar level of heightened paranoia in the ASD and SCZP groups, discriminant correspondence analysis (DiCA) revealed that these groups were characterized by unique underlying factors. Paranoia in the SCZP group was defined by a factor based upon victimization, suspicion, and threat of harm. Whereas paranoia in the ASD group was partially characterized by this factor, it was distinguished from SCZP by an additional pattern of responses reflective of increased social cynicism. These findings indicate that paranoia in ASD is supported by qualitative factors distinct from schizophrenia and highlight mechanistic differences in the formation of paranoid ideation that may inform the development of disorder-specific treatments.

  8. Elevated resting heart rate in rheumatoid arthritis: possible role of physical deconditioning.

    Science.gov (United States)

    Piha, S J; Voipio-Pulkki, L M

    1993-03-01

    Thirty-four patients with RA, 76 diabetic subjects (DM) and 67 healthy controls (CR) were studied in order to study cardiovascular autonomic function in RA. Valsalva manoeuvre, deep breathing test and active orthostatic test were used. Resting heart rate (resting HR) was markedly elevated in the RA and DM groups. Therefore, the groups were compared using analysis of variance with age and resting HR as covariates. The analyses showed no differences in cardiovascular responses between the RA group and CR group but cardiovascular responses were significantly diminished in the DM group compared with both the CR group and RA group. Our data indicate that the parasympathetic efferent pathway mediating cardiovascular reflexes via the nervus vagus is intact in RA. Thus elevated resting HR in RA does not seem to be due to peripheral parasympathetic damage. Physical deconditioning may explain the elevation of resting HR in patients with RA.

  9. Flood Insurance Rate Maps and Base Flood Elevations, FIRM, DFIRM, BFE - MO 2014 Springfield FEMA Base Flood Elevations (SHP)

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — This polyline layer indicates the approximate effective FEMA Base Flood Elevation (BFE) associated with the corresponding Special Flood Hazard Area (SFHA). Each line...

  10. Elevated Vibration Perception Thresholds in CIDP Patients Indicate More Severe Neuropathy and Lower Treatment Response Rates.

    Directory of Open Access Journals (Sweden)

    Alon Abraham

    Full Text Available Vibration perception threshold (VPT examination using a neurothesiometer provides objective, sensitive and specific information, and has been utilized mainly in patients with diabetic polyneropathy.Explore the utility of VPT examination in CIDP patients.CIDP subjects attending the Neuromuscular clinic between 01/2013 and 12/2014 were evaluated. Demographic data, clinical history, physical examination, VPT values, and electrophysiologic data from their charts were extracted.70 charts were reviewed. 55 CIDP patients had elevated VPT, associated with higher frequency of abnormal sensory testing for various modalities (92.7% vs. 46.7%, p<0.0001, lower sensory and motor amplitudes and reduced conduction velocities on nerve conduction studies, and lower treatment response rates (54% vs. 93%, p = 0.01.VPT examination is a simple tool, which is a reliable and sensitive measure not only for diabetic neuropathy, but also for CIDP. Moreover, in CIDP, elevated VPT values are also associated with lower treatment response rates.

  11. The altitudinal temperature lapse rates applied to high elevation rockfalls studies in the Western European Alps

    Science.gov (United States)

    Nigrelli, Guido; Fratianni, Simona; Zampollo, Arianna; Turconi, Laura; Chiarle, Marta

    2017-02-01

    Temperature is one of the most important aspects of mountain climates. The relationships between air temperature and rockfalls at high-elevation sites are very important to know, but are also very difficult to study. In relation to this, a reliable method to estimate air temperatures at high-elevation sites is to apply the altitudinal temperature lapse rates (ATLR). The aims of this work are to quantify the values and the variability of the hourly ATLR and to apply this to estimated temperatures at high-elevation sites for rockfalls studies. To calculate ATLR prior the rockfalls, we used data acquired from two automatic weather stations that are located at an elevation above 2500 m. The sensors/instruments of these two stations are reliable because subjected to an accurate control and calibration once for year and the raw data have passed two automatic quality controls. Our study has yielded the following main results: (i) hourly ATLR increases slightly with increasing altitude, (ii) it is possible to estimate temperature at high-elevation sites with a good level of accuracy using ATLR, and (iii) temperature plays an important role on slope failures that occur at high-elevation sites and its importance is much more evident if the values oscillate around 0 °C with an amplitude of ±5 °C during the previous time-period. For these studies, it is not enough to improve the knowledge on air temperature, but it is necessary to develop an integrated knowledge of the thermal conditions of different materials involved in these processes (rock, debris, ice, water). Moreover, this integrated knowledge must be acquired by means of sensors and acquisition chains with known metrological traceability and uncertainty of measurements.

  12. Likelihood of obtaining Structured Interview of Reported Symptoms (SIRS) and SIRS-2 elevations among forensic psychiatric inpatients with screening elevations on the Miller Forensic Assessment of Symptoms Test.

    Science.gov (United States)

    Glassmire, David M; Tarescavage, Anthony M; Gottfried, Emily D

    2016-12-01

    The Miller Forensic Assessment of Symptoms Test (M-FAST) was designed as a screening measure for feigned psychiatric symptoms. When M-FAST Total Scores are elevated (raw score ≥6), the test manual recommends follow-up with a more comprehensive measure of feigning, such as the widely used and researched Structured Interview of Reported Symptoms (SIRS) or the revised version of the test (SIRS-2). The purpose of the current study was to evaluate how often M-FAST screening elevations are associated with subsequent elevations on the SIRS or SIRS-2. The sample included archival data from 100 forensic psychiatric inpatients who obtained M-FAST Total Score elevations ≥6 during screening and were subsequently administered the SIRS (that was also rescored using SIRS-2 criteria). Among examinees who elevated the M-FAST over the recommended cutoff, 66.0% met standard SIRS feigning criteria, 42% met SIRS-2 criteria for feigning, and 81.0% obtained at least 1 SIRS/SIRS-2 elevation in the Probable Feigning range or higher. These results are consistent with the M-FAST manual guidelines, which support the use of the ≥6 M-FAST cutoff score to screen for potential feigning (but not as an independent marker of feigning). A higher M-FAST cutoff score of ≥16 was associated with subsequently meeting full SIRS criteria for feigning in 100.0% of protocols. Because the SIRS criteria were designed to have very low false positive rates, these findings indicate that more confident assertions about feigning can be made when elevations reach this level on the MFAST. (PsycINFO Database Record (c) 2016 APA, all rights reserved).

  13. Effects of elevated pressure on rate of photosynthesis during plant growth.

    Science.gov (United States)

    Takeishi, Hiroyuki; Hayashi, Jun; Okazawa, Atsushi; Harada, Kazuo; Hirata, Kazumasa; Kobayashi, Akio; Akamatsu, Fumiteru

    2013-10-20

    The aim of this study is to investigate the effects of an artificially controlled environment, particularly elevated total pressure, on net photosynthesis and respiration during plant growth. Pressure directly affects not only cells and organelles in leaves but also the diffusion coefficients and degrees of solubility of CO2 and O2. In this study, the effects of elevated total pressure on the rates of net photosynthesis and respiration of a model plant, Arabidopsis thaliana, were investigated in a chamber that newly developed in this study to control the total pressure. The results clearly showed that the rate of respiration decreased linearly with increasing total pressure at a high humidity. The rate of respiration decreased linearly with increasing total pressure up to 0.2 MPa, and increased with increasing total pressure from 0.3 to 0.5 MPa at a low humidity. The rate of net photosynthesis decreased linearly with increasing total pressure under a constant partial pressure of CO2 at 40 Pa. On the other hand, the rate of net photosynthesis was clearly increased by up to 1.6-fold with increasing total pressure and partial pressure of CO2.

  14. Elevated NT-proBNP and coronary calcium score in relation to coronary artery disease in asymptomatic type 2 diabetic patients with elevated urinary albumin excretion rate

    DEFF Research Database (Denmark)

    Reinhard, Henrik; Hansen, Peter R; Persson, Frederik;

    2011-01-01

    Elevated plasma N-terminal (NT)-proBNP levels and coronary calcium score (CCS) not only predicts myocardial ischaemia and coronary artery stenosis but also adverse cardiovascular events and mortality in type 2 diabetic patients with an increased urinary albumin excretion rate (UAER), whereas low...... levels are associated with low frequency of coronary artery disease (CAD) and good prognosis. The underlying causes of poor prognosis in patients with elevated NT-proBNP are not known; thus, we investigated the role of putative asymptomatic CAD in type 2 diabetic patients with UAER >30 mg/24 h...... and elevated P-NT-proBNP and/or CCS....

  15. Hybrid Dysfunction Expressed as Elevated Metabolic Rate in Male Ficedula Flycatchers

    Science.gov (United States)

    McFarlane, S. Eryn; Sirkiä, Päivi M.; Ålund, Murielle; Qvarnström, Anna

    2016-01-01

    Studies of ecological speciation are often biased towards extrinsic sources of selection against hybrids, resulting from intermediate hybrid morphology, but the knowledge of how genetic incompatibilities accumulate over time under natural conditions is limited. Here we focus on a physiological trait, metabolic rate, which is central to life history strategies and thermoregulation but is also likely to be sensitive to mismatched mitonuclear interactions. We measured the resting metabolic rate of male collared, and pied flycatchers as well as of naturally occurring F1 hybrid males, in a recent hybrid zone. We found that hybrid males had a higher rather than intermediate metabolic rate, which is indicative of hybrid physiological dysfunction. Fitness costs associated with elevated metabolic rate are typically environmentally dependent and exaggerated under harsh conditions. By focusing on male hybrid dysfunction in an eco-physiological trait, our results contribute to the general understanding of how combined extrinsic and intrinsic sources of hybrid dysfunction build up under natural conditions. PMID:27583553

  16. Elevated Serum Tryptase and Endothelin in Patients with ST Segment Elevation Myocardial Infarction: Preliminary Report

    Directory of Open Access Journals (Sweden)

    Lukasz Lewicki

    2015-01-01

    Full Text Available An inflammatory response plays a crucial role in myocardial damage after an acute myocardial infarction. Objectives. To measure serum concentrations of several mediators in patients with an acute myocardial infarction (STEMI and to assess their potential relationship with a risk of coronary instability. Patients and Methods. The 33 patients with STEMI and 19 healthy volunteers were analyzed. The clinical data were obtained; as well serum concentrations of tryptase, endothelin (ET-1, angiogenin, soluble c-kit, and PDGF were measured. Results. Patients with STEMI had higher serum tryptase and ET-1 than healthy volunteers (2,5 ± 0,4 ng/mL versus 1,1 ± 0,4 ng/mL and 0,7 ± 0,1 ng/mL versus 0,3 ± 0,1 ng/mL, resp.. Subjects with significant lesion in left anterior descending artery (LAD had lower serum ET-1 compared to those with normal LAD (0,6 ± 0,2 pg/mL versus 0,9 ± 0,4 pg/mL. Patients with three-vessel coronary artery disease (CAD had higher level of soluble c-kit compared to those with one- or two-vessel CAD: 19,9 ± 24,1 ng/mL versus 5,6 ± 1,9 ng/mL. Conclusions. Elevated serum tryptase and ET-1 may be markers of increased coronary instability; some cytokines may be related to the extension of CAD.

  17. Elevated Vibration Perception Thresholds in CIDP Patients Indicate More Severe Neuropathy and Lower Treatment Response Rates

    Science.gov (United States)

    Abraham, Alon; Albulaihe, Hana; Alabdali, Majed; Qrimli, Mohammad; Breiner, Ari; Barnett, Carolina; Katzberg, Hans D.; Lovblom, Leif E.; Perkins, Bruce A.; Bril, Vera

    2015-01-01

    Introduction Vibration perception threshold (VPT) examination using a neurothesiometer provides objective, sensitive and specific information, and has been utilized mainly in patients with diabetic polyneropathy. Objectives Explore the utility of VPT examination in CIDP patients. Methods CIDP subjects attending the Neuromuscular clinic between 01/2013 and 12/2014 were evaluated. Demographic data, clinical history, physical examination, VPT values, and electrophysiologic data from their charts were extracted. Results 70 charts were reviewed. 55 CIDP patients had elevated VPT, associated with higher frequency of abnormal sensory testing for various modalities (92.7% vs. 46.7%, pCIDP. Moreover, in CIDP, elevated VPT values are also associated with lower treatment response rates. PMID:26545096

  18. Quantifying the elevation of mitochondrial DNA evolutionary substitution rates over nuclear rates in the intertidal copepod Tigriopus californicus.

    Science.gov (United States)

    Willett, Christopher S

    2012-06-01

    Mitochondrial DNA (mtDNA) genomes generally evolve rapidly in animals, but considerable variation in the rates of evolution of mtDNA occurs among taxa. Higher levels of mutation will tend to increase the amount of polymorphism, which should also scale with population size, but there are mixed signals from previous studies on the evolutionary outcomes of the interactions of these processes. The copepod Tigriopus californicus provides an interesting model in which to study the evolution of mtDNA because it has high levels of divergence among populations and there is the suggestion that this divergence could be involved in reproductive isolation. This species also appears to have an elevated mtDNA substitution rate, but previous studies did not provide an accurate measurement. This article examines the rate of mtDNA substitution versus nuclear substitution in T. californicus and finds that the mtDNA rate for synonymous sites averages 55-fold higher, a level that exceeds the rates found in most other invertebrates. Levels of polymorphism are also examined in both mtDNA and nuclear genes, and it is shown that the effective population size of mtDNA genes is much lower than that of nuclear genes. In addition, no correlation between polymorphism in mtDNA and nuclear genes is found across populations, which suggest factors other than demography may shape polymorphism in this species. The results from this study suggest that mtDNA is evolving at a very rapid rate in this copepod species, and this could increase the likelihood that mtDNA evolution is involved in the generation of reproductive isolation.

  19. Long‐term Cardiovascular Risks Associated With an Elevated Heart Rate: The Framingham Heart Study

    Science.gov (United States)

    Ho, Jennifer E.; Larson, Martin G.; Ghorbani, Anahita; Cheng, Susan; Coglianese, Erin E.; Vasan, Ramachandran S.; Wang, Thomas J.

    2014-01-01

    Background Higher heart rate has been associated with an adverse prognosis, but most prior studies focused on individuals with known cardiovascular disease or examined a limited number of outcomes. We sought to examine the association of baseline heart rate with both fatal and nonfatal outcomes during 2 decades of follow‐up. Methods and Results Our study included 4058 Framingham Heart Study participants (mean age 55 years, 56% women). Cox models were performed with multivariable adjustment for clinical risk factors and physical activity. A total of 708 participants developed incident cardiovascular disease (303 heart failure, 343 coronary heart disease, and 216 stroke events), 48 received a permanent pacemaker, and 1186 died. Baseline heart rate was associated with incident cardiovascular disease (hazard ratio [HR] 1.15 per 1 SD [11 bpm] increase in heart rate, 95% CI 1.07 to 1.24, P=0.0002), particularly heart failure (HR 1.32, 95% CI 1.18 to 1.48, Pheart rate was also associated with higher all‐cause (HR 1.17, 95% CI 1.11 to 1.24, Pheart rate abated or increased. In contrast, individuals with a higher heart rate had a lower risk of requiring permanent pacemaker placement (HR 0.55, 95% CI 0.38 to 0.79, P=0.001). Conclusions Individuals with a higher heart rate are at elevated long‐term risk for cardiovascular events, in particular, heart failure, and all‐cause death. On the other hand, a higher heart rate is associated with a lower risk of future permanent pacemaker implantation. PMID:24811610

  20. Estimating the rate and elevation dependence of net accretion in a freshwater tidal marsh using DEM-registered surveys

    Science.gov (United States)

    Cadol, D. D.; Elmore, A. J.; Engelhardt, K.; Sanders, G.

    2012-12-01

    Tidal freshwater marshes contribute to estuary health by filtering excess sediment and nutrients delivered from the watershed, but their extent and persistence is threatened by rising sea level. To maintain a semi-emergent position, the marsh surface must gain elevation by accreting mineral and/or organic material at a rate comparable to sea level rise. Historic records of sea level rise (SLR) are available from tide gages, but records of historic elevation change at the necessary precision are rare. Additionally, sedimentation, compaction, erosion, and the resultant net elevation gain are spatially heterogeneous across a marsh, varying with elevation, among other factors. We solve this issue at our study site by taking advantage of a 1992 total station survey of the marsh and RTK GPS surveys from 2005 and 2012, and registering them all against an airborne LiDAR derived DEM. Thus, although no points are directly reoccupied, survey vs. DEM trends can be found for each survey, and an average rate of elevation change can be calculated as a function of DEM elevation. We found rates of net elevation gain ranging spatially from 3-5 mm/yr between the years 1992-2012, similar to the historic rate of SLR at a nearby Washington, DC tide gage of 4 mm/yr over the past 28 years. Net elevation change varied as DEM elevation increased, with several local minima and maxima potentially related to variations and transitions in vegetation community. Assuming IPCC predicted sea level rise and a fixed relationship between elevation and net accretion, we then forecast marsh elevation relative to sea level and associated vegetative community changes through the 21st century using an inundation model that considers net accretion and a constant relationship between vegetation community type and elevation.

  1. Elevated NT-proBNP and coronary calcium score in relation to coronary artery disease in asymptomatic type 2 diabetic patients with elevated urinary albumin excretion rate

    DEFF Research Database (Denmark)

    Reinhard, Henrik; Hansen, Peter R; Persson, Frederik;

    2011-01-01

    Elevated plasma N-terminal (NT)-proBNP levels and coronary calcium score (CCS) not only predicts myocardial ischaemia and coronary artery stenosis but also adverse cardiovascular events and mortality in type 2 diabetic patients with an increased urinary albumin excretion rate (UAER), whereas low...

  2. Further evidence for elevated human minisatellite mutation rate in Belarus eight years after the Chernobyl accident

    Energy Technology Data Exchange (ETDEWEB)

    Dubrova, Yuri E.; Buard, Jerome; Jeffreys, Alec J. [Department of Genetics, University of Leicester, Adrian Building, University Road, Leicester (United Kingdom); Nesterov, Valeri N.; Krouchinsky, Nicolay G.; Ostapenko, Vladislav A. [Research Institute for Radiation Medicine, Mogilev (Belarus); Vergnaud, Gilles; Giraudeau, Fabienne [Laboratoire de Recherche en Genetique des Especes, Institut de Biologie, Nantes (France)

    1997-11-28

    Analysis of germline mutation rate at human minisatellites among children born in areas of the Mogilev district of Belarus heavily polluted after the Chernobyl accident has been extended, both by recruiting more families from the affected region and by using five additional minisatellite probes, including multi-locus probe 33.6 and four hypervariable single-locus probes. These additional data confirmed a twofold higher mutation rate in exposed families compared with non-irradiated families from the United Kingdom. An elevated rate was seen at all three independent sets of minisatellites (detected separately by multi-locus probes 33.15, 33.6 and six single-locus probes), indicating a generalised increase in minisatellite germline mutation rate in the Belarus families. Within the Belarus cohort, mutation rate was significantly greater in families with higher parental radiation dose estimated for chronic external and internal exposure to caesium-137, consistent with radiation induction of germline mutation. The spectra of mutation seen in the unexposed and exposed families were indistinguishable, suggesting that increased mutation observed over multiple loci arises indirectly by some mechanism that enhances spontaneous minisatellite mutation.

  3. Response of tundra ecosystems to elevated atmospheric carbon dioxide. [Annual report

    Energy Technology Data Exchange (ETDEWEB)

    Oechel, W.C.; Grulke, N.E.

    1988-12-31

    Our past research shows that arctic tussock tundra responds to elevated atmospheric CO{sub 2} with marked increases in net ecosystem carbon flux and photosynthetic rates. However, at ambient temperatures and nutrient availabilities, homeostatic adjustments result in net ecosystem flux rates dropping to those found a contemporary CO{sub 2} levels within three years. Evidence for ecosystem-level acclimation in the first season of elevated CO{sub 2} exposure was found in 1987. Photosynthetic rates of Eriophorum vaginatum, the dominant species, adjusts to elevated CO{sub 2} within three weeks. Past research also indicates other changes potentially important to ecosystem structure and function. Elevated CO{sub 2} treatment apparently delays senescence and increases the period of positive photosynthetic activity. Recent results from the 1987 field season verify the results obtained in the 1983--1986 field seasons: Elevated CO{sub 2} resulted in increased ecosystem-level flux rates. Regressions fitted to the seasonal flux rates indicate an apparent 10 d extension of positive CO{sub 2} uptake reflecting a delay of the onset of plant dormancy. This delay in senescence could increase the frost sensitivity of the system. Major end points proposed for this research include the effects of elevated CO{sub 2} and the interaction of elevated atmospheric CO{sub 2} with elevated soil temperature and increased nutrient availability on: (1) Net ecosystem CO{sub 2} flux; (2) Net photosynthetic rates; (3) Patterns and resource controls on homeostatic adjustment in the above processes to elevated CO{sub 2}; (4) Plant-nutrient status, litter quality, and forage quality; (5) Soil-nutrient status; (6) Plant-growth pattern and shoot demography.

  4. Effects of elevated CO2 on net photosynthetic rate of trees in Changbai Mountain

    Institute of Scientific and Technical Information of China (English)

    Wang Chenrui; Han Shijie

    1999-01-01

    Net photosynthetic rates (NPRs) of four species seedlings, Pinus koraiensis, Pinus sylvestriformis,Fraxinus mandshurica and Phellodendron amurense, were measured at different CO2 concentrations and time respectively in Changbai Mountain during the growing season in 1999. The seedlings were cultivated in open-top chambers (OTCs), located outdoors and exposed to natural sunlight. The experimental objects were divided into four groups by tree species. CO2 concentrations in chambers were kept at 500 μL·L-1 and 700 μL·L -1 and contrast chamber and contrast field were set. The results showed that the effects of elevated CO2 on NPR of the trees strongly depended on tree species and time NPRs of Pinus koreainsis and Pinus sylvestriformis seedlings increased with the rising of CO2 concentration, while that of Phellodendron amurense and Fraxinus mandshurica increased at some time and decreased at another time.

  5. Global existence of solutions to a tear film model with locally elevated evaporation rates

    Science.gov (United States)

    Gao, Yuan; Ji, Hangjie; Liu, Jian-Guo; Witelski, Thomas P.

    2017-07-01

    Motivated by a model proposed by Peng et al. (2014) for break-up of tear films on human eyes, we study the dynamics of a generalized thin film model. The governing equations form a fourth-order coupled system of nonlinear parabolic PDEs for the film thickness and salt concentration subject to non-conservative effects representing evaporation. We analytically prove the global existence of solutions to this model with mobility exponents in several different ranges and present numerical simulations that are in agreement with the analytic results. We also numerically capture other interesting dynamics of the model, including finite-time rupture-shock phenomenon due to the instabilities caused by locally elevated evaporation rates, convergence to equilibrium and infinite-time thinning.

  6. Are There Ethnic Inequalities in Revascularisation Procedure Rate after an ST-Elevation Myocardial Infarction?

    Science.gov (United States)

    van Oeffelen, Aloysia A. M.; Rittersma, Saskia; Vaartjes, Ilonca; Stronks, Karien; Bots, Michiel L.; Agyemang, Charles

    2015-01-01

    Background Previously, ethnic inequalities in prognosis after a first acute myocardial infarction were observed in the Netherlands. This might be due to differences in revascularisation rate between ethnic minority groups and ethnic Dutch. Therefore, we investigated inequalities in revascularisation rate after occurrence of an ST-elevation myocardial infarction (STEMI) between first generation ethnic minority groups (henceforth, migrants) and ethnic Dutch. Methods All STEMI events between 2006 and 2011 were identified in a subset of the Achmea Health Database, which records medical care to persons insured at the Achmea health insurance company, a major health insurance company in the central part of the Netherlands. Ethnic Dutch and migrants from Suriname (Hindustani Surinamese and non-Hindustani Surinamese), Morocco, and Turkey were included (n = 1,765). Multivariable Cox proportional hazards regression analyses were used to identify ethnic inequalities in revascularisation rate (percutaneous coronary intervention (PCI) and coronary artery bypass grafting (CABG)) after a STEMI event. Results On average, 73.2% of STEMI events were followed by a revascularisation procedure. After adjustment for confounders (age, sex, degree of urbanization) no significant differences in revascularisation rate were found between the ethnic Dutch population and Hindustani Surinamese (HR: 1.04; 0.85–1.27), non-Hindustani Surinamese (HR: 0.98; 0.63–1.51), Moroccan (HR: 0.94; 0.77–1.14), and Turkish migrants (HR: 1.04; 0.88–1.24). Additional adjustment for comorbidity and neighborhood income did not change our findings. Conclusion Our study suggests no ethnic inequalities in revascularisation rate after a STEMI event. This finding is in agreement with the universally accessible health care system in the Netherlands. PMID:26368504

  7. Are There Ethnic Inequalities in Revascularisation Procedure Rate after an ST-Elevation Myocardial Infarction?

    Directory of Open Access Journals (Sweden)

    Aloysia A M van Oeffelen

    Full Text Available Previously, ethnic inequalities in prognosis after a first acute myocardial infarction were observed in the Netherlands. This might be due to differences in revascularisation rate between ethnic minority groups and ethnic Dutch. Therefore, we investigated inequalities in revascularisation rate after occurrence of an ST-elevation myocardial infarction (STEMI between first generation ethnic minority groups (henceforth, migrants and ethnic Dutch.All STEMI events between 2006 and 2011 were identified in a subset of the Achmea Health Database, which records medical care to persons insured at the Achmea health insurance company, a major health insurance company in the central part of the Netherlands. Ethnic Dutch and migrants from Suriname (Hindustani Surinamese and non-Hindustani Surinamese, Morocco, and Turkey were included (n = 1,765. Multivariable Cox proportional hazards regression analyses were used to identify ethnic inequalities in revascularisation rate (percutaneous coronary intervention (PCI and coronary artery bypass grafting (CABG after a STEMI event.On average, 73.2% of STEMI events were followed by a revascularisation procedure. After adjustment for confounders (age, sex, degree of urbanization no significant differences in revascularisation rate were found between the ethnic Dutch population and Hindustani Surinamese (HR: 1.04; 0.85-1.27, non-Hindustani Surinamese (HR: 0.98; 0.63-1.51, Moroccan (HR: 0.94; 0.77-1.14, and Turkish migrants (HR: 1.04; 0.88-1.24. Additional adjustment for comorbidity and neighborhood income did not change our findings.Our study suggests no ethnic inequalities in revascularisation rate after a STEMI event. This finding is in agreement with the universally accessible health care system in the Netherlands.

  8. Increased odds and predictive rates of MMPI-2-RF scale elevations in patients with psychogenic non-epileptic seizures and observed sex differences.

    Science.gov (United States)

    Del Bene, Victor A; Arce Rentería, Miguel; Maiman, Moshe; Slugh, Mitch; Gazzola, Deana M; Nadkarni, Siddhartha S; Barr, William B

    2017-07-01

    The Minnesota Multiphasic Personality Inventory-2-Restructured Form (MMPI-2-RF) is a self-report instrument, previously shown to differentiate patients with epileptic seizures (ES) and psychogenic non-epileptic seizures (PNES). At present, the odds of MMPI-2-RF scale elevations in PNES patients, as well as the diagnostic predictive value of such scale elevations, remain largely unexplored. This can be of clinical utility, particularly when a diagnosis is uncertain. After looking at mean group differences, we applied contingency table derived odds ratios to a sample of ES (n=92) and PNES (n=77) patients from a video EEG (vEEG) monitoring unit. We also looked at the positive and negative predictive values (PPV, NPV), as well as the false discovery rate (FDR) and false omission rate (FOR) for scales found to have increased odds of elevation in PNES patients. This was completed for the overall sample, as well as the sample stratified by sex. The odds of elevations related to somatic concerns, negative mood, and suicidal ideation in the PNES sample ranged from 2 to 5 times more likely. Female PNES patients had 3-6 times greater odds of such scale elevations, while male PNES patients had odds of 5-15 times more likely. PPV rates ranged from 53.66% to 84.62%, while NPV rates ranged from 47.52% to 90.91%. FDR across scales ranged from 15.38% to 50%, while the FOR ranged from 9.09% to 52.47%. Consistent with prior research, PNES patients have greater odds of MMPI-2-RF scale elevations, particularly related to somatic concerns and mood disturbance. Female PNES patients endorsed greater emotional distress, including endorsement of suicide related items. Elevations of these scales could aid in differentiating PNES from ES patients, although caution is warranted due to the possibility of both false positives and the incorrect omissions of PNES cases. Copyright © 2017 Elsevier Inc. All rights reserved.

  9. Short communication: Effects of dairy calf hutch elevation on heat reduction, carbon dioxide concentration, air circulation, and respiratory rates.

    Science.gov (United States)

    Moore, D A; Duprau, J L; Wenz, J R

    2012-07-01

    Heat stress affects dairy calf welfare and can result in morbidity, mortality, and lower weight gain. The purpose of this project was to evaluate the effects of elevating the back of plastic calf hutches on measures of ventilation and heat stress. A total of 15 calves housed in individual hutches were enrolled, with each calf hutch serving as its own control. Heat, humidity, carbon dioxide, and wind speed were measured inside each hutch and the observations were compared with external measurements over two 24-h periods; 1 period without and 1 with hutch elevation. Respiratory rates were measured in the morning and afternoon as an indicator of the degree of heat stress experienced by calves with and without elevation of the hutch. When the hutch was elevated, internal hutch temperatures were cooler than external temperatures, hutch carbon dioxide levels were lower and respiratory rates were lower, particularly comparing the afternoon observation periods.

  10. Lower responsiveness of canopy evapotranspiration rate than of leaf stomatal conductance to open-air CO2 elevation in rice.

    Science.gov (United States)

    Shimono, Hiroyuki; Nakamura, Hirofumi; Hasegawa, Toshihiro; Okada, Masumi

    2013-08-01

    An elevated atmospheric CO2 concentration ([CO2 ]) can reduce stomatal conductance of leaves for most plant species, including rice (Oryza sativa L.). However, few studies have quantified seasonal changes in the effects of elevated [CO2 ] on canopy evapotranspiration, which integrates the response of stomatal conductance of individual leaves with other responses, such as leaf area expansion, changes in leaf surface temperature, and changes in developmental stages, in field conditions. We conducted a field experiment to measure seasonal changes in stomatal conductance of the uppermost leaves and in the evapotranspiration, transpiration, and evaporation rates using a lysimeter method. The study was conducted for flooded rice under open-air CO2 elevation. Stomatal conductance decreased by 27% under elevated [CO2 ], averaged throughout the growing season, and evapotranspiration decreased by an average of 5% during the same period. The decrease in daily evapotranspiration caused by elevated [CO2 ] was more significantly correlated with air temperature and leaf area index (LAI) rather than with other parameters of solar radiation, days after transplanting, vapor-pressure deficit and FAO reference evapotranspiration. This indicates that higher air temperatures, within the range from 16 to 27 °C, and a larger LAI, within the range from 0 to 4 m(2)  m(-2) , can increase the magnitude of the decrease in evapotranspiration rate caused by elevated [CO2 ]. The crop coefficient (i.e. the evapotranspiration rate divided by the FAO reference evapotranspiration rate) was 1.24 at ambient [CO2 ] and 1.17 at elevated [CO2 ]. This study provides the first direct measurement of the effects of elevated [CO2 ] on rice canopy evapotranspiration under open-air conditions using the lysimeter method, and the results will improve future predictions of water use in rice fields.

  11. Elevated child maltreatment rates in immigrant families and the role of socioeconomic differences.

    Science.gov (United States)

    Euser, Eveline M; van Ijzendoorn, Marinus H; Prinzie, Peter; Bakermans-Kranenburg, Marian J

    2011-02-01

    Are immigrant families at elevated risk for child maltreatment, and if so, what role do socioeconomic and family composition factors play? In a national prevalence study on child maltreatment in the Netherlands, child maltreatment cases were reported by 1,121 professionals from various occupational branches. Maltreating families were compared to a national representative family sample on immigrant status and parental educational level and family composition factors. The authors differentiated between traditional immigrant families who immigrated as labor migrants from Turkey, Morocco, Suriname, and the Antillean Islands, and nontraditional immigrant families who more recently immigrated from countries with severe economic hardships or political turmoil (refugees). Traditional immigrant and nontraditional immigrant families were both significantly overrepresented among maltreating families, but this overrepresentation disappeared for the traditional immigrants after correction for educational level of the parents. Nontraditional immigrant families, however, remained at increased risk for child maltreatment even after correction for educational level. It is proposed that interventions to prevent child maltreatment in immigrant families should focus on decreasing socioeconomic risks associated with low levels of education.

  12. Hodgkin's lymphoma presenting with markedly elevated IgE: a case report

    Directory of Open Access Journals (Sweden)

    Ellis Anne K

    2009-12-01

    Full Text Available Abstract Background Markedly elevated IgE as a manifestation of a lymphoproliferative disorder has been only rarely reported. Case Presentation We present the case of a 22 year old female referred to the adult Allergy & Clinical Immunology clinic for an extremely elevated IgE level, eventually diagnosed with Hodgkin's lymphoma. She had no history of atopy, recurrent infections, eczema or periodontal disease; stool was negative for ova & parasites. Chest X-ray revealed large bilateral anterior mediastinal masses that demonstrated prominent uptake on gallium scan. Mediastinal lymph node biopsy was consistent with Hodgkin's lymphoma, nodular sclerosing subtype, grade I/II. Conclusion Although uncommon, markedly elevated IgE may be a manifestation of a malignant process, most notably both Hodgkin's and Non-Hodgkin's lymphomas. This diagnosis should be considered in evaluating an otherwise unexplained elevation of IgE.

  13. Presence of human milk bank is associated with elevated rate of exclusive breastfeeding in VLBW infants.

    Science.gov (United States)

    Arslanoglu, Sertac; Moro, Guido E; Bellù, Roberto; Turoli, Daniela; De Nisi, Giuseppe; Tonetto, Paola; Bertino, Enrico

    2013-03-01

    Human milk confers health benefits of vital importance for the sick and preterm infants in neonatal intensive care units (NICUs). Mother's own milk is the first choice in preterm infant feeding, and every effort should be made to promote lactation. When mother's milk is not available or is insufficient, donor human milk (DHM) is recommended. Yet, occasionally, the concern that the use of DHM might decrease breastfeeding is being raised. The present data collection planned by the Italian Association of Human Milk Banks (AIBLUD) in collaboration with the Italian Neonatal Network (INN) attempted to address this concern. A total of 4277 very low birth weight (VLBW) infants from 83 Italian NICUs were evaluated for this comparative analysis. The 83 Italian NICUs were divided into two groups: centers with a human milk bank (HMB) and centers without a HMB; the available parameters in the network--"any and exclusive breastfeeding rates" and "exclusive formula rate" at discharge--were compared. Exclusive breastfeeding rate at discharge was significantly higher in NICUs with a HMB than in NICUs without (29.6% vs. 16.0%, respectively). Any breastfeeding rate at discharge tended to be higher in the NICUs with HMB (60.4% vs. 52.8%, P = 0.09), and exclusive formula rate was lower in the NICUs with HMB (26.5% vs. 31.3%), but this difference was not significant. This report shows that the presence of a HMB and the use of DHM in NICU are associated with increased breastfeeding rate at discharge from the hospital for VLBW infants.

  14. Temperature-induced elevation of basal metabolic rate does not affect testis growth in great tits.

    Science.gov (United States)

    Caro, Samuel P; Visser, Marcel E

    2009-07-01

    The timing of reproduction varies from year to year in many bird species. To adjust their timing to the prevailing conditions of that year, birds use cues from their environment. However, the relative importance of these cues, such as the initial predictive (e.g. photoperiod) and the supplemental factors (e.g. temperature), on the seasonal sexual development are difficult to distinguish. In particular, the fine-tuning effect of temperature on gonadal growth is not well known. One way temperature may affect timing is via its strong effect on energy expenditure as gonadal growth is an energy-demanding process. To study the interaction of photoperiod and temperature on gonadal development, we first exposed 35 individually housed male great tits (Parus major) to mid-long days (after 6 weeks of 8 h L:16 h D at 15 degrees C, photoperiod was set to 13 h L:11 h D at 15 degrees C). Two weeks later, for half of the males the temperature was set to 8 degrees C, and for the other half to 22 degrees C. Unilateral laparotomies were performed at weeks 5 (i.e one week before the birds were transferred to mid-long days), 8 and 11 to measure testis size. Two measures of basal metabolic rate (BMR) were performed at the end of the experiment (weeks 11 and 12). Testis size increased significantly during the course of the experiment, but independently of the temperature treatment. BMR was significantly higher in birds exposed to the cold treatment. These results show that temperature-related elevation of BMR did not impair the long-day-induced testis growth in great tits. As a consequence, temperature may not be a crucial cue and/or constraint factor in the fine-tuning of the gonadal recrudescence in male great tits, and testis growth is not a high energy-demanding seasonal process.

  15. Acute Carbon Monoxide Poisoning Resulting in ST Elevation Myocardial Infarction: A Rare Case Report

    Directory of Open Access Journals (Sweden)

    Po-Chao Hsu

    2010-05-01

    Full Text Available Acute carbon monoxide (CO poisoning with cardiac complications is well documented in the literature. However, ST segment elevation is a rare presentation, and most of these cases with ST elevation have revealed non-occlusive or normal coronary arteries. We report a case of CO poisoning complicated with ST elevation myocardial infarction. Emergency coronary angiography revealed total occlusion of the left anterior descending artery and primary percutaneous coronary intervention was performed. This report of a rare case should remind physicians that cardiovascular investigations, including electrocardiography, must be performed in cases with CO poisoning because mortality might increase if reperfusion therapy or appropriate medical treatments are not performed in patients with acute coronary artery occlusion.

  16. 44 CFR 65.12 - Revision of flood insurance rate maps to reflect base flood elevations caused by proposed...

    Science.gov (United States)

    2010-10-01

    ... 44 Emergency Management and Assistance 1 2010-10-01 2010-10-01 false Revision of flood insurance rate maps to reflect base flood elevations caused by proposed encroachments. 65.12 Section 65.12... INSURANCE AND HAZARD MITIGATION National Flood Insurance Program IDENTIFICATION AND MAPPING OF...

  17. Elevated resting heart rate is an independent risk factor for cardiovascular disease in healthy men and women.

    LENUS (Irish Health Repository)

    Cooney, Marie Therese

    2010-04-01

    Elevated resting heart rate (RHR) is known to be associated with reduced survival but inconsistencies remain, including lack of significance in most studies of healthy women, lack of independence from systolic blood pressure (SBP) in some, and the suggestion that RHR is merely functioning as a marker of physical inactivity or other comorbidities. We aimed to clarify these inconsistencies.

  18. Elevated Building Lift Systems on Permanent Snowfields: A Report on the Elevated Building Lift Systems in Polar Environments Workshop

    Science.gov (United States)

    2014-09-18

    tech- nical information and knowledge focused specifically on the mechanical lift systems used for raising the structures to elevate and maintain them...international history and the state-of-the-art of building on permanent snowfields, focusing on elevated buildings that are periodi- cally lifted to...systems would have been tanks within ele- ERDC/CRREL SR-14-2 16 vated buildings moved every few years to higher ground by using crawler

  19. Metabolically Derived Human Ventilation Rates: A Revised Approach Based Upon Oxygen Consumption Rates (Final Report, 2009)

    Science.gov (United States)

    EPA announced the availability of the final report, Metabolically Derived Human Ventilation Rates: A Revised Approach Based Upon Oxygen Consumption Rates. This report provides a revised approach for calculating an individual's ventilation rate directly from their oxygen c...

  20. Relationship between Cardiometabolic Parameters and Elevated Resting and Effort Heart Rate in Schoolchildren.

    Science.gov (United States)

    Silva, Cristiane Fernanda da; Burgos, Miria Suzana; Silva, Priscila Tatiana da; Burgos, Leandro Tibiriçá; Welser, Letícia; Sehn, Ana Paula; Horta, Jorge André; Mello, Elza Daniel de; Reuter, Cézane Priscila

    2017-07-20

    Little has been studied on heart rate and its relationship with metabolic disorders. To identify possible association between heart rate (HR) and metabolic disorders in children and adolescents. This cross-sectional study evaluated 2.098 subjects, aged between 7 and 17 years. The variables evaluated were: HR, systolic (SBP) and diastolic blood pressure (DBP), pulse pressure (PP), double-product (DP), myocardial oxygen consumption (mVO2), lipids, glucose and uric acid levels, body mass index (BMI) and waist circumference (WC). The values of HR at rest and effort were divided into quartiles. The association between continuous values of HR and cardiometabolic indicators was tested by linear regression. LDL cholesterol presented a significantly higher mean (p = 0.003) in schoolchildren with resting HR greater or equal to 91 bpm, compared to students with less than 75 bpm. Compared with the quartiles of effort HR, SBP, DBP, glucose and uric acid presented high values when HR was greater or equal than 185 bpm. SBP, glucose and HDL cholesterol demonstrated a significant association with resting HR. Uric acid was observed as a predictor of increased effort HR. Schoolchildren with a higher resting HR have higher mean of LDL cholesterol. For effort HR, there was an increase in blood pressure, glucose and uric acid levels. Uric acid has been shown to be a predictor of elevated effort HR. Pouco se tem estudado sobre frequência cardíaca e suas relações com alterações metabólicas. Verificar se existe associação entre frequência cardíaca e disfunções metabólicas em crianças e adolescentes. Estudo transversal com 2.098 escolares, com idade entre 7 e 17 anos. As variáveis avaliadas foram: frequência cardíaca (FC), pressão arterial sistólica (PAS), diastólica (PAD) e de pulso (PP), duplo-produto (DP), consumo de oxigênio pelo miocárdio (mVO2), perfil lipídico e glicêmico, níveis de ácido úrico, índice de massa corporal (IMC) e circunferência da cintura

  1. Is an elevated submaximal heart rate associated with psychomotor slowness in young elite soccer players?

    NARCIS (Netherlands)

    Brink, Michel S.; Visscher, Chris; Schmikli, Sandor L.; Nederhof, E.; Lemmink, Koen A. P. M.

    2013-01-01

    The aim of the present study was to find early markers for overreaching that are applicable in sport practice. In a group of elite soccer players aged 1518, the stressrecovery balance and reaction times before and after exercise were assessed. Overreaching was indicated by an elevated submaximal

  2. Effects of elevated CO2 leaf diet on gypsy moth (Lepidoptera: Lymantriidae) respiration rates

    Science.gov (United States)

    Anita R. Foss; William J. Mattson; Terry M. Trier

    2013-01-01

    Elevated levels of CO2 affect plant growth and leaf chemistry, which in turn can alter host plant suitability for insect herbivores. We examined the suitability of foliage from trees grown from seedlings since 1997 at Aspen FACE as diet for the gypsy moth (Lymantria dispar L.) Lepidoptera: Lymantriidae: paper birch (...

  3. Is an elevated submaximal heart rate associated with psychomotor slowness in young elite soccer players?

    NARCIS (Netherlands)

    Brink, Michel S.; Visscher, Chris; Schmikli, Sandor L.; Nederhof, E.; Lemmink, Koen A. P. M.

    2013-01-01

    The aim of the present study was to find early markers for overreaching that are applicable in sport practice. In a group of elite soccer players aged 1518, the stressrecovery balance and reaction times before and after exercise were assessed. Overreaching was indicated by an elevated submaximal hea

  4. Is an elevated submaximal heart rate associated with psychomotor slowness in young elite soccer players?

    NARCIS (Netherlands)

    Brink, Michel S.; Visscher, C.; Schmikli, S.L.; Nederhof, E.; Lemmink, K.A.P.M.

    2013-01-01

    Abstract The aim of the present study was to find early markers for overreaching that are applicable in sport practice. In a group of elite soccer players aged 15–18, the stress–recovery balance and reaction times before and after exercise were assessed. Overreaching was indicated by an elevated sub

  5. Uterine environment and pregnancy rate of heifers with elevated plasma urea nitrogen

    Science.gov (United States)

    Diets high in protein are associated with lower reproductive performance and changes in the uterine environment. The objective of this study was to determine the effect of elevated systemic concentrations of urea nitrogen on the uterine environment and pregnancy success in beef heifers. Heifers (n...

  6. Size Distribution and Rate of Dust Generated During Grain Elevator Handling

    Science.gov (United States)

    Dust generated during grain handling is an air pollutant that produces safety and health hazards. This study was conducted to characterize the particle size distribution (PSD) of dust generated during handling of wheat and shelled corn in the research elevator of the USDA Grain Marketing and Product...

  7. 47 CFR 65.600 - Rate of return reports.

    Science.gov (United States)

    2010-10-01

    ... 47 Telecommunication 3 2010-10-01 2010-10-01 false Rate of return reports. 65.600 Section 65.600... OF RETURN PRESCRIPTION PROCEDURES AND METHODOLOGIES Rate of Return Reports § 65.600 Rate of return...) months after the end of each calendar year, an annual rate of return monitoring report which shall be...

  8. The effect of stress inoculation training on self-reported stress, observer's rating of stress, heart rate and gymnastics performance.

    Science.gov (United States)

    Mace, R D; Carroll, D

    1989-01-01

    Eighteen volunteer female subjects received preliminary instruction in a simple gymnastics bench sequence. They were then given a pre-intervention test on a bench at ground level. Self-reported distress, an independent observer's ratings of distress and heart rates were monitored immediately prior to performance of the sequence. Performances were also videotaped and formally scored by a qualified gymnastics judge. Subjects were then randomly assigned to a stress inoculation training group or a 'no stress management' training control group. Stress inoculation group subjects then received seven sessions of training in relaxation, imagery and making self-statements in order to develop a set of coping skills. Control group subjects also received seven training sessions during which they practised a series of coordination exercises, but no psychological stress management training was given to this group. All subjects were then re-tested on the bench sequence but this time at a height of 1.52 m. Self-reported stress, observer's ratings of distress and heart rate were recorded as before. Performance was again videotaped for scoring. The stress inoculation group reported significantly less stress prior to the test on the elevated beam than the control group. However, the groups did not differ in terms of heart rate. Further, the stress inoculation group performed reliably better than the control group on the elevated bench.

  9. Increased ratio of electron transport to net assimilation rate supports elevated isoprenoid emission rate in eucalypts under drought.

    Science.gov (United States)

    Dani, Kaidala Ganesha Srikanta; Jamie, Ian McLeod; Prentice, Iain Colin; Atwell, Brian James

    2014-10-01

    Plants undergoing heat and low-CO2 stresses emit large amounts of volatile isoprenoids compared with those in stress-free conditions. One hypothesis posits that the balance between reducing power availability and its use in carbon assimilation determines constitutive isoprenoid emission rates in plants and potentially even their maximum emission capacity under brief periods of stress. To test this, we used abiotic stresses to manipulate the availability of reducing power. Specifically, we examined the effects of mild to severe drought on photosynthetic electron transport rate (ETR) and net carbon assimilation rate (NAR) and the relationship between estimated energy pools and constitutive volatile isoprenoid emission rates in two species of eucalypts: Eucalyptus occidentalis (drought tolerant) and Eucalyptus camaldulensis (drought sensitive). Isoprenoid emission rates were insensitive to mild drought, and the rates increased when the decline in NAR reached a certain species-specific threshold. ETR was sustained under drought and the ETR-NAR ratio increased, driving constitutive isoprenoid emission until severe drought caused carbon limitation of the methylerythritol phosphate pathway. The estimated residual reducing power unused for carbon assimilation, based on the energetic status model, significantly correlated with constitutive isoprenoid emission rates across gradients of drought (r(2) > 0.8) and photorespiratory stress (r(2) > 0.9). Carbon availability could critically limit emission rates under severe drought and photorespiratory stresses. Under most instances of moderate abiotic stress levels, increased isoprenoid emission rates compete with photorespiration for the residual reducing power not invested in carbon assimilation. A similar mechanism also explains the individual positive effects of low-CO2, heat, and drought stresses on isoprenoid emission.

  10. Exposure to elevated temperature and Pco(2) reduces respiration rate and energy status in the periwinkle Littorina littorea.

    Science.gov (United States)

    Melatunan, Sedercor; Calosi, Piero; Rundle, Simon D; Moody, A John; Widdicombe, Stephen

    2011-01-01

    In the future, marine organisms will face the challenge of coping with multiple environmental changes associated with increased levels of atmospheric Pco(2), such as ocean warming and acidification. To predict how organisms may or may not meet these challenges, an in-depth understanding of the physiological and biochemical mechanisms underpinning organismal responses to climate change is needed. Here, we investigate the effects of elevated Pco(2) and temperature on the whole-organism and cellular physiology of the periwinkle Littorina littorea. Metabolic rates (measured as respiration rates), adenylate energy nucleotide concentrations and indexes, and end-product metabolite concentrations were measured. Compared with values for control conditions, snails decreased their respiration rate by 31% in response to elevated Pco(2) and by 15% in response to a combination of increased Pco(2) and temperature. Decreased respiration rates were associated with metabolic reduction and an increase in end-product metabolites in acidified treatments, indicating an increased reliance on anaerobic metabolism. There was also an interactive effect of elevated Pco(2) and temperature on total adenylate nucleotides, which was apparently compensated for by the maintenance of adenylate energy charge via AMP deaminase activity. Our findings suggest that marine intertidal organisms are likely to exhibit complex physiological responses to future environmental drivers, with likely negative effects on growth, population dynamics, and, ultimately, ecosystem processes.

  11. 32 CFR 635.33 - Crime rate reporting.

    Science.gov (United States)

    2010-07-01

    ... 32 National Defense 4 2010-07-01 2010-07-01 true Crime rate reporting. 635.33 Section 635.33... CRIMINAL INVESTIGATIONS LAW ENFORCEMENT REPORTING Army Quarterly Trends and Analysis Report § 635.33 Crime rate reporting. (a) The USACRC is the Army's collection point and analytic center for all...

  12. β-GPA treatment leads to elevated basal metabolic rate and enhanced hypoxic exercise tolerance in mice.

    Science.gov (United States)

    Ross, Trenton T; Overton, Jeffrey D; Houmard, Katelyn F; Kinsey, Stephen T

    2017-03-01

    Treatments that increase basal metabolic rate (BMR) and enhance exercise capacity may be useful therapeutic approaches for treating conditions such as type 2 diabetes, obesity, and associated circulatory problems. β-guanidinopropionic acid (β-GPA) supplementation decreases high-energy phosphate concentrations, such as ATP and phosphocreatine (PCr) resulting in an energetic challenge that is similar to both exercise programs and hypoxic conditions. In this study, we administered β-GPA to mice for 2 or 6 weeks, and investigated the effect on muscle energetic status, body and muscle mass, muscle capillarity, BMR, and normoxic and hypoxic exercise tolerance (NET and HET, respectively). Relative [PCr] and PCr/ATP ratios significantly decreased during both treatment times in the β-GPA fed mice compared to control mice. Body mass, muscle mass, and muscle fiber size significantly decreased after β-GPA treatment, whereas muscle capillarity and BMR were significantly increased in β-GPA fed mice. NET significantly decreased in the 2-week treatment, but was not significantly different in the 6-week treatment. HET significantly decreased in 2-week treatment, but in contrast to NET, significantly increased in the 6-week-treated mice compared to control mice. We conclude that β-GPA induces a cellular energetic response in skeletal muscle similar to that of chronic environmental hypoxia, and this energetic perturbation leads to elevated BMR and increased hypoxic exercise capacity in the absence of hypoxic acclimation. © 2017 The Authors. Physiological Reports published by Wiley Periodicals, Inc. on behalf of The Physiological Society and the American Physiological Society.

  13. Are there Ethnic inequalities in revascularisation procedure rate after an ST-elevation myocardial infarction?

    NARCIS (Netherlands)

    Van Oeffelen, Aloysia A M; Rittersma, Saskia; Vaartjes, Ilonca; Stronks, Karien; Bots, Michiel L.; Agyemang, Charles

    2015-01-01

    Background: Previously, ethnic inequalities in prognosis after a first acute myocardial infarction were observed in the Netherlands. This might be due to differences in revascularisation rate between ethnic minority groups and ethnic Dutch. Therefore, we investigated inequalities in

  14. Prediction of flow stress of 7017 aluminium alloy under high strain rate compression at elevated temperatures

    National Research Council Canada - National Science Library

    Bobbili, Ravindranadh; Ramakrishna, B; Madhu, V; Gogia, A.K

    2015-01-01

    An artificial neural network (ANN) constitutive model and Johnson–Cook (J–C) model were developed for 7017 aluminium alloy based on high strain rate data generated from split Hopkinson pressure bar (SHPB...

  15. Are there Ethnic inequalities in revascularisation procedure rate after an ST-elevation myocardial infarction?

    NARCIS (Netherlands)

    Van Oeffelen, Aloysia A M; Rittersma, Saskia; Vaartjes, Ilonca; Stronks, Karien; Bots, Michiel L.; Agyemang, Charles

    2015-01-01

    Background: Previously, ethnic inequalities in prognosis after a first acute myocardial infarction were observed in the Netherlands. This might be due to differences in revascularisation rate between ethnic minority groups and ethnic Dutch. Therefore, we investigated inequalities in revascularisatio

  16. Prediction of flow stress of 7017 aluminium alloy under high strain rate compression at elevated temperatures

    Institute of Scientific and Technical Information of China (English)

    Ravindranadh BOBBILI; B. RAMAKRISHNA; V. MADHU; A.K. GOGIA

    2015-01-01

    An artificial neural network (ANN) constitutive model and JohnsoneCook (JeC) model were developed for 7017 aluminium alloy based on high strain rate data generated from split Hopkinson pressure bar (SHPB) experiments at various temperatures. A neural network configuration consists of both training and validation, which is effectively employed to predict flow stress. Temperature, strain rate and strain are considered as inputs, whereas flow stress is taken as output of the neural network. A comparative study on JohnsoneCook (JeC) model and neural network model was performed. It was observed that the developed neural network model could predict flow stress under various strain rates and tem-peratures. The experimental stressestrain data obtained from high strain rate compression tests using SHPB over a range of temperatures (25?e300 ?C), strains (0.05e0.3) and strain rates (1500e4500 s?1) were employed to formulate JeC model to predict the flow stress behaviour of 7017 aluminium alloy under high strain rate loading. The JeC model and the back-propagation ANN model were developed to predict the flow stress of 7017 aluminium alloy under high strain rates, and their predictability was evaluated in terms of correlation coefficient (R) and average absolute relative error (AARE). R and AARE for the J-C model are found to be 0.8461 and 10.624%, respectively, while R and AARE for the ANN model are 0.9995 and 2.58%, respectively. The predictions of ANN model are observed to be in consistent with the experimental data for all strain rates and temperatures.

  17. Is outdoor work associated with elevated rates of cerebrovascular disease mortality? A cohort study based on iron-ore mining.

    Science.gov (United States)

    Björ, Ove; Jonsson, Håkan; Damber, Lena; Burström, Lage; Nilsson, Tohr

    2016-01-01

    A cohort study that examined iron ore mining found negative associations between cumulative working time employed underground and several outcomes, including mortality of cerebrovascular diseases. In this cohort study, and using the same group of miners, we examined whether work in an outdoor environment could explain elevated cerebrovascular disease rates. This study was based on a Swedish iron ore mining cohort consisting of 13,000 workers. Poisson regression models were used to generate smoothed estimates of standardized mortality ratios and adjusted rate ratios, both models by cumulative exposure time in outdoor work. The adjusted rate ratio between employment classified as outdoor work ≥25 years and outdoor work 0-4 years was 1.62 (95 % CI 1.07-2.42). The subgroup underground work ≥15 years deviated most in occurrence of cerebrovascular disease mortality compared with the external reference population: SMR (0.70 (95 % CI 0.56-0.85)). Employment in outdoor environments was associated with elevated rates of cerebrovascular disease mortality. In contrast, work in tempered underground employment was associated with a protecting effect.

  18. Does premature elevated progesterone on the day of trigger increase spontaneous abortion rates in fresh and subsequent frozen embryo transfers?

    Science.gov (United States)

    Healy, Mae; Patounakis, George; Zanelotti, Austin; Devine, Kate; DeCherney, Alan; Levy, Michael; Hill, Micah J

    2017-06-01

    Recent evidence has shown elevated progesterone (P) advances the endometrium in fresh ART cycles, creating asynchrony with the embryo and thus implantation failure and decreased live birth rates. If the window of implantation is closing as the embryo attempts to implant, there may be difficulty with trophoblastic invasion, leading to failure of early pregnancies. Our objective was to evaluate if P on the day of trigger was associated with spontaneous abortion (SAB) rates in fresh ART transfers. This was a retrospective cohort study involving fresh autologous and FET cycles from 2011 to 2013. The main outcome was spontaneous abortion rates. About 4123 fresh and FET transfer cycles were included which resulted in 1547 fresh and 491 FET pregnancies. The overall SAB rate was 20% among fresh cycles and 19% in FET cycles. P on the day of trigger, as a continuous variable or when > 2 ng/mL, was not associated with SAB in fresh cycles. Similar results were found after adjusting for age, embryo quality, and embryo stage. Despite elevated P likely advancing the window of implantation, once implantation occurs, pregnancies were no longer negatively impacted by progesterone.

  19. Flood Insurance Rate Maps and Base Flood Elevations, FIRM, DFIRM, BFE, FEMA Base Flood Elevations - line shapefile, Published in 2010, 1:2400 (1in=200ft) scale, Effingham County Board Of Commissioners.

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — This Flood Insurance Rate Maps and Base Flood Elevations, FIRM, DFIRM, BFE dataset, published at 1:2400 (1in=200ft) scale, was produced all or in part from Published...

  20. Dense lower crust elevates long-term earthquake rates in the New Madrid seismic zone

    Science.gov (United States)

    Levandowski, Will; Boyd, Oliver S.; Ramirez-Guzmán, Leonardo

    2016-08-01

    Knowledge of the local state of stress is critical in appraising intraplate seismic hazard. Inverting earthquake moment tensors, we demonstrate that principal stress directions in the New Madrid seismic zone (NMSZ) differ significantly from those in the surrounding region. Faults in the NMSZ that are incompatible with slip in the regional stress field are favorably oriented relative to local stress. We jointly analyze seismic velocity, gravity, and topography to develop a 3-D crustal and upper mantle density model, revealing uniquely dense lower crust beneath the NMSZ. Finite element simulations then estimate the stress tensor due to gravitational body forces, which sums with regional stress. The anomalous lower crust both elevates gravity-derived stress at seismogenic depths in the NMSZ and rotates it to interfere more constructively with far-field stress, producing a regionally maximal deviatoric stress coincident with the highest concentration of modern seismicity. Moreover, predicted principal stress directions mirror variations (observed independently in moment tensors) at the NMSZ and across the region.

  1. Uterine environment and pregnancy rate of heifers with elevated plasma urea nitrogen.

    Science.gov (United States)

    Amundson, Olivia L; Larimore, Erin L; McNeel, Anthony K; Chase, Chad C; Cushman, Robert A; Freetly, Harvey C; Perry, George A

    2016-10-01

    Diets high in protein are associated with lower reproductive performance and changes in the uterine environment. The objective of this study was to determine the effect of elevated systemic concentrations of urea nitrogen on the uterine environment and pregnancy success in beef heifers. Heifers (n=150) were matched by breed, age, and body weight then randomly assigned to one of two dietary treatments: 1) Control (10% CP) or 2) High protein (14% CP) over three replicates (n=40/replicate). Estrus was synchronized with an injection of PGF2α. Uterine pH, plasma urea nitrogen (PUN), ammonia, and glucose concentrations were determined on d 7 of the estrous cycle. Pregnancy status was determined by ultrasonography 30 d following the breeding season. In vitro fertilization was performed on heifers precluded from uterine analysis (n=15/diet) to determine the effect of a High Protein diet on oocyte quality. Plasma urea concentrations were greater in the High Protein diet compared to Control (P0.40) on the number of oocytes collected, number of oocytes cleaved, amount of blastocysts, percentage of oocytes cleaved and percentage of blastocysts present. In summary, high nitrogen diets increased PUN concentrations in heifers; however, there were no deleterious effects on reproduction.

  2. Elevated variance in heart rate during slow-wave sleep after late-night physical activity.

    Science.gov (United States)

    Bulckaert, Arnoud; Exadaktylos, Vasileios; Haex, Bart; De Valck, Elke; Verbraecken, Johan; Berckmans, Daniel

    2011-04-01

    This study investigates the effect of mild physical activity before bedtime on the sleep pattern and heart rate during the night. Nine healthy subjects underwent a habituation night, a reference night, and a physical induction night. The physical induction night did not alter the sleep pattern. Physical activity before bedtime resulted in higher heart rate variance during slow-wave sleep. The low-frequency/high-frequency component (LF/HF) ratio during slow-wave sleep in the physical induction night was significantly higher than during the reference night. Increased mean heart rate and higher LF/HF ratio are related to decreased parasympathetic dominance. Exercise up to 1 h before bedtime thus seems to modify the quality of sleep.

  3. Summers' technique modification for sinus floor elevation using a connective tissue graft. A case report.

    Science.gov (United States)

    Pontes, Fernando Salimon Ribeiro Ana Emília Farias; Zuza, Elizangela Partata; de Toledo, Benedicto Egbert Corrêa

    2010-01-01

    The sinus floor elevation technique with Summers' osteotome is simpler and less invasive than access through the lateral wall of the sinus; however, it is susceptible to a higher level of sinusal membrane rupture. The objective of the present study was to display a modification of the osteotomy technique by connective tissue interposition in order to weaken the impact of sinus cortical fracture, and therefore prevent perforations in the sinusal membrane. A case is reported in which a patient presented with an absent tooth #4 for osseointegrated implant rehabilitation. Maxillary sinus elevation was required to perform the procedure. Initially, the flap was raised and the receptor site was prepared with a sequence of burs, without disrupting cortical bone. In order to weaken the fracture impact with the osteotome, a connective tissue graft was interposed to allow access to the sinus. Clinically, a satisfactory primary locking was obtained with torque greater than 50 Ncm. Through radiographic evaluation, good bone filling was observed immediately after surgery, with maxillary sinus wall elevation without membrane rupture. Two years after the initial procedure, a 5.3 mm increase in bone extension formed in contact with implant distal surface was observed. Thus, the osteotomy technique modification with connective tissue interposition was successful, both clinically and radiographically, showing an image suggesting long-term osseous formation.

  4. Eutherians experienced elevated evolutionary rates in the immediate aftermath of the Cretaceous-Palaeogene mass extinction.

    Science.gov (United States)

    Halliday, Thomas John Dixon; Upchurch, Paul; Goswami, Anjali

    2016-06-29

    The effect of the Cretaceous-Palaeogene (K-Pg) mass extinction on the evolution of many groups, including placental mammals, has been hotly debated. The fossil record suggests a sudden adaptive radiation of placentals immediately after the event, but several recent quantitative analyses have reconstructed no significant increase in either clade origination rates or rates of character evolution in the Palaeocene. Here we use stochastic methods to date a recent phylogenetic analysis of Cretaceous and Palaeocene mammals and show that Placentalia likely originated in the Late Cretaceous, but that most intraordinal diversification occurred during the earliest Palaeocene. This analysis reconstructs fewer than 10 placental mammal lineages crossing the K-Pg boundary. Moreover, we show that rates of morphological evolution in the 5 Myr interval immediately after the K-Pg mass extinction are three times higher than background rates during the Cretaceous. These results suggest that the K-Pg mass extinction had a marked impact on placental mammal diversification, supporting the view that an evolutionary radiation occurred as placental lineages invaded new ecological niches during the Early Palaeocene.

  5. Elevated plasma homocysteine is associated with increased brain atrophy rates in older subjects with mild hypertension.

    Science.gov (United States)

    Narayan, Sunil K; Firbank, Michael J; Saxby, Brian K; Stansby, Gerard; Hansrani, Monica; O'Brien, John T; Ford, Gary A

    2011-01-01

    We determined using serial MR imaging whether raised plasma homocysteine levels are associated with increased brain atrophy, white matter lesion (WML) progression or incidence of silent brain infarcts (SBIs) in older hypertensive subjects. Brain atrophy rates (0.58 ± 0.48% per year, mean ± SD) were significantly correlated with homocysteine (β = 0.46, p = 0.001 homocysteine; β = 0.44, p = 0.007 homocysteine/folate/B12 models) but not with folate or B12 levels. Progression of WML (0.08 ± 0.16%) was not associated with homocysteine level (B = 0.01, p = 0.29). New SBIs were uncommon. In older hypertensive individuals, plasma homocysteine levels are associated with increased rates of whole-brain atrophy but not WML progression.

  6. Prevalence of sinus floor elevation procedures and survival rates of implants placed in the posterior maxilla

    Directory of Open Access Journals (Sweden)

    Ceyda Ozçakır Tomruk

    2016-01-01

    Full Text Available The aim of this study was to assess the prevalence of sinus-lifting procedures and survival rates of implants placed in the posterior maxilla. This retrospective chart review examined consecutive patients with tooth/teeth loss in the posterior maxilla between 2008 and 2012 treated with sinus lift, when needed, and implant insertion. Demographic variables, health status, residual alveolar bone height, augmentation types, the implant position, diameter and height, and implant failure, prosthesis types, and the marginal bone loss were recorded. The study included 302 patients at a mean age of 5.2 years, who received a total of 609 dental implants. A total of 380 (62.3% implants were inserted in native areas, 203 (33.3% ones in external sinus-lifted areas and 26 (4.4% ones in internal lifted areas. The survival rate in native or internal lifted areas were 100% and 95.6% in external sinus lifted ones (10 implant failures/203 implants. Almost half of the implants were examined radiologically with a mean duration of 30 months and the mean marginal bone loss was 0.64 ± 1.2 mm. The results showed that the survival rates of native bone and the internal sinus lifting were slightly higher than that of external sinus lifting. Implants placed with sinus augmentation exhibited more marginal bone loss than implants in native bone.

  7. Federal Prevailing Rate Advisory Committee (FPRAC) Annual Reports

    Data.gov (United States)

    Office of Personnel Management — Annual reports of the Federal Prevailing Rate Advisory Committee (FPRAC), which studies the prevailing (market) rate system for wages and other matters pertinent to...

  8. Elevated rates of gold mining in the Amazon revealed through high-resolution monitoring

    OpenAIRE

    Asner, Gregory P.; Llactayo, William; Tupayachi, Raul; Luna, Ernesto Ráez

    2013-01-01

    Commodity gold prices increased substantially following the 2008 global financial crisis. Gold demand has fueled a massive increase in mining activity, some of which is centered in the Amazon basin. Western Amazonian forests of Peru have become an epicenter for mostly illegal gold mining, but the clandestine nature of mining activities has made monitoring and reporting of forest losses extremely challenging. We combined high-resolution satellite and aircraft-based imaging with field surveys t...

  9. Elevated time-dependent strengthening rates observed in San Andreas Fault drilling samples

    Science.gov (United States)

    Ikari, Matt J.; Carpenter, Brett M.; Vogt, Christoph; Kopf, Achim J.

    2016-09-01

    The central San Andreas Fault in California is known as a creeping fault, however recent studies have shown that it may be accumulating a slip deficit and thus its seismogenic potential should be seriously considered. We conducted laboratory friction experiments measuring time-dependent frictional strengthening (healing) on fault zone and wall rock samples recovered during drilling at the San Andreas Fault Observatory at Depth (SAFOD), located near the southern edge of the creeping section and in the direct vicinity of three repeating microearthquake clusters. We find that for hold times of up to 3000 s, frictional healing follows a log-linear dependence on hold time and that the healing rate is very low for a sample of the actively shearing fault core, consistent with previous results. However, considering longer hold times up to ∼350,000 s, the healing rate accelerates such that the data for all samples are better described by a power law relation. In general, samples having a higher content of phyllosilicate minerals exhibit low log-linear healing rates, and the notably clay-rich fault zone sample also exhibits strong power-law healing when longer hold times are included. Our data suggest that weak faults, such as the creeping section of the San Andreas Fault, can accumulate interseismic shear stress more rapidly than expected from previous friction data. Using the power-law dependence of frictional healing on hold time, calculations of recurrence interval and stress drop based on our data accurately match observations of discrete creep events and repeating Mw = 2 earthquakes on the San Andreas Fault.

  10. Adiabatic Shear Band Formation in Intermetallic WHA at High Strain Rates and Elevated Temperatures

    Science.gov (United States)

    Duprey, K. E.; Clifton, R. J.; Griffo, A.; German, R. M.

    1997-07-01

    A novel tungsten-based composite is being developed at The Pennsylvania State University to enhance shear banding by introducing a strong thermo-plastic instability. This liquid phase sintered composite consists of tungsten grains embedded in an intermetallic alloy matrix which has the property that its flow stress increases with increasing temperature up to a critical temperature at which rapid thermal softening begins. Pressure-shear plate impact experiments are being used to subject thin plates of this composite to shearing at strain rates of 10^5 s-1 to 10^6 s-1 at pressures of 6 - 8 GPa, and temperatures up to 650 ^o C. The experiments, combined with computer simulation, are being conducted to determine the effects of the thermal properties of the matrix on the initiation and propagation of adiabatic shear bands.

  11. 18F-fluorodeoxyglucose positron emission tomography in elderly patients with an elevated erythrocyte sedimentation rate of unknown origin.

    Directory of Open Access Journals (Sweden)

    Karel-Jan D F Lensen

    Full Text Available Patients with an elevated erythrocyte sedimentation rate (ESR and non-specific symptoms often pose a diagnostic dilemma. PET/CT visualises infection, inflammation and malignancy, all of which may cause elevated ESR. The objective of this study was to determine the contribution of 18F-fluorodeoxglucose positron emission tomography (PET/CT in the diagnostic work-up of referred patients with an elevated ESR, in whom initial routine evaluation did not reveal a diagnosis. We conducted a combined retrospective (A and prospective (B study in elderly (>50 years patients with a significantly elevated ESR of ≥ 50 mm/h and non-specific complaints. In study A, 30 patients were included. Malignancy (8 patients, auto-inflammatory disease (8 patients, including 5 with large-vessel vasculitis and infection (3 patients were suggested by PET/CT. Two scans showed non-specific abnormalities and 9 scans were normal. Of the 21 abnormal PET/CT results, 12 diagnoses were independently confirmed and two alternative diagnosis were made. Two diagnoses were established in patients with a normal scan. In study B, 58 patients in whom a prior protocolised work-up was non-diagnostic, were included. Of these, 25 PET/CT-scans showed suspected auto-inflammatory disease, particularly large-vessel vasculitis (14 cases. Infection and malignancy was suspected in 5 and 3 cases, respectively. Seven scans demonstrated non-specific abnormalities, 20 were normal. Of the 40 abnormal PET/CT results, 22 diagnoses were confirmed, 3 alternative diagnoses were established. Only one diagnosis was established in the 20 patients with a normal scan. In both studies, the final diagnosis was based on histology, clinical follow-up, response to therapy or additional imaging. In conclusion, PET/CT may be of potential value in the diagnostic work-up of patients with elevated ESR if routine evaluation reveals no diagnosis. In particular, large-vessel vasculitis appears to be a common finding. A normal

  12. Polyostotic osteolysis and hypophosphatemic rickets with elevated serum fibroblast growth factor 23: A case report.

    Science.gov (United States)

    Sato, Takeshi; Muroya, Koji; Asakura, Yumi; Yachie, Akihiro; Nishimura, Gen; Aida, Noriko; Machida, Jiro; Tanaka, Yukichi; Hasegawa, Tomonobu; Adachi, Masanori

    2015-10-01

    We report on a boy who presented with hypophosphatemic rickets with elevated serum fibroblast growth factor 23 (FGF23) and polyostotic osteolytic lesions at age 2 years. Tumor-induced hypophosphatemic rickets was suspected; however, bone biopsy for osteolytic changes revealed no tumorous change, except for irregularly dilated vessels associated with osteoclasts and fibrous proliferation. Venous sampling failed to point to FGF23-producing foci. After alfacalcidol and phosphate supplementation, the rachitic skeletal changes improved, but FGF23 increased and new osteolytic lesions developed. Serum levels of neopterin and a few cytokines, including plasma transforming growth factor-β and soluble tumor necrosis factor receptor type II, were elevated. At age 4 years, high doses of phosphate resulted in increased serum phosphate levels, decreased neopterin and cytokines, decreased FGF23, and stabilization of osteolysis. We excluded germline mutations in PHEX, FGF23, DMP1, and ENPP1 (genes for hereditary hypophosphatemic rickets) and somatic mutations in the GNAS and HRAS/KRAS (the disease-causing genes for McCune-Albright syndrome and linear nevus sebaceous syndrome, respectively). We could not perform octreotide scintigraphy or fluorodeoxyglucose-positron emission tomography, and thus could not completely exclude occult FGF23-producing tumors. However, considering the course of the disease, it is intriguing to assume that dysregulation of osteoclast-macrophage lineage may have induced increased neopterin levels, increased cytokine levels, osteolytic process, and possibly FGF23 overproduction.

  13. Ohio-drainage digital elevation model for use with Water Resources Investigations Report 03-4164

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — This coverage was derived from U.S. Geological Survey National Elevation Dataset (NED) Digital Elevation Models (DEMs) for all of Ohio and portions of Indiana,...

  14. Elevated trace element concentrations and standard metabolic rate in banded water snakes (Nerodia fasciata) exposed to coal combustion wastes

    Energy Technology Data Exchange (ETDEWEB)

    Hopkins, W.A.; Rowe, C.L.; Congdon, J.D. [Savannah River Ecology Laboratory, Aiken, SC (United States)

    1999-06-01

    Trace element concentrations in banded water snakes, Nerodia fasciata, and representative prey items from a site polluted by coal combustion wastes were compared with concentrations in conspecifics from a nearby reference site. Water snakes accumulated high concentrations of trace elements, especially arsenic (As) and selenium (Se), in the polluted habitat. In addition to being exposed to contaminants in water and sediments, snakes in the polluted site are exposed to contaminants by ingesting prey items that have elevated whole-body concentrations of trace elements, including As, cadmium (Cd), and Se. Snakes from the polluted site exhibited mean standard metabolic rates (SMR) 32% higher than snakes from the reference site. As a result, snakes from the polluted site appear to have elevated allocation of energy to maintenance and theoretically should have less energy available for growth, reproduction, and storage. It is hypothesized that long-term exposure to coal ash-derived trace elements and the resultant accumulation of some elements are responsible for observed increases in SMR.

  15. Elevated Heart Rate is Associated with Cardiac Denervation in Patients with Heart Failure: A 123-Iodine-MIBG Myocardial Scintigraphy Study

    Science.gov (United States)

    Villacorta, Aline Sterque; Villacorta, Humberto; de Souza, Jenne Serrão; Teixeira, José Antônio Caldas; Muradas, Maria Clara S. S. S.; Alves, Christiane Rodrigues; Precht, Bernardo Campanário; Porto, Pilar; Ubaldo, Letícia; Mesquita, Cláudio Tinoco; da Nóbrega, Antônio Cláudio Lucas

    2016-01-01

    Background In the Systolic Heart Failure Treatment With the If Inhibitor Ivabradine Trial (SHIFT), heart rate (HR) reduction with ivabradine was associated with improved survival and reduced hospitalizations in patients with heart failure (HF). The mechanisms by which elevated HR increases mortality are not fully understood. Objective To assess the relationship of baseline HR with clinical, neurohormonal and cardiac sympathetic activity in patients with chronic HF and elevated HR. Method Patients with chronic HF who were in sinus rhythm and had resting HR>70 bpm despite optimal medical treatment were included in a randomized, double-blind study comparing ivabradine versus pyridostigmine. This report refers to the baseline data of 16 initial patients. Baseline HR (before randomization to one of the drugs) was assessed, and patients were classified into two groups, with HR below or above mean values. Cardiac sympathetic activity was assessed by 123-iodine-metaiodobenzylguanidine myocardial scintigraphy. Results Mean HR was 83.5±11.5 bpm (range 72 to 104), and seven (43.7%) patients had HR above the mean. These patients had lower 6-min walk distance (292.3±93 vs 465.2±97.1 m, p=0.0029), higher values of N-Terminal-proBNP (median 708.4 vs 76.1, p=0.035) and lower late heart/mediastinum rate, indicating cardiac denervation (1.48±0.12 vs 1.74±0.09, p<0.001). Conclusion Elevated resting HR in patients with HF under optimal medical treatment was associated with cardiac denervation, worse functional capacity, and neurohormonal activation. PMID:27982270

  16. Elevated Heart Rate is Associated with Cardiac Denervation in Patients with Heart Failure: A 123-Iodine-MIBG Myocardial Scintigraphy Study

    Directory of Open Access Journals (Sweden)

    Aline Sterque Villacorta

    Full Text Available Abstract Background: In the Systolic Heart Failure Treatment With the If Inhibitor Ivabradine Trial (SHIFT, heart rate (HR reduction with ivabradine was associated with improved survival and reduced hospitalizations in patients with heart failure (HF. The mechanisms by which elevated HR increases mortality are not fully understood. Objective: To assess the relationship of baseline HR with clinical, neurohormonal and cardiac sympathetic activity in patients with chronic HF and elevated HR. Method: Patients with chronic HF who were in sinus rhythm and had resting HR>70 bpm despite optimal medical treatment were included in a randomized, double-blind study comparing ivabradine versus pyridostigmine. This report refers to the baseline data of 16 initial patients. Baseline HR (before randomization to one of the drugs was assessed, and patients were classified into two groups, with HR below or above mean values. Cardiac sympathetic activity was assessed by 123-iodine-metaiodobenzylguanidine myocardial scintigraphy. Results: Mean HR was 83.5±11.5 bpm (range 72 to 104, and seven (43.7% patients had HR above the mean. These patients had lower 6-min walk distance (292.3±93 vs 465.2±97.1 m, p=0.0029, higher values of N-Terminal-proBNP (median 708.4 vs 76.1, p=0.035 and lower late heart/mediastinum rate, indicating cardiac denervation (1.48±0.12 vs 1.74±0.09, p<0.001. Conclusion: Elevated resting HR in patients with HF under optimal medical treatment was associated with cardiac denervation, worse functional capacity, and neurohormonal activation.

  17. Cytokine Elevation in Sudden Death With Respiratory Syncytial Virus: A Case Report of 2 Children.

    Science.gov (United States)

    Kakimoto, Yu; Seto, Yoshihisa; Ochiai, Eriko; Satoh, Fumiko; Osawa, Motoki

    2016-12-01

    Respiratory syncytial virus (RSV) is the most common viral cause of bronchiolitis and pneumonia in young children worldwide. Premature birth, bronchopulmonary dysplasia, congenital heart disease, and Down syndrome are risk factors for high mortality and prolonged morbidity after RSV infection. Conversely, many previously healthy, full-term children are also admitted to the hospital because of RSV, and some of them experience severe sequelae or die due to the virus. Various complications of RSV infection have been reported, such as encephalopathy, encephalitis, and cardiomyopathy. However, the pathogenesis of serious cases in children without an underlying disease has not been elucidated. In this report, we present 2 RSV-related deaths of children who were born at full-term and developed normally up to the age of 19 months. Their cardiopulmonary arrests occurred within half a day after the onset of symptoms, such as cough and high fever. Many postmortem examinations were performed to investigate their unexpected deaths. Histopathological examinations revealed extensive bronchiolitis and mild pneumonia accompanying airway obstruction. Immunostaining revealed the presence of the virus mainly in bronchial epithelia, but not in alveoli. Complete brain edema was prominent, and encephalopathy was developing. Blood tests revealed that the IL-6 level was elevated more than >200-fold above normal, despite a normal C-reactive protein level. Because IL-6 may reflect the severity of bronchial epithelial damage and contribute to brain edema, an extreme elevation of IL-6 may predict the risk for sudden death in children with RSV infection. Copyright © 2016 by the American Academy of Pediatrics.

  18. Flood Insurance Rate Maps and Base Flood Elevations, FIRM, DFIRM, BFE, flood plains, Published in 2008, 1:24000 (1in=2000ft) scale, Box Elder County.

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — This Flood Insurance Rate Maps and Base Flood Elevations, FIRM, DFIRM, BFE dataset, published at 1:24000 (1in=2000ft) scale, was produced all or in part from Other...

  19. Flood Insurance Rate Maps and Base Flood Elevations, FIRM, DFIRM, BFE, From FEMA, Published in 2007, 1:1200 (1in=100ft) scale, Town of Cary NC.

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — This Flood Insurance Rate Maps and Base Flood Elevations, FIRM, DFIRM, BFE dataset, published at 1:1200 (1in=100ft) scale, was produced all or in part from LIDAR...

  20. Flood Insurance Rate Maps and Base Flood Elevations, FIRM, DFIRM, BFE, contract to updata FEMA data due 2009, Published in unknown, Washoe County.

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — This Flood Insurance Rate Maps and Base Flood Elevations, FIRM, DFIRM, BFE dataset as of unknown. It is described as 'contract to updata FEMA data due 2009'. Data by...

  1. Flood Insurance Rate Maps and Base Flood Elevations, FIRM, DFIRM, BFE, contract to updata FEMA data due 2009, Published in 2009, Washoe County.

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — This Flood Insurance Rate Maps and Base Flood Elevations, FIRM, DFIRM, BFE dataset as of 2009. It is described as 'contract to updata FEMA data due 2009'. Data by...

  2. Epicardial, pericardial and total cardiac fat and cardiovascular disease in type 2 diabetic patients with elevated urinary albumin excretion rate

    DEFF Research Database (Denmark)

    Christensen, Regitse Hoejgaard; Hansen, Christian S; Heywood, Sarah E

    2017-01-01

    of 200 patients with type 2 diabetes and elevated urinary albumin excretion rate (UAER). Methods Cardiac adipose tissue was measured from baseline echocardiography. The composite endpoint comprised incident cardiovascular disease and all-cause mortality. Coronary artery calcium, carotid intima media...... thickness and inflammatory markers were measured at baseline. Cardiac adipose tissue was investigated as continuous and binary variable. Analyses were performed unadjusted (model 1), and adjusted for age, sex (model 2), body mass index, low-density lipoprotein cholesterol, smoking, glycated haemoglobin.......1; 3.7, p = 0.017) models. Cardiac adipose tissue ( p =  0.033) was associated with baseline coronary artery calcium (model 1) and interleukin-8 (models 1-3, all p diabetes patients without coronary artery disease, high cardiac adipose tissue levels were associated...

  3. Elevated heart rate triggers action potential alternans and sudden death. translational study of a homozygous KCNH2 mutation.

    Directory of Open Access Journals (Sweden)

    Ulrich Schweigmann

    Full Text Available BACKGROUND: Long QT syndrome (LQTS leads to arrhythmic events and increased risk for sudden cardiac death (SCD. Homozygous KCNH2 mutations underlying LQTS-2 have previously been termed "human HERG knockout" and typically express severe phenotypes. We studied genotype-phenotype correlations of an LQTS type 2 mutation identified in the homozygous index patient from a consanguineous Turkish family after his brother died suddenly during febrile illness. METHODS AND RESULTS: Clinical work-up, DNA sequencing, mutagenesis, cell culture, patch-clamp, in silico mathematical modelling, protein biochemistry, confocal microscopy were performed. Genetic analysis revealed a homozygous C-terminal KCNH2 mutation (p.R835Q in the index patient (QTc ∼506 ms with notched T waves. Parents were I° cousins - both heterozygous for the mutation and clinically unremarkable (QTc ∼447 ms, father and ∼396 ms, mother. Heterologous expression of KCNH2-R835Q showed mildly reduced current amplitudes. Biophysical properties of ionic currents were also only nominally changed with slight acceleration of deactivation and more negative V50 in R835Q-currents. Protein biochemistry and confocal microscopy revealed similar expression patterns and trafficking of WT and R835Q, even at elevated temperature. In silico analysis demonstrated mildly prolonged ventricular action potential duration (APD compared to WT at a cycle length of 1000 ms. At a cycle length of 350 ms M-cell APD remained stable in WT, but displayed APD alternans in R835Q. CONCLUSION: Kv11.1 channels affected by the C-terminal R835Q mutation display mildly modified biophysical properties, but leads to M-cell APD alternans with elevated heart rate and could precipitate SCD under specific clinical circumstances associated with high heart rates.

  4. Variations in band reporting rate and implications for kill rate in Greater Snow Geese

    Directory of Open Access Journals (Sweden)

    Guillaume Souchay

    2014-06-01

    Full Text Available We assessed spatial and temporal variation in reporting probability of banded Greater Snow Geese (Chen caerulescens atlantica shot by hunters in eastern North America and evaluated potential residual biases in kill rate estimation. Adult Greater Snow Geese were marked with reward (value: US$10, $20, $30, $50, and $100 and standard bands ($0, control in the Canadian Arctic from 2003 to 2005. We used a spatially explicit multinomial model based on 200 direct recoveries from 4256 banded geese to estimate reporting rate and harvest rate. We found that reporting rate for standard bands varied over time whereas harvest rate was higher in Canada than in the U.S. The reporting probability increased from 0.40 ± 0.11 in the first year of the study to 0.82 ± 0.14 and 0.84 ± 0.13 the second and third years, respectively. Overall, these reporting rates are higher than two previous estimates for this population, which leads to lower estimates of kill rate. However, the large annual differences in reporting rates found in this study lead to uncertainty in the estimation of kill rate. We suggest that the increase in reporting rate in the last two year of the study may be due to the dissemination of information among hunters regarding the presence of reward bands on birds, resulting in increased reporting rate for all bands. This raises issues about the need to adequately inform the public in such large-scale studies to avoid undesirable temporal trends over the course of the study.

  5. Estimation of dose rates to humans exposed to elevated natural radioactivity through different pathways in the island of Ikaria, Greece.

    Science.gov (United States)

    Trabidou, G; Florou, H

    2010-12-01

    A radiological survey has been carried out in the island of Ikaria based on the natural radionuclide inventory in abiotic environment and the consequent dose rate assessment for the critical groups of population. The island of Ikaria-Aegean Sea, Greece is characterised by the presence of mineral and thermo-mineral springs, which have an apparent influence on natural background radiation of the island. The levels of natural radionuclides in spring water (either for spa treatment and household use), potable water (local domestic network), and rock and soil samples were measured in this island. The concentrations of (222)Rn and natural gamma emitters were found to be significantly elevated in spring water and some rock and soil samples. In terms of NORM and TENORM, the external and internal dose rates (mSv y(-1)) were estimated in three groups of population selected on the basis of water use as: habitants of the island, working personnel and bathers in spa installations. According to the derived results, the working personnel in the thermal spa installations are exposed to significant radiological risk due to waterborne (222)Rn with a maximum dose rate up to 35 mSv y(-1), which led to overexposure in terms of the 20 mSv y(-1) professional limits. Therefore, this group can be considered as the critical one for the radiological impact assessment in the island.

  6. Effects of strain rate and elevated temperature on compressive flow stress and absorbed energy of polyimide foam

    Directory of Open Access Journals (Sweden)

    Horikawa K.

    2012-08-01

    Full Text Available In this study, at first, the effect of strain rate on the strength and the absorbed energy of polyimide foam was experimentally examined by carrying out a series of compression tests at various strain rates, from 10−3 to 103 s−1. This polyimide foam has open cell structure with small cell size of 0.3 ∼ 0.6 mm. In the measurement of impact load, a special load cell with a small part for sensing load was adopted. For the measurement of the displacement, a high-speed camera was used. It was found that the flow stress of polyimide foam and the absorbed energy up to a strain of 0.4 increased with the increase of the strain rates. Secondly, the effect of ambient temperature on the strength and absorbed energy of polyimide foam was also investigated by using a sprit Hopkinson pressure bar apparatus and testing at elevated temperatures of 100 and 200 ∘C. With the increase of temperature, the strength and absorbed energy decreased and the effect is smaller in dynamic tests than static tests.

  7. Elevated maternal lipoprotein (a and neonatal renal vein thrombosis: a case report

    Directory of Open Access Journals (Sweden)

    Subbiah Vivek

    2008-04-01

    Full Text Available Abstract Introduction Renal vein thrombosis, although rare in adults, is well recognized in neonates and is one of the most common manifestations of neonatal thromboembolic events. The etiology of renal vein thrombosis remains unidentified in the majority of cases. We report a case of renal vein thrombosis in a neonate associated with elevated maternal lipoprotein (a. Case presentation A full-term female infant, appropriate for gestational age, was born via spontaneous vaginal delivery to an 18-year-old primigravida. The infant's birth weight was 3680 g and the Apgar scores were eight and nine at 1 and 5 minutes respectively. Evaluation of the infant in the newborn nursery revealed a palpable mass in the right lumbar area. Tests revealed hematuria and a high serum creatinine level of 1.5 mg/dl. An abdominal ultrasound Doppler flow study demonstrated an enlarged right kidney, right renal vein thrombosis, and progression of the thrombosis to the inferior vena cava. There was no evidence of saggital sinus thrombosis. An extensive work-up of parents for hypercoagulable conditions was remarkable for a higher plasma lipoprotein (a level of 73 mg/dl and an elevated fibrinogen level of 512 mg/dl in the mother. All paternal levels were normal. The plasma lipoprotein (a level in the neonate was also normal. The neonate was treated with low molecular weight heparin (enoxaparin at 1.5 mg/kg/day every 12 hours for 2 months, at which time a follow-up ultrasound Doppler flow study showed resolution of the thrombosis in both the renal vein and the inferior vena cava. Conclusion There have been no studies to date that have explored the effect of abnormal maternal risk factors on fetal hemostasis. A case-control study is required to investigate whether elevated levels of maternal lipoprotein (a may be a risk factor for neonatal thrombotic processes. Although infants with this presentation are typically treated with anticoagulation, there is a lack of evidence

  8. Elevated Erythrocyte Sedimentation Rate Is Predictive of Interstitial Lung Disease and Mortality in Dermatomyositis: a Korean Retrospective Cohort Study.

    Science.gov (United States)

    Go, Dong Jin; Lee, Eun Young; Lee, Eun Bong; Song, Yeong Wook; Konig, Maximilian Ferdinand; Park, Jin Kyun

    2016-03-01

    Interstitial lung disease (ILD) is a major cause of death in patients with dermatomyositis (DM). This study was aimed to examine the utility of the erythrocyte sedimentation rate (ESR) as a predictor of ILD and prognostic marker of mortality in patients with DM. One hundred-and-fourteen patients with DM were examined, including 28 with clinically amyopathic DM (CADM). A diagnosis of ILD was made based on high resolution computed tomography (HRCT) scans. The association between elevated ESR and pulmonary impairment and mortality was then examined. ILD was diagnosed in 53 (46.5%) of 114 DM patients. Cancer was diagnosed in 2 (3.8%) of 53 DM patients with ILD and in 24 (92.3%) of those without ILD (P < 0.001). The median ESR (50.0 mm/hour) in patients with ILD was significantly higher than that in patients without ILD (29.0 mm/hour; P < 0.001). ESR was inversely correlated with forced vital capacity (Spearman ρ = - 0.303; P = 0.007) and carbon monoxide diffusing capacity (ρ = - 0.319; P = 0.006). DM patients with baseline ESR ≥ 30 mm/hour had significantly higher mortality than those with ESR < 30 mm/hour (P = 0.002, log-rank test). Patients with a persistently high ESR despite immunosuppressive therapy was associated with higher mortality than those with a normalized ESR (P = 0.039, log-rank test). Elevated ESR is associated with increased mortality in patients with DM due to respiratory failure. Thus, monitoring ESR should be an integral part of the clinical care of DM patients.

  9. Meigs’ Syndrome with Elevated Serum CA125: Case Report and Review of the Literature

    Directory of Open Access Journals (Sweden)

    Mongkol Benjapibal

    2009-04-01

    Full Text Available An elevated serum CA125 level in association with a pelvic mass, pleural effusion, and massive ascites usually signifies a dismal prognosis in a postmenopausal woman. However, surgery and histopathological examination are required for the correct diagnosis and treatment, since an elevated CA125 level can be falsely positive for ovarian malignancy. We present a case of Meigs’ syndrome due to right ovarian fibroma with elevated CA125 level in a postmenopausal woman.

  10. A systematic study on the reactivity of different grades of charged Li[NixMnyCoz]O2 with electrolyte at elevated temperatures using accelerating rate calorimetry

    Science.gov (United States)

    Ma, Lin; Nie, Mengyun; Xia, Jian; Dahn, J. R.

    2016-09-01

    The reactivity between charged Li[NixMnyCoz]O2 (NMC, with x + y + z = 1, x:y:z = 1:1:1 (NMC111), 4:4:2 (NMC442), 5:3:2 (NMC532), 6:2:2 (NMC622) and 8:1:1 (NMC811)) and traditional carbonate-based electrolytes at elevated temperatures was systematically studied using accelerating rate calorimetry (ARC). The ARC results showed that the upper cut-off potential and NMC composition strongly affect the thermal stability of the various NMC grades when traditional carbonate-based electrolyte was used. Although higher cut-off potential and higher Ni content can help increase the energy density of lithium ion cells, these factors generally increase the reactivity between charged NMC and electrolyte at elevated temperatures. It is hoped that this report can be used to help guide the wise selection of NMC grade and upper cut-off potential to achieve high energy density Li-ion cells without seriously compromising cell safety.

  11. Flood Insurance Rate Maps and Base Flood Elevations, FIRM, DFIRM, BFE, FEMA Flood Insurance Rate Maps, Published in 2005, 1:24000 (1in=2000ft) scale, Lafayette County Land Records.

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — This Flood Insurance Rate Maps and Base Flood Elevations, FIRM, DFIRM, BFE dataset, published at 1:24000 (1in=2000ft) scale, was produced all or in part from Other...

  12. Flood Insurance Rate Maps and Base Flood Elevations, FIRM, DFIRM, BFE, Federal Emergency Management Agency (FEMA) - Flood Insurance Rate Maps (FIRM), Published in 2011, 1:1200 (1in=100ft) scale, Polk County, Wisconsin.

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — This Flood Insurance Rate Maps and Base Flood Elevations, FIRM, DFIRM, BFE dataset, published at 1:1200 (1in=100ft) scale, was produced all or in part from Other...

  13. Hindered diffusion of asphaltenes at elevated temperature and pressure. Semiannual report, March 20 - September 20, 1996

    Energy Technology Data Exchange (ETDEWEB)

    Guin, J.A.; Geelen, R.; Gregory, C.; Yang, X.

    1996-11-01

    The objectives are to: investigate the hindered diffusion of coal and petroleum asphaltenes in the pores of catalyst particles at elevated temperature and pressures; and examine the effects of concentration, temperature, solvent type, and pressure on the intraparticle diffusivity of asphaltenes. Progress was made in several areas during this time period. The high temperature/high pressure autoclave has been received from Parr Instrument Company and is in the process of being set up and checked out. During this time period we mainly worked in two areas. In the first area, we performed some measurements on the adsorption isotherms of the model compound quinoline in cyclohexane onto a Criterion 324 catalyst at three temperatures. We are looking at the effect of temperature on the adsorption isotherms of several model compounds. This area is important since the adsorptive uptake of asphaltenes is being studied and the model compound systems lend insight as to how we may expect the more complex asphaltene systems to behave during adsorption on the surface of the porous particles. We found that even for the simple model compound quinoline, the adsorption behavior vs. temperature was quite 0563 complex. The second area explored during this time period was the application of a mathematical model to adsorptive uptake data for asphaltenes on Criterion 324 catalyst particles. This adsorptive uptake data was obtained during the previous time period and was analyzed by mathematical modeling during the current time period. The detailed findings in both of these areas are presented in this report.

  14. Microstructural characteristics of adiabatic shear localization in a metastable beta titanium alloy deformed at high strain rate and elevated temperatures

    Energy Technology Data Exchange (ETDEWEB)

    Zhan, Hongyi, E-mail: h.zhan@uq.edu.au [Centre for Advanced Materials Processing and Manufacture, School of Mechanical and Mining Engineering, The University of Queensland, St Lucia, Queensland 4072 (Australia); Zeng, Weidong [State Key Laboratory of Solidification Processing, School of Materials, Northwestern Polytechnical University, Xi' an 710072 (China); Wang, Gui [Centre for Advanced Materials Processing and Manufacture, School of Mechanical and Mining Engineering, The University of Queensland, St Lucia, Queensland 4072 (Australia); Defence Material Technology Centre, Level 2, 24 Wakefield St, Hawthorn, VIC 3122 (Australia); Kent, Damon [School of Science and Engineering, University of the Sunshine Coast, Sippy Downs, Queensland 4575 (Australia); Dargusch, Matthew [Centre for Advanced Materials Processing and Manufacture, School of Mechanical and Mining Engineering, The University of Queensland, St Lucia, Queensland 4072 (Australia); Defence Material Technology Centre, Level 2, 24 Wakefield St, Hawthorn, VIC 3122 (Australia)

    2015-04-15

    The microstructural evolution and grain refinement within adiabatic shear bands in the Ti6554 alloy deformed at high strain rates and elevated temperatures have been characterized using transmission electron microscopy. No stress drops were observed in the corresponding stress–strain curve, indicating that the initiation of adiabatic shear bands does not lead to the loss of load capacity for the Ti6554 alloy. The outer region of the shear bands mainly consists of cell structures bounded by dislocation clusters. Equiaxed subgrains in the core area of the shear band can be evolved from the subdivision of cell structures or reconstruction and transverse segmentation of dislocation clusters. It is proposed that dislocation activity dominates the grain refinement process. The rotational recrystallization mechanism may operate as the kinetic requirements for it are fulfilled. The coexistence of different substructures across the shear bands implies that the microstructural evolution inside the shear bands is not homogeneous and different grain refinement mechanisms may operate simultaneously to refine the structure. - Graphical abstract: Display Omitted - Highlights: • The microstructure within the adiabatic shear band was characterized by TEM. • No stress drops were observed in the corresponding stress–strain curve. • Dislocation activity dominated the grain refinement process. • The kinetic requirements for rotational recrystallization mechanism were fulfilled. • Different grain refinement mechanisms operated simultaneously to refine the structure.

  15. Elevating your elevator talk

    Science.gov (United States)

    An important and often overlooked item that every early career researcher needs to do is compose an elevator talk. The elevator talk, named because the talk should not last longer than an average elevator ride (30 to 60 seconds), is an effective method to present your research and yourself in a clea...

  16. [Plant responses to elevated atmospheric carbon dioxide and transmission to other trophic levels]. Final report

    Energy Technology Data Exchange (ETDEWEB)

    Lincoln, D.E.

    1995-10-01

    This program investigated how host plant responses to elevated atmospheric carbon dioxide may be transmitted to other trophic levels, especially leaf eating insects, and alter consumption of leaves and impare their function. Study results included the following findings: increased carbon dioxide to plants alters feeding by insect herbivores; leaves produced under higher carbon conditions contain proportionally less nitrogen; insect herbivores may have decreased reproduction under elevated carbon dioxide.

  17. Minimally Invasive Antral Membrane Balloon Elevation (MIAMBE): A 3 cases report

    OpenAIRE

    Roberto Arroyo; Diego Cabrera

    2013-01-01

    ABSTRACT Long-standing partial edentulism in the posterior segment of an atrophic maxilla is a challenging treatment. Sinus elevation via Cadwell Luc has several anatomical restrictions, post-operative discomfort and the need of complex surgical techniques. The osteotome approach is a significantly safe and efficient tecnique, as a variation of this technique the "minimal invasive antral membrane balloon elevation" (MIAMBE) has been developed, which use a hydraulic system. We present three c...

  18. Simplified Flood Inundation Mapping Based On Flood Elevation-Discharge Rating Curves Using Satellite Images in Gauged Watersheds

    Directory of Open Access Journals (Sweden)

    Younghun Jung

    2014-05-01

    Full Text Available This study suggests an approach to obtain flood extent boundaries using spatial analysis based on Landsat-5 Thematic Mapper imageries and the digital elevation model. The suggested approach firstly extracts the flood inundation areas using the ISODATA image-processing algorithm from four Landsat 5TM imageries. Then, the ground elevations at the intersections of the extracted flood extent boundaries and the specified river cross sections are read from the digital elevation to estimate the elevation-discharge relationship. Lastly, the flood extent is generated based on the estimated elevation-discharge relationship. The methodology was tested over two river reaches in Indiana, United States. The estimated elevation-discharge relationship showed a good match with the correlation coefficients varying between 0.82 and 0.99. In addition, self-validation was also performed for the estimated spatial extent of the flood by comparing it to the waterbody extracted from the Landsat images used to develop the elevation-discharge relationship. The result indicated that the match between the estimated and the extracted flood extents was better with higher flood magnitude. We expect that the suggested methodology will help under-developed and developing countries to obtain flood maps, which have difficulties getting flood maps through traditional approaches based on computer modeling.

  19. Simple Moving Average: A Method of Reporting Evolving Complication Rates.

    Science.gov (United States)

    Harmsen, Samuel M; Chang, Yu-Hui H; Hattrup, Steven J

    2016-09-01

    Surgeons often cite published complication rates when discussing surgery with patients. However, these rates may not truly represent current results or an individual surgeon's experience with a given procedure. This study proposes a novel method to more accurately report current complication trends that may better represent the patient's potential experience: simple moving average. Reverse shoulder arthroplasty (RSA) is an increasingly popular and rapidly evolving procedure with highly variable reported complication rates. The authors used an RSA model to test and evaluate the usefulness of simple moving average. This study reviewed 297 consecutive RSA procedures performed by a single surgeon and noted complications in 50 patients (16.8%). Simple moving average for total complications as well as minor, major, acute, and chronic complications was then calculated using various lag intervals. These findings showed trends toward fewer total, major, and chronic complications over time, and these trends were represented best with a lag of 75 patients. Average follow-up within this lag was 26.2 months. Rates for total complications decreased from 17.3% to 8% at the most recent simple moving average. The authors' traditional complication rate with RSA (16.8%) is consistent with reported rates. However, the use of simple moving average shows that this complication rate decreased over time, with current trends (8%) markedly lower, giving the senior author a more accurate picture of his evolving complication trends with RSA. Compared with traditional methods, simple moving average can be used to better reflect current trends in complication rates associated with a surgical procedure and may better represent the patient's potential experience. [Orthopedics.2016; 39(5):e869-e876.].

  20. High Reported Spontaneous Stuttering Recovery Rates: Fact or Fiction?

    Science.gov (United States)

    Ramig, Peter R.

    1993-01-01

    Contact after 6 to 8 years with families of 21 children who were diagnosed as stuttering but did not receive fluency intervention services found that almost all subjects still had a stuttering problem. Results dispute the high spontaneous recovery rates reported in the literature and support the value of early intervention. (Author/DB)

  1. Does an elevated CO2 concentration decrease dark respiration in trees? Final technical report

    Energy Technology Data Exchange (ETDEWEB)

    Long, Stephen [Univ. of Illinois, Urbana-Champaign, IL (United States)

    2003-12-31

    Averaged across many previous investigations, doubling the CO2 concentration ([CO2]) has frequently been reported to cause an instantaneous reduction of leaf dark respiration measured as CO2 efflux. No known mechanism accounts for this effect. While four recent studies have shown that the measurement of respiratory CO2 efflux is prone to experimental artifacts that could account for the reported response, papers published since the start of the current research continue to report an instantaneous depression of respiratory CO2 efflux by elevation of [CO2]. Here, these artifacts are avoided by use of a high-resolution dual channel oxygen analyzer within an open gas exchange system to measure respiratory 02 uptake in normal air. Leaf 02 uptake was determined in response to instantaneous elevation of [CO2] in nine contrasting species and to long-term elevation in seven species from four of the DOE-sponsored long-term elevated [CO2] field experiments. Over one thousand separate measurements of respiration failed to reveal any decrease in respiratory 02 uptake with an instantaneous increase in [CO2]. Respiration was found insensitive not only to doubling [CO2], but also to a five-fold increase and to decrease to zero.

  2. Rangeland -- Plant responses to elevated CO{sub 2}. Progress report

    Energy Technology Data Exchange (ETDEWEB)

    Owensby, C.E.; Coyne, P.I.; Ham, J.M.; Parton, W.; Rice, C.; Auen, L.M.; Adam, N.

    1992-10-01

    Several broad conclusions which can be drawn from the work that was accomplished during the first 3-year phase of the study is described. In prairie ecosystems dominated by C{sub 4} grasses, it is likely that elevated atmospheric CO{sub 2} will increase ecosystem level productivity, with a greater increase in belowground productivity. The increased productivity will primarily result from increased water use efficiency due to the anti-transpirant action of CO{sub 2}. Fumigation chambers are directly confounded with elevated CO{sub 2} effects, in that both reduce evapotranspiration. The reduced evapotranspiration of the fumigation chamber is primarily through reduced wind speeds and reduced radiation. In very dry years, fumigation chamber effects are negligible, but in years with normal precipitation, chamber effects and elevated CO{sub 2} effects are essentially equal with respect to reduced evapotranspiration effects. Increased production under elevated CO{sub 2} results in reduced nitrogen concentration in the herbage and increased fiber concentrations. Consequently, digestibility of the herbage is reduced, and microbial degradation of surface litter and soil organic matter is slowed. On the negative side, ruminant productivity will likely be reduced substantially, but increased carbon storage in the soil may buffer against future rise in atmospheric CO{sub 2}. Tallgrass prairie will not likely change greatly in botanical composition, since the C{sub 4} dominants responded to elevated CO{sub 2} more than the C{sub 3} subdominants.

  3. Unusual towering elevation of troponin I after ST-elevation myocardial infarction and intensive monitoring with echocardiography post-percutaneous coronary intervention: a case report

    Directory of Open Access Journals (Sweden)

    Suryadevara Ramya

    2010-05-01

    Full Text Available Abstract Introduction The elevation of troponin levels directly corresponds to the extent of myocardial injury. Here we present a case of a robust rise in cardiac biomarkers that correspond to extensive damage to the myocardium but did not spell doom for our patient. It is important to note that, to the best of our knowledge, this is the highest level of troponin I ever reported in the literature after a myocardial injury in an acute setting. Case presentation A 53-year-old African American man with an unknown medical history presented to the emergency room of our hospital with chest pain associated with diaphoresis and altered mental status. He required emergency intubation due to acute respiratory failure and circulatory collapse within 10 minutes of his arrival. He was started on heparin and eptifibatide (Integrilin drips but he was taken immediately for cardiac catheterization, which showed a total occlusion of his proximal left anterior descending, diffuse left circumflex disease and severe left ventricular dysfunction with segmental wall motion abnormality. He remained hypotensive throughout the procedure and an intra-aortic balloon pump was inserted for circulatory support. His urinary toxicology examination result was positive for cocaine metabolites. Serial echocardiograms showed an akinetic apex, a severely hypokinetic septum, and severe systolic dysfunction of his left ventricle. Our patient stayed at the Coronary Care Unit for a total of 15 days before he was finally discharged. Conclusion Studies demonstrate that an increase of 1 ng/ml in the cardiac troponin I level is associated with a significant increase in the risk ratio for death. The elevation of troponin I to 515 ng/ml in our patient is an unusual robust presentation which may reflect a composite of myocyte necrosis and reperfusion but without short-term mortality. Nevertheless, prolonged close monitoring is required for better outcome. We also emphasize the need for the

  4. Postpartal recurrent non-ST elevation myocardial infarction in essential thrombocythaemia: case report and review of the literature

    Directory of Open Access Journals (Sweden)

    Raio Luigi

    2010-06-01

    Full Text Available Abstract Normal pregnancy corresponds to a procoagulant state. Acute myocardial infarction during pregnancy is rare, yet considering the low non-pregnant risk score of childbearing women it is still surprisingly frequent. We report a case of postpartum recurrent non-ST elevation myocardial infarction in a 40-year-old caucasian woman with essential thrombocythaemia in the presence of a positive JAK-2 mutation and an elevated anti-cardiolipin IgM antibody titer. In the majority of cases of myocardial infarction in pregnancy or in the peripartal period, atherosclerosis, a thrombus or coronary artery dissection is observed. The combination of essential thrombocythaemia and elevated anti-cardiolipin IgM antibody titer in the presence of several cardiovascular risk factors seems to be causative in our case. In conclusion, with the continuing trend of childbearing at older ages, rare or unlikely conditions leading to severe events such as myocardial infarction must be considered in pregnant women.

  5. Postpartal recurrent non-ST elevation myocardial infarction in essential thrombocythaemia: case report and review of the literature.

    Science.gov (United States)

    Arampatzis, Spyridon; Stefanidis, Ioannis; Lakiopoulos, Vassilios; Raio, Luigi; Surbek, Daniel; Mohaupt, Markus G

    2010-06-17

    Normal pregnancy corresponds to a procoagulant state. Acute myocardial infarction during pregnancy is rare, yet considering the low non-pregnant risk score of childbearing women it is still surprisingly frequent. We report a case of postpartum recurrent non-ST elevation myocardial infarction in a 40-year-old caucasian woman with essential thrombocythaemia in the presence of a positive JAK-2 mutation and an elevated anti-cardiolipin IgM antibody titer. In the majority of cases of myocardial infarction in pregnancy or in the peripartal period, atherosclerosis, a thrombus or coronary artery dissection is observed. The combination of essential thrombocythaemia and elevated anti-cardiolipin IgM antibody titer in the presence of several cardiovascular risk factors seems to be causative in our case. In conclusion, with the continuing trend of childbearing at older ages, rare or unlikely conditions leading to severe events such as myocardial infarction must be considered in pregnant women.

  6. Minimally Invasive Antral Membrane Balloon Elevation (MIAMBE: A 3 cases report.

    Directory of Open Access Journals (Sweden)

    Roberto Arroyo

    2013-12-01

    Full Text Available Long-standing partial edentulism in the posterior segment of an atrophic maxilla is a challenging treatment. Sinus elevation via Cadwell Luc has several anatomical restrictions, post-operative discomfort and the need of complex surgical techniques. The osteotome approach is a significantly safe and efficient tecnique, as a variation of this technique the "minimal invasive antral membrane balloon elevation" (MIAMBE has been developed, which use a hydraulic system. We present three cases in which the system was used MIAMBE for tooth replacement in the posterior. This procedure seems to be a relatively simple and safe solution for the insertion of endo-osseus implants in the posterior atrophic maxilla.

  7. Hypercalcemia in Lung Cancer due to Simultaneously Elevated PTHrP and Ectopic Calcitriol Production: First Case Report

    Directory of Open Access Journals (Sweden)

    Saed Nemr

    2017-01-01

    Full Text Available Calcitriol-mediated hypercalcemia has been reported in malignant lymphomas and granulomatous diseases but not in lung carcinoma. We describe a patient with squamous cell lung carcinoma with hypercalcemia and elevated calcitriol levels. A 60-year-old Caucasian male patient with stage IIIB squamous cell lung cancer developed hypercalcemia at 14.8 mg/dL two years after receiving chemotherapy and radiotherapy where labs showed a serum intact PTH: 7 pg/mL, PTHrP: 30 pmol/L, 1,25-hydroxyvitamin D (calcitriol: 76 pg/mL, and 25-hydroxyvitamin D levels: <4 ng/mL. Calcitriol levels were elevated despite undetectable 25-hydroxyvitamin D levels. There are no reported lung cancer cases with elevated calcitriol as an etiology of hypercalcemia. We believe that the elevated calcitriol levels in this case were due to a PTHrP-independent mechanism, possibly from either ectopic production of calcitriol in tumor cells or from increased activity of 1-alpha hydroxylase in the same cells. The patient died before the effects of prednisone therapy could be assessed. Studies are needed to investigate the cellular source of calcitriol and its role in hypercalcemia in patients with lung cancer.

  8. [Impact of admission heart rate on short-term outcome of ST-elevation myocardial infarction patients].

    Science.gov (United States)

    Zhang, Han; Yang, Yan-min; Zhu, Jun; Tan, Hui-qiong; Liu, Li-sheng

    2012-01-01

    To evaluate the impact of admission heart rate (HR) on 30-day all-cause death and cardiovascular events in Chinese patients with ST-elevation acute myocardial infarction (STEMI). A total of 7485 Chinese STEMI patients from a global randomized controlled trial (CREATE) database were divided into six groups by admission HR: bpm. The primary outcome was 30-day all-cause death; the secondary outcomes were the composite of 30-day all-cause death, reinfarction, cardiogenic shock or deadly arrhythmia. Admission glucose level, proportion of female gender, incidence of anterior myocardial infarction, previous diabetes mellitus, hypertension and Killip level II-IV were significantly higher in patients with admission HR ≥ 90 bpm compared to 60 - 69 bpm group (P bpm group and was 9.6% in HR bpm group (P bpm group). In patients with admission HR > 60 bpm, the 30-day mortality increased in proportion to higher admission HR: 8.1% in 70 - 79 bpm, 9.2% in 80 - 89 bpm, 12.6% in 90 - 99 bpm and 24.6% in ≥ 100 bpm groups (all P bpm group). The incidence of MACE was similar as that of 30-day mortality: 27.0% in bpm, 12.5% in 60 - 69 bpm, 13.7% in 70 - 79 bpm, 14.3% in 80 - 89 bpm, 17.5% in 90 - 99 bpm and 31.1% in ≥ 100 bpm groups. Multivariate analysis showed that the incidence of 30-day mortality positively correlated with the admission HR (P bpm (OR = 0.832, P = 0.299), the risk of joint endpoint events was higher in the patients with HR bpm (OR = 1.532, 95%CI: 1.201 - 1.954, P bpm (OR = 1.436, 95%CI: 1.091 - 1.889, P bpm (OR = 1.893, 95%CI: 1.471 - 2.436, P < 0.001). Admission HR is an independent risk factor for short-term outcome in Chinese STEMI patients.

  9. Elevation Change Rates of Glaciers in the Lahaul-Spiti (Western Himalaya, India during 2000–2012 and 2012–2013

    Directory of Open Access Journals (Sweden)

    Saurabh Vijay

    2016-12-01

    Full Text Available Previous studies have shown contrasting glacier elevation and mass changes in the sub-regions of high-mountain Asia. However, the elevation changes on an individual catchment scale can be potentially influenced by supraglacial debris, ponds, lakes and ice cliffs besides regionally driven factors. Here, we present a detailed study on elevation changes of glaciers in the Lahaul-Spiti region derived from TanDEM-X and SRTM C-/X-band DEMs during 2000–2012 and 2012–2013. We observe three elevation change patterns during 2000–2012 among glaciers with different extent of supraglacial debris. The first pattern (<10% debris cover, type-1 indicates maximum thinning rates at the glacier terminus and is observed for glaciers with no or very low debris cover. In the second pattern (>10% debris cover, type-2, maximum thinning is observed up-glacier instead of glacier terminus. This is interpreted as the insulating effect of a thick debris cover. A third pattern, high elevation change rates near the terminus despite high debris cover (>10% debris cover, type-3 is most likely associated with either thinner debris thickness or enhanced melting at supraglacial ponds and lakes as well as ice cliffs. We empirically determined the SRTM C- and X-band penetration differences for debris-covered ice, clean ice/firn/snow and correct for this bias in our elevation change measurements. We show that this penetration bias, if uncorrected, underestimates the region-wide elevation change and geodetic mass balance by 20%. After correction, the region-wide elevation change (1712 km 2 was estimated to be −0.65 ± 0.43 m yr − 1 during 2000–2012. Due to the short observation period, elevation change measurements from TanDEM-X for selected glaciers in the period 2012–2013 are subject to large uncertainties. However, similar spatial patterns were observed during 2000–2012 and 2012–2013, but at different magnitudes. This study reveals that the thinning patterns of

  10. Elevation of Pancreatic Enzymes in Gallbladder Bile Associated with Heterotopic Pancreas. A Case Report and Review of the Literature

    Directory of Open Access Journals (Sweden)

    Asahi Sato

    2012-03-01

    Full Text Available Context This is the first report associating heterotopic pancreas in the gallbladder and elevated pancreatic enzymes in bile. Case report A 60-year-old woman underwent abdominal ultrasonography at a medical check-up, revealing a nodular protrusion at the neck of the gallbladder. It seemed likely to be a lymph node, but we could not exclude the possibility of gallbladder cancer. In order to make a correct diagnosis, laparoscopic cholecystectomy was successfully performed. Pathological examination revealed heterotopic pancreatic tissue in the gallbladder wall. In addition, we detected elevated levels of amylase and lipase in gallbladder bile. Conclusions Preoperative diagnosis of heterotopic pancreas in the gallbladder is difficult. However, an increase of pancreatic enzymes in gallbladder bile may potentially play an important role in the occurrence of acalculous cholecystitis and biliary cancer. We need more accumulation of cases to know the true significance of this anomaly.

  11. Early elevation of albumin excretion rate is associated with poor gluten-free diet adherence in young people with coeliac disease and diabetes.

    Science.gov (United States)

    Pham-Short, A; C Donaghue, K; Ambler, G; K Chan, A; Hing, S; Cusumano, J; E Craig, M

    2014-02-01

    There are conflicting data on microvascular complications in coexisting Type 1 diabetes and coeliac disease. We compared complications rates in youth with or without coeliac disease and examined the association between gluten-free diet adherence and complications. This was a comparative study of adolescents (2510 without coeliac disease, 129 with coeliac disease); 60 (47%) did not adhere to a gluten-free diet--defined as elevated anti-tissue transglutaminase or endomysial immunoglobulin A titres. Retinopathy was detected using 7-field fundal photography and albumin excretion rate by timed overnight urine collections, with early elevation defined as albumin excretion rate ≥ 7.5 μg/min. Logistic regression was used to examine the association between complications and explanatory variables, including coeliac disease vs. no coeliac disease, gluten-free diet adherence vs. non-adherence, diabetes duration and HbA1c . Median age at last assessment was 16.5 years. Those with coeliac disease vs. those without were younger at diabetes diagnosis (7.1 vs. 8.6 years, P coeliac disease vs. those without (67 vs. 70 mmol/mol, 8.3 vs. 8.6%, P = 0.04) and adherence to a gluten-free diet vs. non-adherence (66 vs. 72 mmol/mol, 8.2 vs. 8.7%, P = 0.003). There were no differences in complication rates between those with coeliac disease vs. those without (retinopathy 22 vs. 23%, elevated albumin excretion rate 31 vs. 28%). Non-adherence to a gluten-free diet was associated with elevated albumin excretion rate (40 vs. 23%, P = 0.04). In multivariable logistic regression, elevated albumin excretion rate was associated with non-adherence to a gluten-free diet (odds ratio 2.37, 95% CI 1.04-5.40, P = 0.04) and diabetes duration (odds ratio 1.13, 95% CI 1.02-1.25, P = 0.03), but not HbA1c . While glycaemic control is better in patients with coeliac disease, non-adherence to a gluten-free diet is associated with elevated albumin excretion rate. The possible protection of a gluten-free diet

  12. ARM Support for the Plains Elevated Convection at Night (AS-PECAN) Field Campaign Report

    Energy Technology Data Exchange (ETDEWEB)

    Turner, D. D. [National Oceanic and Atmospheric Administration (NOAA), Silver Spring, MD (United States); Geerts, B. [Univ. of Wyoming, Laramie, WY (United States)

    2016-04-01

    The Plains Elevated Convection at Night (PECAN) field campaign was a large multi-agency/multi-institutional experiment that targeted nighttime convection events in the central plains of the United States in order to better understand a range of processes that lead to the initiation and upscale growth of deep convection. Both weather and climate models struggle to properly represent the timing and intensity of precipitation in the central United States in their simulations. These models must be able to represent the interactions between the nocturnal stable boundary layer (SBL), the nocturnal low-level jet (LLJ), and a reservoir of convectively available potential energy (CAPE) that frequently exists above the SBL. Furthermore, a large fraction of the nocturnal precipitation is due to the organization of mesoscale convective systems (MCSs). In particular, there were four research foci for the PECAN campaign: •The initiation of elevated nocturnal convection focus seeks to elucidate the mesoscaleenvironmental characteristics and processes that lead to convection initiation (CI) and provide baseline data on the early evolution of mesoscale convective clusters. •The dynamics and internal structure and microphysics of nocturnal MCSs focus will investigatethe transition from surface-based to elevated storm structure, the interaction of cold pools generated by MCSs with the nocturnal stable boundary layer, and how the organization and evolution of elevated convection is influenced by the SBL and the vertical profile of wind and stability above the LLJ. •The bores and wave-like disturbances focus seeks to advance knowledge of the initiation of boredisturbances by convection, how the vertical profile of stability and winds modulate bore structure, the role of these disturbances in the initiation, maintenance, and organization of deep convection, and their impact on the LLJ and SBL. •The LLJ focus seeks to understand the processes that influence the spatial and

  13. Elevated progesterone in GnRH agonist down regulated in vitro fertilisation (IVFICSI) cycles reduces live birth rates but not embryo quality.

    Science.gov (United States)

    Lahoud, Robert; Kwik, Michele; Ryan, John; Al-Jefout, Moamar; Foley, Jane; Illingworth, Peter

    2012-02-01

    To assess the impact of pre-hCG elevated progesterone on live birth outcomes during GnRH agonist long down regulated protocol assisted reproduction cycles. Retrospective cohort study. Single Centre Private IVF Clinic. A total of 582 consecutive cycles of IVF/ICSI in 2003. All patients underwent a long down-regulation protocol, controlled ovarian stimulation and IVF/ICSI. Serum progesterone concentrations were measured just prior to HCG administration. 253 patients were followed to 2009 for outcomes of their frozen embryo cycles. Live birth rate in fresh and frozen cycles. Patients in the upper quartile pre-hCG progesterone concentration (≥ 5.4 pmol/L) had a higher final estradiol level, more oocytes collected and more usable embryos, when compared to those with lower quartiles. They also had lower live birth rates per cycle started (21.9% vs. 15%, P live birth rates from frozen embryo cycles were not significantly different between the groups. Pre-hCG progesterone elevation leads to lower live birth rates in stimulated IVF cycles. Live birth rates achieved with frozen embryos in the high progesterone cycles suggest, that pre-hCG progesterone elevation negatively affects endometrial receptivity without adversely affecting embryo quality.

  14. Gastric Cancer in the Setting of Persistently Elevated Human Chorionic Gonadotropin: A Case Report

    Directory of Open Access Journals (Sweden)

    LaToya R. Walker

    2011-01-01

    Full Text Available A 35-year-old woman presented to the emergency room for the evaluation of failed surgical and medical management of a suspected ectopic pregnancy. When imaging studies were performed, she had lymphadenopathy and diffuse sclerosis of the osseous framework. Multiple biopsies were performed and revealed poorly differentiated metastatic carcinoma with signet ring features. Esophagogastroduodenoscopy confirmed the findings of a Stage IV gastric adenocarcinoma. Signs and symptoms of gastric carcinoma are vague. However, to our knowledge, an elevation in human chorionic gonadotropin (hCG is not an associated finding. Persistence of hCG has many causes from abnormal pregnancy to menopause and other forms of cancer.

  15. Gastric cancer in the setting of persistently elevated human chorionic gonadotropin: a case report.

    Science.gov (United States)

    Walker, Latoya R; Erler, Brian

    2011-01-01

    A 35-year-old woman presented to the emergency room for the evaluation of failed surgical and medical management of a suspected ectopic pregnancy. When imaging studies were performed, she had lymphadenopathy and diffuse sclerosis of the osseous framework. Multiple biopsies were performed and revealed poorly differentiated metastatic carcinoma with signet ring features. Esophagogastroduodenoscopy confirmed the findings of a Stage IV gastric adenocarcinoma. Signs and symptoms of gastric carcinoma are vague. However, to our knowledge, an elevation in human chorionic gonadotropin (hCG) is not an associated finding. Persistence of hCG has many causes from abnormal pregnancy to menopause and other forms of cancer.

  16. Serum progesterone elevation adversely affects cumulative live birth rate in different ovarian responders during in vitro fertilization and embryo transfer: a large retrospective study.

    Science.gov (United States)

    Bu, Zhiqin; Zhao, Feifei; Wang, Keyan; Guo, Yihong; Su, Yingchun; Zhai, Jun; Sun, Yingpu

    2014-01-01

    In order to explore the relationship between serum progesterone (P) level on the day of human chorionic gonadotrophin (HCG) administration and cumulative live birth rate in patients with different ovarian response during in vitro fertilization (IVF), we carried out this retrospective cohort study including a total of 4,651 patients undergoing their first IVF cycles from January 2011 to December 2012. All patients with a final live birth outcome (4,332 patients) were divided into three groups according to ovarian response: poor ovarian responder (≤5 oocytes, 785 patients), intermediate ovarian responder (6-19 oocytes, 3065 patients) and high ovarian responder (≥20 oocytes, 482 patients). The thresholds for serum P elevation were 1.60 ng/ml, 2.24 ng/ml, and 2.50 ng/ml for poor, intermediate, and high ovarian responders, respectively. Cumulative live birth rate per oocyte retrieval cycle was calculated in each group. The relationship between serum P level and cumulative live birth rate was evaluated by both univariate and multivariate logistic regression analysis. Cumulative live birth rate per oocyte retrieval cycle was inversely associated with serum P level in patients with different ovarian response. For all responders, patients with elevated P level had significantly higher number of oocytes retrieved, but lower high quality embryo rate, and lower cumulative live birth rate compared with patients with normal serum P level. In addition, serum P level adversely affected cumulative live birth rate by both univariate and multivariate logistic regression analysis, independent of ovarian response. Serum P elevation on the day of HCG administration adversely affects cumulative live birth rate per oocyte retrieval cycle in patients with different ovarian response.

  17. Assessing heart rate variability from real-world Holter reports.

    Science.gov (United States)

    Stein, Phyllis K

    2002-09-01

    Real world clinical Holter reports are often difficult to interpret from a heart rate variability (HRV) perspective. In many cases HRV software is absent. Step-by-step HRV assessment from clinical Holter reports includes: making sure that there is enough usable data, assessing maximum and minimum heart rates, assessing circadian HRV from hourly average heart rates, and assessing HRV from the histogram of R-R intervals and from the plot of R-R intervals or heart rate vs. time. If HRV data are available, time domain HRV is easiest to understand and less sensitive to scanning errors. SDNN (the standard deviation of all N-N intervals in ms) and SDANN (the standard deviation of the 5-min average of N-N intervals in ms) are easily interpreted. SDNN < 70 ms post-MI is a cut point for increased mortality risk. Two times ln SDANN is a good surrogate for ln ultra low frequency power and can be compared with published cut points. SDNNIDX (the average of the standard deviations of N-N intervals for each 5-min in ms) < 30 ms is associated with increased risk in patients with congestive heart failure. RMSSD (the root mean square of successive N-N interval difference in ms) < 17.5 ms has also been associated with increased risk post-myocardial infarction. Frequency domain HRV values are often not comparable to published data. However, graphical power spectral plots can provide additional information about whether the HRV pattern is normal and can also identify some patients with obstructive sleep apnea.

  18. Effects of elevated CO{sub 2} on Chesapeake Bay wetlands. [Progress report, 1988--1989

    Energy Technology Data Exchange (ETDEWEB)

    Drake, B.G.; Arp, W.J.; Balduman, L.

    1990-12-31

    Research during 1988--89 focused on several new aspects of the response of the salt marsh ecosystem to elevated CO{sub 2}. In previous years we gave highest priority to studies of the effect of CO{sub 2} on biomass production into above and below-ground tissues, nitrogen content, light response of photosynthesis of single leaves, leaf water potential and carbon dioxide and water vapor exchange between the plant canopy and the ambient air. Result from the work in 87 and 88 had shown that the C3 plant, Scirpus olneyi, responded vigorously to elevated CO{sub 2} but the two C4 species, Spartina patens and Distichlis spicata did not. The responses of photosynthesis were also reflected in the canopy and ecosystem processes. Thus our emphasis shifted from determining the growth responses to exploring photosynthesis in greater detail. The main questions were: does acclimation to high CO{sub 2} involve reduction of some aspect of photosynthesis either at the single leaf level or in canopy structure? How much more carbon will be accumulated in a high CO{sub 2} than under present CO{sub 2} concentration? Our results give us partial answers to these questions but since the long term aspect of CO{sub 2} stimulation remains the most important one, it is unlikely that we can do more than add some pieces of data to a continuing debate in the ecological community regarding the eventual effect of CO{sub 2} on ecosystems.

  19. Modeling of High-Strain-Rate Deformation, Fracture, and Impact Behavior of Advanced Gas Turbine Engine Materials at Low and Elevated Temperatures

    Science.gov (United States)

    Shazly, Mostafa; Nathenson, David; Prakash, Vikas

    2003-01-01

    Gamma titanium aluminides have received considerable attention over the last decade. These alloys are known to have low density, good high temperature strength retention, and good oxidation and corrosion resistance. However, poor ductility and low fracture toughness have been the key limiting factors in the full utilization of these alloys. More recently, Gamma-met PX has been developed by GKSS, Germany. These alloys have been observed to have superior strengths at elevated temperatures and quasi-static deformation rates and good oxidation resistance at elevated temperatures when compared with other gamma titanium aluminides. The present paper discusses results of a study to understand dynamic response of gamma-met PX in uniaxial compression. The experiments were conducted by using a modified split Hopkinson pressure bar between room temperature and 900 C and strain rates of up to 3500 per second. The Gamma met PX alloy showed superior strength when compared to nickel based superalloys and other gamma titanium aluminides at all test temperatures. It also showed strain and strain-rate hardening at all levels of strain rates and temperatures and without yield anomaly up to 900 C. After approximately 600 C, thermal softening is observed at all strain rates with the rate of thermal softening increasing dramatically between 800 and 900 C. However, these flow stress levels are comparatively higher in Gamma met PX than those observed for other TiAl alloys.

  20. Whole-gene positive selection, elevated synonymous substitution rates, duplication, and indel evolution of the chloroplast clpP1 gene.

    Directory of Open Access Journals (Sweden)

    Per Erixon

    Full Text Available BACKGROUND: Synonymous DNA substitution rates in the plant chloroplast genome are generally relatively slow and lineage dependent. Non-synonymous rates are usually even slower due to purifying selection acting on the genes. Positive selection is expected to speed up non-synonymous substitution rates, whereas synonymous rates are expected to be unaffected. Until recently, positive selection has seldom been observed in chloroplast genes, and large-scale structural rearrangements leading to gene duplications are hitherto supposed to be rare. METHODOLOGY/PRINCIPLE FINDINGS: We found high substitution rates in the exons of the plastid clpP1 gene in Oenothera (the Evening Primrose family and three separate lineages in the tribe Sileneae (Caryophyllaceae, the Carnation family. Introns have been lost in some of the lineages, but where present, the intron sequences have substitution rates similar to those found in other introns of their genomes. The elevated substitution rates of clpP1 are associated with statistically significant whole-gene positive selection in three branches of the phylogeny. In two of the lineages we found multiple copies of the gene. Neighboring genes present in the duplicated fragments do not show signs of elevated substitution rates or positive selection. Although non-synonymous substitutions account for most of the increase in substitution rates, synonymous rates are also markedly elevated in some lineages. Whereas plant clpP1 genes experiencing negative (purifying selection are characterized by having very conserved lengths, genes under positive selection often have large insertions of more or less repetitive amino acid sequence motifs. CONCLUSIONS/SIGNIFICANCE: We found positive selection of the clpP1 gene in various plant lineages to correlated with repeated duplication of the clpP1 gene and surrounding regions, repetitive amino acid sequences, and increase in synonymous substitution rates. The present study sheds light on the

  1. Effects of far infrared rays irradiated from ceramic material (BIOCERAMIC) on psychological stress-conditioned elevated heart rate, blood pressure, and oxidative stress-suppressed cardiac contractility.

    Science.gov (United States)

    Leung, Ting-Kai; Chen, Chien-Ho; Tsai, Shih-Ying; Hsiao, George; Lee, Chi-Ming

    2012-10-31

    The present study examined the effects of BIOCERAMIC on psychological stress-conditioned elevated heart rate, blood pressure and oxidative stress-suppressed cardiac contractility using in vivo and in vitro animal models. We investigated the effects of BIOCERAMIC on the in vivo cardiovascular hemodynamic parameters of rats by monitoring their heart rates, systolic blood pressure, mean blood pressure and diastolic blood pressure. Thereafter, we assayed its effects on the heart rate in an isolated frog heart with and without adrenaline stimulation, and on cardiac contractility under oxidative stress. BIOCERAMIC caused significant decreases in heart rates and systolic and mean blood pressure in the stress-conditioned heart rate rat models (P heart with and without adrenaline stimulation (P < 0.05), and normalized cardiac contractility under oxidative stress (P < 0.05). BIOCERAMIC may, therefore, normalize the effects of psychological stress and oxidative stress conditions.

  2. Effect of strain rate and stress triaxiality on tensile behavior of Titanium alloy Ti-10-2-3 at elevated temperatures

    Energy Technology Data Exchange (ETDEWEB)

    Bobbili, Ravindranadh, E-mail: ravindranadh@dmrl.drdo.in; Madhu, Vemuri

    2016-06-14

    In this study, Split hopkinson tension bar (SHTB) has been employed to investigate the dynamic tensile flow behavior of Ti-10-2-3 alloy at high strain rates and elevated temperatures. The combined effect of stress triaxiality, strain rate and temperature and on the tensile behavior of the alloy was evaluated. Johnson-Cook (J-C) constitutive and fracture models were developed based on high strain rate tensile data. A modified Johnson–Cook model was established and proved to have high accuracy. A comparative assessment has been done to confirm the accuracy of modified J–C model based on finite element method (FEM). The improved model provides better description on the influence of equivalent plastic strain rate and temperature on the plastic flow. The simulation results proved to be in good agreement with the experimental data. The fracture surfaces of specimens tested under various strain rates and temperatures were studied under scanning electron microscopy (SEM).

  3. ELEVATED NUTRIENT CONTENT OF MACROALGAE INCREASES RATES OF HERBIVORY IN CORAL, SEAGRASS, AND MANGROVE HABITATS. (R827637)

    Science.gov (United States)

    The perspectives, information and conclusions conveyed in research project abstracts, progress reports, final reports, journal abstracts and journal publications convey the viewpoints of the principal investigator and may not represent the views and policies of ORD and EPA. Concl...

  4. Elevating the quality of disability and rehabilitation research: mandatory use of the reporting guidelines.

    Science.gov (United States)

    Chan, Leighton; Heinemann, Allen W; Roberts, Jason

    2014-01-01

    Note from the AJOT Editor-in-Chief: Since 2010, the American Journal of Occupational Therapy (AJOT) has adopted reporting standards based on the Consolidated Standards of Reporting Trials (CONSORT) Statement and American Psychological Association (APA) guidelines in an effort to publish transparent clinical research that can be easily evaluated for methodological and analytical rigor (APA Publications and Communications Board Working Group on Journal Article Reporting Standards, 2008; Moher, Schulz, & Altman, 2001). AJOT has now joined 28 other major rehabilitation and disability journals in a collaborative initiative to enhance clinical research reporting standards through adoption of the EQUATOR Network reporting guidelines, described below. Authors will now be required to use these guidelines in the preparation of manuscripts that will be submitted to AJOT. Reviewers will also use these guidelines to evaluate the quality and rigor of all AJOT submissions. By adopting these standards we hope to further enhance the quality and clinical applicability of articles to our readers.

  5. Acute non-ST elevation myocardial infarction following paclitaxel administration for ovarian carcinoma: A case report and review of literature

    Directory of Open Access Journals (Sweden)

    Kajal Shah

    2012-01-01

    Full Text Available We report a case of an acute non-ST elevation myocardial infarction (AMI induced by paclitaxel in a patient with ovarian cancer. A 45-year-old premenopausal lady without any co-morbidity was started on the first cycle of neoadjuvant chemotherapy with paclitaxel-based regimen for advanced stage ovarian cancer. The patient developed chest pain 3 h after paclitaxel infusion with characteristic electrocardiographic changes of antero-apical myocardial infarction. The patient recovered on conservative medical management with reversion of electrocardiogram (ECG changes. Cardiac ischemia and myocardial infarction, possibly due to coronary vasospasm, are rare adverse effects of paclitaxel with reported incidence of 0.26%. We have reported a case of paclitaxel-induced myocardial infarction with reversible cardiac dysfunction. The possibility of myocardial infarction should be considered in patients who develop chest pain or other symptoms after paclitaxel infusion.

  6. Management of the hypertensive patient with elevated heart rate: Statement of the Second Consensus Conference endorsed by the European Society of Hypertension.

    Science.gov (United States)

    Palatini, Paolo; Rosei, Enrico Agabiti; Casiglia, Edoardo; Chalmers, John; Ferrari, Roberto; Grassi, Guido; Inoue, Teruo; Jelakovic, Bojan; Jensen, Magnus T; Julius, Stevo; Kjeldsen, Sverre E; Mancia, Giuseppe; Parati, Gianfranco; Pauletto, Paolo; Stella, Andrea; Zanchetti, Alberto

    2016-05-01

    In June 2015, a panel of experts gathered in a consensus conference to plan updating recommendations on the management of the hypertensive patient with elevated heart rate (HR), previously released in 2006. The issues examined during that meeting and further discussed by the participants during the following months involved the assessment of HR, the relevance of HR as a cardiovascular risk factor, the definition of tachycardia and the treatment of the hypertensive patient with high HR. For the measurement of resting HR the panel experts recommended that scientific investigations focusing on HR should report information on length of resting period before measurement, information about temperature and environment, method of measurement, duration of measurement, number of readings, time interval between measurements, body position and type of observer. According to the panellists there is convincing evidence that HR is an important risk factor for cardiovascular disease and they suggest to routinely include HR measurement in the assessment of the hypertensive patient. Regarding the definition of tachycardia, the panellists acknowledged that in the absence of convincing data any threshold used to define tachycardia is arbitrary. Similarly, as there are no outcome studies of HR lowering in tachycardia hypertension, the panellists could not make practical therapeutic suggestions for the management of such patients. However, the experts remarked that absence of evidence does not mean evidence against the importance of tachycardia as a risk factor for cardiovascular disease and that long-term exposure to a potentially important risk factor may impair the patient's prognosis. The main aims of the present document are to alert researchers and physicians about the importance of measuring HR in hypertensive patients, and to stimulate research to clarify unresolved issues.

  7. High rates of co-occurrence of hypertension, elevated low-density lipoprotein cholesterol, and diabetes mellitus in a large managed care population.

    Science.gov (United States)

    Selby, Joe V; Peng, Tiffany; Karter, Andrew J; Alexander, Mark; Sidney, Stephen; Lian, Jean; Arnold, Amy; Pettitt, Dan

    2004-02-01

    To examine prevalence and co-occurrence of diabetes mellitus (DM), hypertension (HT), and elevated low-density lipoprotein cholesterol (dyslipidemia, or DL) in a managed care population. Period prevalence study. The study population included all adults (age > 20 years) who had been members of Kaiser Permanente, Northern California, for at least 4 months on December 31, 2001 (n = 2.1 million). Criteria from the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of Hypertension, the Third Report of the National Cholesterol Education Program Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults, and the Northern California Kaiser Permanente Diabetes Registry were applied to computerized databases for an 18-month period to identify HT, DL, and DM, respectively. Because screening for these conditions is incomplete, we applied age- and sex-specific prevalence estimates from the Third National Health and Nutrition Examination Survey to simulate full ascertainment. Unadjusted prevalence rates of HT, DL, and DM were 23.8%, 17.6%, and 6.6%, respectively. More than 50% of persons with either HT or DL also had at least 1 other condition. Of all persons with DM, 74% had HT, 73% had DL, and 56% had both. Under full ascertainment, prevalence increased to 27.6%, 35.6%, and 8.7% for HT, DL, and DM, respectively, and co-occurrence increased further. HT, DL, and DM co-occur in most affected individuals. To avoid fragmentation of care, disease management strategies should aim to manage these conditions within the same programs.

  8. Ischemic stroke in a young adult with extremely elevated lipoprotein(a): A case report and review of literature.

    Science.gov (United States)

    Lakshminarayan, Dharshan; Elajami, Tarec K; Devabhaktuni, Suresh; Welty, Francine K

    2016-01-01

    Lipoprotein(a) [Lp(a)] is an apolipoprotein(a) molecule bound to 1 apolipoprotein B-100. Elevated levels of Lp(a) are thought to be an independent risk factor for atherosclerosis and to promote thrombosis through incompletely understood mechanisms. We report a 34-year-old man with an ischemic stroke in the setting of an extremely high Lp(a) level-212 mg/dL. He developed severe carotid artery stenosis over a 6-year period and had thrombus formation post-carotid endarterectomy. To our knowledge, this case is unique because the Lp(a) is the highest reported level in a patient without renal disease. Moreover, this is the first reported case of the youngest individual with a stroke presumably related to development of carotid plaque over a 6-year period. The thrombotic complication after endarterectomy may have been related to the prothrombotic properties of Lp(a). Of note, the Lp(a) level did not respond to atorvastatin but did decrease 15% after aspirin 325 mg was added although his Lp(a) levels were variable, and it is not clear that this was cause and effect. This case highlights the need to better understand the relation between Lp(a) and vascular disease and the need to screen family members for elevated Lp(a). We also review treatment options to lower Lp(a) and ongoing clinical trials of newer lipid-lowering drugs that can also lower Lp(a).

  9. Elevated carcinoembryonic antigen tumour marker caused by head and neck cancer: a case report and literature study.

    Science.gov (United States)

    Vingerhoedt, S I; Hauben, E; Hermans, R; Vander Poorten, V L; Nuyts, S

    2015-04-01

    Carcinoembryonic antigen is a tumour marker commonly increased in gastrointestinal and pulmonary cancers. We report a case of a 46-year-old man with a mucoepidermoid carcinoma of the base of tongue with an elevated and traceable serum carcinoembryonic antigen level. This antigen proved to be a valuable marker in the treatment follow-up. When a raised carcinoembryonic antigen level is found, salivary gland malignancies should be taken into the differential diagnosis and clinical examination of the head and neck region should not be overlooked.

  10. ST-segment Elevation Acute Myocardial Infarction in a Patient with Acromegaly: A Case Report and Literature Review

    Directory of Open Access Journals (Sweden)

    Ming-Ying Lu

    2006-06-01

    Full Text Available Acromegaly is a disorder caused by the excess production of pituitary growth hormone and is characterized by the enlargement of the hands, feet and head. Increased morbidity and mortality with acromegaly is associated with cardiovascular complications, hypertension, glucose intolerance, cardiomyopathy and coronary artery disease. We report a case of acromegaly, which presented with ST-segment elevation acute myocardial infarction. The patient received successful primary transluminal coronary angioplasty with stent implantation. Acromegaly was suspected from typical appearance, and confirmed with hormonal examination and imaging of the pituitary mass. We discuss this case in comparison with previous literature.

  11. Climate change conditions (elevated CO2 and temperature) and UV-B radiation affect grapevine (Vitis vinifera cv. Tempranillo) leaf carbon assimilation, altering fruit ripening rates.

    Science.gov (United States)

    Martínez-Lüscher, J; Morales, F; Sánchez-Díaz, M; Delrot, S; Aguirreolea, J; Gomès, E; Pascual, I

    2015-07-01

    The increase in grape berry ripening rates associated to climate change is a growing concern for wine makers as it rises the alcohol content of the wine. The present work studied the combined effects of elevated CO2, temperature and UV-B radiation on leaf physiology and berry ripening rates. Three doses of UV-B: 0, 5.98, 9.66 kJm(-2)d(-1), and two CO2-temperature regimes: ambient CO2-24/14 °C (day/night) (current situation) and 700 ppm CO2-28/18 °C (climate change) were imposed to grapevine fruit-bearing cuttings from fruit set to maturity under greenhouse-controlled conditions. Photosynthetic performance was always higher under climate change conditions. High levels of UV-B radiation down regulated carbon fixation rates. A transient recovery took place at veraison, through the accumulation of flavonols and the increase of antioxidant enzyme activities. Interacting effects between UV-B and CO2-temperature regimes were observed for the lipid peroxidation, which suggests that UV-B may contribute to palliate the signs of oxidative damage induced under elevated CO2-temperature. Photosynthetic and ripening rates were correlated. Thereby, the hastening effect of climate change conditions on ripening, associated to higher rates of carbon fixation, was attenuated by UV-B radiation.

  12. Nonpalpable testicular pure seminoma with elevated serum alpha-fetoprotein presenting with retroperitoneal metastasis: a case report.

    Science.gov (United States)

    Iwatsuki, Shoichiro; Naiki, Taku; Kawai, Noriyasu; Etani, Toshiki; Iida, Keitaro; Ando, Ryosuke; Nagai, Takashi; Okada, Atsushi; Tozawa, Keiichi; Sugiyama, Yosuke; Yasui, Takahiro

    2016-05-05

    Patients with a primary pure seminoma in the testis who have elevated serum alpha-fetoprotein are rare and should be treated as patients with nonseminomatous germ cell tumors. However, nonpalpable testicular tumors in this condition have never been reported. We describe a case of nonpalpable pure testicular seminoma with elevated serum alpha-fetoprotein presenting retroperitoneal metastasis. A 29-year-old Asian man was referred to our hospital with right flank pain. Computed tomography showed a mass located between his aorta and inferior vena cava, but a testicular tumor was not detected. His serum levels of lactate dehydrogenase, alpha-fetoprotein, and DUPAN-2 were high. Although no tumor or nodule was palpable in his testis, ultrasonography revealed multiple low echoic lesions in his right testicular parenchyma. He was diagnosed with right testicular cancer with retroperitoneal lymph node metastasis and underwent right high orchiectomy. A pathological examination revealed pure seminoma and no nonseminomatous components were found in the specimen. Three courses of induction systemic chemotherapy (cisplatin, etoposide, and bleomycin) normalized his serum alpha-fetoprotein and DUPAN-2 levels. Three additional courses of chemotherapy (etoposide and bleomycin) were performed, and treatment was completed with laparoscopic retroperitoneal lymph node dissection. Pathology of the dissected specimen showed fibrous and necrotic tissue with no viable cells. He is alive without recurrence 54 months after orchiectomy. We report a case of pure testicular seminoma with elevated serum alpha-fetoprotein and DUPAN-2 presenting retroperitoneal metastasis. We recommend an ultrasound examination of bilateral testes when large retroperitoneal tumors are detected in young men, even if a mass is not palpable in the scrotum.

  13. Elevated blood lead in California adults, 1987: results of a statewide surveillance program based on laboratory reports.

    Science.gov (United States)

    Maizlish, N; Rudolph, L; Sutton, P; Jones, J R; Kizer, K W

    1990-08-01

    California medical laboratories that test for blood lead are required to report results exceeding 1.21 mumols/L (25 micrograms/dl). Between April and December 1987, the California Department of Health Services received 3,077 blood lead reports from 34 laboratories for 1,293 civilian, non-institutionalized adults. Approximately 1 percent of all reports exceeded 3.87 mumols/L (80 micrograms/dl), 7 percent exceeded 2.42 mumols/L (50 micrograms/dl), and 21 percent exceeded 1.93 mumols/L (40 micrograms/dl). Individuals tested were overwhelmingly male (94 percent), disproportionately Hispanic surnamed (44 percent), and most often residents of Los Angeles County (81 percent). Workers in lead smelting, battery manufacturing, and brass foundries accounted for nearly 80 percent of reports. Construction, radiator repair, pottery and ceramics manufacturing, and gun firing ranges accounted for the remainder. All adults with reports of greater than or equal to 2.90 mumols/L who were contacted reported on occupational exposure. Approximately half were not in routine medical monitoring programs. Despite OSHA standards, elevated blood lead with the potential for serious acute and chronic lead poisoning in California adults remains a significant public health and major occupational health concern.

  14. Thyroid-stimulating hormone elevation misdiagnosed as subclinical hypothyroidism following non-convulsive status epilepticus: a case report

    Directory of Open Access Journals (Sweden)

    Kunii Yasuto

    2011-09-01

    Full Text Available Abstract Introduction Non-convulsive status epilepticus is a form of epileptic seizure that occurs without convulsions. Recent reviews suggest that the diagnosis of non-convulsive status epilepticus remains difficult. Here, we report the case of a patient with thyroid-stimulating hormone elevation misdiagnosed as subclinical hypothyroidism following non-convulsive status epilepticus. Case presentation Our patient was a 68-year-old Japanese woman. The results of endocrine testing after her first episode of non-convulsive status epilepticus suggested latent subclinical hypothyroidism: she had elevated thyroid-stimulating hormone with normal levels of free tri-iodothyronine and free thyroxine. On examination, a diagnosis of thyroid disorder was not supported by other test results and our patient remained untreated. A follow-up examination revealed that her thyroid-stimulating hormone levels had spontaneously normalized. When she consulted another doctor for confusion, the transient increase in thyroid-stimulating hormone levels following non-convulsive status epilepticus was mistaken for subclinical hypothyroidism, and unfortunately treated with levothyroxine. Our patient then experienced levothyroxine-induced non-convulsive status epilepticus. Conclusions In this report, we suggested possible mechanisms for latent hypothyroid-like hormone abnormality following epileptic seizures and the possibility of provoking epileptic seizures by administering levothyroxine for misdiagnosed subclinical hypothyroidism.

  15. Effect of substrate and cation requirement on anaerobic volatile fatty acid conversion rates at elevated biogas pressure

    NARCIS (Netherlands)

    Lindeboom, R.E.F.; Ferrer, I.; Weijma, J.; Lier, van J.B.

    2013-01-01

    This work studied the anaerobic conversion of neutralized volatile fatty acids (VFA) into biogas under Autogenerative High Pressure Digestion (AHPD) conditions. The effects of the operating conditions on the biogas quality, and the substrate utilisation rates were evaluated using 3 AHPD reactors (0.

  16. Abiotic degradation rates for carbon tetrachloride and chloroform: Final report.

    Energy Technology Data Exchange (ETDEWEB)

    Amonette, James E.; Jeffers, Peter M.; Qafoku, Odeta; Russell, Colleen K.; Humphrys, Daniel R.; Wietsma, Thomas W.; Truex, Michael J.

    2012-12-01

    This report documents the objectives, technical approach, and progress made through FY 2012 on a project initiated in FY 2006 to help address uncertainties related to the rates of hydrolysis in groundwater for carbon tetrachloride (CT) and chloroform (CF). The project also sought to explore the possible effects of contact with minerals and sediment (i.e., heterogeneous hydrolysis) on these rates. We conducted 114 hydrolysis rate experiments in sealed vessels across a temperature range of 20-93 °C for periods as long as 6 years, and used the Arrhenius equation to estimate activation energies and calculate half-lives for typical Hanford groundwater conditions (temperature of 16 °C and pH of 7.75). We calculated a half-life of 630 years for hydrolysis for CT under these conditions and found that CT hydrolysis was unaffected by contact with sterilized, oxidized minerals or Hanford sediment within the sensitivity of our experiments. In contrast to CT, hydrolysis of CF was generally slower and very sensitive to pH due to the presence of both neutral and base-catalyzed hydrolysis pathways. We calculated a half-life of 3400 years for hydrolysis of CF in homogeneous solution at 16 °C and pH 7.75. Experiments in suspensions of Hanford sediment or smectite, the dominant clay mineral in Hanford sediment, equilibrated to an initial pH of 7.2, yielded calculated half-lives of 1700 years and 190 years, respectively, at 16 °C. Experiments with three other mineral phases at the same pH (muscovite mica, albite feldspar, and kaolinite) showed no change from the homogeneous solution results (i.e., a half-life of 3400 years). The strong influence of Hanford sediment on CF hydrolysis was attributed to the presence of smectite and its ability to adsorb protons, thereby buffering the solution pH at a higher level than would otherwise occur. The project also determined liquid-vapor partition coefficients for CT under the temperatures and pressures encountered in the sealed vessels that

  17. Benign Hydronephrosis and Elevated of Serum Levels of Carbohydrate Antigen CA 19-9: A Case Report

    Science.gov (United States)

    Filipovic, Branka; Milinić, Nikola; Gacic, Jasna; Markovic, Olivera; Djokovic, Aleksandra; Filipovic, Branislav

    2016-01-01

    Patient: Male, 58 Final Diagnosis: Hydronephrosis Symptoms: Blunt abdominal pain • constipation • constipation Medication: — Clinical Procedure: Extracorporeal shock wave lithotripsy and percutaneous nephrostolithotomy Specialty: Gastroenterology and Hepatology Objective: Rare co-existance of disease or pathology Background: Carbohydrate tumor-associated antigen (CA 19-9) has been shown to be upregulated in other malignant tumors including gastric, ovarian, hepatocellular, and colorectal carcinoma as well as benign diseases of the biliary track such as pancreatitis, cholangitis, and choledocholithiasis. According to the available literature, in several cases of benign hydronephrosis and in a few cases of benign renal diseases, elevated CA 19-9 has been noted. Case Report: A 58-year-old Caucasian male patient was admitted in our clinic with complaints about blunt abdominal pain in the past two-month period localized in the right lumbar region and irradiating into the right inguinal area, constipation, abdominal bloating, and intermittent hematuria. The concentration of serum CA 19-9 was 3500 U/mL. Urine cytology provided no signs of abnormality. Intravenous urography visualized right-sided pyelon and ureter duplex with the defect in contrast shade of the pyelon, caused by a stag horn calculus. Contrast added computerized axial tomography of the abdomen and pelvis visualized the pyelon casted concretion spreading throughout the right pyelon, with ureterohydronephrosis with the distal block for passage of the contrast to the distal part of the ureter. Conclusions: There is no doubt that CA 19-9 level is occasionally elevated in patients with obstructive urolithiasis as it was in our case. In the routine medical praxis, urolithiasis should not be neglected in the differential diagnosis of elevated concentrations of CA 19-9 marker. PMID:27287959

  18. Effect of substrate and cation requirement on anaerobic volatile fatty acid conversion rates at elevated biogas pressure.

    Science.gov (United States)

    Lindeboom, Ralph E F; Ferrer, Ivet; Weijma, Jan; van Lier, Jules B

    2013-12-01

    This work studied the anaerobic conversion of neutralized volatile fatty acids (VFA) into biogas under Autogenerative High Pressure Digestion (AHPD) conditions. The effects of the operating conditions on the biogas quality, and the substrate utilisation rates were evaluated using 3 AHPD reactors (0.6 L); feeding a concentration of acetate and VFA (1-10 g COD/L) corresponding to an expected pressure increase of 1-20 bar. The biogas composition improved with pressure up to 4.5 bar (>93% CH4), and stabilized at 10 and 20 bar. Both, acetotrophic and hydrogenotrophic methanogenic activity was observed. Substrate utilisation rates of 0.2, 0.1 and 0.1 g CODCH4/g VSS/d for acetate, propionate and butyrate were found to decrease by up to 50% with increasing final pressure. Most likely increased Na(+)-requirement to achieve CO2 sequestration at higher pressure rather than end-product inhibition was responsible.

  19. Experimental study of the compression properties of Al/W/PTFE granular composites under elevated strain rates

    Energy Technology Data Exchange (ETDEWEB)

    Zhang, X.F., E-mail: lynx@mail.njust.edu.cn [School of Mechanical Engineering, Nanjing University of Science and Technology, Nanjing 210094 (China); Zhang, J.; Qiao, L.; Shi, A.S.; Zhang, Y.G.; He, Y. [School of Mechanical Engineering, Nanjing University of Science and Technology, Nanjing 210094 (China); Guan, Z.W. [School of Engineering, University of Liverpool, Brownlow Street, Liverpool L69 3GQ (United Kingdom)

    2013-10-01

    Granular composites consisting of aluminium (Al), tungsten (W) and polytetraflouroethylene (PTFE) are typical energetic materials, which possess high density and strength along with other advantageous properties. To investigate the mechanical behaviour of Al/W/PTFE granular composites, compression tests of three Al/W/PTFE mixtures under quasi-static loading and high strain rate conditions were conducted on a CSS-44100 Materials Testing System and a Split-Hopkinson Pressure Bar (SHPB), respectively. By employing Al bars, the amplitude of the transmitted signal was significantly enhanced and a high signal-to-noise ratio was obtained. This enhancement was due to the decreased Young's modulus of the bars, which led to increased signal amplitude from the strain gauges. The Al/W/PTFE granular composites were processed using a cold isostatic pressing and vacuum sintering approach. In this work, the fracture modes and stress-strain relationships of Al/W/PTFE composites with mass ratios of Al:W:PTFE of 24:0:76, 12:50:38 and 5.5:77:17.5 were studied. A detailed discussion is provided to cover the effect that tungsten addition, strain rate and mass ratio have on the deformation behaviour of the composites. The results show that the mass ratio plays a significant role in determining the dynamic behaviour and failure modes of the composites. Both the Al/W/PTFE (24:0:76) and the Al/W/PTFE (12:50:38) composites are strain rate dependent, elasto-plastic materials characterised by increased yield stress with increased strain rate. However, the Al/W/PTFE (5.5:77:17.5) composite is a brittle material, which shows brittle fracture at a relatively low strain.

  20. The biophysical and physiological basis for mitigated elevations in heart rate with electric fan use in extreme heat and humidity

    Science.gov (United States)

    Ravanelli, Nicholas M.; Gagnon, Daniel; Hodder, Simon G.; Havenith, George; Jay, Ollie

    2017-02-01

    Electric fan use in extreme heat wave conditions has been thought to be disadvantageous because it might accelerate heat gain to the body via convection. However, it has been recently shown that fan use delays increases in heart rate even at high temperatures (42 °C) in young adults. We here assess the biophysical and physiological mechanisms underlying the apparently beneficial effects of fan use. Eight males (24 ± 3 y; 80.7 ± 11.7 kg; 2.0 ± 0.1 m2) rested at either 36 °C or 42 °C, with (F) or without (NF) electric fan use (4.2 m/s) for 120 min while humidity increased every 7.5 min by 0.3 kPa from a baseline value of 1.6 kPa. Heart rate (HR), local sweat rate (LSR), cutaneous vascular conductance (CVC), core and mean skin temperatures, and the combined convective/radiative heat loss (C+R), evaporative heat balance requirements (Ereq) and maximum evaporative potential (Emax) were assessed. C+R was greater with fan use at 36 °C (F 8 ± 6, NF 2 ± 2 W/m2; P = 0.04) and more negative (greater dry heat gain) with fan use at 42 °C (F -78 ± 4, NF -27 ± 2 W/m2; P prevented by fan use but not without a fan, LSR was higher in NF at both 36 °C ( P = 0.04) and 42 °C ( P = 0.05), and skin temperature was higher in NF at 42 °C ( P = 0.05), but no differences in CVC or core temperatures were observed (all P > 0.05). These results suggest that the delayed increase in heart rate with fan use during extreme heat and humidity is associated with improved evaporative efficiency.

  1. A succinct rating scale for radiology report quality

    Directory of Open Access Journals (Sweden)

    Chengwu Yang

    2014-12-01

    Full Text Available Context: Poorly written radiology reports are common among residents and are a significant challenge for radiology education. While training may improve report quality, a professionally developed reliable and valid scale to measure report quality does not exist. Objectives: To develop a measurement tool for report quality, the quality of report scale, with rigorous validation through empirical data. Methods: A research team of an experienced psychometrician and six senior radiologists conducted qualitative and quantitative studies. Five items were identified for the quality of report scale, each measuring a distinct aspect of report quality. Two dedicated training sessions were designed and implemented to help residents generate high-quality reports. In a blinded fashion, the quality of report scale was applied to 804 randomly selected reports issued before (n = 403 and after (n = 401 training. Full-scale psychometrical assessments were implemented onto the quality of report scale’s item- and scale-scores from the reports. The quality of report scale scores were correlated with report professionalism and attendings’ preference and were compared pre-/post-training. Results: The quality of report scale showed sound psychometrical properties, with high validity and reliability. Reports with higher quality of report scale score were more professional and preferable by attendings. Training improved the quality of report scale score, empirically validating the quality of report scale further. Conclusion: While succinct and practitioner friendly, the quality of report scale is a reliable and valid measure of radiology report quality and has the potential to be easily adapted to other fields such as pathology, where similar training would be beneficial.

  2. Smoking Rates Still High in Some Racial Groups, CDC Reports

    Science.gov (United States)

    ... page: https://medlineplus.gov/news/fullstory_160256.html Smoking Rates Still High in Some Racial Groups, CDC ... lot of progress in getting Americans to stop smoking, some groups still have high smoking rates, a ...

  3. Flood Insurance Rate Maps and Base Flood Elevations, FIRM, DFIRM, BFE, Kent County Digital Flood Insurance Rate Map Database (DFIRM); DFIRM_Kent10; he Digital Flood Insurance Rate Map (DFIRM) Database depicts flood risk information and supporting data used to develop the risk data., Published in 2011, 1:4800 (1in=400ft) scale, State of Rhode Island and Providence Plantations.

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — This Flood Insurance Rate Maps and Base Flood Elevations, FIRM, DFIRM, BFE dataset, published at 1:4800 (1in=400ft) scale, was produced all or in part from Other...

  4. Flood Insurance Rate Maps and Base Flood Elevations, FIRM, DFIRM, BFE, Newport County Digital Flood Insurance Rate Map Database (DFIRM); DFIRM_Newport10; The Digital Flood Insurance Rate Map (DFIRM) Database depicts flood risk information and supporting data used to develop the risk data., Published in 2011, 1:4800 (1in=400ft) scale, State of Rhode Island and Providence Plantations.

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — This Flood Insurance Rate Maps and Base Flood Elevations, FIRM, DFIRM, BFE dataset, published at 1:4800 (1in=400ft) scale, was produced all or in part from Other...

  5. Maize response to elevated plant density combined with lowered N-fertilizer rate is genotype-dependent

    Institute of Scientific and Technical Information of China (English)

    Ahmed; Medhat; M.Al-Naggar; Reda; A.Shabana; Mohamed; M.M.Atta; Tarek; H.Al-Khalil

    2015-01-01

    Increasing plant density and improving N fertilizer rate along with the use of high density-tolerant genotypes would lead to maximizing maize(Zea mays L.) grain productivity per unit land area. The objective of this investigation was to match the functions of optimum plant density and adequate nitrogen fertilizer application to produce the highest possible yields per unit area with the greatest maize genotype efficiency. Six maize inbred lines differing in tolerance to low N and high density(D) [three tolerant(T); L-17, L-18, L-53,and three sensitive(S); L-29, L-54, L-55] were chosen for diallel crosses. Parents and crosses were evaluated in the 2012 and 2013 seasons under three plant densities: low(47,600),medium(71,400), and high(95,200) plants ha-1and three N fertilization rates: low(no N addition), medium(285 kg N ha-1) and high(570 kg N ha-1). The T × T crosses were superior to the S × S and T × S crosses under the low N–high D environment in most studied traits across seasons. The relationships between the nine environments and grain yield per hectare(GYPH) showed near-linear regression functions for inbreds L54, L29, and L55 and hybrids L18 × L53 and L18 × L55 with the highest GYPH at a density of47,600 plants ha-1and N rate of 570 kg N ha-1and a curvilinear relationship for inbreds L17, L18, and L53 and the rest of the hybrids with the highest GYPH at a density of95,200 plants ha-1combined with an N rate of 570 kg N ha-1. Cross L17 × L54 gave the highest grain yield in this study under both high N–high-D(19.9 t ha-1) and medium N–high-D environments(17.6 t ha-1).

  6. A succinct rating scale for radiology report quality

    OpenAIRE

    Chengwu Yang; Kasales, Claudia J; Tao Ouyang; Peterson, Christine M; Nabeel I Sarwani; Rafel Tappouni; Michael Bruno

    2014-01-01

    Context: Poorly written radiology reports are common among residents and are a significant challenge for radiology education. While training may improve report quality, a professionally developed reliable and valid scale to measure report quality does not exist. Objectives: To develop a measurement tool for report quality, the quality of report scale, with rigorous validation through empirical data. Methods: A research team of an experienced psychometrician and six senior radiologists conduct...

  7. Comprehensive Report For Proposed Elevated Temperature Elastic Perfectly Plastic (EPP) Code Cases Representative Example Problems

    Energy Technology Data Exchange (ETDEWEB)

    Hollinger, Greg L. [Idaho National Lab. (INL), Idaho Falls, ID (United States)

    2014-06-01

    Background: The current rules in the nuclear section of the ASME Boiler and Pressure Vessel (B&PV) Code , Section III, Subsection NH for the evaluation of strain limits and creep-fatigue damage using simplified methods based on elastic analysis have been deemed inappropriate for Alloy 617 at temperatures above 1200F (650C)1. To address this issue, proposed code rules have been developed which are based on the use of elastic-perfectly plastic (E-PP) analysis methods and which are expected to be applicable to very high temperatures. The proposed rules for strain limits and creep-fatigue evaluation were initially documented in the technical literature 2, 3, and have been recently revised to incorporate comments and simplify their application. The revised code cases have been developed. Task Objectives: The goal of the Sample Problem task is to exercise these code cases through example problems to demonstrate their feasibility and, also, to identify potential corrections and improvements should problems be encountered. This will provide input to the development of technical background documents for consideration by the applicable B&PV committees considering these code cases for approval. This task has been performed by Hollinger and Pease of Becht Engineering Co., Inc., Nuclear Services Division and a report detailing the results of the E-PP analyses conducted on example problems per the procedures of the E-PP strain limits and creep-fatigue draft code cases is enclosed as Enclosure 1. Conclusions: The feasibility of the application of the E-PP code cases has been demonstrated through example problems that consist of realistic geometry (a nozzle attached to a semi-hemispheric shell with a circumferential weld) and load (pressure; pipe reaction load applied at the end of the nozzle, including axial and shear forces, bending and torsional moments; through-wall transient temperature gradient) and design and operating conditions (Levels A, B and C).

  8. Fungi in a changing world: growth rates will be elevated, but spore production may decrease in future climates

    Science.gov (United States)

    Damialis, Athanasios; Mohammad, Aqilah B.; Halley, John M.; Gange, Alan C.

    2015-09-01

    Very little is known about the impact of climate change on fungi and especially on spore production. Fungal spores can be allergenic, thus being important for human health. The aim of this study was to investigate how climate change influences the responsive ability of fungi by simulating differing environmental regimes. Fungal species with high spore allergenic potential and atmospheric abundance were grown and experimentally examined under a variety of temperatures and different nutrient availability. Each represented the average decadal air temperature of the 1980s, 1990s and 2000s in the UK, along with an Intergovernmental Panel on Climate Change (IPCC) climate change scenario for 2100. All tests were run on six fungal species: Alternaria alternata, Aspergillus niger, Botrytis cinerea, Cladosporium cladosporioides, Cladosporium oxysporum and Epicoccum purpurascens. Mycelium growth rate and spore production were examined on each single species and competitive capacity among species combinations in pairs. All fungal species grew faster at higher temperatures, and this was more pronounced for the temperature projection in 2100. Most species grew faster when there was lower nutrient availability. Exceptions were the species with the highest growth rate ( E. purpurascens) and with the highest competition capacity ( A. alternata). Most species (except for E. purpurascens) produced more spores in the richer nutrient medium but fewer as temperature increased. C. cladosporioides was an exception, exponentially increasing its spore production in the temperature of the 2100 scenario. Regarding competitive capacity, no species displayed any significant alterations within the environmental range checked. It is suggested that in future climates, fungi will display dramatic growth responses, with faster mycelium growth and lower spore production, with questions risen on relevant allergen potential.

  9. Elevated resting heart rate is associated with greater risk of cardiovascular and all-cause mortality in current and former smokers

    DEFF Research Database (Denmark)

    Jensen, Magnus T; Marott, Jacob L; Jensen, Gorm B

    2010-01-01

    .09-1.16) in moderate smokers, and 1.13 (1.10-1.16) in heavy smokers. There was no gender difference. The risk estimates for cardiovascular and all-cause mortality were essentially similar. In univariate analyses, the difference in survival between a RHR in the highest (>80bpm) vs lowest quartile (......BACKGROUND: Elevated resting heart rate is associated with mortality in general populations. Smokers may be at particular risk. The association between resting heart rate (RHR), smoking status and cardiovascular and total mortality was investigated in a general population. METHODS: Prospective...... study of 16,516 healthy subjects from the Copenhagen City Heart Study. 8709 deaths, hereof 3821 cardiovascular deaths, occurred during 33years of follow-up. RESULTS: In multivariate Cox models with time-dependent covariates RHR was significantly associated with both cardiovascular and total mortality...

  10. Distance threshold for the effect of urban agriculture on elevated self-reported malaria prevalence in Accra, Ghana.

    Science.gov (United States)

    Stoler, Justin; Weeks, John R; Getis, Arthur; Hill, Allan G

    2009-04-01

    Irrigated urban agriculture (UA), which has helped alleviate poverty and increase food security in rapidly urbanizing sub-Saharan Africa, may inadvertently support malaria vectors. Previous studies have not identified a variable distance effect on malaria prevalence from UA. This study examines the relationships between self-reported malaria information for 3,164 women surveyed in Accra, Ghana, in 2003, and both household characteristics and proximity to sites of UA. Malaria self-reports are associated with age, education, overall health, socioeconomic status, and solid waste disposal method. The odds of self-reported malaria are significantly higher for women living within 1 km of UA compared with all women living near an irrigation source, the association disappearing beyond this critical distance. Malaria prevalence is often elevated in communities within 1 km of UA despite more favorable socio-economic characteristics than communities beyond 1 km. Neighborhoods within 1 km of UA should be reconsidered as a priority for malaria-related care.

  11. Clinicians' ratings and self-reports of basic symptoms.

    Science.gov (United States)

    Rubino, I Alex; Romeo, Domenico; Scarpellino, Angelo; Siracusano, Alberto

    2002-10-01

    A sample of 34 paranoid or undifferentiated schizophrenic outpatients were given the Rome Basic Disorders Scale, a self-rating questionnaire aimed to the assessment of basic symptoms, as defined by the Bonn Scale. These patients were then interviewed on the same 54 basic symptoms explored with the scale, by two independent clinicians blind to the outpatients' data. Self-ratings compared with clinicians' ratings by Student t for dependent samples yielded only one significant difference (p< .01) for the item measuring hypersensitivity to light. Present findings suggest that the Rome Basic Disorders Scale may be safely self-rated even by collaborative schizophrenic patients.

  12. Study on interest rate restrictions (IRR): Belgian national report

    NARCIS (Netherlands)

    Vannerom, J.; Terryn, E.

    2010-01-01

    DG Internal Market and Services of the European Commission have commissioned us to conduct a study on interest rate restrictions in consumer credit covering unsecured and secured credit (i.e. including mortgage credit). This project aims to identify the different types of interest rate restrictions

  13. A Preliminary Report on the Anthropology Department Student Ratings Survey.

    Science.gov (United States)

    Gillmore, G. M.; Amoss, Panela

    The Department of Anthropology and the Educational Assessment Center (EAC) cooperated in a project to assess the effect of certain variables on student ratings of instruction. For this purpose, the entire teaching faculty of the department was requested by the department's Teaching Effectiveness committee to administer the EAC Student Ratings Form…

  14. Higher prevalence of elevated LDL-C than non-HDL-C and low statin treatment rate in elderly community-dwelling Chinese with high cardiovascular risk

    Science.gov (United States)

    Kuang, YaShu; Li, Xiaolin; Chen, Xiaoli; Sun, Huimin; Tomlinson, Brian; Chan, Paul; Zheng, Liang; Pi, Jinjiang; Peng, Sheng; Wu, Hong; Ding, Xugang; Qian, Dingguang; Shen, Yixin; Yu, Zuoren; Fan, Lieying; Chen, Ming; Fan, Huimin; Liu, Zhongmin; Zhang, Yuzhen

    2016-01-01

    Lipid levels are increasing in all age groups in the Chinese population, but the use of statin treatment in the elderly is not well documented. We examined serum lipids, statin usage and achievement of lipid goals in 3950 subjects aged ≥65 years. Established CVD was present in 7.77% of participants and increased CVD risk was common. Elevated LDL-C according to CVD risk level was present in 46.70% of all subjects and was more frequent (p < 0.01) than elevated non-HDL-C at 32.58%. With increasing age, LDL-C was unchanged but triglycerides and non-HDL-C decreased and HDL-C increased. Individuals at moderate risk for CVD had higher TC, LDL-C, and non-HDL-C than low-risk subjects, but the values were lower in high- and very-high-risk individuals, probably because of the use of statin which was 28.57% in high-risk subjects with established CVD and 37.60% in very-high-risk individuals, but only 2.62% in those with estimated high-risk and 3.75% in those with high-risk from diabetes. More subjects in each risk group reached the non-HDL-C goal than the LDL-C goal because of the relatively low triglycerides and VLDL-C levels. These findings demonstrate a high prevalence of elevated LDL-C but low rate of statin treatment in elderly community-dwelling Chinese. PMID:27686151

  15. 47 CFR 1.795 - Reports regarding interstate rates of return.

    Science.gov (United States)

    2010-10-01

    ... 47 Telecommunication 1 2010-10-01 2010-10-01 false Reports regarding interstate rates of return. 1... Requests § 1.795 Reports regarding interstate rates of return. Carriers shall file reports regarding interstate rates of return on FCC Form 492 as required by part 65 of this chapter. Services and...

  16. Higher prevalence of elevated LDL-C than non-HDL-C and low statin treatment rate in elderly community-dwelling Chinese with high cardiovascular risk.

    Science.gov (United States)

    Kuang, YaShu; Li, Xiaolin; Chen, Xiaoli; Sun, Huimin; Tomlinson, Brian; Chan, Paul; Zheng, Liang; Pi, Jinjiang; Peng, Sheng; Wu, Hong; Ding, Xugang; Qian, Dingguang; Shen, Yixin; Yu, Zuoren; Fan, Lieying; Chen, Ming; Fan, Huimin; Liu, Zhongmin; Zhang, Yuzhen

    2016-09-30

    Lipid levels are increasing in all age groups in the Chinese population, but the use of statin treatment in the elderly is not well documented. We examined serum lipids, statin usage and achievement of lipid goals in 3950 subjects aged ≥65 years. Established CVD was present in 7.77% of participants and increased CVD risk was common. Elevated LDL-C according to CVD risk level was present in 46.70% of all subjects and was more frequent (p HDL-C at 32.58%. With increasing age, LDL-C was unchanged but triglycerides and non-HDL-C decreased and HDL-C increased. Individuals at moderate risk for CVD had higher TC, LDL-C, and non-HDL-C than low-risk subjects, but the values were lower in high- and very-high-risk individuals, probably because of the use of statin which was 28.57% in high-risk subjects with established CVD and 37.60% in very-high-risk individuals, but only 2.62% in those with estimated high-risk and 3.75% in those with high-risk from diabetes. More subjects in each risk group reached the non-HDL-C goal than the LDL-C goal because of the relatively low triglycerides and VLDL-C levels. These findings demonstrate a high prevalence of elevated LDL-C but low rate of statin treatment in elderly community-dwelling Chinese.

  17. Flood Insurance Rate Maps and Base Flood Elevations, FIRM, DFIRM, BFE - FLOODPLAINS_BFE_DFIRM_IDNR_IN: DFIRM Floodplain Base Flood Elevation Lines for 86 of 92 Counties in Indiana (Indiana Department of Natural Resources, 1:12,000, Line Shapefile)

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — This line layer represents base flood elevations (BFEs) created from FEMA Flood Rate Insurance Maps (FIRM). BFE lines indicate the rounded whole-foot water surface...

  18. Flood Insurance Rate Maps and Base Flood Elevations, FIRM, DFIRM, BFE, DFIRM's from NC Floodplain Mapping Program, Published in 2009, 1:12000 (1in=1000ft) scale, Iredell County GIS.

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — This Flood Insurance Rate Maps and Base Flood Elevations, FIRM, DFIRM, BFE dataset, published at 1:12000 (1in=1000ft) scale, was produced all or in part from LIDAR...

  19. Flood Insurance Rate Maps and Base Flood Elevations, FIRM, DFIRM, BFE, s_bfe.shp; FEMA; Update Frequency is every five or ten years, Published in 2008, Athens-Clarke County Planning Department.

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — This Flood Insurance Rate Maps and Base Flood Elevations, FIRM, DFIRM, BFE dataset, was produced all or in part from Field Survey/GPS information as of 2008. It is...

  20. Flood Insurance Rate Maps and Base Flood Elevations, FIRM, DFIRM, BFE, Chattahoochee-Flint Regional Data Q3 Flood Data, Published in 2006, 1:12000 (1in=1000ft) scale, Chattahoochee-Flint Regional Development.

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — This Flood Insurance Rate Maps and Base Flood Elevations, FIRM, DFIRM, BFE dataset, published at 1:12000 (1in=1000ft) scale, was produced all or in part from LIDAR...

  1. Flood Insurance Rate Maps and Base Flood Elevations, FIRM, DFIRM, BFE, FEMA FIRM Boundary, Published in 2010, 1:2400 (1in=200ft) scale, Effingham County Board Of Commissioners.

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — This Flood Insurance Rate Maps and Base Flood Elevations, FIRM, DFIRM, BFE dataset, published at 1:2400 (1in=200ft) scale, was produced all or in part from Published...

  2. Flood Insurance Rate Maps and Base Flood Elevations, FIRM, DFIRM, BFE, FEMA DFIRM preliminary map out now, published in 2009, Published in 2009, 1:24000 (1in=2000ft) scale, Brown County, WI.

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — This Flood Insurance Rate Maps and Base Flood Elevations, FIRM, DFIRM, BFE dataset, published at 1:24000 (1in=2000ft) scale, was produced all or in part from Other...

  3. Flood Insurance Rate Maps and Base Flood Elevations, FIRM, DFIRM, BFE, FEMA Floodway and Flood Boundary Maps, Published in 2005, 1:24000 (1in=2000ft) scale, Lafayette County Land Records.

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — This Flood Insurance Rate Maps and Base Flood Elevations, FIRM, DFIRM, BFE dataset, published at 1:24000 (1in=2000ft) scale, was produced all or in part from Other...

  4. Flood Insurance Rate Maps and Base Flood Elevations, FIRM, DFIRM, BFE, FEMA Product, Published in 2009, 1:600 (1in=50ft) scale, Jefferson County Land Information Office.

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — This Flood Insurance Rate Maps and Base Flood Elevations, FIRM, DFIRM, BFE dataset, published at 1:600 (1in=50ft) scale, was produced all or in part from Published...

  5. Elevated rates of force development and MgATP binding in F764L and S532P myosin mutations causing dilated cardiomyopathy.

    Science.gov (United States)

    Palmer, Bradley M; Schmitt, Joachim P; Seidman, Christine E; Seidman, J G; Wang, Yuan; Bell, Stephen P; Lewinter, Martin M; Maughan, David W

    2013-04-01

    Dilated cardiomyopathy (DCM) is a disease characterized by dilation of the ventricular chambers and reduced contractile function. We examined the contractile performance of chemically-skinned ventricular strips from two heterozygous murine models of DCM-causing missense mutations of myosin, F764L/+ and S532P/+, in an α-myosin heavy chain (MyHC) background. In Ca(2+)-activated skinned myocardial strips, the maximum developed tension in F764L/+ was only ~50% that of litter-mate controls (+/+). The F764L/+ also exhibited significantly reduced rigor stiffness, loaded shortening velocity and power output. Corresponding indices for S532P/+ strips were not different from controls. Manipulation of MgATP concentration in conjunction with measures of viscoelasticity, which provides estimates of myosin detachment rate 2πc, allowed us to probe the molecular basis of changes in crossbridge kinetics that occur with the myosin mutations. By examining the response of detachment rate to varying MgATP we found the rate of MgADP release was unaffected by the myosin mutations. However, MgATP binding rate was higher in the DCM groups compared to controls (422±109mM(-1)·s(-1) in F764L/+, 483±74mM(-1)·s(-1) in S532P/+ and 303±18mM(-1)·s(-1) in +/+). In addition, the rate constant of force development, 2πb, was significantly higher in DCM groups compared to controls (at 5mM MgATP: 36.9±4.9s(-1) in F764L/+, 32.9±4.5s(-1) in S532P/+ and 18.2±1.7s(-1) in +/+). These results suggest that elevated rates of force development and MgATP binding are features of cardiac myofilament function that underlie the development of DCM.

  6. Elevated Heart Rate is Associated with Cardiac Denervation in Patients with Heart Failure: A 123-Iodine-MIBG Myocardial Scintigraphy Study.

    Science.gov (United States)

    Villacorta, Aline Sterque; Villacorta, Humberto; Souza, Jenne Serrão de; Teixeira, José Antônio Caldas; Muradas, Maria Clara S S S; Alves, Christiane Rodrigues; Precht, Bernardo Campanário; Porto, Pilar; Ubaldo, Letícia; Mesquita, Cláudio Tinoco; Nóbrega, Antônio Cláudio Lucas da

    2016-11-01

    In the Systolic Heart Failure Treatment With the If Inhibitor Ivabradine Trial (SHIFT), heart rate (HR) reduction with ivabradine was associated with improved survival and reduced hospitalizations in patients with heart failure (HF). The mechanisms by which elevated HR increases mortality are not fully understood. To assess the relationship of baseline HR with clinical, neurohormonal and cardiac sympathetic activity in patients with chronic HF and elevated HR. Patients with chronic HF who were in sinus rhythm and had resting HR>70 bpm despite optimal medical treatment were included in a randomized, double-blind study comparing ivabradine versus pyridostigmine. This report refers to the baseline data of 16 initial patients. Baseline HR (before randomization to one of the drugs) was assessed, and patients were classified into two groups, with HR below or above mean values. Cardiac sympathetic activity was assessed by 123-iodine-metaiodobenzylguanidine myocardial scintigraphy. Mean HR was 83.5±11.5 bpm (range 72 to 104), and seven (43.7%) patients had HR above the mean. These patients had lower 6-min walk distance (292.3±93 vs 465.2±97.1 m, p=0.0029), higher values of N-Terminal-proBNP (median 708.4 vs 76.1, p=0.035) and lower late heart/mediastinum rate, indicating cardiac denervation (1.48±0.12 vs 1.74±0.09, pHeart Failure Treatment With the If Inhibitor Ivabradine Trial, ou Estudo do Tratamento da Insuficiência Cardíaca Sistólica com o Inibidor de If Ivabradina), a redução da frequência cardíaca (FC) com ivabradina associou-se com melhor sobrevida e redução das hospitalizações em pacientes com insuficiência cardíaca (IC). Os mecanismos pelos quais a FC elevada aumenta a mortalidade não são totalmente compreendidos. Avaliar a relação da FC basal com atividade clínica, neuro-hormonal e simpática cardíaca em pacientes com IC crônica e FC elevada. Pacientes com IC crônica em ritmo sinusal e FC≥70 apesar de tratamento adequado foram inclu

  7. Are microbial N transformation rates in a permanent grassland soil after 17 years of elevated atmospheric CO2 sensitive to soil temperature?

    Science.gov (United States)

    Moser, Gerald; Gorenflo, André; Brenzinger, Kristof; Clough, Tim; Braker, Gesche; Müller, Christoph

    2016-04-01

    Long-term observations (17 years) within the Giessen Free Air Carbon dioxide Enrichment (Giessen FACE) study on permanent grassland showed that the carbon fertilization caused significant changes in the ecosystem nitrogen cycle. These changes are responsible for a doubling of annual N2O emissions under elevated atmospheric CO2 (eCO2) caused by increased emissions during the plant growing season. The goal of this lab study was to understand how soil temperature influences the long-term effects of eCO2 and plant carbon input on microbial N transformations in the Giessen FACE. Therefore, a pulse labelling study with 15N tracing of 15NH4+ and 15NO3- was carried out with incubated soil samples from elevated and ambient CO2 FACE rings in climate chambers at two different temperatures (10°C and 19°C), while water filled pore space of the samples was adjusted to the same level. The various N pools in the soil (NH4+, NO3-, NO2-, soil organic matter), N2O emissions and simultaneous gross N transformation rates were quantified. The quantification of the gross N transformations are based on the turnover of 15NH4+, 15NO3-, 15NO2- and shall illuminate the interaction between carbon fertilization, temperature and changes in nitrogen cycle in this grassland soil. While the soil respiration after labelling was significantly increased at 19°C compared to 10°C, N2O emissions showed no significant differences. There were also no significant differences of N2O emissions between soil samples from control and elevated CO2 rings within each temperature level. As the soil temperature (within the range of 10-19°C) had no significant effects on N transformations responsible for the observed doubling of N2O emissions under eCO2, it seems most likely that other factors like direct carbon input by plants and/or soil moisture differences between ambient and elevated rings in the field are responsible for the observed increase in N2O emissions under eCO2.

  8. Survival and Success Rates of Dental Implants Placed Using Osteotome Sinus Floor Elevation Without Added Bone Grafting: A Retrospective Study with a Follow-up of up to 10 Years.

    Science.gov (United States)

    French, David; Nadji, Nabil; Shariati, Batoul; Hatzimanolakis, Penny; Larjava, Hannu

    2016-01-01

    This retrospective study with a follow-up period of 4 months to 10 years evaluated survival, success, and complication rates of implants placed using osteotome sinus floor elevation (OSFE) without added bone grafting. A total of 926 implants were placed, including 530 short implants (6 mm to 8.5 mm) and 209 implants in low residual bone height (RBH) (implants were placed. The implant survival rate was 98.3% at the 5-year follow-up. Twelve of the 926 implants failed (6 preprosthetic, 6 postprosthetic). The success rate was 95.4% at a threshold of less than 1 mm of bone loss for combined systems (Straumann; Nobel Biocare). Short implant survival and success rates were statistically comparable to conventional-length implants. Low-RBH implants had a lower but acceptable survival rate of 95.7%. Adverse events were rare, with one case of infection and zero cases of vertigo reported. The findings of this study indicate that implant placement with OSFE without added bone graft is highly successful, even when short implants are used in low RBH.

  9. 47 CFR 1.787 - Reports of proposed changes in depreciation rates.

    Science.gov (United States)

    2010-10-01

    ... 47 Telecommunication 1 2010-10-01 2010-10-01 false Reports of proposed changes in depreciation... Reports and Requests § 1.787 Reports of proposed changes in depreciation rates. Carriers shall file reports regarding proposed changes in depreciation rates as required by part 43 of this chapter....

  10. International Crime Rates. Bureau of Justice Statistics Special Report.

    Science.gov (United States)

    Kalish, Carol B.

    This study compared crime rates of the United States with those of other countries for whom statistics were available: European countries, Canada, Australia, and New Zealand. Statistics were provided by the United Nations for homicide, rape, robbery, burglary, and theft; the International Police Organization (Interpol) for homicide, rape, robbery,…

  11. Teacher Ratings of Three School Psychology Report Recommendation Styles

    Science.gov (United States)

    Mallin, Barry; Beimcik, Jaga; Hopfner, Lisa

    2012-01-01

    Educators are primary consumers of information provided in school psychology reports. There is disagreement in the literature as to whether teachers prefer briefer recommendations as compared to more detailed and specific recommendations. Specific recommendations can been seen as prescriptive and leading to higher requirements for accountability…

  12. Final Report: " Growth Rates of Freshly Nucleated Particles"

    Energy Technology Data Exchange (ETDEWEB)

    McMurry, Peter H; Smith, James N

    2013-03-12

    This report lists of archival journal articles that were written with support from this grant. Research objectives from the original proposal are given, along with papers that were written to meet each of those objectives. The papers are all available in the archival literature.

  13. WHIZARD rate at LCFORUM 2012. A status report

    Energy Technology Data Exchange (ETDEWEB)

    Reuter, Juergen

    2012-04-15

    This is a status report of the WHIZARD Monte Carlo multi-purpose event generator given at the LCFORUM 2012 at DESY. I review here the development of the WHIZARD generator version 2 with a special emphasis on linear collider physics. In case you use the program, please do cite the official reference(s).

  14. Teacher Ratings of Three School Psychology Report Recommendation Styles

    Science.gov (United States)

    Mallin, Barry; Beimcik, Jaga; Hopfner, Lisa

    2012-01-01

    Educators are primary consumers of information provided in school psychology reports. There is disagreement in the literature as to whether teachers prefer briefer recommendations as compared to more detailed and specific recommendations. Specific recommendations can been seen as prescriptive and leading to higher requirements for accountability…

  15. Impacts of elevated atmospheric CO2 on litter quality, litter decomposability and nitrogen turnover rate of two oak species in a Mediterranean forest ecosystem

    NARCIS (Netherlands)

    Fayez Raiesi Gahrooee,

    1998-01-01

    Elevated CO2 may affect litter quality of plants, and subsequently C and N cycling in terrestrial ecosystems, but changes in litter quality associated with elevated CO2 are poorly known. Abscised leaf litter of two oak species (Quercus cerris L., and Q. pubescens Willd.) exposed to long-term elevate

  16. A patient with hypereosinophilic syndrome that manifested with acquired hemophilia and elevated IgG4: a case report

    Directory of Open Access Journals (Sweden)

    Nagao Yoshiro

    2012-02-01

    Full Text Available Abstract Introduction Hypereosinophilic syndrome is defined as a prolonged state (more than six months of eosinophilia (greater than 1500 cells/μL, without an apparent etiology and with end-organ damage. Hypereosinophilic syndrome can cause coagulation abnormalities. Among hypereosinophilic syndrome types, the lymphocytic variant (lymphocytic hypereosinophilic syndrome is derived from a monoclonal proliferation of T lymphocytes. Here, we describe the case of a patient with lymphocytic hypereosinophilic syndrome who presented with a coagulation abnormality. To the best of our knowledge, this is the first such report including a detailed clinical picture and temporal cytokine profile. Case presentation A 77-year-old Japanese man presented to our facility with massive hematuria and hypereosinophilia (greater than 2600 cells/μl. His eosinophilia first appeared five years earlier when he developed femoral artery occlusion. He manifested with multiple hematomas and prolonged activated partial thromboplastin time. His IgG4 level was remarkably elevated (greater than 2000 mg/dL. Polymerase chain reaction tests of peripheral blood and bone marrow identified lymphocytic hypereosinophilic syndrome. His prolonged activated partial thromboplastin time was found to be due to acquired hemophilia. Glucocorticoids suppressed both the hypereosinophilia and coagulation abnormality. However, tapering of glucocorticoids led to a relapse of the coagulation abnormality alone, without eosinophilia. Tumor necrosis factor α, interleukin-5, and/or eotaxin-3 may have caused the hypereosinophilia, and interleukin-10 was correlated with the coagulation abnormality. Conclusions To the best of our knowledge, this is the first case in which lymphocytic hypereosinophilic syndrome and IgG4-related disease have overlapped. In addition, our patient is only the second case of hypereosinophilic disease that manifested with acquired hemophilia. Our patient relapsed with the

  17. Photovoltaic module energy rating procedure. Final subcontract report

    Energy Technology Data Exchange (ETDEWEB)

    Whitaker, C.M.; Newmiller, J.D. [Endecon Engineering (United States)

    1998-01-01

    This document describes testing and computation procedures used to generate a photovoltaic Module Energy Rating (MER). The MER consists of 10 estimates of the amount of energy a single module of a particular type (make and model) will produce in one day. Module energy values are calculated for each of five different sets of weather conditions (defined by location and date) and two load types. Because reproduction of these exact testing conditions in the field or laboratory is not feasible, limited testing and modeling procedures and assumptions are specified.

  18. Rate of acute ST-elevation myocardial infarction in the United States from 1988 to 2004 (from the Nationwide Inpatient Sample).

    Science.gov (United States)

    Movahed, Mohammad Reza; Ramaraj, Radhakrishnan; Hashemzadeh, Mehrnoosh; Jamal, M Mazen; Hashemzadeh, Mehrtash

    2009-07-01

    Advances in the management of atherosclerosis risk factors have been dramatic in the previous 10 years. The goal of this study was to evaluate any decrease in age-adjusted incidence of acute ST-elevation myocardial infarction (STEMI) in a very large database of inpatient admissions from 1988 to 2004. The Nationwide Inpatient Sample database was used to calculate the age-adjusted rate for STEMI from 1988 to 2004 retrospectively. Specific International Classification of Diseases, Ninth Revision, codes for MIs consistent with STEMI were used. Patient demographic data were also analyzed and adjusted for age. The Nationwide Inpatient Sample database contained 1,352,574 patients >40 years of age who had a diagnosis of STEMI from 1988 to 2004. Mean age for these patients was 66.06 +/- 13.69 years. Men had almost 2 times the age-adjusted STEMI rate as women (men 62.4%, women 37.6%). From 1988 the age-adjusted rate for all acute STEMIs remained steady for 8 years (108.3 per 100,000, 95% confidence interval [CI] 99.0 to 117.5, in 1988 and 102.5 per 100,000, 95% CI 94.7 to 110.4, in 1996). However, from 1996 onward, the age-adjusted incidence of STEMI steadily decreased to 1/2 the incidence of the previous 8 years (50.0 per 100.000, 95% CI 46.5 to 53.5, by 2004, p 1988 to 1996, with a steady linear decrease to 1/2 by 2004. The cause of the steady decrease in STEMI rate most likely reflects the advancement in management of patients with atherosclerosis.

  19. Temporal dynamics of abiotic and biotic factors on leaf litter of three plant species in relation to decomposition rate along a subalpine elevation gradient.

    Directory of Open Access Journals (Sweden)

    Jianxiao Zhu

    Full Text Available Relationships between abiotic (soil temperature and number of freeze-thaw cycles or biotic factors (chemical elements, microbial biomass, extracellular enzymes, and decomposer communities in litter and litter decomposition rates were investigated over two years in subalpine forests close to the Qinghai-Tibet Plateau in China. Litterbags with senescent birch, fir, and spruce leaves were placed on the forest floor at 2,704 m, 3,023 m, 3,298 m, and 3,582 m elevation. Results showed that the decomposition rate positively correlated with soil mean temperature during the plant growing season, and with the number of soil freeze-thaw cycles during the winter. Concentrations of soluble nitrogen (N, phosphorus (P and potassium (K had positive effects but C:N and lignin:N ratios had negative effects on the decomposition rate (k, especially during the winter. Meanwhile, microbial biomass carbon (MBC, N (MBN, and P (MBP were positively correlated with k values during the first growing season. These biotic factors accounted for 60.0% and 56.4% of the variation in decomposition rate during the winter and the growing season in the first year, respectively. Specifically, litter chemistry (C, N, P, K, lignin, C:N and lignin:N ratio independently explained 29.6% and 13.3%, and the microbe-related factors (MBC, MBN, MBP, bacterial and fungal biomass, sucrase and ACP activity explained 22.9% and 34.9% during the first winter and the first growing season, respectively. We conclude that frequent freeze-thaw cycles and litter chemical properties determine the winter decomposition while microbe-related factors play more important roles in determining decomposition in the subsequent growing season.

  20. Final Report, Photocathodes for High Repetition Rate Light Sources

    Energy Technology Data Exchange (ETDEWEB)

    Ben-Zvi, Ilan [Stony Brook University

    2014-04-20

    This proposal brought together teams at Brookhaven National Laboratory (BNL), Lawrence Berkeley National Laboratory (LBNL) and Stony Brook University (SBU) to study photocathodes for high repetition rate light sources such as Free Electron Lasers (FEL) and Energy Recovery Linacs (ERL). The work done under this grant comprises a comprehensive program on critical aspects of the production of the electron beams needed for future user facilities. Our program pioneered in situ and in operando diagnostics for alkali antimonide growth. The focus is on development of photocathodes for high repetition rate Free Electron Lasers (FELs) and Energy Recovery Linacs (ERLs), including testing SRF photoguns, both normal-conducting and superconducting. Teams from BNL, LBNL and Stony Brook University (SBU) led this research, and coordinated their work over a range of topics. The work leveraged a robust infrastructure of existing facilities and the support was used for carrying out the research at these facilities. The program concentrated in three areas: a) Physics and chemistry of alkali-antimonide cathodes b) Development and testing of a diamond amplifier for photocathodes c) Tests of both cathodes in superconducting RF photoguns and copper RF photoguns

  1. Influence of elevated CO2 concentrations on cell division and nitrogen fixation rates in the bloom-forming cyanobacterium Nodularia spumigena

    Directory of Open Access Journals (Sweden)

    U. Riebesell

    2009-04-01

    Full Text Available The surface ocean currently absorbs about one-fourth of the CO2 emitted to the atmosphere from human activities. As this CO2 dissolves in seawater, it reacts with seawater to form carbonic acid, increasing ocean acidity and shifting the partitioning of inorganic carbon species towards increased CO2 at the expense of CO32− concentrations. While the decrease in [CO32−] and/or increase in [H+] has been found to adversely affect many calcifying organisms, some photosynthetic organisms appear to benefit from increasing [CO2]. Among these is the cyanobacterium Trichodesmium, a predominant diazotroph (nitrogen-fixing in large parts of the oligotrophic oceans, which responded with increased carbon and nitrogen fixation at elevated pCO2. With the mechanism underlying this CO2 stimulation still unknown, the question arises whether this is a common response of diazotrophic cyanobacteria. In this study we therefore investigate the physiological response of Nodularia spumigena, a heterocystous bloom-forming diazotroph of the Baltic Sea, to CO2-induced changes in seawater carbonate chemistry. N. spumigena reacted to seawater acidification/carbonation with reduced cell division rates and nitrogen fixation rates, accompanied by significant changes in carbon and phosphorus quota and elemental composition of the formed biomass. Possible explanations for the contrasting physiological responses of Nodularia compared to Trichodesmium may be found in the different ecological strategies of non-heterocystous (Trichodesmium and heterocystous (Nodularia cyanobacteria.

  2. Influence of elevated CO2 concentrations on cell division and nitrogen fixation rates in the bloom-forming cyanobacterium Nodularia spumigena

    Directory of Open Access Journals (Sweden)

    U. Riebesell

    2009-09-01

    Full Text Available The surface ocean absorbs large quantities of the CO2 emitted to the atmosphere from human activities. As this CO2 dissolves in seawater, it reacts to form carbonic acid. While this phenomenon, called ocean acidification, has been found to adversely affect many calcifying organisms, some photosynthetic organisms appear to benefit from increasing [CO2]. Among these is the cyanobacterium Trichodesmium, a predominant diazotroph (nitrogen-fixing in large parts of the oligotrophic oceans, which responded with increased carbon and nitrogen fixation at elevated pCO2. With the mechanism underlying this CO2 stimulation still unknown, the question arises whether this is a common response of diazotrophic cyanobacteria. In this study we therefore investigate the physiological response of Nodularia spumigena, a heterocystous bloom-forming diazotroph of the Baltic Sea, to CO2-induced changes in seawater carbonate chemistry. N. spumigena reacted to seawater acidification/carbonation with reduced cell division rates and nitrogen fixation rates, accompanied by significant changes in carbon and phosphorus quota and elemental composition of the formed biomass. Possible explanations for the contrasting physiological responses of Nodularia compared to Trichodesmium may be found in the different ecological strategies of non-heterocystous (Trichodesmium and heterocystous (Nodularia cyanobacteria.

  3. Maximum Heart Rate during exercise: Reliability of the 220-age and Tanaka formulas in healthy young people at a moderate elevation

    Directory of Open Access Journals (Sweden)

    Luis Eduardo Cruz-Martínez

    2014-10-01

    Full Text Available Background. The formulas to predict maximum heart rate have been used for many years in different populations. Objective. To verify the significance and the association of formulas of Tanaka and 220-age when compared to real maximum heart rate. Materials and methods. 30 subjects -22 men, 8 women- between 18 and 30 years of age were evaluated on a cycle ergometer and their real MHR values were statistically compared with the values of formulas currently used to predict MHR. Results. The results demonstrate that both Tanaka p=0.0026 and 220-age p=0.000003 do not predict real MHR, nor does a linear association exist between them. Conclusions. Due to the overestimation with respect to real MHR value that these formulas make, we suggest a correction of 6 bpm to the final result. This value represents the median of the difference between the Tanaka value and the real MHR. Both Tanaka (r=0.272 and 220-age (r=0.276 are not adequate predictors of MHR during exercise at the elevation of Bogotá in subjects of 18 to 30 years of age, although more study with a larger sample size is suggested.

  4. Elevated global cerebral blood flow, oxygen extraction fraction and unchanged metabolic rate of oxygen in young adults with end-stage renal disease: an MRI study

    Energy Technology Data Exchange (ETDEWEB)

    Zheng, Gang; Lou, Yaxian; Pan, Zhiying; Liu, Ya [Medical School of Nanjing University, Department of Medical Imaging, Jinling Hospital, Nanjing, Jiangsu (China); Nanjing University of Aeronautics and Astronautics, College of Aivil Aviation, Nanjing, Jiangsu (China); Wen, Jiqiu; Li, Xue; Zhang, Zhe [Medical School of Nanjing University, National Clinical Research Center of Kidney Diseases, Jinling Hospital, Nanjing, Jiangsu (China); Lu, Hanzhang [University of Texas Southwestern Medical Center, Advanced Imaging Research Center, Dallas, TX (United States); Liu, Wei [Siemens Shenzhen Magnetic Resonance Ltd., Shenzhen, Guangdong (China); Liu, Hui [Siemens MR NEA Collaboration, Siemens Ltd., Shanghai (China); Chen, Huijuan; Kong, Xiang; Luo, Song; Jiang, Xiaolu; Zhang, Zongjun; Zhang, Long Jiang; Lu, Guang Ming [Medical School of Nanjing University, Department of Medical Imaging, Jinling Hospital, Nanjing, Jiangsu (China)

    2016-06-15

    To noninvasively assess global cerebral blood flow (CBF), oxygen extraction fraction (OEF) and cerebral metabolic rate of oxygen (CMRO{sub 2}) in young adults with end-stage renal disease (ESRD). Thirty-six patients and 38 healthy volunteers were included and took part in MR examinations, blood and neuropsychological tests. CBF and OEF were measured by phase-contrast and T2-relaxation-under-spin-tagging MRI techniques, respectively. CMRO{sub 2} was computed from CBF, OEF and hematocrit according to Fick's principle. Correlations were performed between MR measurements, blood biochemistry measurements and neuropsychological test scores. Compared with controls, ESRD patients had elevated CBF (72.9 ± 12.5 vs. 63.8 ± 8.5 ml min{sup -1} 100 g{sup -1}, P < 0.001), elevated OEF (47.2 ± 10.2 vs. 35.8 ± 5.4 %, P < 0.001), but unaffected CMRO{sub 2} (199.5 ± 36.4 vs. 193.8 ± 28.6 μmol O{sub 2} min{sup -1} 100 g{sup -1}, P = 0.879). Hematocrit negatively correlated with CBF (r = -0.640, P < 0.001) and OEF (r = -0.701, P < 0.001), but not with CMRO{sub 2}. Altered neuropsychological test scores of ESRD patients were associated with OEF and CBF, but not with CMRO{sub 2}. There were weak relationships between eGFR and hematocrit (r = 0.308, P = 0.068) or CBF (r = 0.318, P = 0.059). Our findings suggested that anaemic young adults with ESRD may afford higher CBF and OEF to maintain a normal CMRO{sub 2}. Despite this compensatory process, however, cognitive function was still impaired and its severity was correlated with their CBF and OEF abnormality. (orig.)

  5. Effects of ocean acidification driven by elevated CO2 on larval shell growth and abnormal rates of the venerid clam, Mactra veneriformis

    Science.gov (United States)

    Kim, Jee-Hoon; Yu, Ok Hwan; Yang, Eun Jin; Kang, Sung-Ho; Kim, Won; Choy, Eun Jung

    2016-11-01

    The venerid clam ( Mactra veneriformis Reeve 1854) is one of the main cultured bivalve species in intertidal and shallow subtidal ecosystems along the west coast of Korea. To understand the effects of ocean acidification on the early life stages of Korean clams, we investigated shell growth and abnormality rates and types in the D-shaped, umbonate veliger, and pediveliger stages of the venerid clam M. veneriformis during exposure to elevated seawater pCO2. In particular, we examined abnormal types of larval shell morphology categorized as shell deformations, shell distortions, and shell fissures. Specimens were incubated in seawater equilibrated with bubbled CO2-enriched air at (400±25)×10-6 (ambient control), (800±25)×10-6 (high pCO2), or (1 200±28)×10-6 (extremely high pCO2), the atmospheric CO2 concentrations predicted for the years 2014, 2084, and 2154 (70-year intervals; two human generations), respectively, in the Representative Concentration Pathway (RCP) 8.5 scenario. The mean shell lengths of larvae were significantly decreased in the high and extremely high pCO2 groups compared with the ambient control groups. Furthermore, under high and extremely high pCO2 conditions, the cultures exhibited significantly increased abundances of abnormal larvae and increased severity of abnormalities compared with the ambient control. In the umbonate veliger stage of the experimental larvae, the most common abnormalities were shell deformations, distortions, and fissures; on the other hand, convex hinges and mantle protuberances were absent. These results suggest that elevated CO2 exerts an additional burden on the health of M. veneriformis larvae by impairing early development.

  6. Algorithms for Computerized Fetal Heart Rate Diagnosis with Direct Reporting

    Directory of Open Access Journals (Sweden)

    Kazuo Maeda

    2015-06-01

    Full Text Available Aims: Since pattern classification of fetal heart rate (FHR was subjective and enlarged interobserver difference, objective FHR analysis was achieved with computerized FHR diagnosis. Methods: The computer algorithm was composed of an experts’ knowledge system, including FHR analysis and FHR score calculation, and also of an objective artificial neural network system with software. In addition, a FHR frequency spectrum was studied to detect ominous sinusoidal FHR and the loss of baseline variability related to fetal brain damage. The algorithms were installed in a central-computerized automatic FHR monitoring system, which gave the diagnosis rapidly and directly to the attending doctor. Results: Clinically perinatal mortality decreased significantly and no cerebral palsy developed after introduction of the centralized system. Conclusion: The automatic multichannel FHR monitoring system improved the monitoring, increased the objectivity of FHR diagnosis and promoted clinical results.

  7. 13 CFR 120.1060 - Confidentiality of Reports, Risk Ratings and related Confidential Information.

    Science.gov (United States)

    2010-01-01

    ... order prior to disclosure. For purposes of this regulation, “Information Provider” means any contractor... abides by them. Any disclosure of the Report, Risk Rating, or Confidential Information other than as... Confidentiality of Reports, Risk Ratings and related Confidential Information. (a) In general. Reports and other...

  8. Elevated brain aluminium and early onset Alzheimer’s disease in an individual occupationally exposed to aluminium: a case report

    OpenAIRE

    2014-01-01

    Introduction Aluminium is a known neurotoxin and occupational exposure to aluminium has been implicated in neurological disease including Alzheimer’s disease. Here we present the first comprehensive and unequivocal data demonstrating significantly elevated brain aluminium content in an individual occupationally exposed to aluminium. Case presentation A 66-year-old Caucasian man who died with Alzheimer’s disease showed significantly elevated brain aluminium content, 2.98 (2.73) μg/g dry weight...

  9. Hepatic Rupture Caused by Hemolysis, Elevated Liver Enzyme, and Low Platelet Count Syndrome: A Case Report with Computed Tomographic and Conventional Angiographic Findings

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Cheong Bok; Ahn, Jae Hong; Choi, Soo Jung; Lee, Jong Hyeog; Park, Man Soo; Jung, Seung Mun; Ryu, Dae Sik [Dept. of Radiology, Asan Foundation, Gangneung Asan Hospital, University of Ulsan College of Medicine, Gangneung (Korea, Republic of)

    2013-03-15

    The authors recently obtained successful clinical outcome after embolization of the hepatic artery and right inferior phrenic artery in a pregnant patient with hemolysis, elevated liver enzyme, and low platelet count (HELLP) syndrome causing hepatic rupture. We report the computed tomographic and conventional angiographic findings in a case of HELLP syndrome, resulting in hepatic infarction and rupture with active bleeding.

  10. Extraordinary elevated CA19-9 in patient with common bile duct stones and cholangitis Case report

    Directory of Open Access Journals (Sweden)

    Ali Mokhtarifar

    2012-05-01

    Full Text Available Serum Carbohydrate Antigen, CA19-9, is a carbohydrate antigen whose usage -as a tumor marker- in pancreatic and bile ducts malignancies is commonly increasing. Sensitivity and specificity of this antigen in the diagnosis of malignancies is 70-90% and 68-91%, respectively. CA19-9 can also rise in other disorders and in few of benign conditions including cholangitis, due to other causes, e.g. choledocholithiasis. However, in such cases the increase is not significant and it is usually below 1000 u/ml. Values more than 10000 u/ml are limited to few case reports in articles. The case under study was a 66 year old man hospitalized because of epigastric and right upper quadrant pain, fever, jaundice, acholic stool, weight loss of about 6 kg, and hyperchromic urine. Physical examination revealed that the case was icteric and febrile with a mild RUQ tenderness on percussion. Laboratory tests showed marked elevation of bilirubin and CA19-9 (Total bilirubin: 36 mg/dl, Direct: 19.5 mg/dl CA19-9 :44777u/ml, Normal: 0-40 u/ml, but the enzymes of the liver and alkaline phosphatase only increased to two times the normal level. Sonography showed dilated common bile duct with four stones within it. Four weeks after stones extraction and renewal of bile current CA19-9 fell to 60 u/ml and returned to normal range (0-40 2 months later and during this period the patient was totally asymptomatic. As a result, in patients with biliary obstruction, a diagnosis of malignancy cannot be made solely on the basis of increased concentration of CA19-9, even in case of high clinical suspicion and the interpretation of this increase must be done with more caution and after lab follow-up following removal of the obstruction.

  11. Terrestrial gamma dose rate, radioactivity and radiological hazards in the rocks of an elevated radiation background in Juban District, Ad Dali' Governorate, Yemen.

    Science.gov (United States)

    Abdurabu, Wedad Ali; Ramli, Ahmad Termizi; Saleh, Muneer Aziz; Heryansyah, Arien; Alnhary, Anees; Fadhl, Shadi

    2016-03-01

    This study aims to evaluate natural radiation and radioactivity in the rock and to assess the corresponding health risk in a region of elevated background radiation in Juban District, Ad Dali' Governorate, Yemen. The mean external gamma dose rate was 374 nGy h(-1) which is approximately six times the world average. The measured results were used to compute annual effective dose equivalent, collective effective dose and excess lifetime cancer risk, which are 2.298 mSv, 61.95 man Sv y(-1) and 8.043  ×  10(-3), respectively. Rocks samples from different geological formations were analyzed for quantitative determination of (226)Ra, (232)Th and (40)K. The specific activity of the rocks samples ranges from 7  ±  1 Bq Kg(-1) to 12 513  ±  329 Bq Kg(-1) for (232)Th, from 6  ±  1 Bq kg(-1) to 3089  ±  74 Bq kg(-1) for (226)Ra and 702  ±  69 Bq kg(-1) to 2954  ±  285 Bq kg(-1) for (40)K. (232)Th is the main contributor to gamma dose rate from the rock samples. Indicators of radiological health impact, radium equivalent activity and external hazard index are 3738 Bq kg(-1) and 10.10, respectively. The mean external hazard index was ten times unity in the studied locations in Juban District, which is higher than the recommended value.

  12. Estimating the net effect of progesterone elevation on the day of hCG on live birth rates after IVF: a cohort analysis of 3296 IVF cycles.

    Science.gov (United States)

    Venetis, Christos A; Kolibianakis, Efstratios M; Bosdou, Julia K; Lainas, George T; Sfontouris, Ioannis A; Tarlatzis, Basil C; Lainas, Tryfon G

    2015-03-01

    What is the proper way of assessing the effect of progesterone elevation (PE) on the day of hCG on live birth in women undergoing fresh embryo transfer after in vitro fertilization (IVF) using GnRH analogues and gonadotrophins? This study indicates that a multivariable approach, where the effect of the most important confounders is controlled for, can lead to markedly different results regarding the association between PE on the day of hCG and live birth rates after IVF when compared with the bivariate analysis that has been typically used in the relevant literature up to date. PE on the day of hCG is associated with decreased pregnancy rates in fresh IVF cycles. Evidence for this comes from observational studies that mostly failed to control for potential confounders. This is a retrospective analysis of a cohort of fresh IVF/intracytoplasmic sperm injection cycles (n = 3296) performed in a single IVF centre during the period 2001-2013. Patients in whom ovarian stimulation was performed with gonadotrophins and GnRH analogues. Natural cycles and cycles where stimulation involved the administration of clomiphene were excluded. In order to reflect routine clinical practice, no other exclusion criteria were imposed on this dataset. The primary outcome measure for this study was live birth defined as the delivery of a live infant after 24 weeks of gestation. We compared the association between PE on the day of hCG (defined as P > 1.5 ng/ml) and live birth rates calculated by simple bivariate analyses with that derived from multivariable logistic regression. The multivariable analysis controlled for female age, number of oocytes retrieved, number of embryos transferred, developmental stage of embryos at transfer (cleavage versus blastocyst), whether at least one good-quality embryo was transferred, the woman's body mass index, the total dose of FSH administered during ovarian stimulation and the type of GnRH analogues used (agonists versus antagonists) during ovarian

  13. Is it the egg or the endometrium? Elevated progesterone on day of trigger is not associated with embryo ploidy nor decreased success rates in subsequent embryo transfer cycles.

    Science.gov (United States)

    Kofinas, Jason D; Mehr, Holly; Ganguly, Nandita; Biley, Yelena; Bochkovsky, Svetlana; McCulloh, David; Grifo, Jamie

    2016-09-01

    .67 % in group B, also not significant (Table 2). P4 values on day of trigger do not affect number of eggs retrieved and number of chromosomally normal embryos available for transfer in a subsequent embryo transfer cycle. Elevated P4 values (≥1.5 ng/ml) also do not affect pregnancy rates or live birth/ongoing pregnancy rates in the first subsequent frozen embryo transfer cycle.

  14. Maximum likelihood methods for investigating reporting rates of rings on hunter-shot birds

    Science.gov (United States)

    Conroy, M.J.; Morgan, B.J.T.; North, P.M.

    1985-01-01

    It is well known that hunters do not report 100% of the rings that they find on shot birds. Reward studies can be used to estimate what this reporting rate is, by comparison of recoveries of rings offering a monetary reward, to ordinary rings. A reward study of American Black Ducks (Anas rubripes) is used to illustrate the design, and to motivate the development of statistical models for estimation and for testing hypotheses of temporal and geographic variation in reporting rates. The method involves indexing the data (recoveries) and parameters (reporting, harvest, and solicitation rates) by geographic and temporal strata. Estimates are obtained under unconstrained (e.g., allowing temporal variability in reporting rates) and constrained (e.g., constant reporting rates) models, and hypotheses are tested by likelihood ratio. A FORTRAN program, available from the author, is used to perform the computations.

  15. An altered hormonal profile and elevated rate of bone loss are associated with low bone mass in professional horse-racing jockeys.

    Science.gov (United States)

    Dolan, Eimear; McGoldrick, Adrian; Davenport, Colin; Kelleher, Grainne; Byrne, Brendan; Tormey, William; Smith, Diarmuid; Warrington, Giles D

    2012-09-01

    Horse-racing jockeys are a group of weight-restricted athletes, who have been suggested as undertaking rapid and extreme weight cycling practices in order to comply with stipulated body-mass standards. The aim of this study was to examine bone mass, turnover and endocrine function in jockeys and to compare this group with age, gender and body mass index matched controls. Twenty male professional jockeys and 20 healthy male controls participated. Dual energy X-ray absorptiometry scans and early morning fasting blood and urine samples were used to measure bone mass, turnover and a hormonal profile. Total body bone mineral density (BMD) was significantly lower in jockeys (1.143 ± 0.05 vs. 1.27 ± 0.06 g cm(-3), p < 0.01). Bone resorptive activity was elevated in the jockey group as indicated by significantly higher urinary NTx/creatinine (76.94 ± 29.52 vs. 55.9 ± 13.9 nmol mmol(-1), p < 0.01), resulting in a significantly negative uncoupling index between bone resorption and formation. Sex hormone binding globulin (SHBG) levels were significantly higher in jockeys (41.21 ± 9.77 vs. 28.24 ± 9.98 nmol L(-1), p < 0.01) with a lower percentage of bioavailable testosterone (48.89 ± 7.38 vs. 59.18 ± 6.74 %, p < 0.01). SHBG and insulin-like growth factor-1 were independent predictors of total body and femoral neck BMD, respectively (p < 0.05). In conclusion, it appears that professional jockeys have an elevated rate of bone loss and reduced bone mass that appears to be associated with disrupted hormonal activity. It is likely that this may have occurred in response to the chronic weight cycling habitually experienced by this group.

  16. The reporting rate of euthanasia and physician-assisted suicide: a study of the trends.

    Science.gov (United States)

    Rurup, Mette L; Buiting, Hilde M; Pasman, H Roeline W; van der Maas, Paul J; van der Heide, Agnes; Onwuteaka-Philipsen, Bregje D

    2008-12-01

    To study trends in reporting rates of euthanasia from 1990 to 2005 in relation to whether recommended or nonrecommended drugs were used, and the most important differences between reported and unreported cases in 2005. Questionnaires were sent to a sample of 6860 physicians who had reported a death in 2005 (response 78%). Previously, 3 similar studies were done at 5-year intervals. The total number of euthanasia and physician-assisted suicide cases was estimated using a "gold standard" definition: death was-according to the physician-the result of the use of drugs at the explicit request of the patient with the explicit goal of hastening death (denominator). The Euthanasia Review Committees provided the number of reported cases (numerator). The reporting rate of euthanasia and physician-assisted suicide increased from 18% in 1990, 41% in 1995, and 54% in 2001 to 80% in 2005. The reporting rate in the subgroup of euthanasia with recommended drugs (barbiturates and muscle relaxants) was 73% in 1995, 71% in 2001, and 99% in 2005. The reporting rate of euthanasia with nonrecommended drugs (eg, opioids) was below 3% in 1995, 2001, and 2005. Unreported euthanasia differed also from reported euthanasia in the fact that physicians less often labeled their act as euthanasia. Euthanasia with nonrecommended drugs is almost never reported. The total reporting rate increased because of an increase in the use of recommended drugs for euthanasia between 1995 and 2001, and an increase in the reporting rate for euthanasia with recommended drugs between 2001 and 2005.

  17. Creation and implementation of department-wide structured reports: an analysis of the impact on error rate in radiology reports.

    Science.gov (United States)

    Hawkins, C Matthew; Hall, Seth; Zhang, Bin; Towbin, Alexander J

    2014-10-01

    The purpose of this study was to evaluate and compare textual error rates and subtypes in radiology reports before and after implementation of department-wide structured reports. Randomly selected radiology reports that were generated following the implementation of department-wide structured reports were evaluated for textual errors by two radiologists. For each report, the text was compared to the corresponding audio file. Errors in each report were tabulated and classified. Error rates were compared to results from a prior study performed prior to implementation of structured reports. Calculated error rates included the average number of errors per report, average number of nongrammatical errors per report, the percentage of reports with an error, and the percentage of reports with a nongrammatical error. Identical versions of voice-recognition software were used for both studies. A total of 644 radiology reports were randomly evaluated as part of this study. There was a statistically significant reduction in the percentage of reports with nongrammatical errors (33 to 26%; p = 0.024). The likelihood of at least one missense omission error (omission errors that changed the meaning of a phrase or sentence) occurring in a report was significantly reduced from 3.5 to 1.2% (p = 0.0175). A statistically significant reduction in the likelihood of at least one comission error (retained statements from a standardized report that contradict the dictated findings or impression) occurring in a report was also observed (3.9 to 0.8%; p = 0.0007). Carefully constructed structured reports can help to reduce certain error types in radiology reports.

  18. 77 FR 2089 - Proposed Information Collection Request of the ETA 204, Experience Rating Report; Comment Request...

    Science.gov (United States)

    2012-01-13

    ... Information Collection Request of the ETA 204, Experience Rating Report; Comment Request on Extension Without... . SUPPLEMENTARY INFORMATION: I. Background: The data submitted annually on the ETA-204 report enables the... different experience rating systems. Used in conjunction with other data, the ETA-204 assists in...

  19. 47 CFR 43.43 - Reports of proposed changes in depreciation rates.

    Science.gov (United States)

    2010-10-01

    ... 47 Telecommunication 3 2010-10-01 2010-10-01 false Reports of proposed changes in depreciation... Reports of proposed changes in depreciation rates. (a) Each communication common carrier with annual..., before making any changes in the depreciation rates applicable to its operated plant, file with...

  20. 75 FR 4099 - Maintenance Wage Rate Wage Recommendation and Maintenance Wage Survey; Report of Additional...

    Science.gov (United States)

    2010-01-26

    ... URBAN DEVELOPMENT Maintenance Wage Rate Wage Recommendation and Maintenance Wage Survey; Report of... adopt prevailing wage rates for maintenance laborers and mechanics, and to approve or refer to the U.S... lists the following information: Title of Proposal: Maintenance Wage Rate Wage Recommendation...

  1. 75 FR 37457 - Maintenance Wage Rate Wage Recommendation and Maintenance Wage Survey; Report of Additional...

    Science.gov (United States)

    2010-06-29

    ... URBAN DEVELOPMENT Maintenance Wage Rate Wage Recommendation and Maintenance Wage Survey; Report of... adopt prevailing wage rates for maintenance laborers and mechanics, and to approve or refer to the U.S... Lists the Following Information Title of Proposal: Maintenance Wage Rate Wage Recommendation...

  2. Association between Selective Beta-adrenergic Drugs and Blood Pressure Elevation: Data Mining of the Japanese Adverse Drug Event Report (JADER) Database.

    Science.gov (United States)

    Ohyama, Katsuhiro; Inoue, Michiko

    2016-01-01

    Selective beta-adrenergic drugs are used clinically to treat various diseases. Because of imperfect receptor selectivity, beta-adrenergic drugs cause some adverse drug events by stimulating other adrenergic receptors. To examine the association between selective beta-adrenergic drugs and blood pressure elevation, we reviewed the Japanese Adverse Drug Event Reports (JADERs) submitted to the Japan Pharmaceuticals and Medical Devices Agency. We used the Medical Dictionary for Regulatory Activities (MedDRA) Preferred Terms extracted from Standardized MedDRA queries for hypertension to identify events related to blood pressure elevation. Spontaneous adverse event reports from April 2004 through May 2015 in JADERs, a data mining algorithm, and the reporting odds ratio (ROR) were used for quantitative signal detection, and assessed by the case/non-case method. Safety signals are considered significant if the ROR estimates and lower bound of the 95% confidence interval (CI) exceed 1. A total of 2021 reports were included in this study. Among the nine drugs examined, significant signals were found, based on the 95%CI for salbutamol (ROR: 9.94, 95%CI: 3.09-31.93) and mirabegron (ROR: 7.52, 95%CI: 4.89-11.55). The results of this study indicate that some selective beta-adrenergic drugs are associated with blood pressure elevation. Considering the frequency of their indications, attention should be paid to their use in elderly patients to avoid adverse events.

  3. Flood Insurance Rate Maps and Base Flood Elevations, FIRM, DFIRM, BFE, SummitCoBFE-The Digital Flood Insurance Rate Map (DFIRM) Database depicts flood risk information and supporting data used to develop the risk data., Published in 2006, 1:24000 (1in=2000ft) scale, State of Utah Automated Geographic Reference Center.

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — This Flood Insurance Rate Maps and Base Flood Elevations, FIRM, DFIRM, BFE dataset, published at 1:24000 (1in=2000ft) scale, was produced all or in part from Other...

  4. Bare-metal stenting of large coronary arteries in ST-elevation myocardial infarction is associated with low rates of target vessel revascularization.

    Science.gov (United States)

    Shugman, Ibrahim M; Hee, Leia; Mussap, Christian J; Diu, Patrick; Lo, Sidney; Hopkins, Andrew P; Nguyen, Phong; Taylor, David; Rajaratnam, Rohan; Leung, Dominic; Thomas, Liza; Juergens, Craig P; French, John K

    2013-04-01

    During percutaneous coronary intervention (PCI) performed in the emergent setting of ST-segment elevation myocardial infarction (STEMI), uncertainty about patients' ability to comply with 12 months dual antiplatelet therapy after drug-eluting stenting is common, and thus, selective bare-metal stent (BMS) deployment could be an attractive strategy if this achieved low target vessel revascularization (TVR) rates in large infarct-related arteries (IRAs) (≥3.5 mm). To evaluate this hypothesis, among 1,282 patients with STEMI who underwent PCI during their initial hospitalization, we studied 1,059 patients (83%) who received BMS, of whom 512 (48%) had large IRAs ≥3.5 mm in diameter, 333 (31%) had IRAs 3 to 3.49 mm, and 214 (20%) had IRAs <3 mm. At 1 year, TVR rate in patients with BMS was 5.8% (2.2% with large BMS [≥3.5 mm], 9.2% with BMS 3-3.49 mm [intermediate], and 9.0% with BMS <3.0 mm [small], P < .001). The rates of death/reinfarction among patients with large BMS compared with intermediate BMS or small BMS were lower (6.6% vs 11.7% vs 9.0%, P = .042). Among patients who received BMS, the independent predictors of TVR at 1 year were the following: vessel diameter <3.5 mm (odds ratio [OR] 4.39 [95% CI 2.24-8.60], P < .001), proximal left anterior descending coronary artery lesions (OR 1.89 [95% CI 1.08-3.31], P = .027), hypertension (OR 2.01 [95% CI 1.17-3.438], P = .011), and prior PCI (OR 3.46 [95% CI 1.21-9.85], P = .02). The predictors of death/myocardial infarction at 1 year were pre-PCI cardiogenic shock (OR 8.16 [95% CI 4.16-16.01], P < .001), age ≥65 years (OR 2.63 [95% CI 1.58-4.39], P < .001), left anterior descending coronary artery culprit lesions (OR 1.95 [95% CI 1.19-3.21], P = .008), female gender (OR 1.93 [95% CI 1.12-3.32], P = .019), and American College of Cardiology/American Heart Association lesion classes B2 and C (OR 2.17 [95% CI 1.10-4.27], P = .026). Bare-metal stent deployment in STEMI patients with IRAs ≥3.5 mm was associated

  5. Elevated Troponin I in the Absence of Coronary Artery Disease: A Case Report With Review of Literature

    Science.gov (United States)

    Arshed, Sabrina; Luo, Hong Xiu; Zafar, Shoaib; Regeti, Kalyani; Malik, Nilma; Alam, Mahmood; Yousif, Abdalla

    2015-01-01

    Cardiac troponins are the most sensitive and specific markers of myocardial injury. In fact, the Joint European Society of Cardiology/American College of Cardiology committee for the redefinition of myocardial infarction (MI) states that troponins are the preferred cardiac marker for detecting myocardial injury. For the aforementioned reasons, troponin levels are routinely ordered for patients presenting to the emergency department with chest pain, dyspnea, syncope, or any other possible presentations of MI. While troponin levels do reflect the extent of myocardial damage, they do not necessarily indicate myocardial ischemia in a subset of patients. Elevated troponin levels can be due to a wide array of mechanisms in the absence of myocardial ischemia and injury. Thus, relying solely on troponin levels, in the presence of a normal electrocardiogram (ECG), to diagnose myocardial ischemia can lead to unnecessary and expensive invasive testing. It is therefore important for the clinician to keep in mind the varying causes of troponin elevations in order to provide the highest value care to the patient. We present a case and review of literature regarding patients who present with elevated troponin levels in the absence of any coronary artery disease. PMID:26346942

  6. Self-reported eating rate aligns with laboratory measured eating rate but not with free-living meals.

    Science.gov (United States)

    Petty, Amanda J; Melanson, Kathleen J; Greene, Geoffrey W

    2013-04-01

    Methodological differences may be responsible for variable results from eating rate (ER) studies. It is unknown whether self-reported, lab-measured, and free-living ER's align. This study was the first to explore relationships among self-reported, laboratory-measured and free-living ER's. We investigated this relationship in 60 randomly selected male and female college students who were stratified by self-reported eating rate (SRER) (Slow, Medium, and Fast) from 1110 on-line survey respondents. Test day; subjects ate a prescribed breakfast (∼400kcal) at home, recording meal duration (MD); 4h later they individually ate an ad libitum laboratory pasta lunch at their own (natural) pace; remainder of the day they recorded free-living intake and MD. As expected the three self-reported ER categories aligned with lab ER (Fast=83.9±5.5, Medium=63.1±5.2, Slow=53.0±5.4kcals/min). In all ER categories at all meals, men ate faster than women (Men=80.6±30.7kcals/min: Women=52.0±21.6kcals/min). A difference in lab measured ER by SRER F=(2, 58)=7.677, post hoc Tukey analysis found fast differed from medium and slow. The three free-living meal ER's did not align with self-report categories. Findings suggest various methods of measuring ER may yield differing results, at least in this population, but results support the use of SRER as a valid measure. Copyright © 2012 Elsevier Ltd. All rights reserved.

  7. Medication Error Reporting Rate and its Barriers and Facilitators among Nurses

    Directory of Open Access Journals (Sweden)

    Snor Bayazidi

    2012-11-01

    Full Text Available Introduction: Medication errors are among the most prevalent medical errors leading to morbidity and mortality. Effective prevention of this type of errors depends on the presence of a well-organized reporting system. The purpose of this study was to explore medication error reporting rate and its barriers and facilitators among nurses in teaching hospitals of Urmia University of Medical Sciences (Iran.Methods: In a descriptive study in 2011, 733 nurses working in Urmia teaching hospitals were included. Data was collected using a questionnaire based on Haddon matrix. The questionnaire consisted of three items about medication error reporting rate, eight items on barriers of reporting, and seven items on facilitators of reporting. The collected data was analyzed by descriptive statistics in SPSS14.Results:The rate of reporting medication errors among nurses was far less than medication errors they had made. Nurses perceived that the most important barriers of reporting medication errors were blaming individuals instead of the system, consequences of reporting errors, and fear of reprimand and punishment. Some facilitating factors were also determined. Conclusion: Overall, the rate of medication errors was found to be much more than what had been reported by nurses. Therefore, it is suggested to train nurses and hospital administrators on facilitators and barriers of error reporting in order to enhance patient safety.

  8. Quantifying the Behavioral Response of Spawning Chum Salmon to Elevated Discharges from Bonneville Dam, Columbia River : Annual Report 2005-2006.

    Energy Technology Data Exchange (ETDEWEB)

    Tiffan, Kenneth F.; Haskell, Craig A.; Kock, Tobias J.

    2008-12-01

    riverbed elevation and providing minimum spawning flows that have the greatest chance of being maintained through egg incubation and fry emergence. However, managing the lower Columbia River for a stable tailwater elevation does not provide much operational flexibility at Bonneville Dam, which has little storage capacity. When river discharges increase due to rain events, the traditional approach has been to pass excess water at night to maintain stable tailwater elevations during the daytime. The underlying assumption of this strategy, referred to as reverse load following, is that fish do not spawn at night. However, Tiffan et al. (2005) showed that this assumption is false by documenting nighttime spawning by chum salmon in the Ives Island area. Similarly, McMichael et al. (2005) reported nighttime spawning by Chinook salmon (O. tshawytscha) in the Columbia River, indicating that diel spawning may be a common occurrence in Pacific salmon. During the latter portion of the chum spawning period in December 2003 and 2004, discharges from Bonneville Dam increased from an average of 3,398 m3/s (tailwater elevation {approx} 3.5 m above mean sea level) during the day to over 5,664 m3/s (tailwater elevation {approx} 5.1 m) at night, with peak discharges of 7,080 m{sup 3}/s (tailwater elevation {approx} 6.1 m). This caused concern among fishery managers regarding the potential effects of these high discharges on this population of spawning chum salmon, which is listed under the Endangered Species Act (National Oceanic and Atmospheric Administration 1999). We hypothesized that increased water velocities associated with elevated tailwaters might alter chum salmon spawning behavior if water velocities at redd locations increased beyond the range of suitability (>0.8 m/s; Salo 1991). In 2005, we investigated the movement and behavioral responses of spawning chum salmon at Ives Island to increased tailwater elevations at Bonneville Dam. We used acoustic telemetry to determine if the

  9. Rapid Regression of Advanced Hepatocellular Carcinoma Associated with Elevation of Des-Gamma-Carboxy Prothrombin after Short-Term Treatment with Sorafenib – A Report of Two Cases

    Directory of Open Access Journals (Sweden)

    Takahide Nakazawa

    2010-08-01

    Full Text Available Background: Sorafenib is the first molecular-targeted agent that is effective for advanced hepatocellular carcinoma (HCC, with prolongation of survival. However, a complete response is very rare, and rapid regression of HCC after short-term treatment with sorafenib has not been reported previously. Case Reports: We describe 2 patients with advanced multiple HCC who received sorafenib for short periods of 1 or 2 weeks, respectively. Longer treatment was precluded by the development of hepatic failure as an adverse event of sorafenib. Results: HCC rapidly regressed, and both patients had a partial response (PR, despite short-term treatment. Furthermore, an early elevation of des-gamma-carboxy prothrombin (DCP was temporarily seen in both patients, with no elevation of alpha-fetoprotein. Conclusions: Sorafenib can induce rapid regression of advanced HCC even after short-term treatment, and the initial response of HCC was identical in both patients. Since early elevation of DCP was observed in our patients with PR, DCP might be a predictive biomarker of anti-tumor response. Further studies are required to clarify the mechanisms underlying the effectiveness of sorafenib, including the alteration of DCP.

  10. Does a "Level I Evidence" rating imply high quality of reporting in orthopaedic randomised controlled trials?

    OpenAIRE

    Sierevelt Inger N; Krips Rover; Struijs Peter AA; Poolman Rudolf W; Lutz Kristina H; Bhandari Mohit

    2006-01-01

    Abstract Background The Levels of Evidence Rating System is widely believed to categorize studies by quality, with Level I studies representing the highest quality evidence. We aimed to determine the reporting quality of Randomised Controlled Trials (RCTs) published in the most frequently cited general orthopaedic journals. Methods Two assessors identified orthopaedic journals that reported a level of evidence rating in their abstracts from January 2003 to December 2004 by searching the instr...

  11. Influence of regulatory measures on the rate of spontaneous adverse drug reaction reporting in Italy.

    Science.gov (United States)

    Motola, Domenico; Vargiu, Antonio; Leone, Roberto; Conforti, Anita; Moretti, Ugo; Vaccheri, Alberto; Velo, Giampaolo; Montanaro, Nicola

    2008-01-01

    The reporting of adverse drug reactions (ADRs) is the mainstay of post-marketing surveillance systems. Under-reporting and selective reporting are considered the main limitations of a spontaneous reporting-based pharmacovigilance system. However, excessive reporting induced by external events may also impair signal detection by increasing the noise level. The aim of this study was to examine the influence of regulatory measures and other external factors on the rate of ADR reporting in Italy, focusing on four situations occurring in the last 10 years: ACE inhibitor-induced cough; HMG-CoA reductase inhibitors ('statins') and rhabdomyolysis; nimesulide and hepatic toxicity; and cyclo-oxygenase (COX)-2 selective inhibitors ('coxibs') and increase in cardiovascular risk. The study was based on data from spontaneous reporting in six Italian regions collected from January 1995 to December 2005. We analysed a 10-year period as a reasonable time interval around the four situations of interest, highlighting the influence of regulatory measures on the rate of ADR reporting (number of reports per million inhabitants). Chi-squared tests were used to assess the statistical significance of any changes in ADR reporting. Drug sales data were also studied to examine possible changes in drug use. Sales data were expressed as daily defined dose per 1000 inhabitants per day. ACE inhibitors: a 5-fold increase in the reporting rate of ACE inhibitor-induced cough was observed in 1998 and 1999 following a restriction on reimbursement for angiotensin receptor blockers introduced in 1998 and removed at the end of 1999. Statins: after the withdrawal of cerivastatin in 2001, the ADR reporting rate increased more than 4-fold, with musculoskeletal ADRs representing about 60% of all the ADRs reported in that year, and progressively decreased in the following years. Nimesulide: an increase in hepatic ADR reporting was observed after withdrawal of the drug from the Finnish and Spanish markets in

  12. No association between elevated thyroid-stimulating hormone (TSH at birth and parent-reported problem behavior at preschool age.

    Directory of Open Access Journals (Sweden)

    Caroline Trumpff

    2016-12-01

    Full Text Available Objectives: Mild level of iodine deficiency during pregnancy may reduce maternal thyroid hormone production and supply to the fetus hence affecting brain neurodevelopment. The aim of the present study was to investigate the association between elevated neonatal thyroid stimulating hormone (TSH level (>5 mU/L, used as a marker of maternal mild iodine deficiency during late pregnancy, and behavioral development of preschool children.Methods: This retrospective cohort study included 310 Belgian mothers and their children aged 4-5 years old with TSH levels in the range of 0.45-15 mU/L at birth. The TSH level was measured in dried blood spots on filter paper collected by heel stick three to five days after birth. Low birth weight, prematurely born children or children with congenital hypothyroidism were excluded. The degree of behavioral problems was evaluated using the Child Behavior Check List (CBCL for age 1½ to 5 Years questionnaire. Relevant socioeconomic, maternal and child factors were also collected.Results: TSH concentrations and CBCL scores were not associated both in univariate analysis and when adjusting for confounding factors in multivariate analysis.Discussion: Elevated TSH concentrations measured at birth was not associated with behavioral development scores.

  13. Energy policy act transportation study: Interim report on natural gas flows and rates

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1995-11-17

    This report, Energy Policy Act Transportation Study: Interim Report on Natural Gas Flows and Rates, is the second in a series mandated by Title XIII, Section 1340, ``Establishment of Data Base and Study of Transportation Rates,`` of the Energy Policy Act of 1992 (P.L. 102--486). The first report Energy Policy Act Transportation Study: Availability of Data and Studies, was submitted to Congress in October 1993; it summarized data and studies that could be used to address the impact of legislative and regulatory actions on natural gas transportation rates and flow patterns. The current report presents an interim analysis of natural gas transportation rates and distribution patterns for the period from 1988 through 1994. A third and final report addressing the transportation rates and flows through 1997 is due to Congress in October 2000. This analysis relies on currently available data; no new data collection effort was undertaken. The need for the collection of additional data on transportation rates will be further addressed after this report, in consultation with the Congress, industry representatives, and in other public forums.

  14. Report to the nation finds continuing declines in cancer death rates

    Science.gov (United States)

    Death rates from all cancers combined for men, women, and children continued to decline in the United States between 2004 and 2008, according to the Annual Report to the Nation on the Status of Cancer, 1975-2008. The overall rate of new cancer diagnoses,

  15. Predicting Ratings of Counselor Trainee Empathy with Self-Report Anxiety Measures and Skin Conductance.

    Science.gov (United States)

    Bowman, James T.; Giesen, J. Martin

    1982-01-01

    Investigated the degree of relationship between clients' and judges' ratings of counselor trainee (N=29) empathy and self-report anxiety and skin conductance measures. Results indicated the usefulness of anxiety measures to predict counselor empathy is predicated on the criterion for rating counselor empathy. (RC)

  16. Significantly lower pregnancy rates in the presence of progesterone elevation in patients treated with GnRH antagonists and gonadotrophins: a systematic review and meta-analysis.

    Science.gov (United States)

    Kolibianakis, E M; Venetis, C A; Bontis, J; Tarlatzis, B C

    2012-03-01

    The current meta-analysis aimed to answer the following research question: is progesterone elevation on the day of hCG administration associated with the probability of clinical pregnancy in women undergoing ovarian stimulation for IVF using GnRH antagonists? A literature search in MEDLINE, EMBASE and CENTRAL electronic databases followed by extensive hand-searching from two independent reviewers was performed to identify relevant studies. Eventually five eligible studies (n=585 patients) were identified. No significant differences were present between patients with and those without progesterone elevation regarding female age, duration of stimulation and total dose of gonadotrophins required. However, patients with progesterone elevation were characterized by higher serum estradiol levels on the day of hCG administration (+956 pg/ml, 95% +248 to +1664, random effects model, p=0.008) and more COCs retrieved (+2.9, 95% CI +1.5 to +4.4, fixed effects model, p decreased probability of clinical pregnancy per cycle (-9%, 95% CI -17 to -2, fixed model effects, p). In conclusion, in patients treated with GnRH antagonists and gonadotrophins, progesterone elevation on the day of hCG administration is significantly associated with a lower probability of clinical pregnancy.

  17. Elevated resting heart rate is associated with greater risk of cardiovascular and all-cause mortality in current and former smokers

    DEFF Research Database (Denmark)

    Jensen, Magnus T; Marott, Jacob L; Jensen, Gorm B

    2010-01-01

    . Current and former smokers had, irrespective of tobacco consumption, greater relative risk of elevated RHR compared to never smokers. The relative risk of all-cause mortality per 10bpm increase in RHR was (95% CI): 1.06 (1.01-1.10) in never smokers, 1.11 (1.07-1.15) in former smokers, 1.13 (1...

  18. Linking questionnaire reports and observer ratings of young couples’ hostility and support

    Science.gov (United States)

    Lorenz, Frederick O.; Melby, Janet N.; Conger, Rand D.; Surjadi, Florenzia F.

    2012-01-01

    Past studies have correlated observer ratings with questionnaire self- and partner-reports of behaviors in close relationships. However, few studies have actually proposed and tested longitudinal models that link observer ratings to past behaviors and to questionnaire self- and partner-reports of behaviors during an observational task. Using data from a panel of 324 young couples, we demonstrate that (1) observer ratings of hostility and support are significantly related to couple reports of the same behavior in the relationship two years earlier, and (2) respondent and partner questionnaire reports of hostility and support during the observational task converge with observer ratings of the same behavior even after controlling for earlier self- and partner-reports. These findings demonstrate that observer reports based on brief discussion tasks reflect the tenor of the relationship over a relatively long period of time. They also demonstrate that couple reports of hostile interactions reflect observable behaviors beyond that attributed to earlier self- and partner-reports. Consistent with previous research, effect sizes are larger for hostility than support but there are few differences between men and women. PMID:22662768

  19. Student Loans: Default Rates Need To Be Computed More Appropriately. Report to Congressional Requesters.

    Science.gov (United States)

    Hembra, Richard L.

    This report examines how the Department of Education calculates the default rate for two federal student loan programs--the Federal Family Education Loan program (FFELP) and the William D. Ford Federal Direct Loan Program (FDLP). The report focuses on three questions regarding these programs: (1) whether there has been an increase in the number of…

  20. Rating and Classification of Incident Reporting in Radiology in a Large Academic Medical Center.

    Science.gov (United States)

    Mansouri, Mohammad; Aran, Shima; Shaqdan, Khalid W; Abujudeh, Hani H

    2016-01-01

    The purpose of this article is to provide a rate of safety incident report of adverse events in a large academic radiology department and to share the various types that may occur. This is a Health Insurance Portability and Accountability Act compliant, institutional review board-approved study. Consent requirement was waived. All incident reports from April 2006-September 2012 were retrieved. Events were further classified as follows: diagnostic test orders, identity document or documentation or consent, safety or security or conduct, service coordination, surgery or procedure, line or tube, fall, medication or intravenous safety, employee general incident, environment or equipment, adverse drug reaction (ADR), skin or tissue, and diagnosis or treatment. Overall rates and subclassification rates were calculated. There were 10,224 incident reports and 4,324,208 radiology examinations (rate = 0.23%). The highest rates of the incident reports were due to diagnostic test orders (34.3%; 3509/10,224), followed by service coordination (12.2%; 1248/10,224) and ADR (10.3%; 1052/4,324,208). The rate of incident reporting was highest in inpatient (0.30%; 2949/970,622), followed by emergency radiology (0.22%; 1500/672,958) and outpatient (0.18%; 4957/2,680,628). Approximately 48.5% (4947/10,202) of incidents had no patient harm and did not affect the patient, followed by no patient harm, but did affect the patient (35.2%, 3589/10,202), temporary or minor patient harm (15.5%, 1584/10,202), permanent or major patient harm (0.6%, 62/10,202), and patient death (0.2%, 20/10,202). Within an academic radiology department, the rate of incident reports was only 0.23%, usually did not harm the patient, and occurred at higher rates in inpatients. The most common incident type was in the category of diagnostic test orders, followed by service coordination, and ADRs.

  1. The importance of rating scales in measuring patient-reported outcomes

    Directory of Open Access Journals (Sweden)

    Khadka Jyoti

    2012-07-01

    Full Text Available Abstract Background A critical component that influences the measurement properties of a patient-reported outcome (PRO instrument is the rating scale. Yet, there is a lack of general consensus regarding optimal rating scale format, including aspects of question structure, the number and the labels of response categories. This study aims to explore the characteristics of rating scales that function well and those that do not, and thereby develop guidelines for formulating rating scales. Methods Seventeen existing PROs designed to measure vision-related quality of life dimensions were mailed for self-administration, in sets of 10, to patients who were on a waiting list for cataract extraction. These PROs included questions with ratings of difficulty, frequency, severity, and global ratings. Using Rasch analysis, performance of rating scales were assessed by examining hierarchical ordering (indicating categories are distinct from each other and follow a logical transition from lower to higher value, evenness (indicating relative utilization of categories, and range (indicating coverage of the attribute by the rating scale. Results The rating scales with complicated question format, a large number of response categories, or unlabelled categories, tended to be dysfunctional. Rating scales with five or fewer response categories tended to be functional. Most of the rating scales measuring difficulty performed well. The rating scales measuring frequency and severity demonstrated hierarchical ordering but the categories lacked even utilization. Conclusion Developers of PRO instruments should use a simple question format, fewer (four to five and labelled response categories.

  2. Clinical pearls: factors affecting reported contraceptive efficacy rates in clinical studies.

    Science.gov (United States)

    Burkman, Ronald T

    2002-01-01

    Current combination oral contraceptives (OCs) are among the most popular, safe, and effective methods of reversible contraception. There are, however, many factors that can affect contraceptive failure rates as reported in clinical trials, including subject characteristics, factors related to study methodology and data analysis, and publication biases. The variability of these factors among clinical trials makes meaningful comparisons of contraceptive efficacy data across studies difficult, if not misleading or erroneous. It is even more difficult to reconcile the differences between clinical trial efficacy rates and everyday use rates; for instance, the National Survey of Family Growth reported that the rate of OC failure is close to 8% in the United States, which is higher than rates reported in clinical trials. Thus, it is important for the clinician to consider the many factors that can influence reporting of contraceptive failure rates in clinical trials and be aware of the limitations in differentiating OCs on the basis of contraceptive efficacy derived from clinical trial data. Furthermore, clinical trial data may not accurately predict contraceptive efficacy in everyday use.

  3. Concussion history and reporting rates in elite Irish rugby union players.

    Science.gov (United States)

    Fraas, Michael R; Coughlan, Garrett F; Hart, Emily C; McCarthy, Conor

    2014-08-01

    To determine the self-reported, seasonal rates of concussion and the reporting practices among Irish rugby union players. Descriptive epidemiology study. The study was conducted at the training grounds of four professional Irish rugby union clubs. One hundred seventy-two players (24.97 ± 4.11 years of age, 13.49 ± 5.79 years playing experience) gave consent to participate. Number of concussions reported during the 2010-2011 season, reasons for not reporting, and positions of concussed players. Forty-five percent of players reported at least one concussion during the 2010-2011 season, but only 46.6% of these presented to medical staff. The reasons for not reporting their concussions included, not thinking the injury was serious enough, and not wanting to be removed from the game. The relative proportion of concussions was higher for backs than forwards; however, the severity of injury was greater for forwards. Scrum-halves (12.0%) and flankers (10.9%) accounted for the majority of concussions reported. The self-reported rate of concussion in elite rugby union players in Ireland is higher than reported in other countries or other sports. Many concussions remain unreported and, therefore, unmanaged. However, recent changes in concussion management guidelines by the International Rugby Board may impact future reporting practices of players. Copyright © 2013 Elsevier Ltd. All rights reserved.

  4. Elevator and hydraulics; Elevator to yuatsu

    Energy Technology Data Exchange (ETDEWEB)

    Nakamura, I. [Hitachi, Ltd., Tokyo (Japan)

    1994-07-15

    A hydraulic type elevator is installed in relatively lower buildings as compared with a rope type elevator, but the ratio in the number of installation of the former elevator is increasing. This paper explains from its construction and features to especially various control systems for the riding comfort and safety. A direct push-up system with hydraulic jacks arranged beneath a car, and an indirect push-up system that has hydraulic jacks arranged on flank of a car and transmits the movement of a plunger via a rope are available. The latter system eliminates the need of large holes to embed hydraulic jacks. While the speed is controlled by controlling flow rates of high-pressure oil, the speed, position, acceleration and even time differential calculus of the acceleration must be controlled severely. The system uses two-step control for the through-speed and the landing speed. Different systems that have been realized may include compensation for temperatures in flow rate control valves, load pressures, and oil viscosity, from learning control to fuzzy control for psychological effects, or control of inverters in motors. 13 refs., 12 figs., 1 tab.

  5. Self and informant report ratings of psychopathology in genetic generalized epilepsy.

    Science.gov (United States)

    Loughman, Amy; Bowden, Stephen C; D'Souza, Wendyl J

    2017-02-01

    The psychological sequelae of genetic generalized epilepsies (GGE) is of growing research interest, with up to a third of all adults with GGE experiencing significant psychiatric comorbidity according to a recent systematic review. A number of unexplored questions remain. Firstly, there is insufficient evidence to determine relative prevalence of psychopathology between GGE syndromes. Secondly, the degree to which self-report and informant-report questionnaires accord in adults with epilepsy is unknown. Finally, while epilepsy severity is one likely predictor of worse psychopathology in GGE, evidence regarding other possible contributing factors such as epilepsy duration and antiepileptic drugs (AEDs) has been equivocal. The potential impact of subclinical epileptiform discharges remains unexplored. Self-report psychopathology symptoms across six DSM-Oriented Subscales were prospectively measured in 60 adults with GGE, with informant-report provided for a subset of 47. We assessed the burden of symptoms from both self- and informant-report, and the relationship between clinical epilepsy variables and self-reported symptoms. Results showed elevated symptoms in almost half of the sample overall. Depression and anxiety were the most commonly reported types of symptoms. There was a trend towards greater symptoms endorsement by self-report, and relatively modest interrater agreement. Symptoms of ADHD were significantly positively associated with number of AEDs currently prescribed. Other psychopathology symptoms were not significantly predicted by epilepsy duration, seizure-free duration or total duration of epileptiform discharges over a 24-hour period. The high prevalence of psychological needs suggests that routine screening of psychopathology and provision of psychoeducation may be essential to improving patient care and outcomes. Further investigation is required to better understand predictive and causal factors for psychopathology in GGE. Copyright © 2016

  6. Bucket elevator

    OpenAIRE

    2016-01-01

    Cílem této bakalářské práce je návrh svislého korečkového elevátoru, který má sloužit k dopravě obilovin s dopravní výškou 19 m a dopravovaným množstvím 100 t/hod. Práce se skládá z popisu korečkového elevátoru a jeho hlavních částí, zmiňující se v úvodní rešerši. Tato práce je zaměřena na funkční a kapacitní výpočet, určení pohonu a napínacího zařízení. Další výpočet je kontrolní, skládající se z pevnostní kontroly hnacího hřídele, výpočtu pera, životnosti ložisek a výpočtu napínacího zaříze...

  7. Final Technical Report: Response of Mediterranean-Type Ecosystems to Elevated Atmospheric CO2 and Associated Climate Change

    Energy Technology Data Exchange (ETDEWEB)

    Oechel, Walter C

    2002-08-15

    This research incorporated an integrated hierarchical approach in space, time, and levels of biological/ecological organization to help understand and predict ecosystem response to elevated CO{sub 2} and concomitant environmental change. The research utilized a number of different approaches, and collaboration of both PER and non-PER investigators to arrive at a comprehensive, integrative understanding. Central to the work were the CO{sub 2}-controlled, ambient Lit, Temperature controlled (CO{sub 2}LT) null-balance chambers originally developed in the arctic tundra, which were re-engineered for the chaparral with treatment CO{sub 2} concentrations of from 250 to 750 ppm CO{sub 2} in 100 ppm increments, replicated twice to allow for a regression analysis. Each chamber was 2 meters on a side and 2 meters tall, which were installed over an individual shrub reprouting after a fire. This manipulation allowed study of the response of native chaparral to varying levels of CO{sub 2}, while regenerating from an experimental burn. Results from these highly-controlled manipulations were compared against Free Air CO{sub 2} Enrichment (FACE) manipulations, in an area adjacent to the CO{sub 2}LT null balance greenhouses. These relatively short-term results (5-7 years) were compared to long-term results from Mediterranean-type ecosystems (MTEs) surrounding natural CO{sub 2} springs in northern Italy, near Laiatico, Italy. The springs lack the controlled experimental rigor of our CO{sub 2}LT and FACE manipulation, but provide invaluable validation of our long-term predictions.

  8. Digital elevation models in 10 minute time steps - a status report on 4D monitoring of an active erosional scar

    Science.gov (United States)

    Kaiser, Andreas; Neugirg, Fabian; Hass, Erik; Jose, Steffen; Haas, Florian; Schmidt, Jürgen

    2016-04-01

    In erosional research a variety of processes are well understood and have been mimicked under laboratory conditions. In complex natural systems such as Alpine environments a multitude of influencing factors tend to superimpose single processes in a mixed signal which impedes a reliable interpretation. These mixed signals can already be captured by geoscientific research approaches such as sediment collectors, erosion pins or remote sensing surveys. Nevertheless, they fail to distinguish between single processes and their individual impact on slope morphology. Throughout the last two years a highly active slope of unsorted glacial deposits in the northern Alps has been monitored by repeated terrestrial laser scans roughly every three months. Resulting high resolution digital elevation models of difference were produced to identify possible seasonal patterns. By reproducing the TLS results with a physically based erosion model (EROSION 3D) ran with in situ input data from rainfall simulations and a climate station a better understanding of individual mechanism could be achieved. However, the already elaborate combination of soil science and close range remote sensing could not answer all questions concerning the slopes behaviour, especially not for freeze and thaw cycles and the winter period. Therefore, an array of three fully automatic synchronised cameras was setup to generate continuous 3D surface models. Among the main challenges faced for the system were the energy supply and durability, perspectives of the cameras to avoid shadowing and to guarantee sufficient overlap, a certain robustness to withstand rough alpine weather conditions, the scaling of each 3D model by tracked ground control points and the automatic data handling. First results show individual processes sculpting the slope's morphology but further work is required to improve automatic point cloud creation and change monitoring.

  9. Self-reported social skills impairment explains elevated autistic traits in individuals with generalized social anxiety disorder.

    Science.gov (United States)

    Tonge, Natasha A; Rodebaugh, Thomas L; Fernandez, Katya C; Lim, Michelle H

    2016-03-01

    Screening for autism in individuals with generalized social anxiety disorder (GSAD) is complicated by symptom overlap between GSAD and autism spectrum disorder (ASD). We examined the prevalence of self-reported autistic traits within a sample of participants with a diagnosis of GSAD (n=37) compared to individuals without a GSAD diagnosis (NOSAD; n=26). Of the GSAD sample participants, 70.84% self-reported autistic traits above a cut-off of 65 on the Autism Quotient-Short (AQ-S) and reported significantly more autistic traits on 3 of 5 AQ-S subscales compared to the NOSAD group. Diagnosis uniquely predicted variation in the social skills subscale above and beyond the other subscales and other predictors. Furthermore, variation in the social skills subscale largely explained group differences on the other subscales. Our results suggest caution in utilizing measures like the AQ-S with clinical populations characterized by social difficulties such as individuals with a GSAD diagnosis.

  10. Does a "Level I Evidence" rating imply high quality of reporting in orthopaedic randomised controlled trials?

    Directory of Open Access Journals (Sweden)

    Sierevelt Inger N

    2006-09-01

    Full Text Available Abstract Background The Levels of Evidence Rating System is widely believed to categorize studies by quality, with Level I studies representing the highest quality evidence. We aimed to determine the reporting quality of Randomised Controlled Trials (RCTs published in the most frequently cited general orthopaedic journals. Methods Two assessors identified orthopaedic journals that reported a level of evidence rating in their abstracts from January 2003 to December 2004 by searching the instructions for authors of the highest impact general orthopaedic journals. Based upon a priori eligibility criteria, two assessors hand searched all issues of the eligible journal from 2003–2004 for RCTs. The assessors extracted the demographic information and the evidence rating from each included RCT and scored the quality of reporting using the reporting quality assessment tool, which was developed by the Cochrane Bone, Joint and Muscle Trauma Group. Scores were conducted in duplicate, and we reached a consensus for any disagreements. We examined the correlation between the level of evidence rating and the Cochrane reporting quality score. Results We found that only the Journal of Bone and Joint Surgery – American Volume (JBJS-A used a level of evidence rating from 2003 to 2004. We identified 938 publications in the JBJS-A from January 2003 to December 2004. Of these publications, 32 (3.4% were RCTs that fit the inclusion criteria. The 32 RCTs included a total of 3543 patients, with sample sizes ranging from 17 to 514 patients. Despite being labelled as the highest level of evidence (Level 1 and Level II evidence, these studies had low Cochrane reporting quality scores among individual methodological safeguards. The Cochrane reporting quality scores did not differ significantly between Level I and Level II studies. Correlations varied from 0.0 to 0.2 across the 12 items of the Cochrane reporting quality assessment tool (p > 0.05. Among items closely

  11. Predicting changes in reported notifiable disease rates for New Zealand using a SIR modelling approach

    Science.gov (United States)

    McBride, Graham; Slaney, David; Tait, Andrew

    2013-04-01

    The New Zealand health system has defined as 'notifiable' over 50 diseases. Of these campylobacteriosis is the most commonly reported comprising 41% of all notifications in 2011 (presently about 150 illness cases per 100,000 population per annum). Furthermore, the incidence of this mild illness, which is potentially waterborne, is under-reported by at least an order-of-magnitude. Increased downstream pathogen loads and/or disease incidence have been found to be associated with increased rainfall, particularly in agricultural landscapes. Therefore, given the predominance of agricultural land uses in New Zealand, transmission and exposure to its agent (thermotolerant Campylobacter bacteria) may be affected by changing rainfall and temperature patterns associated with climate change. Reporting rates for other potentially water-borne zoonoses are also noticeable (for example, the reported rate for cryptosporidiosis for 2011 was 14 per 100,000 population). The distribution of Cryptosporidium oocysts in the environment may be influenced by climate change because it has often been implicated in drinking-water contamination, and heavy rainfall events have been found to be associated with increased pathogen loads in rivers and disease incidence. Given this background, which may also be applicable to other countries with agriculturally-dominated landscapes, a New Zealand study was initiated to develop a decision-support system for the projected effects of climate change on a selected suite of environmentally-transmitted pathogens, including Campylobacter and Cryptosporodium oocysts. Herein we report on the manner in which a linear SIR (Susceptible-Ill-Recovered) model previously developed for campylobacteriosis can be extended to cryptosporidiosis, applied to changes in pathogen contact rate and hence reported illness, and coupled to climate change projections associated with different greenhouse gas emission scenarios. The resulting SIR model outputs provided projected

  12. Effects of p-Synephrine alone and in Combination with Selected Bioflavonoids on Resting Metabolism, Blood Pressure, Heart Rate and Self-Reported Mood Changes

    Directory of Open Access Journals (Sweden)

    Sidney J. Stohs, Harry G Preuss, Samuel C. Keith, Patti L. Keith, Howard Miller, Gilbert R. Kaats

    2011-01-01

    Full Text Available Bitter orange (Citrus aurantium extract is widely used in dietary supplements for weight management and sports performance. Its primary protoalkaloid is p-synephrine. Most studies involving bitter orange extract and p-synephrine have used products with multiple ingredients. The current study assessed the thermogenic effects of p-synephrine alone and in conjunction with the flavonoids naringin and hesperidin in a double-blinded, randomized, placebo-controlled protocol with 10 subjects per treatment group. Resting metabolic rates (RMR, blood pressure, heart rates and a self-reported rating scale were determined at baseline and 75 min after oral ingestion of the test products in V-8 juice. A decrease of 30 kcal occurred in the placebo control relative to baseline. The group receiving p-synephrine (50 mg alone exhibited a 65 kcal increase in RMR as compared to the placebo group. The consumption of 600 mg naringin with 50 mg p-synephrine resulted in a 129 kcal increase in RMR relative to the placebo group. In the group receiving 100 mg hesperidin in addition to the 50 mg p-synephrine plus 600 mg naringin, the RMR increased by 183 kcal, an increase that was statistically significant with respect to the placebo control (p<0.02. However, consuming 1000 mg hesperidin with 50 mg p-synephrine plus 600 mg naringin resulted in a RMR that was only 79 kcal greater than the placebo group. None of the treatment groups exhibited changes in heart rate or blood pressure relative to the control group, nor there were no differences in self-reported ratings of 10 symptoms between the treatment groups and the control group. This unusual finding of a thermogenic combination of ingredients that elevated metabolic rates without corresponding elevations in blood pressure and heart-rates warrants longer term studies to assess its value as a weight control agent.

  13. Severe Sweet's Syndrome with Elevated Cutaneous Interleukin-1β after Azathioprine Exposure: Case Report and Review of the Literature.

    Science.gov (United States)

    Imhof, Laurence; Meier, Barbara; Frei, Pascal; Kamarachev, Jivko; Rogler, Gerhard; Kolios, Antonios; Navarini, Alexander A; Contassot, Emmanuel; French, Lars E

    2015-01-01

    Sweet's syndrome (SS) is a dermatosis with systemic symptoms characterized by tender, red nodules or papules, occasionally covered with vesicles, pustules or bullae, usually affecting the upper limbs, face and neck. SS is frequently observed in patients with leukemia or connective tissue diseases, while it is rather seldom in patients with inflammatory bowel disease. The exact pathogenesis of SS is only partially understood. We report the case of a 50-year-old patient with indeterminate colitis, presenting with a febrile diffuse papulopustular and necrotizing skin eruption that healed with significant scarring and appeared 14 days after onset of treatment with azathioprine. Histological examination revealed the presence of features typical of SS, gene expression analysis very high levels of interleukin-1β (IL-1β) mRNA in lesional skin, and immunohistochemistry high levels of IL-1β at the protein level. SS associated with azathioprine is being increasingly reported and is reviewed herein.

  14. A Self-Reported Adherence Measure to Screen for Elevated HIV Viral Load in Pregnant and Postpartum Women on Antiretroviral Therapy

    Science.gov (United States)

    Brittain, Kirsty; Mellins, Claude A.; Zerbe, Allison; Remien, Robert H.; Abrams, Elaine J.; Myer, Landon; Wilson, Ira B.

    2016-01-01

    Maternal adherence to antiretroviral therapy (ART) is a concern and monitoring adherence presents a significant challenge in low-resource settings. We investigated the association between self-reported adherence, measured using a simple three-item scale, and elevated viral load (VL) among HIV-infected pregnant and postpartum women on ART in Cape Town, South Africa. This is the first reported use of this scale in a non-English speaking setting and it achieved good psychometric characteristics (Cronbach α = 0.79). Among 452 women included in the analysis, only 12 % reported perfect adherence on the self-report scale, while 92 % had a VL <1000 copies/mL. Having a raised VL was consistently associated with lower median adherence scores and the area under the curve for the scale was 0.599, 0.656 and 0.642 using a VL cut-off of ≥50, ≥1000 and ≥10000 copies/mL, respectively. This simple self-report adherence scale shows potential as a first-stage adherence screener in this setting. Maternal adherence monitoring in low resource settings requires attention in the era of universal ART, and the value of this simple adherence scale in routine ART care settings warrants further investigation. PMID:27278548

  15. Predictive value of self-reported and observer-rated defense style in depression treatment.

    NARCIS (Netherlands)

    Van, H.L.; Dekker, J.J.M.; Peen, J.; Abraham, R.E.; Schoevers, R.

    2009-01-01

    This study explored the predictive value of observer-rated and self-reported defensive functioning on the outcome of psychotherapy for the treatment of depression. Defense styles were measured according to the Developmental Profile (DP) and the Defense Style Questionnaire (DSQ) in 81 moderately seve

  16. Technical Adequacy of the Disruptive Behavior Rating Scale-2nd Edition--Self-Report

    Science.gov (United States)

    Erford, Bradley T.; Miller, Emily M.; Isbister, Katherine

    2015-01-01

    This study provides preliminary analysis of the Disruptive Behavior Rating Scale-2nd Edition--Self-Report, which was designed to screen individuals aged 10 years and older for anxiety and behavior symptoms. Score reliability and internal and external facets of validity were good for a screening-level test.

  17. Elevated resting heart rate is associated with greater risk of cardiovascular and all-cause mortality in current and former smokers

    DEFF Research Database (Denmark)

    Jensen, Magnus T; Marott, Jacob L; Jensen, Gorm B

    2010-01-01

    . Current and former smokers had, irrespective of tobacco consumption, greater relative risk of elevated RHR compared to never smokers. The relative risk of all-cause mortality per 10bpm increase in RHR was (95% CI): 1.06 (1.01-1.10) in never smokers, 1.11 (1.07-1.15) in former smokers, 1.13 (1.......09-1.16) in moderate smokers, and 1.13 (1.10-1.16) in heavy smokers. There was no gender difference. The risk estimates for cardiovascular and all-cause mortality were essentially similar. In univariate analyses, the difference in survival between a RHR in the highest (>80bpm) vs lowest quartile (...

  18. [Metaanalysis to estimate the expected drop out-rates reported in clinical trials on cataract surgery].

    Science.gov (United States)

    Knippschild, S; Hirsch, J; Krummenauer, F

    2014-02-01

    A realistic sample size calculation is crucial to achieve significant results in clinical trials. As an expected drop out-rate has to be included in the sample size calculation, current practice consists in the presumption of drop out-rates published in previous similar investigations. This approach may, however, result in severely over- or under-estimated sample sizes. Therefore this meta-analysis sought to aggregate the drop out-rates from published clinical trial reports on cataract surgery to derive a quantitative suggestion for the planning of future clinical trials. The data collection was a complete review of all prospective and retrospective studies in five journals of the years 2002-2012; trial-wise recall rates of subjects at follow-up 3, 6, 12, and 24 months after recruitment were documented. The primary endpoint of the meta-analysis was the reported drop out-rates after 6 months. 95 % confidence intervals were calculated for each trial, respectively; a median drop out-rate was estimated including its 95 % confidence interval. The drop-out-rate estimates were furthermore stratified by design characteristics of the reported studies. For randomised clinical trials on cataract surgery, the median drop out-rate increased during the follow-up period of 24 months from 4 % at three months to 17 % at 24 months after recruitment; for the six-month drop out-rate a median drop-out rate of 3 % (95 % CI 0 %; 14 %) was estimated. Drop out-rates in sample size calculations for clinical trials on cataract surgery were found to be over-estimated in general, ending up in the calculation of overly large patient numbers and thereby in both ethical and economic consequences. For randomised clinical trials on cataract surgery the median drop out-rate can be expected to be 5 % during a six-month follow-up and may rise up to 15 % during a 12-month trial period. Georg Thieme Verlag KG Stuttgart · New York.

  19. Tenecteplase for ST-elevation myocardial infarction in a patient treated with drotrecogin alfa (activated for severe sepsis: a case report

    Directory of Open Access Journals (Sweden)

    Barra Lillian

    2009-11-01

    Full Text Available Abstract Introduction Drotrecogin alfa (activated (DrotAA, an activated protein C, promotes fibrinolysis in patients with severe sepsis. There are no reported cases or studies that address the diagnosis and treatment of myocardial infarction in septic patients treated with DrotAA. Case presentation A 59-year-old Caucasian man with septic shock secondary to community-acquired pneumonia treated with DrotAA, subsequently developed an ST-elevation myocardial infarction 12 hours after starting DrotAA. DrotAA was stopped and the patient was given tenecteplase thrombolysis resulting in complete resolution of ST-elevation and no adverse bleeding events. DrotAA was restarted to complete the 96-hour course. The sepsis resolved and the patient was discharged from hospital. Conclusion In patients with severe sepsis or septic shock complicated by myocardial infarction, it is difficult to determine if the myocardial infarction is an isolated event or caused by the sepsis process. The efficacy and safety of tenecteplase thrombolysis in septic patients treated with DrotAA need further study.

  20. Lithium toxicity in a neonate owing to false elevation of blood lithium levels caused by contamination in a lithium heparin container: case report and review of the literature.

    Science.gov (United States)

    Arslan, Zainab; Athiraman, Naveen K; Clark, Simon J

    2016-08-01

    Lithium toxicity in a neonate can occur owing to antenatal exposure as a result of maternal treatment for psychiatric illnesses. False elevation of lithium levels has been reported in the paediatric population when the sample was mistakenly collected in a lithium heparin container. A term, male infant was born to a mother who was on lithium treatment for a psychiatric illness. On day 1, the infant was jittery, had a poor suck with difficulties in establishing feeds. Blood taken from the infant approximately 8 hours after birth demonstrated a lithium level of 4.9 mmol/L (adult toxic level w1.5 mmol/L). However, the sample for lithium levels was sent in a lithium heparin container and the probability of false elevation was considered. He was closely monitored in the neonatal intensive care unit and his hydration was optimised with intravenous fluids. Clinically, he remained well and commenced feeding, and his jitteriness had decreased the following day. A repeat blood lithium level, collected in a gel container, was only 0.4 mmol/L. The initially raised lithium level was owing to contamination from the lithium heparin container.

  1. Tribute to dr louis keith: twin and physician extraordinaire/twin research reports: influences on asthma severity; chimerism revisited; DNA strand break repair/media reports: twins born apart; elevated twin frequencies; celebrity father of twins; conjoined twinning.

    Science.gov (United States)

    Segal, Nancy L

    2014-10-01

    The International Society for Twin Studies has lost a valued friend and colleague. Dr Louis Keith, Emeritus Professor of Obstetrics and Gynecology at Northwestern University, in Chicago, passed away on Sunday, July 6, 2014. His life and work with twins will be acknowledged at the November 2014 International Twin Congress in Budapest, Hungary. Next, twin research reports on the severity of asthma symptoms, a case of chimerism, and factors affecting DNA breakage and repair mechanisms are reviewed. Media reports cover twins born apart, elevated twin frequencies, a celebrity father of twins, and a family's decision to keep conjoined twins together.

  2. Field studies of sweet potatoes and cowpeas in response to elevated carbon dioxide. Progress report. [Ipomoea batatas; Vigna unguiculata

    Energy Technology Data Exchange (ETDEWEB)

    Biswas, P.K.

    1985-01-01

    The physiological and biochemical effects of enriched CO/sub 2/ on sweet potatoes and cowpeas were studied in open top chambers. The main task was to assemble equipment to generate test atmospheres of CO/sub 2/ in the field, using open top chambers as the basic exposure unit for studying the response of sweet potatoes and cowpeas to enriched CO/sub 2/. Plant responses to CO/sub 2/ in open top chambers have been demonstrated by several investigators in a variety of crops. This study focused on growth and development of both sweet potatoes and cowpeas at levels of CO/sub 2/ ranging from the ambient level of 354 ppM to 659 ppM. The effects of CO/sub 2/ on leaf and stem weights, stem length, leaf area, and stomatal number and conductance were studied on both species. Additional studies on sweet potatoes included the effects of CO/sub 2/ on the weight, chemical content and quality of tubers. Additional studies on cowpeas included the effects of CO/sub 2/ on the weight of seeds and rate of nitrogen fixation. 27 figs., 35 tabs. (ACR)

  3. The relations between personality traits and psychopathy as measured by ratings and self-report

    Directory of Open Access Journals (Sweden)

    Kujačić Daliborka

    2015-01-01

    Full Text Available The objective of this study was to examine the relations between psychopathy - as assessed by ratings (PCL-R and by self-report (SRP3 - on one side, and The Five-Factor personality Model - expanded to include the traits Amorality and Disintegration - on the other. Both methods examined four traits of psychopathy: interpersonal, affective, lifestyle and antisocial characteristics. Data were collected on a sample of 112 male convicts. The results show the absence of congruence between the two methods - self-report and rating - in case of interpersonal and affective psychopathic dispositions. This incongruence is also reflected in their relations with personality traits. The self-report measures and the ratings of Lifestyle and Antisocial tendencies are related to amorality, aggressiveness, schizotypy, Neuroticism and impulsivity. However, the ratings of affective and interpersonal style are related to the integrated, organized, and emotionally stable aspects of personality. The results are interpreted in the light of differences between the methods of assessment and in the light of the essential characteristics of the psychopathic phenomena.

  4. Status Report - Cane Fiberboard Properties And Degradation Rates For Storage Of The 9975 Shipping Package In KAC

    Energy Technology Data Exchange (ETDEWEB)

    Daugherty, W. [Savannah River Site (SRS), Aiken, SC (United States). Savannah River National Lab. (SRNL)

    2015-12-22

    Thermal, mechanical and physical properties have been measured on cane fiberboard samples following accelerated aging for up to approximately 10 years. The aging environments have included elevated temperature < 250 ºF (the maximum allowed service temperature for fiberboard in 9975 packages) and elevated humidity. The results from this testing have been analyzed, and aging models fit to the data. Correlations relating several properties (thermal conductivity, energy absorption, weight, dimensions and density) to their rate of change in potential storage environments have been developed. Combined with an estimate of the actual conditions the fiberboard experiences in KAC, these models allow development of service life predictions.

  5. Status Report - Softwood Fiberboard Properties And Degradation Rates For Storage Of The 9975 Shipping Package In KAC

    Energy Technology Data Exchange (ETDEWEB)

    Daugherty, W. [Savannah River Site (SRS), Aiken, SC (United States). Savannah River National Lab. (SRNL)

    2015-12-22

    Thermal, mechanical and physical properties have been measured on softwood fiberboard samples following accelerated aging for up to approximately 7 years. The aging environments have included elevated temperature < 250 ºF (the maximum allowed service temperature for fiberboard in 9975 packages) and elevated humidity. The results from this testing have been analyzed, and preliminary aging models fit to the data. Correlations relating several properties (thermal conductivity, energy absorption, weight, dimensions and density) to their rate of change in potential storage environments have been developed. Combined with acceptance criteria and an estimate of the actual conditions the fiberboard experiences in KAC, these models allow development of service life predictions.

  6. Reporting success rates in the treatment of vestibular schwannomas: are we accounting for the natural history?

    Science.gov (United States)

    Miller, Timothy; Lau, Tsz; Vasan, Rohit; Danner, Christopher; Youssef, A Samy; van Loveren, Harry; Agazzi, Siviero

    2014-06-01

    Stereotactic radiosurgery is generally accepted as one of the best treatment options for vestibular schwannomas. We question whether growth control is an accurate measure of success in vestibular schwannoma treatment. We aim to clarify the success rate of stereotactic radiosurgery and adjust the reported results to the benign natural history of untreated tumors. All articles were taken from a PubMed search of the English literature from the years 2000-2011. Inclusion criteria were articles containing the number of patients treated, radiation technique, average tumor size, follow-up time, and percentage of tumors growing during follow-up. Data were extracted from 19 articles. Success rates were adjusted using published data that 17% to 30% of vestibular schwannomas grow. The average reported success rate for stereotactic radiosurgery across all articles was 95.5%. When considering 17% or 30% natural growth without intervention, the adjusted success rates became 78.2% and 86.9% respectively. These rates were obtained by applying the natural history growth percentages to any tumors not reported to be growing before radiosurgical intervention. Success in the treatment of vestibular schwannomas with stereotactic radiosurgery is often defined as lack of further growth. Recent data on the natural growth history of vestibular schwannomas raise the question of whether this is the best definition of success. We have identified a lack of continuity regarding the reporting of success and emphasize the importance of the clarification of the success of radiosurgery to make informed decisions regarding the best treatment options for vestibular schwannoma.

  7. Voluntarily Reported Immunization Registry Data: Reliability and Feasibility to Predict Immunization Rates, San Diego, California, 2013.

    Science.gov (United States)

    Madewell, Zachary J; Wester, Robert B; Wang, Wendy W; Smith, Tyler C; Peddecord, K Michael; Morris, Jessica; DeGuzman, Heidi; Sawyer, Mark H; McDonald, Eric C

    Accurate data on immunization coverage levels are essential to public health program planning. Reliability of coverage estimates derived from immunization information systems (IISs) in states where immunization reporting by medical providers is not mandated by the state may be compromised by low rates of participation. To overcome this problem, data on coverage rates are often acquired through random-digit-dial telephone surveys, which require substantial time and resources. This project tested both the reliability of voluntarily reported IIS data and the feasibility of using these data to estimate regional immunization rates. We matched telephone survey records for 553 patients aged 19-35 months obtained in 2013 to 430 records in the San Diego County IIS. We assessed concordance between survey data and IIS data using κ to measure the degree of nonrandom agreement. We used multivariable logistic regression models to investigate differences among demographic variables between the 2 data sets. These models were used to construct weights that enabled us to predict immunization rates in areas where reporting is not mandated. We found moderate agreement between the telephone survey and the IIS for the diphtheria, tetanus, and acellular pertussis (κ = 0.49), pneumococcal conjugate (κ = 0.49), and Haemophilus influenzae type b (κ = 0.46) vaccines; fair agreement for the varicella (κ = 0.39), polio (κ = 0.39), and measles, mumps, and rubella (κ = 0.35) vaccines; and slight agreement for the hepatitis B vaccine (κ = 0.17). Consistency in factors predicting immunization coverage levels in a telephone survey and IIS data confirmed the feasibility of using voluntarily reported IIS data to assess immunization rates in children aged 19-35 months.

  8. Development of the self-report version of the Zanarini Rating Scale for Borderline Personality Disorder.

    Science.gov (United States)

    Zanarini, Mary C; Weingeroff, Jolie L; Frankenburg, Frances R; Fitzmaurice, Garrett M

    2015-11-01

    The purpose of this study was to assess the psychometric properties of the self-report version of the Zanarini Rating Scale for Borderline Personality Disorder (ZAN-BPD). The measure covers a 1-week time frame, and each of the nine criteria for BPD is rated on a five-point anchored rating scale of 0-4. Seventy-five subjects meeting DSM-IV criteria for BPD were recruited from the community. The convergent validity of the interview and self-report versions of the ZAN-BPD was found to be high (with a median value of 0.70). In terms of reliability, the internal consistency of the nine criteria scores of the ZAN-BPD was found to be good (Cronbach's alpha = 0.84). In addition, 13 of 14 intraclass correlations for same-day test-retest reliability were in the excellent range (> 0.75). Finally, the sensitivity of both versions of the ZAN-BPD to change was assessed 7-10 days after they were first administered and found to be adequate (e.g. r = 0.66 for total score of ZAN-BPD). Taken together, the results of this study suggest that the self-report ZAN-BPD is a promising self-report scale for the assessment of change in the severity of borderline psychopathology over time.

  9. Pilot States Program report: Home energy ratings systems and energy-efficient mortgages

    Energy Technology Data Exchange (ETDEWEB)

    Farhar, B.

    2000-04-04

    This report covers the accomplishments of the home energy ratings systems/energy-efficient mortgages (HERS/EEMs) pilot states from 1993 through 1998, including such indicators as funding, ratings and EEMs achieved, active raters, and training and marketing activities. A brief description of each HERS program's evolution is included, as well as their directors' views of the programs' future prospects. Finally, an analysis is provided of successful HERS program characteristics and factors that appear to contribute to HERS program success.

  10. Self-report and observer ratings of personality functioning: a study of the OPD system.

    Science.gov (United States)

    Dinger, Ulrike; Schauenburg, Henning; Hörz, Susanne; Rentrop, Michael; Komo-Lang, Miriam; Klinkerfuß, Mathias; Köhling, Johanna; Grande, Tilman; Ehrenthal, Johannes C

    2014-01-01

    Recent considerations around DSM-5 criteria of personality disorders (PDs) demand new concepts of assessing levels of personality functioning. Of special interest are multiperspective approaches accounting for clinicians' as well as patients' points of view. The study investigates observer-rated and self-assessed levels of personality functioning measured by the level of structural integration as defined by the Operationalized Psychodynamic Diagnosis System (OPD). Both perspectives were positively related. The combination of both measures was most efficient in discriminating among 3 diagnostic groups of varying degrees of personality dysfunction. Future studies should take into account expert ratings as well as self-report data.

  11. Radio frequency elevator for a pulsed positron beam

    Science.gov (United States)

    Dickmann, Marcel; Mitteneder, Johannes; Kögel, Gottfried; Egger, Werner; Sperr, Peter; Ackermann, Ulrich; Piochacz, Christian; Dollinger, Günther

    2016-06-01

    An elevator increases the potential energy of a particle beam with respect to ground potential without any alteration of kinetic energy and other beam parameters. This elevator is necessary for the implementation of the Munich Scanning Positron Microscope (SPM) at the intense positron source NEPOMUC at the research reactor FRM II in Munich. The principles of the rf elevator for pure electrostatically guided positrons are described. Measurements of beam quality behind the elevator are reported, which confirm that after the implementation of elevator and SPM at NEPOMUC the SPM can be operated at a considerably improved resolution (~ 0.3 μm) and event rate (~3.7 kHz) compared to the laboratory based β+-source.

  12. Testing the impact of local alcohol licencing policies on reported crime rates in England

    Science.gov (United States)

    De Vocht, F; Heron, J; Campbell, R; Egan, M; Mooney, J D; Angus, C; Brennan, A; Hickman, M

    2017-01-01

    Background Excessive alcohol use contributes to public nuisance, antisocial behaviour, and domestic, interpersonal and sexual violence. We test whether licencing policies aimed at restricting its spatial and/or temporal availability, including cumulative impact zones, are associated with reductions in alcohol-related crime. Methods Reported crimes at English lower tier local authority (LTLA) level were used to calculate the rates of reported crimes including alcohol-attributable rates of sexual offences and violence against a person, and public order offences. Financial fraud was included as a control crime not directly associated with alcohol abuse. Each area was classified as to its cumulative licensing policy intensity for 2009–2015 and categorised as ‘passive’, low, medium or high. Crime rates adjusted for area deprivation, outlet density, alcohol-related hospital admissions and population size at baseline were analysed using hierarchical (log-rate) growth modelling. Results 284 of 326 LTLAs could be linked and had complete data. From 2009 to 2013 alcohol-related violent and sexual crimes and public order offences rates declined faster in areas with more ‘intense’ policies (about 1.2, 0.10 and 1.7 per 1000 people compared with 0.6, 0.01 and 1.0 per 1000 people in ‘passive’ areas, respectively). Post-2013, the recorded rates increased again. No trends were observed for financial fraud. Conclusions Local areas in England with more intense alcohol licensing policies had a stronger decline in rates of violent crimes, sexual crimes and public order offences in the period up to 2013 of the order of 4–6% greater compared with areas where these policies were not in place, but not thereafter. PMID:27514936

  13. Reduction in Surgical Wound Infection Rates Associated with Reporting Data to Surgeons

    Directory of Open Access Journals (Sweden)

    GD Taylor

    1994-01-01

    Full Text Available Several studies have shown that wound infection (surgical site infection [ ssi ] rates fall when surgeons are provided with data on their performance. Since 1987, the authors have been performing concurrent surveillance of surgical patients and confidentially reporting surgeon-specific ssi rates to individual surgeons and their clinical directors, and providing surgeons with the mean rates of their peers. The program has been gradually refined and expanded. Data are now collected on wound infection risk and report risk adjusted rates compared with the mean for hospitals in the United States National Nosocomial Infections Surveillance (nnis data bank. Since inception through to December 1993, ssi rates have fallen 68% in clean contaminated general surgery cases (relative risk [rr] 0.36, 95% ci 0.2 to 0.6, P=0.0001, 64% in clean plastic surgery cases (rr 0.35, 95% ci 0.06 to 1.8, 72% in caesarean section cases (rr 0.23, 95% ci 0.03 to 1.96 and 42% in clean cardiovascular surgery cases (rr 0.59, 95% ci 0.34 to 1.0. In clean orthopedic surgery the ssi rate remained stable from 1987 through 1992. In 1993 a marked increase was experienced. Reasons for this are being explored. Overall there was a 32% decrease in ssi rate between the index year and 1993 or, in percentage terms, 2.8% to 1.9% (rr 0.65, 95% ci 0.51 to 0.86, P=0.002. ssi surveillance should become standard in Canadian hospitals interested in improving the quality of surgical care and reducing the clinical impact and cost associated with nosocomial infection.

  14. FEMA DFIRM Base Flood Elevations

    Data.gov (United States)

    Minnesota Department of Natural Resources — The Base Flood Elevation (BFE) table is required for any digital data where BFE lines will be shown on the corresponding Flood Insurance Rate Map (FIRM). Normally,...

  15. Base Flood Elevation (BFE) Lines

    Data.gov (United States)

    Department of Homeland Security — The Base Flood Elevation (BFE) table is required for any digital data where BFE lines will be shown on the corresponding Flood Insurance Rate Map (FIRM). Normally if...

  16. Impact of low-dose acetylsalicylic acid on kidney function in type 2 diabetic patients with elevated urinary albumin excretion rate

    DEFF Research Database (Denmark)

    Gaede, Peter; Hansen, Henrik Post; Parving, Hans-Henrik

    2003-01-01

    Low-dose treatment with acetylsalicylic acid (ASA) is widely recommended to type 2 diabetic patients as primary prevention against cardiovascular disease. High-dose treatment with cyclooxygenase inhibitors reduces urinary albumin excretion rate (AER) in type 1 diabetic patients with micro...

  17. Metal ions induced heat shock protein response by elevating superoxide anion level in HeLa cells transformed by HSE-SEAP reporter gene.

    Science.gov (United States)

    Yu, Zhanjiang; Yang, Xiaoda; Wang, Kui

    2006-06-01

    The aim of this work is to define the relationship between heat shock protein (HSP) and reactive oxygen species (ROS) in the cells exposed to different concentrations of metal ions, and to evaluate a new method for tracing the dynamic levels of cellular reactive oxygen species using a HSE-SEAP reporter gene. The expression of heat shock protein was measured using a secreted alkaline phosphatase (SEAP) reporter gene transformed into HeLa cell strain, the levels of superoxide anion (O(2)(-)) and hydrogen peroxide (H(2)O(2)) were determined by NBT reduction assay and DCFH staining flow cytometry (FCM), respectively. The experimental results demonstrated that the expression of heat shock protein induced by metal ions was linearly related to the cellular superoxide anion level before cytotoxic effects were observed, but not related to the cellular hydrogen peroxide level. The experimental results suggested that metal ions might induce heat shock protein by elevating cellular superoxide anion level, and thus the expression of heat shock protein indicated by the HSE-SEAP reporter gene can be an effective model for monitoring the dynamic level of superoxide anion and early metal-induced oxidative stress/cytotoxicity.

  18. Energy Policy Act transportation rate study: Interim report on coal transportation

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1995-10-01

    The primary purpose of this report is to examine changes in domestic coal distribution and railroad coal transportation rates since enactment of the Clean Air Act Amendments of 1990 (CAAA90). From 1988 through 1993, the demand for low-sulfur coal increased, as a the 1995 deadline for compliance with Phase 1 of CAAA90 approached. The shift toward low-sulfur coal came sooner than had been generally expected because many electric utilities switched early from high-sulfur coal to ``compliance`` (very low-sulfur) coal. They did so to accumulate emissions allowances that could be used to meet the stricter Phase 2 requirements. Thus, the demand for compliance coal increased the most. The report describes coal distribution and sulfur content, railroad coal transportation and transportation rates, and electric utility contract coal transportation trends from 1979 to 1993 including national trends, regional comparisons, distribution patterns and regional profiles. 14 figs., 76 tabs.

  19. Influence of Ultrasonic Melt Treatment and Cooling Rates on the Microstructural Development and Elevated Temperature Mechanical Properties of a Hypereutectic Al-18Si-4Cu-3Ni Piston Alloy

    Energy Technology Data Exchange (ETDEWEB)

    Yoon, Jea-Hee; Cho, Young-Hee; Jung, Jae-Gil; Lee, Jung-Moo [Korea Institute of Materials Science (KIMS), Changwon (Korea, Republic of); Park, Ik Min [Pusan National University, Busan (Korea, Republic of)

    2017-06-15

    The influence of ultrasonic melt treatment (UST) combined with a change in cooling rates on the microstructure and elevated temperature mechanical properties of a hypereutectic Al-18Si-4Cu-3Ni piston alloy was investigated. Microstructural observation confirmed that UST effectively refined the sizes of primary Si and intermetallic compounds (e.g. ε-Al{sub 3}Ni) while promoting their homogeneous distribution. Besides the refinement of the constituent phases, the size of the dendrite arm spacing (DAS), which was hardly affected by UST, significantly deceased with increasing cooling rates. The refinement of the solidification structure in the alloy achieved through both UST and increased cooling rates resulted in an improvement in tensile properties, ultimate tensile strength and elongation in particular, after T5 heat treatment followed by overaging at 350 ℃. However, the elevated temperature yield strength of the alloy was not associated with the refinement, but was rather correlated with the 3-D interconnectivity, morphology and volume fraction of the primary Si.

  20. The VAGUS insight into psychosis scale--self-report and clinician-rated versions.

    Science.gov (United States)

    Gerretsen, Philip; Remington, Gary; Borlido, Carol; Quilty, Lena; Hassan, Sabrina; Polsinelli, Gina; Teo, Celine; Mar, Wanna; Simon, Regina; Menon, Mahesh; Pothier, David D; Nakajima, Shinichiro; Caravaggio, Fernando; Mamo, David C; Rajji, Tarek K; Mulsant, Benoit H; Deluca, Vincenzo; Ganguli, Rohan; Pollock, Bruce G; Graff-Guerrero, Ariel

    2014-12-30

    The aim of this study was to develop self-report and clinician-rated versions of an insight scale that would be easy to administer, sensitive to small changes, and inclusive of the core dimensions of clinical insight into psychosis. Ten-item self-report (VAGUS-SR) and five-item clinician-rated (VAGUS-CR) scales were designed to measure the dimensions of insight into psychosis and evaluated in 215 and 140 participants, respectively (www.vagusonline.com). Tests of reliability and validity were performed. Both the VAGUS-SR and VAGUS-CR showed good internal consistency and reliability. They demonstrated good convergent and discriminant validity. Both versions were strongly correlated with one another and with the Schedule for the Assessment of Insight and Birchwood Insight Scale. Exploratory factor analyses identified three possible latent components of insight. The VAGUS-CR and VAGUS-SR are valid, reliable and easy to administer. They are build on previous insight scales with separate clinician-rated and self-report versions. The VAGUS-SR exhibited a multidimensional factor structure. Using a 10-point Likert scale for each item, the VAGUS has the capacity to detect small, temporally sensitive changes in insight, which is essential for intervention studies with neurostimulation or rapidly acting medications.

  1. The VAGUS insight into psychosis scale – Self-report & clinician-rated versions

    Science.gov (United States)

    Gerretsen, Philip; Remington, Gary; Borlido, Carol; Quilty, Lena; Hassan, Sabrina; Polsinelli, Gina; Teo, Celine; Mar, Wanna; Simon, Regina; Menon, Mahesh; Pothier, David D.; Nakajima, Shinichiro; Caravaggio, Fernando; Mamo, David C.; Rajji, Tarek K.; Mulsant, Benoit H.; Deluca, Vincenzo; Ganguli, Rohan; Pollock, Bruce G.; Graff-Guerrero, Ariel

    2015-01-01

    The aim of this study was to develop self-report and clinician-rated versions of an insight scale that would be easy to administer, sensitive to small changes, and inclusive of the core dimensions of clinical insight into psychosis. Ten-item self-report (VAGUS-SR) and five-item clinician-rated (VAGUS-CR) scales were designed to measure the dimensions of insight into psychosis and evaluated in 215 and 140 participants, respectively (www.vagusonline.com). Tests of reliability and validity were performed. Both the VAGUS-SR and VAGUS-CR showed good internal consistency and reliability. They demonstrated good convergent and discriminant validity. Both versions were strongly correlated with one another and with the Schedule for the Assessment of Insight and Birchwood Insight Scale. Exploratory factor analyses identified three possible latent components of insight. The VAGUS-CR and VAGUS-SR are valid, reliable and easy to administer. They are build on previous insight scales with separate clinician-rated and self-report versions. The VAGUS-SR exhibited a multidimensional factor structure. Using a 10-point Likert scale for each item, the VAGUS has the capacity to detect small, temporally sensitive changes in insight, which is essential for intervention studies with neurostimulation or rapidly acting medications. PMID:25246410

  2. An elevation of resting metabolic rate with declining health in nonagenarians may be associated with decreased muscle mass and function in women and men, respectively.

    Science.gov (United States)

    Kim, Sangkyu; Welsh, David A; Ravussin, Eric; Welsch, Michael A; Cherry, Katie E; Myers, Leann; Jazwinski, S Michal

    2014-06-01

    Previously, we showed that FI34, a frailty index based on 34 health and function ability variables, is heritable and a reliable phenotypic indicator of healthy aging. We have now examined the relationship between major components of energy expenditure and the FI34 in participants of the Louisiana Healthy Aging Study. Resting metabolic rate was associated with FI34, even after adjustment for fat-free mass, fat mass, age, sex, thyroid hormones, and insulin-like growth factor 1 levels, in multiple regression analyses. In contrast, there was no association between total daily energy expenditure and FI34. Circulating creatine phosphokinase, a clinical marker of muscle damage, was also significantly associated with FI34. However, these associations of resting metabolic rate with FI34 were restricted to the oldest old (≥90 years) and absent in younger age groups. In oldest old men, the association of FI34 with creatine phosphokinase persisted, whereas in the oldest old women, only the association with resting metabolic rate pertained with the appearance of an effect of body size and composition. These results point toward an increasing metabolic burden for the maintenance of homeodynamics as health declines in nonagenarians, and this has implications for contraction of metabolic reserve that may potentially accelerate the path to disability. © The Author 2013. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  3. Short-term inhibition of prostaglandin synthesis has no effect on the elevated glomerular filtration rate of early insulin-dependent diabetes

    DEFF Research Database (Denmark)

    Christiansen, J S; Feldt-Rasmussen, B; Parving, H H

    1985-01-01

    Glomerular filtration rate and renal plasma flow (constant infusion technique using 125I-iothalamate and 131I-hippuran) were measured twice within a 1-week interval in nine young males with insulin-dependent diabetes of short duration (2-5 years). The study was performed in a randomized double......-blind design, with the patients receiving either indomethacin (150 mg/day) or placebo for 3 days before the study. Measures of metabolic control did not change. No differences were found in glomerular filtration rate (144 +/- 9 versus 144 +/- 9 ml/min X 1.73 m2, mean +/- S.E.M.) or renal plasma flow (579...... +/- 43 versus 560 +/- 52 ml/min X 1.73 m2), when measured during placebo or indomethacin treatment, respectively. It is concluded that the steady-state enhancement of glomerular filtration rate and renal plasma flow found in early insulin-dependent diabetes is not due to an excessive activity...

  4. Reporting of exercise attendance rates for people with chronic obstructive pulmonary disease: a systematic review.

    Science.gov (United States)

    Williams, Marie T; Lewis, Lucy K; McKeough, Zoe; Holland, Anne E; Lee, Annemarie; McNamara, Renae; Phillips, Anna; Wiles, Louise; Knapman, Leona; Wootton, Sally; Milross, Maree; Effing, Tanja

    2014-01-01

    While recommendations for the duration, frequency, mode and intensity of exercise programmes for people with chronic obstructive pulmonary disease (COPD) are specified in consensus statements, criteria for exercise session attendance are less clear. The review questions were: (i) how commonly are a priori criteria and attendance rates reported for people with COPD participating in exercise programmes and (ii) what is the strength of association between attendance and improvements in functional exercise capacity. Database searches identified primary studies of people with COPD participating in exercise or pulmonary rehabilitation programmes of at least 2 weeks duration. Primary outcomes were a priori criteria for attendance, reports of attendance at supervised exercise sessions and mean improvements in functional exercise assessments. Data extraction processes were confirmed prospectively (>80% agreement). Variants of exercise attendance data were described. Linear associations between attendance and improvements in exercise outcomes were explored (Pearson r, P exercise data before and after the intervention, there was little to no relationship between improvements in functional exercise capacity and training volume (prescribed r = -0.03, P = 0.88; attended r = -0.24, P = 0.18). Reporting of exercise programme attendance rates is low and of variable quality for people with COPD. Consistent and explicit reporting of exercise attendance in people with COPD will enable calculation of dose-response relationships and determine the value of a priori exercise attendance criteria.

  5. Public reporting of hospital infection rates: ranking the states on credibility and user friendliness.

    Science.gov (United States)

    Amini, Ava; Birnbaum, David W; Black, Bernard; Hyman, David A

    2013-01-01

    Health-care associated infections ("HAIs") kill about 100,000 people annually; most are preventable, but many hospitals have not aggressively addressed the problem. In response, twenty-five states and the U.S. Department of Health and Human Services require public reporting of hospital infection rates for at least some types of infections, and other states and private entities are implementing such reporting. The websites and related reports vary widely in ease of access, ease of use, usefulness of information, timeliness of updates, and credibility. We report on work in progress, in which we assess the quality and suitability of different state websites and reports for different target audiences (ordinary consumers; physicians, and infection control professionals) and the extent to which they meet best practices for online communication, including Stanford's "Fogg" Guidelines for Web Credibility and user-friendliness metrics developed by other researchers. We find wide variation in quality, and substantial correlation between measures of website credibility and user-friendliness. We identify ways to improve usability, usefulness, and tailoring for information to different target audiences. Our analysis suggests that the "one website (and report format) fits all users" model may not work well in delivering complex, technical information to users with widely varying needs and sophistication.

  6. Recovery Act: Energy Efficiency of Data Networks through Rate Adaptation (EEDNRA) - Final Technical Report

    Energy Technology Data Exchange (ETDEWEB)

    Matthew Andrews; Spyridon Antonakopoulos; Steve Fortune; Andrea Francini; Lisa Zhang

    2011-07-12

    This Concept Definition Study focused on developing a scientific understanding of methods to reduce energy consumption in data networks using rate adaptation. Rate adaptation is a collection of techniques that reduce energy consumption when traffic is light, and only require full energy when traffic is at full provisioned capacity. Rate adaptation is a very promising technique for saving energy: modern data networks are typically operated at average rates well below capacity, but network equipment has not yet been designed to incorporate rate adaptation. The Study concerns packet-switching equipment, routers and switches; such equipment forms the backbone of the modern Internet. The focus of the study is on algorithms and protocols that can be implemented in software or firmware to exploit hardware power-control mechanisms. Hardware power-control mechanisms are widely used in the computer industry, and are beginning to be available for networking equipment as well. Network equipment has different performance requirements than computer equipment because of the very fast rate of packet arrival; hence novel power-control algorithms are required for networking. This study resulted in five published papers, one internal report, and two patent applications, documented below. The specific technical accomplishments are the following: • A model for the power consumption of switching equipment used in service-provider telecommunication networks as a function of operating state, and measured power-consumption values for typical current equipment. • An algorithm for use in a router that adapts packet processing rate and hence power consumption to traffic load while maintaining performance guarantees on delay and throughput. • An algorithm that performs network-wide traffic routing with the objective of minimizing energy consumption, assuming that routers have less-than-ideal rate adaptivity. • An estimate of the potential energy savings in service-provider networks

  7. Elevated HbA1c Levels Are Associated with the Blunted Autonomic Response Assessed by Heart Rate Variability during Blood Volume Reduction.

    Science.gov (United States)

    Kamakura, Miho; Maruyama, Ryoko

    2016-10-01

    A high glycemic status increases the risk for autonomic dysfunction and cardiovascular failure. The aim of this study was to investigate time-dependent changes in the autonomic response and cardiovascular dynamics and the association between the level of hemoglobin A1c (HbA1c) and autonomic response during blood volume reduction. The study population consisted of 26 preoperative participants who were scheduled for autologous blood donation (200-400 mL of whole blood) for intraoperative or postoperative use. These participants without circulatory, respiratory, or brain disease and diabetes mellitus were grouped according to their HbA1c levels: blood pressure (BP) and analyzed heart rate variability (HRV) to quantify cardiac autonomic regulation throughout blood donation. During blood volume reduction, which was about 10% of the circulating blood volume, the BP and heart rate varied within normal ranges in both groups. The high-frequency (HF) component, an index of parasympathetic nerve activity, and the ratio of low-frequency (LF) to HF components (LF/HF), an index of sympathetic nerve activity, significantly decreased and increased with the progression of blood volume reduction, respectively, in the HbA1c blood volume reduction only in the HbA1c blood volume reduction.

  8. Nuclear medicine incident reporting in Australia: control charts and notification rates inform quality improvement.

    Science.gov (United States)

    Larcos, G; Collins, L T; Georgiou, A; Westbrook, J I

    2015-06-01

    Australia has a statutory incident reporting system for radiopharmaceutical maladministrations, but additional research into registry data is required for the purpose of quality improvement in nuclear medicine. We (i) used control charts to identify factors contributing to special cause variation (indicating higher than expected rates) in maladministrations and (ii) evaluated the impact of heterogeneous notification criteria and extent of underreporting among jurisdictions and individual facilities, respectively. Anonymised summaries of Australian Radiation Incident Register reports permitted calculation of national monthly maladministration notification rates for 2007-2012 and preparation of control charts. Multivariate logistic regression assessed the association of population, insurance and regulatory characteristics with maladministration notifications in each Australian State and Territory. Maladministration notification rates from two facilities with familiarity of notification processes and commitment to radiation protection were compared with those elsewhere. Special cause variation occurred in only 3 months, but contributed to 21% of all incidents (42 of 197 patients), mainly because of 'clusters' of maladministrations (n = 24) arising from errors in bulk radiopharmaceutical dispensing. Maladministration notification rates varied significantly between jurisdictions (0 to 12.2 maladministrations per 100 000 procedures (P < 0.05)) and individual facilities (31.7 vs 5.8 per 100 000; χ(2) = 40; 1 degree of freedom, P < 0.001). Unexpected increases in maladministration notifications predominantly relate to incident 'clusters' affecting multiple patients. The bulk preparation of radiopharmaceuticals is a vulnerable process and merits additional safeguards. Maladministration notification rates in Australia are heterogeneous. Adopting uniform maladministration notification criteria among States and Territories and methods to overcome underreporting are

  9. Status Report - Cane Fiberboard Properties and Degradation Rates for Storage of the 9975 Shipping Package in KAMS

    Energy Technology Data Exchange (ETDEWEB)

    Daugherty, W. L.

    2013-01-31

    Thermal, mechanical and physical properties have been measured on cane fiberboard samples following accelerated aging for up to approximately 7 years. The aging environments have included elevated temperature < 250 ?F (the maximum allowed service temperature for fiberboard in 9975 packages) and elevated humidity. The results from this testing have been analyzed, and aging models fit to the data. Correlations relating several properties (thermal conductivity, energy absorption, weight loss and height decrease) to their rate of change in potential storage environments have been developed. Combined with an estimate of the actual conditions the fiberboard experiences in KAMS, these models allow development of service life predictions. Some of the predicted degradation rates presented in this report are relatively extreme. However, these relate to environments that do not exist within KAMS, or would be postulated only as upset conditions that would not likely persist for an extended period. For a typical package with ~10 watts internal heat load or less, and ambient temperatures below 90 ?F, the fiberboard experiences storage conditions less severe than any of the aging environments. Little or no degradation of the fiberboard is expected for typical storage conditions. It should be noted that the ultimate service life will be determined by the cumulative effect of degradation from all the conditions these packages might encounter. The assumptions and inputs behind the models in this report should be well understood before attempting to identify an actual service life in KAMS. Additional data continue to be collected to permit future refinements to the models and assumptions. For developing service life predictions, the ambient conditions within KAMS can be reasonably identified, and the temperature profiles within the various packages (with a range of heat loads and at varying locations within an array of packages) can be calculated. However, the humidity within the

  10. Quantifying uncertainty in morphologically-derived bedload transport rates for large braided rivers: insights from high-resolution, high-frequency digital elevation model differencing

    Science.gov (United States)

    Brasington, J.; Hicks, M.; Wheaton, J. M.; Williams, R. D.; Vericat, D.

    2013-12-01

    Repeat surveys of channel morphology provide a means to quantify fluvial sediment storage and enable inferences about changes in long-term sediment supply, watershed delivery and bed level adjustment; information vital to support effective river and land management. Over shorter time-scales, direct differencing of fluvial terrain models may also offer a route to predict reach-averaged sediment transport rates and quantify the patterns of channel morphodynamics and the processes that force them. Recent and rapid advances in geomatics have facilitated these goals by enabling the acquisition of topographic data at spatial resolutions and precisions suitable for characterising river morphology at the scale of individual grains over multi-kilometre reaches. Despite improvements in topographic surveying, inverting the terms of the sediment budget to derive estimates of sediment transport and link these to morphodynamic processes is, nonetheless, often confounded by limited knowledge of either the sediment supply or efflux across a boundary of the control volume, or unobserved cut-and-fill taking place between surveys. This latter problem is particularly poorly constrained, as field logistics frequently preclude surveys at a temporal frequency sufficient to capture changes in sediment storage associated with each competent event, let alone changes during individual floods. In this paper, we attempt to quantify the principal sources of uncertainty in morphologically-derived bedload transport rates for the large, labile, gravel-bed braided Rees River which drains the Southern Alps of NZ. During the austral summer of 2009-10, a unique timeseries of 10 high quality DEMs was derived for a 3 x 0.7 km reach of the Rees, using a combination of mobile terrestrial laser scanning, aDcp soundings and aerial image analysis. Complementary measurements of the forcing flood discharges and estimates of event-based particle step lengths were also acquired during the field campaign

  11. Extraspinal incidental findings on routine MRI of lumbar spine: Prevalence and reporting Rates in 1278 patients

    Energy Technology Data Exchange (ETDEWEB)

    Tuncel, Sedat Alpaslan; Cagli, Bekir; Tekatas, Aslan; Kirici, Yadigar Mehmet; Unlu, Ercument; Genchellac, Haken [Trakya University Faculty of Medicine, Balkan Campus, Edirne (Turkmenistan)

    2015-08-15

    The aim of the present study was to determine the prevalence and reporting rate of incidental findings (IF) in adult outpatients undergoing lumbar magnetic resonance imaging (MRI). Re-evaluation of a total of 1278 lumbar MRI images (collected from patients with a mean age of 50.5 years, range 16-91 years) captured between August 2010-August 2011 was done by a neuroradiologist and a musculoskeletal radiologist. IFs were classified according to organ or system (liver, gallbladder, kidney, bladder, uterus, ovary, lymph node, intestine and aorta). The rate of reporting of a range of IF was examined. The outcome of each patient's treatment was evaluated based on review of hospital records and by telephone interviews. A total of 253 IFs were found in 241 patients (18.8% of 1278). Among these, clinically significant IFs (n = 34) included: 2 renal masses (0.15%), 2 aortic aneurysms (0.15%), 2 cases of hydronephrosis (0.15%), 11 adrenal masses (0.86%), 7 lymphadenopathies (0.55%), 6 cases of endometrial or cervical thickening (0.47%), 1 liver hemangioma (0.08%), 1 pelvic fluid (0.08%) and 2 ovarian dermoid cysts (0.15%). Overall, 28% (71/253) of IFs were included in the clinical reports, while clinically significant findings were reported in 41% (14/34) of cases. Extraspinal IFs are commonly detected during a routine lumbar MRI, and many of these findings are not clinically significant. However, IFs including clinically important findings are occasionally omitted from formal radiological reports.

  12. Presence of elevated non-HDL among patients with T2DM with CV events despite of optimal LDL-C - A report from South India.

    Science.gov (United States)

    Kumpatla, Satyavani; Soni, Anju; Narasingan, S N; Viswanathan, Vijay

    2016-01-01

    Elevated non-high density lipoprotein cholesterol (non-HDL-C) was the commonest lipid abnormality among T2DM patients with cardiovascular events (CV) events. Prevalence of elevated non-HDL-C was 21.6% among patients who were on statin therapy and with optimal low density lipoprotein-cholesterol (LDL-C) levels. Despite an optimal LDL-C level, 47% of the T2DM patients with CV events had elevated non-HDL-C.

  13. Haemophagocytic syndrome and elevated EBV load as initial manifestation of Hodgkin lymphoma in a HIV patient: case report and review of the literature

    Directory of Open Access Journals (Sweden)

    Delphine Sculier

    2014-11-01

    Full Text Available Introduction: In HIV patients, haemophagocytic syndrome (HPS may occur in the presence of cancer, concomitant viral infection, HIV primo-infection or at the initiation of highly active antiretroviral therapy (HAART. Hodgkin lymphoma remains a rare cause of HPS. We describe a case of HPS with very high Epstein Barr virus (EBV load in a HIV patient as initial manifestation of Hodgkin lymphoma. Materials and Methods: A 29-year-old HIV positive man, successfully treated with HAART with an undetectable viral load and CD4 cells count of 438/µl, was admitted for high fever of unknown origin. Laboratory results showed a pancytopenia with haemoglobin at 82 g/l, lymphocyte count at 0.36G/l and platelets count at 47G/l; a highly elevated ferritine >7500 µg/l; increased lactate dehydrogenase at 885U/l and soluble IL2 receptor (CD25 >60 ng/ml. EBV load was measured and confirmed at 2,600,000 copies/ml. A PET-CT imaging showed diffuse elevated metabolic activity in the bone marrow and in two lesions in the spleen without lymphadenopathy. Bone marrow and liver biopsies revealed images of haemophagocytosis and lymphocyte depleted Hodgkin lymphoma. Treatment consisted in etoposid, steroids, and R-ABVD (rituximab, doxorubicin, bleomycin, vinblastine, dacarbazine chemotherapy. The patient completed six cycles of chemotherapy. We reviewed the literature in PubMed with the following keywords: HPS, HIV, EBV, Hodgkin lymphoma. Results: We identified four publications and two reviews reporting cases of HPS associated with Hodgkin lymphoma in HIV patients with either a positive EBV load either the presence of encoded EBV RNA in tumour cells. Twenty-two cases (including one pediatric case were described. Among adults, mostly men, the median age was <50 years and immune suppression was marked with a median CD4 cell count<100 cells/µl, even in patients receiving HAART. When measured, EBV load in the serum was high. Prognosis was poor with a high mortality despite

  14. Final Report: "Collaborative Project. Understanding the Chemical Processes That Affect Growth Rates of Freshly Nucleated Particles"

    Energy Technology Data Exchange (ETDEWEB)

    Smith, James N. [NCAR, Boulder, CO (United States); McMurry, Peter H. [NCAR, Boulder, CO (United States)

    2015-11-12

    This final technical report describes our research activities that have, as the ultimate goal, the development of a model that explains growth rates of freshly nucleated particles. The research activities, which combine field observations with laboratory experiments, explore the relationship between concentrations of gas-phase species that contribute to growth and the rates at which those species are taken up. We also describe measurements of the chemical composition of freshly nucleated particles in a variety of locales, as well as properties (especially hygroscopicity) that influence their effects on climate. Our measurements include a self-organized, DOE-ARM funded project at the Southern Great Plains site, the New Particle Formation Study (NPFS), which took place during spring 2013. NPFS data are available to the research community on the ARM data archive, providing a unique suite observations of trace gas and aerosols that are associated with the formation and growth of atmospheric aerosol particles.

  15. New insights in professional horse racing; "in-race" heart rate data, elevated fracture risk, hydration, nutritional and lifestyle analysis of elite professional jockeys.

    Science.gov (United States)

    O'Reilly, John; Cheng, Hoi Lun; Poon, Eric Tsz-Chun

    2017-03-01

    Weight-making practices have been shown to impair musculoskeletal and physiological function of jockeys. This study investigated the "in-race" heart rate (HR) responses and hydration status during competitive racing, as well as selected physiological and lifestyle parameters of professional jockeys based in Hong Kong. "In-race" HR responses and early morning hydration status of 20 male jockeys were examined in hot and moderate climactic occasions. Additionally, bone mineral density (BMD), dietary intake and lifestyle choices were assessed. Osteopenia was observed in the calcanei of jockeys (left: 0.51 ± 0.06; right: 0.46 ± 0.12 g · cm(-2)). Energy and protein intake were significantly lower on a race day compared to a non-race day (P race" HRmax values were similar to those from VO2max laboratory tests (186 ± 14 vs. 185 ± 8 bpm). Hypohydration was observed on both racing days. (USG: 1.0247 ± 0.006 and 1.0256 ± 0.0258 mg · L(-1) for hot and moderate conditions, respectively). Sauna usage (25.5%) and food restriction (20.4%) were the most common weight-making practices. Current lifestyle choices of jockeys result in suboptimal bone health, hydration status and nutritional intake, which can significantly enhance the fracture risk. Further research should develop exercise and nutrition guidelines for optimising their skeletal health.

  16. Depth perception: the need to report ocean biogeochemical rates as functions of temperature, not depth.

    Science.gov (United States)

    Brewer, Peter G; Peltzer, Edward T

    2017-09-13

    For over 50 years, ocean scientists have oddly represented ocean oxygen consumption rates as a function of depth but not temperature in most biogeochemical models. This unique tradition or tactic inhibits useful discussion of climate change impacts, where specific and fundamental temperature-dependent terms are required. Tracer-based determinations of oxygen consumption rates in the deep sea are nearly universally reported as a function of depth in spite of their well-known microbial basis. In recent work, we have shown that a carefully determined profile of oxygen consumption rates in the Sargasso Sea can be well represented by a classical Arrhenius function with an activation energy of 86.5 kJ mol(-1), leading to a Q10 of 3.63. This indicates that for 2°C warming, we will have a 29% increase in ocean oxygen consumption rates, and for 3°C warming, a 47% increase, potentially leading to large-scale ocean hypoxia should a sufficient amount of organic matter be available to microbes. Here, we show that the same principles apply to a worldwide collation of tracer-based oxygen consumption rate data and that some 95% of ocean oxygen consumption is driven by temperature, not depth, and thus will have a strong climate dependence. The Arrhenius/Eyring equations are no simple panacea and they require a non-equilibrium steady state to exist. Where transient events are in progress, this stricture is not obeyed and we show one such possible example.This article is part of the themed issue 'Ocean ventilation and deoxygenation in a warming world'. © 2017 The Author(s).

  17. Airborne observations reveal elevational gradient in tropical forest isoprene emissions

    Energy Technology Data Exchange (ETDEWEB)

    Gu, Dasa; Guenther, Alex B.; Shilling, John E.; Yu, Haofei; Huang, Maoyi; Zhao, Chun; Yang, Qing; Martin, Scot T.; Artaxo, Paulo; Kim, Saewung; Seco, Roger; Stavrakou, T.; Longo, Karla; Tota, Julio; Augusto Ferreira de Souza, Rodrigo; Vega, Oscar; Liu, Ying; Shrivastava, ManishKumar B.; Alves, Eliane; Cavalcante Dos Santos, Fernando; Leng, Guoyong; Hu, Zhiyuan

    2017-05-23

    Isoprene dominates global non-methane volatile organic compound emissions, and impacts tropospheric chemistry by influencing oxidants and aerosols. Isoprene emission rates vary over several orders of magnitude for different plants, and characterizing this immense biological chemodiversity is a challenge for estimating isoprene emission from tropical forests. Here we present the isoprene emission estimates from aircraft eddy covariance measurements over the Amazonian forest. We report isoprene emission rates that are three times higher than satellite top-down estimates and 35% higher than model predictions. The results reveal strong correlations between observed isoprene emission rates and terrain elevations, which are confirmed by similar correlations between satellite-derived isoprene emissions and terrain elevations. We propose that the elevational gradient in the Amazonian forest isoprene emission capacity is determined by plant species distributions and can substantially explain isoprene emission variability in tropical forests, and use a model to demonstrate the resulting impacts on regional air quality.

  18. Sudden onset of facial edema and serum LDH elevation after radiation therapy for malignant lymphoma of the left parotid gland. A case report

    Energy Technology Data Exchange (ETDEWEB)

    Suzuki, Gen; Ogo, Etuyo; Toda, Yukihiro; Suefuji, Hiroaki; Hayabuchi, Naofumi [Kurume Univ., Fukuoka (Japan). School of Medicine

    2001-12-01

    A report of a 48 year-old male with non-Hodgkin's lymphoma of the left parotid gland (clinical stage I EA, follicular medium-sized B cell type) is presented. He was solely treated with 30 Gy of radiation to the whole neck region, bilateral paraclavicular region and the left axilla, and 10.6 Gy boost was given to the primary lesion. Five months later, facial edema and serum LDH elevation developed suddenly. Relapse of the malignant lymphoma was suspected, but a whole body CT scan failed to show this. On the contrary, the CT scan showed a diffuse hypoattenuated area of the thyroid gland. In addition to positive antibodies, i.e, antithyroglobulin and antimicrosomal antibodies, total cholesterol and other serum markers also suggested hypofunction of the thyroid due to acute exacerbation of chronic thyroiditis. Immediately after hormone-replacement therapy, his symptoms disappeared and the abnormal serum data improved. Although the relationship between chronic thyroiditis and radiation injury has not been clearly demonstrated, it seems necessary to evaluate thyroid function before radiotherapy for head and neck tumors. Patients with chronic thyroiditis should be followed carefully after radiotherapy. (author)

  19. Thrombocytopenia in early pregnancy predicting partial haemolysis, elevated liver enzyme and low platelet count syndrome: a case report and review of literature

    Directory of Open Access Journals (Sweden)

    Kavitha Nagandla

    2016-08-01

    Full Text Available The incidence of thrombocytopenia in pregnancy is 6-10% and is classically defined as a platelet count of less than 150,000/ L. Counts less than 100,000 to 150,000/L are considered mild, 50,000 to 100,000/L as moderate, and less than 50,000/L are considered as severe thrombocytopenia. It is the second most common hematological condition in pregnancy with anaemia being the leading cause. Thrombocytopenia may be related to disorders that are intrinsic to pregnancy such as gestational thrombocytopenia that is seen in three-fourths of all cases. The second common cause is hypertensive disorders in pregnancy more commonly seen in severe pre-eclampsia in 21% and in HELLP (haemolysis, elevated liver enzyme and low platelet count that accounts for 12% of thrombocytopenia cases in pregnancy. This case report revisits the diagnosis of partial HELLP under the background of preeclampsia that warrants aggressive treatment like complete HELLP syndrome to optimize the maternal and fetal outcome. [Int J Reprod Contracept Obstet Gynecol 2016; 5(8.000: 2847-2850

  20. Space Station tethered elevator system

    Science.gov (United States)

    Haddock, Michael H.; Anderson, Loren A.; Hosterman, K.; Decresie, E.; Miranda, P.; Hamilton, R.

    1989-01-01

    The optimized conceptual engineering design of a space station tethered elevator is presented. The tethered elevator is an unmanned, mobile structure which operates on a ten-kilometer tether spanning the distance between Space Station Freedom and a platform. Its capabilities include providing access to residual gravity levels, remote servicing, and transportation to any point along a tether. The report discusses the potential uses, parameters, and evolution of the spacecraft design. Emphasis is placed on the elevator's structural configuration and three major subsystem designs. First, the design of elevator robotics used to aid in elevator operations and tethered experimentation is presented. Second, the design of drive mechanisms used to propel the vehicle is discussed. Third, the design of an onboard self-sufficient power generation and transmission system is addressed.

  1. Predictive value of self-reported and observer-rated defense style in depression treatment.

    Science.gov (United States)

    Van Henricus, L; Dekker, Jack; Peen, Jaap; Abraham, Robert E; Schoevers, Robert

    2009-01-01

    This study explored the predictive value of observer-rated and self-reported defensive functioning on the outcome of psychotherapy for the treatment of depression. Defense styles were measured according to the Developmental Profile (DP) and the Defense Style Questionnaire (DSQ) in 81 moderately severely depressed patients. All patients were treated with Short-term Psychodynamic Supportive Psychotherapy (SPSP). At baseline, women appeared to have a more mature level of overall defensive functioning. A lower level of defensive function was found in patients with recurrent depressions. We also found a rather modest relationship between self-reported and observer-rated defense. Remitted patients had a more mature overall defensive functioning on the DP and the DSQ. In particular, patients with a symbiotic defense style (giving up, apathetic withdrawal) were at risk for poor outcome. This exploratory study provides further evidence of the relevance of defense styles for depression. It suggests a differential predictive value of separate defense levels, which may help to tailor psychotherapeutic strategies.

  2. Automatic Reporting of Creatinine-Based Estimated Glomerular Filtration Rate in Children: Is this Feasible?

    Directory of Open Access Journals (Sweden)

    Andrew Lunn

    2016-07-01

    Full Text Available Creatinine, although widely used as a biomarker to measure renal function, has long been known as an insensitive marker of renal impairment. Patients with reduced renal function can have a creatinine level within the normal range, with a rapid rise when renal function is significantly reduced. As of 1976, the correlation between height, the reciprocal of creatinine, and measured glomerular filtration rate (GFR in children has been described. It has been used to derive a simple formula for estimated glomerular filtration rate (eGFR that could be used at the bedside as a more sensitive method of identifying children with renal impairment. Formulae based on this association, with modifications over time as creatinine assay methods have changed, are still widely used clinically at the bedside and in research studies to assess the degree of renal impairment in children. Adult practice has moved in many countries to computer-generated results that report eGFR alongside creatinine results using more complex, but potentially more accurate estimates of GFR, which are independent of height. This permits early identification of patients with chronic kidney disease. This review assesses the feasibility of automated reporting of eGFR and the advantages and disadvantages of this in children.

  3. Elevated Liver Enzymes

    Science.gov (United States)

    Symptoms Elevated liver enzymes By Mayo Clinic Staff Elevated liver enzymes may indicate inflammation or damage to cells in the liver. Inflamed or ... than normal amounts of certain chemicals, including liver enzymes, into the bloodstream, which can result in elevated ...

  4. National Elevation Dataset (NED)

    Data.gov (United States)

    Kansas Data Access and Support Center — The U.S. Geological Survey has developed a National Elevation Database (NED). The NED is a seamless mosaic of best-available elevation data. The 7.5-minute elevation...

  5. Elevated creatine kinase does not necessarily correspond temporally with onset of muscle rigidity in neuroleptic malignant syndrome: a report of two cases

    Directory of Open Access Journals (Sweden)

    Nisijima K

    2012-12-01

    Full Text Available Koichi NisijimaDepartment of Psychiatry, Jichi Medical University, Tochigi, JapanAbstract: Neuroleptic malignant syndrome is an uncommon but dangerous complication of antipsychotic drugs, characterized by clinical symptoms that include hyperthermia, severe muscle rigidity, autonomic dysfunction, and altered mental state. Serum creatine kinase (CK elevation occurs in over 90% of cases. Many diagnostic criteria sets for neuroleptic malignant syndrome have been proposed, all of which include hyperthermia and muscle rigidity as major symptoms, and serum CK elevation as either a major or minor symptom. In general, elevated CK occurs in the initial stage of neuroleptic malignant syndrome and corresponds temporally with the onset of muscle rigidity. However, in some exceptional cases, CK elevation and emergence of muscle rigidity do not appear in the same stage, making early diagnosis of neuroleptic malignant syndrome more difficult. Two rare cases of neuroleptic malignant syndrome are presented in which elevated serum CK and emergence of muscle rigidity did not occur in the same stage of neuroleptic malignant syndrome. An elevated CK level is common in the early stage of neuroleptic malignant syndrome, suggesting that serum CK elevation is a useful indicator for early detection of neuroleptic malignant syndrome. However, a definitive diagnosis of neuroleptic malignant syndrome must be determined from the presence of specific clinical symptoms.Keywords: neuroleptic malignant syndrome, creatine kinase, muscle rigidity

  6. Increased recovery rates of phosphocreatine and inorganic phosphate after isometric contraction in oxidative muscle fibres and elevated hepatic insulin resistance in homozygous carriers of the A-allele of FTO rs9939609

    DEFF Research Database (Denmark)

    Grunnet, Louise Groth; Brøns, Charlotte; Jacobsen, Stine

    2009-01-01

    9939609 A-allele was associated with elevated fasting blood glucose and plasma insulin, hepatic insulin resistance and shorter recovery halftimes of phosphocreatine (PCr) and inorganic phosphate (Pi) after exercise in a primarily type I muscle. These relationships - except for fasting insulin - remained...... or mitochondrially encoded genes in skeletal muscle during rest. Conclusion. Increased energy efficiency - and potentially increased mitochondrial coupling - as suggested by faster recovery rates of PCr and Pi in oxidative muscle fibres may contribute to the increased risk of obesity and type 2 diabetes...... diabetes. Methods. Forty-six young men underwent a hyperinsulinemic euglycemic clamp with excision of skeletal muscle biopsies, an intravenous glucose tolerance test, (31)phosphorous magnetic resonance spectroscopy and 24-hour whole body metabolism was measured in a respiratory chamber. Results. The FTO rs...

  7. Response of a tundra ecosystem to elevated atmospheric carbon dioxide and CO{sub 2}-induced climate change. Annual technical report

    Energy Technology Data Exchange (ETDEWEB)

    Oechel, W.C.

    1993-02-01

    Northern ecosystems contain up to 455 Gt of C in the soil active layer and upper permafrost, which is equivalent to approximately 60% of the carbon currently in the atmosphere as CO{sub 2}. Much of this carbon is stored in the soil as dead organic matter. Its fate is subject to the net effects of global change on the plant and soil systems of northern ecosystems. The arctic alone contains about 60 Gt C, 90% of which is present in the soil active layer and upper permafrost, and is assumed to have been a sink for CO{sub 2} during the historic and recent geologic past. Depending on the nature, rate, and magnitude of global environmental change, the arctic may have a positive or negative feedback on global change. Results from the DOE- funded research efforts of 1990 and 1991 indicate that the arctic has become a source of CO{sub 2} to the atmosphere. Measurements made in the Barrow, Alaska region during 1992 support these results. This change coincides with recent climatic variation in the arctic, and suggests a positive feedback of arctic ecosystems on atmospheric CO{sub 2} and global change. There are obvious potential errors in scaling plot level measurements to landscape, mesoscale, and global spatial scales. In light of the results from the recent DOE-funded research, and the remaining uncertainties regarding the change in arctic ecosystem function due to high latitude warming, a revised set of research goals is proposed for the 1993--94 year. The research proposed in this application has four principal aspects: (A) Long- term response of arctic plants and ecosystems to elevated atmospheric CO{sub 2}. (B) Circumpolar patterns of net ecosystem CO{sub 2} flux. (C) In situ controls by temperature and moisture on net ecosystem CO{sub 2} flux. (D) Scaling of CO{sub 2} flux from plot, to landscape, to regional scales.

  8. Suicide Rates in Greece: Comparing Mortality Data with Police Reporting Statistics and Investigating Recent Trends

    Directory of Open Access Journals (Sweden)

    Alexandra Tragaki

    2017-04-01

    Full Text Available This paper analyzes recent suicide trends in Greece. It relies on two separate databases, vital statistics and police records, the latter never having been explored before. Those datasets present a different picture about the suicide rates and trends, confirming the crucial importance of data reliability and consistency in time trend analysis. Frequencies and ratios were calculated and compared using paired sample t-tests. Overtime trend changes were detected applying segment regression analysis on both data collections. Our findings suggest that there are important differences between vital and police statistics on suicides. At national level, over the period 1990–2013, vital statistics reported an average of 7 percent more suicides, annually. Differences were more pronounced among women and younger ages. Both datasets confirm a change in total suicide trends during recent recession, but police data analysis supports that increases are less impressive than vital statistics claim.

  9. Self-Reported HIV and HCV Screening Rates and Serostatus Among Substance Abuse Treatment Patients.

    Science.gov (United States)

    Hernández, Diana; Feaster, Daniel J; Gooden, Lauren; Douaihy, Antoine; Mandler, Raul; Erickson, Sarah J; Kyle, Tiffany; Haynes, Louise; Schwartz, Robert; Das, Moupali; Metsch, Lisa

    2016-01-01

    Substance users are at increased risk for HIV and HCV infection. Still, many substance use treatment programs (SUTP) fail to offer HIV/HCV testing. The present secondary analysis of screening data from a multi-site randomized trial of rapid HIV testing examines self-reported HIV/HCV testing patterns and serostatus of 2473 SUTP patients in 12 community-based sites that had not previously offered on-site testing. Results indicate that most respondents screened for the randomized trial tested more than a year prior to intake for HIV (52 %) and HCV (38 %). Prevalence rates were 3.6 and 30 % for HIV and HCV, respectively. The majority of participants that were HIV (52.2 %) and HCV-positive (40.5 %) reported having been diagnosed within the last 1-5 years. Multivariable logistic regression showed that members of high-risk groups were more likely to have tested. Bundled HIV/HCV testing and linkage to care issues are recommended for expanding testing in community-based SUTP settings.

  10. 生命早期饥荒暴露对成年后静息心率增快的影响%The effects of exposure to the famine during early life with elevated resting heart rate in the adult

    Institute of Scientific and Technical Information of China (English)

    李玉卿; 朱丽媛; 王洁蕊; 陈朔华; 温炜; 韩红锋; 季春鹏; 崔刘福; 吴寿岭

    2015-01-01

    Objective To investigate the association between exposure to the famine during early life and elevated resting heart rate(RHR)in adulthood. Method From June 2006 to October 2007, the employees of kailuan group who took part in the health examination were selected. Of those, 18 619 cases who was born during October 1 ,1956 to September 30,1964 in Hebei province were finally included in the analysis based on the inclusion and exclusion criteria. All the subjects were received questionnaire survey, smoking and drinking, physical examination, Lab examination and the measurement of RHR. The subjects of famine exposure group(3 190 cases) were born from October 1 ,1959 to September 30, 1961,semi⁃exposure group( 3 851 cases) were born from October 1,1958 to September 30, 1959 and from October 1, 1961 to September 30, 1962 ,control group(11 578 cases) were born from October 1, 1956 to September 30, 1958 and from October 1, 1962 to September 30, 1964. The RHR and the detection rate of elevated RHR were compared among the three groups. The Multivariate logistic regression model was used to analyze the association between of exposure to famine during early life and elevated RHR in adulthood. Results The RHR level was higher in famine exposure group and semi⁃exposed group than control group, which were (74.34 ± 9.71),(74.41 ± 9.48)and(73.90 ± 9.45)beat per minute(bpm)(P values were 0.003 and 0.020, respectively).In all of the subjects. The results of multivariate logistic regression showed that exposure of famine during early life increased the risk of elevated RHR in adulthood after adjustment for age,gender and other confounders (OR=1.10, 95%CI:1.01-1.21). In men, exposure of famine during early life also increased the risk of elevated RHR in adulthood(OR=1.15, 95%CI:1.04-1.28);In women, there was no association between the famine exposure and elevated RHR (OR=0.92,95%CI:0.74-1.14). Conclusion Exposure of famine during early life increases the risk of elevated RHR in

  11. Medicare Program; FY 2018 Hospice Wage Index and Payment Rate Update and Hospice Quality Reporting Requirements. Final rule.

    Science.gov (United States)

    2017-08-04

    This final rule will update the hospice wage index, payment rates, and cap amount for fiscal year (FY) 2018. Additionally, this rule includes new quality measures and provides an update on the hospice quality reporting program.

  12. Estimating the incidence reporting rates of new influenza pandemics at an early stage using travel data from the source country

    OpenAIRE

    CHONG, K. C.; Fong, H. F.; ZEE, C. Y.

    2013-01-01

    SUMMARY During the surveillance of influenza pandemics, underreported data are a public health challenge that complicates the understanding of pandemic threats and can undermine mitigation efforts. We propose a method to estimate incidence reporting rates at early stages of new influenza pandemics using 2009 pandemic H1N1 as an example. Routine surveillance data and statistics of travellers arriving from Mexico were used. Our method incorporates changes in reporting rates such as linearly inc...

  13. Self reported rates of criminal offending and victimization in young people at-risk for psychosis.

    Science.gov (United States)

    Purcell, R; Harrigan, S; Glozier, N; Amminger, G P; Yung, A R

    2015-08-01

    A significant relationship exists between experiencing psychosis and both engaging in criminal offending and being a victim of crime. A substantial proportion of violence and offending occurs during the first episode of psychosis, but it is unclear whether such behaviour is also evident in the earlier pre-psychotic stage of illness. As part of a prospective study of young people who were seeking help for mental health problems, we enquired about participants' experiences of being charged and/or convicted of a criminal offence and being a victim of crime. This paper uses cross-sectional baseline data to compare the rates of these forensic outcomes in participants at-risk of psychosis (n=271) with those not at-risk (n=440). Univariate logistic regression showed that the at-risk for psychosis group was significantly more likely than the not at-risk participants to report having been charged by police (11.1% vs 5.9%; p=.015) and convicted by the courts (4.4% vs. 1.6%; p=0.028) with a non-violent offence, as well as to have been convicted of any criminal offence (6.3% vs. 3.0%; p=0.037). The at-risk were also more likely to report having been a victim of crime (23.7% vs 14.0%; p=.002), particularly violent victimization (16.5% vs 8.2%; p=.001). In multivariate logistic regression analyses, being at-risk for psychosis remained a significant predictor of three of the four outcome measures after controlling for other known covariates such as gender, age, substance misuse and unemployment. This is the first study to demonstrate that, relative to their non-psychotic help-seeking counterparts, young people at-risk for psychosis are at higher risk of forensic outcomes, particularly violent crime victimization.

  14. Acute Myocardial Infarction in a Patient With Elevated ST-Segment in aVR Lead and Diffuse ST Segment Depression in Other Leads: A Case Report

    Directory of Open Access Journals (Sweden)

    Morteza Safi

    2016-03-01

    Full Text Available ST elevation in aVR in conjunction with diffuse ST depression in precordial leads may indicate occlusion of very proximal portion of the left anterior descending artery. We present a 54-year old man, with crushing retrosternal pain and ST-segment elevation only in aVR lead and diffuse ST-segment depression in inferior, lateral and precordial leads. The patient was scheduled for emergent coronary angiography, which showed that left anterior descending (LAD artery was cut off at very proximal portion and urgent CABG was performed for the patient.

  15. 77 FR 72905 - Pipeline Safety: Random Drug Testing Rate; Contractor MIS Reporting; and Obtaining DAMIS Sign-In...

    Science.gov (United States)

    2012-12-06

    ... Pipeline and Hazardous Materials Safety Administration Pipeline Safety: Random Drug Testing Rate... for random drug testing, reminder for operators to report contractor MIS data, and new method for... minimum random drug testing rate for covered employees will remain at 25 percent during calendar year 2013...

  16. Completing College: A National View of Student Attainment Rates--Fall 2008 Cohort (Signature Report No. 8)

    Science.gov (United States)

    Shapiro, Doug; Dundar, Afet; Yuan, Xin; Harrell, Autumn T.; Wakhungu, Phoebe Khasiala

    2014-01-01

    This third annual report on national college completion rates offers the first look at the six-year outcomes for students who began postsecondary education in fall 2008, the cohort that entered college during the Great Recession. It looks at the various pathways students took toward degree completion, as well as the completion rates through May…

  17. Reduction in Clostridium difficile infection rates after mandatory hospital public reporting: findings from a longitudinal cohort study in Canada.

    Science.gov (United States)

    Daneman, Nick; Stukel, Therese A; Ma, Xiaomu; Vermeulen, Marian; Guttmann, Astrid

    2012-01-01

    The role of public reporting in improving hospital quality of care is controversial. Reporting of hospital-acquired infection rates has been introduced in multiple health care systems, but its relationship to infection rates has been understudied. Our objective was to determine whether mandatory public reporting by hospitals is associated with a reduction in hospital rates of Clostridium difficile infection. We conducted a longitudinal, population-based cohort study in Ontario (Canada's largest province) between April 1, 2002, and March 31, 2010. We included all patients (>1 y old) admitted to 180 acute care hospitals. Using Poisson regression, we developed a model to predict hospital- and age-specific monthly rates of C. difficile disease per 10,000 patient-days prior to introduction of public reporting on September 1, 2008. We then compared observed monthly rates of C. difficile infection in the post-intervention period with rates predicted by the pre-intervention predictive model. In the pre-intervention period there were 33,634 cases of C. difficile infection during 39,221,113 hospital days, with rates increasing from 7.01 per 10,000 patient-days in 2002 to 10.79 in 2007. In the first calendar year after the introduction of public reporting, there was a decline in observed rates of C. difficile colitis in Ontario to 8.92 cases per 10,000 patient-days, which was significantly lower than the predicted rate of 12.16 (95% CI 11.35-13.04) cases per 10,000 patient-days (ppublic reporting was associated with a 26.7% (95% CI 21.4%-31.6%) reduction in C. difficile cases, or a projected 1,970 cases averted per year (95% CI 1,476-2,500). The effect was specific to C. difficile, with rates of community-acquired gastrointestinal infections and urinary tract infections unchanged. A limitation of our study is that this observational study design cannot rule out the influence of unmeasured temporal confounders. Public reporting of hospital C. difficile rates was associated

  18. Abnormally elevated serum hCG in a patient with end-stage renal disease seeking abortion: to be expected or a cause for concern? A case report.

    Science.gov (United States)

    Thompson, Benjamin W; Zerden, Matthew L; Morse, Jessica E

    2015-07-01

    A patient with end-stage renal disease on hemodialysis was referred to our abortion clinic with a concern for molar pregnancy. By 12 weeks, her human chorionic gonadotropin (hCG) level was over 500,000. A review of the literature demonstrates that elevated hCG should be expected in this population and should not alter care.

  19. Troponin elevation in subarachnoid hemorrhage

    Institute of Scientific and Technical Information of China (English)

    Ioannis N Mavridis; Maria Meliou; Efstratios-Stylianos Pyrgelis

    2015-01-01

    Troponin (tr) elevation in aneurysmal subarachnoid hemorrhage (SAH) patients is often difficult to be appropriately assessed by clinicians, causing even disagreements regarding its management between neurosurgeons and cardiologists. The purpose of this article was to review the literature regarding the clinical interpretation of tr elevation in SAH. We searched for articles in PubMed using the key words:“troponin elevation”and“subarachnoid hemorrhage”. All of them, as well as relative neurosurgical books, were used for this review. Some type of cardiovascular abnormality develops in most SAH patients. Neurogenic stunned myocardium is a frequent SAH complication, due to catecholamine surge which induces cardiac injury, as evidenced by increased serum tr levels, electrocardiographic (ECG) changes and cardiac wall motion abnormalities. Tr elevation, usually modest, is an early and specific marker for cardiac involvement after SAH and its levels peak about two days after SAH. Cardiac tr elevation predictors include poor clinical grade, intraventricular hemorrhage, loss of consciousness at ictus, global cerebral edema, female sex, large body surface area, lower systolic blood pressure, higher heart rate and prolonged Q-Tc interval. Elevated tr levels are associated with disability and death (especially tr>1μg/L), worse neurological grade, systolic and diastolic cardiac dysfunction, pulmonary congestion, longer intensive care unit stay and incidence of vasospasm. Tr elevation is a common finding in SAH patients and constitutes a rightful cause of worry about the patients’ cardiac function and prognosis. It should be therefore early detected, carefully monitored and appropriately managed by clinicians.

  20. Assessment of social traits in married couples: Self-reports versus spouse ratings around the interpersonal circumplex.

    Science.gov (United States)

    Smith, Timothy W; Williams, Paula G

    2016-06-01

    Personality traits predict the quality of intimate relationships, and as a result can be useful additions to assessments of couple functioning. For traits involving social behavior, the affiliation (i.e., warmth, friendliness vs. hostility, quarrelsomeness) and control (i.e., dominance vs. deference, submissiveness) dimensions of the interpersonal circumplex (IPC) are an alternative to the 5-factor model traits of agreeableness and extraversion, given that they may provide a more specific and relevant description of social behavior in the context of couple functioning. The couple context creates an opportunity to supplement commonly used self-reports with informant ratings. Although substantial correlations between self-reports and partner ratings of personality are well-documented, differences between these assessment modalities in levels of affiliation and control have not been examined previously. The present study of 301 middle-aged and older couples addressed this issue by comparing self-reports and spouse ratings, using parallel forms of a measure of the interpersonal circumplex derived from the NEO (Neuroticism-Extraversion-Openness) PI-R (Personality Inventory-Revised). Participants reported lower trait dominance relative to spouses' ratings, and less trait hostility. For dominance, this discrepancy was evident at all levels of marital quality, but for hostility it was particularly apparent among couples reporting low marital quality. The tendency to self-report less dominance relative to ratings by spouses was stronger among women than men. These discrepancies may be important in couple assessment and intervention. (PsycINFO Database Record

  1. On the Validity of the Psychosocial Maturity Scales: Relationship to Teacher Ratings. Report No. 171.

    Science.gov (United States)

    Josselson, Ruthellen; And Others

    This study attempts to provide evidence for the criterion validity of the Psychosocial Maturity (PSM) scales. Students' scores on the nine PSM scales were related to teachers' ratings of student PSM-related behavior. All scales except Trust significantly differentiated students rated high on PSM-related traits from students not rated high. Only…

  2. Evaluation of Risk Minimisation Measures for Blood Components - Based on Reporting Rates of Transfusion-Transmitted Reactions (1997-2013).

    Science.gov (United States)

    Funk, Markus B; Heiden, Margarethe; Volkers, Peter; Lohmann, Annette; Keller-Stanislawski, Brigitte

    2015-07-01

    To assess the impact of safety measures, we compared reporting rates of transfusion-related reactions before and after the implementation of six measures in 1999, 2004, 2006, 2008 and 2009. Reporting rates of transfusion-transmitted bacterial infection (TTBI), viral infection (TTVI) and immune-mediated transfusion-related acute lung injury (TRALI) were calculated on the basis of confirmed annual reports and distributed blood components. The introduction of HCV NAT testing caused a significant reduction of HCV reporting rate from 1:0.6 to 1:83.16 million administered blood components (p blood components, p = 0.422). On the basis of haemovigilance data, a significant benefit could be demonstrated for four of six implemented safety measures.

  3. Estimating the incidence reporting rates of new influenza pandemics at an early stage using travel data from the source country.

    Science.gov (United States)

    Chong, K C; Fong, H F; Zee, C Y

    2014-05-01

    During the surveillance of influenza pandemics, underreported data are a public health challenge that complicates the understanding of pandemic threats and can undermine mitigation efforts. We propose a method to estimate incidence reporting rates at early stages of new influenza pandemics using 2009 pandemic H1N1 as an example. Routine surveillance data and statistics of travellers arriving from Mexico were used. Our method incorporates changes in reporting rates such as linearly increasing trends due to the enhanced surveillance. From our results, the reporting rate was estimated at 0·46% during early stages of the pandemic in Mexico. We estimated cumulative incidence in the Mexican population to be 0·7% compared to 0·003% reported by officials in Mexico at the end of April. This method could be useful in estimation of actual cases during new influenza pandemics for policy makers to better determine appropriate control measures.

  4. How few and far between? Examining the effects of probe rate on self-reported mind wandering.

    Science.gov (United States)

    Seli, Paul; Carriere, Jonathan S A; Levene, Merrick; Smilek, Daniel

    2013-01-01

    We examined whether the temporal rate at which thought probes are presented affects the likelihood that people will report periods of mind wandering. To evaluate this possibility, we had participants complete a sustained-attention task (the Metronome Response Task; MRT) during which we intermittently presented thought probes. Critically, we varied the average time between probes (i.e., probe rate) across participants, allowing us to examine the relation between probe rate and mind-wandering rate. We observed a positive relation between these variables, indicating that people are more likely to report mind wandering as the time between probes increases. We discuss the methodological implications of this finding in the context of the mind-wandering literature, and suggest that researchers include a range of probe rates in future work to provide more insight into this methodological issue.

  5. How few and far between? Examining the effects of probe rate on self-reported mind wandering

    Directory of Open Access Journals (Sweden)

    Paul eSeli

    2013-07-01

    Full Text Available We examined whether the temporal rate at which thought probes are presented affects the likelihood that people will report periods of mind wandering. To evaluate this possibility, we had participants complete a sustained-attention task (the Metronome Response Task; MRT during which we intermittently presented thought probes. Critically, we varied the average time between probes (i.e., probe rate across participants, allowing us to examine the relation between probe rate and mind-wandering rate. We observed a positive relation between these variables, indicating that people are more likely to report mind wandering as the time between probes increases. We discuss the methodological implications of this finding in the context of the mind-wandering literature, and suggest that researchers include a range of probe rates in future work to provide more insight into this methodological issue.

  6. Iowa Bedrock Surface Elevation

    Data.gov (United States)

    Iowa State University GIS Support and Research Facility — This Digital Elevation Model (DEM) of the bedrock surface elevation in Iowa was compiled using all available data, principally information from GEOSAM, supplemented...

  7. 78 FR 71036 - Pipeline Safety: Random Drug Testing Rate; Contractor Management Information System Reporting...

    Science.gov (United States)

    2013-11-27

    ...; Contractor Management Information System Reporting; and Obtaining Drug and Alcohol Management Information... Operators to Report Contractor Management Information System (MIS) Data; and New Method for Operators to... ``user name'' and ``password'' for the Drug and Alcohol Management Information System (DAMIS)...

  8. Increased rate of stent thrombosis and target lesion revascularization after filter protection in primary percutaneous coronary intervention for ST-segment elevation myocardial infarction: 15-month follow-up of the DEDICATION (Drug Elution and Distal Protection in ST Elevation Myocardial Infarction

    DEFF Research Database (Denmark)

    Kaltoft, Anne; Kelbaek, Henning; Kløvgaard, Lene;

    2010-01-01

    The purpose of this study was to evaluate the long-term effects of distal protection during percutaneous coronary intervention (PCI) for ST-segment elevation myocardial infarction (STEMI).......The purpose of this study was to evaluate the long-term effects of distal protection during percutaneous coronary intervention (PCI) for ST-segment elevation myocardial infarction (STEMI)....

  9. The development of a generic model for assessing the effects of elevated CO{sub 2} on ecosystems. Progress report, September 1, 1987--May 31, 1988

    Energy Technology Data Exchange (ETDEWEB)

    Reynolds, J.F.; Dougherty, R.L.; Harley, P.C.; Hilbert, D.W.; Skiles, J.W.

    1988-12-31

    Nitrogen concentrations in leaves vary in response to resource availability, generally increasing with increasing light or soil nitrogen and decreasing when plants are grown at higher than ambient carbon dioxide concentrations. This decrease in leaf nitrogen which commonly occurs at elevated levels of carbon dioxide Is intriguing and important for a number of reasons. Since leaf nitrogen and photosynthetic capacity are correlated, plants grown at high levels of carbon dioxide often do not display remarkable increases in growth and productivity. This study asks: (1) Is decreased leaf nitrogen in plants grown at elevated carbon dioxide levels an adaptive response of plants? and (2) Is this response predictable and consistent with responses to light and nutrition?

  10. MODELING THE IMPACT OF ELEVATED MERCURY IN DEFENSE WASTE PROCESSING FACILITY MELTER FEED ON THE MELTER OFF-GAS SYSTEM-PRELIMINARY REPORT

    Energy Technology Data Exchange (ETDEWEB)

    Zamecnik, J.; Choi, A.

    2010-08-18

    The Defense Waste Processing Facility (DWPF) is currently evaluating an alternative Chemical Process Cell (CPC) flowsheet to increase throughput. It includes removal of the steam-stripping step, which would significantly reduce the CPC processing time and lessen the sampling needs. However, its downside would be to send 100% of the mercury that comes in with the sludge straight to the melter. For example, the new mercury content in the Sludge Batch 5 (SB5) melter feed is projected to be 25 times higher than that in the SB4 with nominal steam stripping of mercury. This task was initiated to study the impact of the worst-case scenario of zero-mercury-removal in the CPC on the DWPF melter offgas system. It is stressed that this study is intended to be scoping in nature, so the results presented in this report are preliminary. In order to study the impact of elevated mercury levels in the feed, it is necessary to be able to predict how mercury would speciate in the melter exhaust under varying melter operating conditions. A homogeneous gas-phase oxidation model of mercury by chloride was developed to do just that. The model contains two critical parameters pertaining to the partitioning of chloride among HCl, Cl, Cl{sub 2}, and chloride salts in the melter vapor space. The values for these parameters were determined at two different melter vapor space temperatures by matching the calculated molar ratio of HgCl (or Hg{sub 2}Cl{sub 2}) to HgCl{sub 2} with those measured during the Experimental-Scale Ceramic Melter (ESCM) tests run at the Pacific Northwest National Laboratory (PNNL). The calibrated model was then applied to the SB5 simulant used in the earlier flowsheet study with an assumed mercury stripping efficiency of zero; the molar ratio of Cl-to-Hg in the resulting melter feed was only 0.4, compared to 12 for the ESCM feeds. The results of the model run at the indicated melter vapor space temperature of 650 C (TI4085D) showed that due to excessive shortage of

  11. MODELING THE IMPACT OF ELEVATED MERCURY IN DEFENSE WASTE PROCESSING FACILITY MELTER FEED ON THE MELTER OFF-GAS SYSTEM - PRELIMINARY REPORT

    Energy Technology Data Exchange (ETDEWEB)

    Zamecnik, J.; Choi, A.

    2009-03-25

    The Defense Waste Processing Facility (DWPF) is currently evaluating an alternative Chemical Process Cell (CPC) flowsheet to increase throughput. It includes removal of the steam-stripping step, which would significantly reduce the CPC processing time and lessen the sampling needs. However, its downside would be to send 100% of the mercury that come in with the sludge straight to the melter. For example, the new mercury content in the Sludge Batch 5 (SB5) melter feed is projected to be 25 times higher than that in the SB4 with nominal steam stripping of mercury. This task was initiated to study the impact of the worst-case scenario of zero-mercury-removal in the CPC on the DWPF melter off-gas system. It is stressed that this study is intended to be scoping in nature, so the results presented in this report are preliminary. In order to study the impact of elevated mercury levels in the feed, it is necessary to be able to predict how mercury would speciate in the melter exhaust under varying melter operating conditions. A homogeneous gas-phase oxidation model of mercury by chloride was developed to do just that. The model contains two critical parameters pertaining to the partitioning of chloride among HCl, Cl, Cl{sub 2}, and chloride salts in the melter vapor space. The values for these parameters were determined at two different melter vapor space temperatures by matching the calculated molar ratio of HgCl (or Hg{sub 2}Cl{sub 2}) to HgCl{sub 2} with those measured during the Experimental-Scale Ceramic Melter (ESCM) tests run at the Pacific Northwest National Laboratory (PNNL). The calibrated model was then applied to the SB5 simulant used in the earlier flowsheet study with an assumed mercury stripping efficiency of zero; the molar ratio of Cl-to-Hg in the resulting melter feed was only 0.4, compared to 12 for the ESCM feeds. The results of the model run at the indicated melter vapor space temperature of 650 C (TI4085D) showed that due to excessive shortage of

  12. Molten Composition B Viscosity at Elevated Temperature

    Science.gov (United States)

    Zerkle, David K.; Núñez, Marcel P.; Zucker, Jonathan M.

    2016-10-01

    A shear-thinning viscosity model is developed for molten Composition B at elevated temperature from analysis of falling ball viscometer data. Results are reported with the system held at 85, 110, and 135°C. Balls of densities of 2.7, 8.0, and 15.6 g/cm3 are dropped to generate a range of strain rates in the material. Analysis of video recordings gives the speed at which the balls fall. Computer simulation of the viscometer is used to determine parameters for a non-Newtonian model calibrated to measured speeds. For the first time, viscosity is shown to be a function of temperature and strain rate-dependent maximum RDX (cyclotrimethylenetrinitramine) particle volume fraction.

  13. A Summary of Fault Recurrence and Strain Rates in the Vicinity of the Hanford Site--Topical Report

    Energy Technology Data Exchange (ETDEWEB)

    Bjornstad, Bruce N.; Winsor, Kelsey; Unwin, Stephen D.

    2012-08-01

    This document is one in a series of topical reports compiled by the Pacific Northwest National Laboratory to summarize technical information on selected topics important to the performance of a probabilistic seismic hazard analysis of the Hanford Site. The purpose of this report is to summarize available data and analyses relevant to fault recurrence and strain rates within the Yakima Fold Belt. Strain rates have met with contention in the expert community and may have a significant potential for impact on the seismic hazard estimate at the Hanford Site. This report identifies the alternative conceptual models relevant to this technical issue and the arguments and data that support those models. It provides a brief description of the technical issue and principal uncertainties; a general overview on the nature of the technical issue, along with alternative conceptual models, supporting arguments and information, and uncertainties; and finally, suggests some prospective approaches to reducing uncertainties about earthquake recurrence rates for the Yakima Fold Belt.

  14. 1-Meter Digital Elevation Model specification

    Science.gov (United States)

    Arundel, Samantha T.; Archuleta, Christy-Ann M.; Phillips, Lori A.; Roche, Brittany L.; Constance, Eric W.

    2015-10-21

    In January 2015, the U.S. Geological Survey National Geospatial Technical Operations Center began producing the 1-Meter Digital Elevation Model data product. This new product was developed to provide high resolution bare-earth digital elevation models from light detection and ranging (lidar) elevation data and other elevation data collected over the conterminous United States (lower 48 States), Hawaii, and potentially Alaska and the U.S. territories. The 1-Meter Digital Elevation Model consists of hydroflattened, topographic bare-earth raster digital elevation models, with a 1-meter x 1-meter cell size, and is available in 10,000-meter x 10,000-meter square blocks with a 6-meter overlap. This report details the specifications required for the production of the 1-Meter Digital Elevation Model.

  15. The ratification status of ILO conventions related to occupational safety and health and its relationship with reported occupational fatality rates.

    Science.gov (United States)

    Wilson, Donald J; Takahashi, Ken; Sakuragi, Sonoko; Yoshino, Masako; Hoshuyama, Tsutomu; Imai, Teppei; Takala, Jukka

    2007-01-01

    The aim of this study was to assess the relationship between the ratification status of occupational safety and health (OSH)-related ILO conventions and reported occupational fatality rates of ILO member countries, while controlling for possible confounding factors. ILO member states were divided into 4 levels of income status, based on the gross national income per capita. Seventeen conventions designated as OSH-related were examined. Reported country occupational fatality rates were compared according to the ratification status of these 17 conventions and multiple regression analyses were conducted to assess the relationship between the fatality rates, ratification status, income level and length of ILO membership. Fatality rates were inversely and significantly related to income levels. In general, non-ratifying countries had higher work-related fatality rates than ratifying countries. A statistical model for identifying predictors of fatal injury rates showed that a larger number of conventions ratified was significantly associated with lower fatality rates. The fact that non-ratifying countries generally have higher fatality rates than ratifying ones supports the notion that all countries should promote ratification of ILO conventions aimed at improving OSH conditions.

  16. Classroom Test Report: Compressed Speech Tapes--An Effective Teaching Tool for Increasing Rate and Comprehension.

    Science.gov (United States)

    Berg, Jerry

    Compressed speech tapes--recordings of a voice reading a selection at the normal rate of approximately 150 words per minute that are speeded up to as much as 400 words a minute--can be used successfully with students to provide practice in improving reading rate and comprehension. In a field test conducted with 23 high school juniors and seniors…

  17. Rates of solubilization and biodegradation of PAH compounds in porous media. [Quarterly report

    Energy Technology Data Exchange (ETDEWEB)

    Luthy, R.G.

    1991-11-01

    Microbial degradation of hydrophobic organic compounds in soils and aquifer media is dependent on rates of desorption of these compounds from solids and rates of solubilization from residual nonaqueous phase liquids (NAPLs). The couples processes involving microbial degradation and hydrophobic compound availability are not well understood. The proposed research effort explores certain physicochemical phenomena that may have a significant affect on the rate of microbial degradation of hydrophobic organic compounds in porous media. The investigation will examine rates of biomineralization of polycyclic aromatic hydrocarbon (PAH) compounds that are leached from a residual saturation of coal tar. Batch and continuously-stirred reactor studies will be used to measure solute equilibrium concentrations and rates of solubilization of PAH compounds from coal tar imbided into microporous silica media. These rates will be compared with rates of mineralization of {sup 14}C-labeled compounds in similar systems inoculated with a culture of PAH degrading microorganisms. Column experiments will also be conducted to assess the rates of solubilization and mass transfer coefficients from coal tar entrapped in a sandy aquifer material by capillary forces.

  18. Tether Elevator Crawler Systems (TECS)

    Science.gov (United States)

    Swenson, Frank R.

    1987-01-01

    One of the needs of the experimenters on the space station is access to steady and controlled-variation microgravity environments. A method of providing these environments is to place the experiment on a tether attached to the space station. This provides a high degree of isolation from structural oscillations and vibrations. Crawlers can move these experiments along the tethers to preferred locations, much like an elevator. This report describes the motion control laws developed for these crawlers and the testing of laboratory models of these tether elevator crawlers.

  19. Energy-efficient mortgages and home energy rating systems: A report on the nation`s progress

    Energy Technology Data Exchange (ETDEWEB)

    Farhar, B.C.; Eckert, J.

    1993-09-01

    This report summarizes progress throughout the nation in establishing voluntary programs linking home energy rating systems (HERS) and energy-efficient mortgages (EEMs). These programs use methods for rating the energy efficiency of new and existing homes and predicting energy cost savings so lenders can factor in energy cost savings when underwriting mortgages. The programs also encourage lenders to finance cost-effective energy-efficiency improvements to existing homes with low-interest mortgages or other instruments. The money saved on utility bills over the long term can more than offset the cost of such energy-efficiency improvements. The National Collaborative on HERS and EEMs recommended that this report be prepared.

  20. Associations between Peer Nominations, Teacher Ratings, Self-Reports, and Observations of Malicious and Disruptive Behavior

    Science.gov (United States)

    Henry, David B.

    2006-01-01

    This study evaluates the validity of two aggression scales for predicting observations of malicious or disruptive behavior at school. Subgroups of a sample of 1,560 children (age 8.6 plus or minus 1.5 years) were assessed using (a) peer nominations of aggression, (b) teacher reports on the Teacher Report Form (TRF) of the Child Behavior Checklist…

  1. Closeout technical report for DOE award number DE-FG02-97ER62332 [Nitrogen budget under elevated CO{sub 2} levels: regulation by absorption and assimilation

    Energy Technology Data Exchange (ETDEWEB)

    BassiriRad, Hormoz; Gutschick, Vincent

    2001-10-01

    This entire project was conducted between 1995 and 1999, during which two postdocs and numerous undergraduate students received training in research. Furthermore, the funds from this grant contributed either totally or partially to the publication of 14 refereed journal articles. The focus of this research was to investigate plant nitrogen budget under elevated CO{sub 2} concentration. Of particular interest were the following: (1) Does elevated CO{sub 2} increase root carbohydrate availability? (2) Does such an enhancement increase kinetics of root nitrogen acquisition? (3) Does the effect on kinetics differ between NH{sub 4}{sup +} and NO{sub 3}{sup -}? (4) If there are interspecific differences in (1)-(3), could those variations lead to changes in community composition? This report shows that, although root carbohydrate availability often increases in response to elevated CO{sub 2}, such an increase is neither necessary nor directly related to changes in root N uptake kinetics . The data also show that, depending on species, the effects of elevated CO{sub 2} on root nitrogen uptake kinetics ranges from down regulation to no changes to up regulation. Furthermore, the effects on NH{sub 4}{sup +} are not always similar to the effects on NO{sub 3}{sup -}. Perhaps the most critical finding is the fact that in many instances a change in root N uptake kinetics alone does not provide a reliable prediction of plant N acquisition in response to elevated CO{sub 2}. It is shown that a better examination of whether plant N uptake responds to CO{sub 2} level and whether such a response can be scaled up to community level processes would require integration of knowledge of other root system characteristics. For example, it is well established that mycorrhizal fungi are important regulators of plant N uptake. The data suggest that, while elevated CO{sub 2} affects root N uptake capacity, this effect is highly dependent on the type and level of the mycorrhizal infection. Another

  2. Hemolysis, Elevated Liver Enzymes, and Low Platelets, Severe Fetal Growth Restriction, Postpartum Subarachnoid Hemorrhage, and Craniotomy: A Rare Case Report and Systematic Review

    Directory of Open Access Journals (Sweden)

    Shadi Rezai

    2017-01-01

    Full Text Available Introduction. Hemolysis, elevated liver enzymes, and low platelets (HELLP syndrome is a relatively uncommon but traumatic condition occurring in the later stage of pregnancy as a complication of severe preeclampsia or eclampsia. Prompt brain computed tomography (CT or magnetic resonance imaging (MRI and a multidisciplinary management approach are required to improve perinatal outcome. Case. A 37-year-old, Gravida 6, Para 1-0-4-1, Hispanic female with a history of chronic hypertension presented at 26 weeks and 6 days of gestational age. She was noted to have hemolysis, elevated liver enzymes, and low platelets (HELLP syndrome accompanied by fetal growth restriction (FGR, during ultrasound evaluation, warranting premature delivery. The infant was delivered in stable condition suffering no permanent neurological deficit. Conclusion. HELLP syndrome is an uncommon and traumatic obstetric event which can lead to neurological deficits if not managed in a responsive and rapid manner. The central aggravating factor seems to be hypertension induced preeclamptic or eclamptic episode and complications thereof. The syndrome itself is manifested by hemolytic anemia, increased liver enzymes, and decreasing platelet counts with a majority of neurological defects resulting from hemorrhagic stroke or subarachnoid hemorrhage (SAH. To minimize adverse perinatal outcomes, obstetric management of this medical complication must include rapid clinical assessment, diagnostic examination, and neurosurgery consultation.

  3. CO{sub 2} exchange environmental productivity indices, and productivity of agaves and cacti under current and elevated atmospheric CO{sub 2} concentrations. Final report

    Energy Technology Data Exchange (ETDEWEB)

    Nobel, P.S.

    1994-12-31

    The research described in the proposal investigated net CO{sub 2} uptake and biomass accumulation for an extremely productive CAM plant, the prickly pear cactus Opuntia ficus-indica, under conditions of elevated CO{sub 2} concentrations for relatively long periods. The influences of soil water status, air temperature, and the photosynthetic photon flux (PPF) on net CO{sub 2} uptake over 24-h periods were evaluated to enable predictions to be made based on an Environmental Productivity Index (EPI). Specifically, EPI predicts the fraction of maximal daily net CO{sub 2} uptake based on prevailing environmental conditions. It is the product of indices for temperature, soil water, and intercepted PPF, each of which range from 0.00 when that index factor completely inhibits net CO{sub 2} uptake to 1.00 when no limitation occurs. For instance, the Water Index is 1.00 under wet conditions and decreases to 0.00 during prolonged drought. Although the major emphasis of the research was on net C0{sub 2} uptake and the resulting biomass production for O. ficus-indica, effects of elevated CO{sub 2} concentrations on root: shoot ratios and on the activities of the two carboxylating enzymes were also investigated. Moreover, experiments were also done on other CAM plants, including Agave deserti, Agave salmiana, and Hylocereus undatus, and Stenocereus queretaroensis.

  4. CO{sub 2} exchange, environmental productivity indices, and productivity of Agaves and Cacti under current and elevated atmospheric CO{sub 2} concentrations. Terminal report

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1995-06-01

    The research described in the proposal investigated net CO{sub 2} uptake and biomass accumulation for an extremely productive CAM plant, the prickly pear cactus Opuntia ficus-indica, under conditions of elevated CO{sub 2} concentrations for relatively long periods. The influences of soil water status, air temperature, and the photosynthetic photon flux (PPF) on net CO{sub 2} uptake over 24-h periods were evaluated to enable predictions to be made based on an Environmental Productivity Index (EPI). Specifically, EPI predicts the fraction of maximal daily net CO{sub 2} uptake based on prevailing environmental conditions. It is the product of indices for temperature, soil water, and intercepted PPF, each of which range from 0.00 when that index factor completely inhibits net CO{sub 2} uptake to 1.00 when no limitation occurs. For instance, the Water Index is 1.00 under wet conditions and decreases to 0.00 during prolonged drought. Although the major emphasis of the research was on net CO{sub 2} uptake and the resulting biomass production for O. ficus-indica, effects of elevated CO{sub 2} concentrations on root: shoot ratios and on the activities of the two carboxylating enzymes were also investigated. Moreover, experiments were also done on other CAM plants, including Agave deserti, Agave salmiana, and Hylocereus undatus, and Stenocereus queretaroensis.

  5. Dynamics of shigellosis epidemics: estimating individual-level transmission and reporting rates from national epidemiologic data sets.

    Science.gov (United States)

    Joh, Richard I; Hoekstra, Robert M; Barzilay, Ezra J; Bowen, Anna; Mintz, Eric D; Weiss, Howard; Weitz, Joshua S

    2013-10-15

    Shigellosis, a diarrheal disease, is endemic worldwide and is responsible for approximately 15,000 laboratory-confirmed cases in the United States every year. However, patients with shigellosis often do not seek medical care. To estimate the burden of shigellosis, we extended time-series susceptible-infected-recovered models to infer epidemiologic parameters from underreported case data. We applied the time-series susceptible-infected-recovered-based inference schemes to analyze the largest surveillance data set of Shigella sonnei in the United States from 1967 to 2007 with county-level resolution. The dynamics of shigellosis transmission show strong annual and multiyear cycles, as well as seasonality. By using the schemes, we inferred individual-level parameters of shigellosis infection, including seasonal transmissibilities and basic reproductive number (R0). In addition, this study provides quantitative estimates of the reporting rate, suggesting that the shigellosis burden in the United States may be more than 10 times the number of laboratory-confirmed cases. Although the estimated reporting rate is generally under 20%, and R0 is generally under 1.5, there is a strong negative correlation between estimates of the reporting rate and R0. Such negative correlations are likely to pose identifiability problems in underreported diseases. We discuss complementary approaches that might further disentangle the true reporting rate and R0.

  6. Medicare Program; FY 2017 Hospice Wage Index and Payment Rate Update and Hospice Quality Reporting Requirements. Final rule.

    Science.gov (United States)

    2016-08-05

    This final rule will update the hospice wage index, payment rates, and cap amount for fiscal year (FY) 2017. In addition, this rule changes the hospice quality reporting program, including adopting new quality measures. Finally, this final rule includes information regarding the Medicare Care Choices Model (MCCM).

  7. Agreement Rates between Parent and Self-Report on Past ADHD Symptoms in an Adult Clinical Sample

    Science.gov (United States)

    Dias, Gabriela; Mattos, Paulo; Coutinho, Gabriel; Segenreich, Daniel; Saboya, Eloisa; Ayrao, Vanessa

    2008-01-01

    Objective: To investigate agreement rates between parent and self-report on childhood symptoms of ADHD. Method: Sixty-eight self-referred treatment-naive adults (33 men, 35 women) were interviewed with a modified version of the Kiddie Schedule for Affective Disorders and Schizophrenia-Epidemiological Version (K-SADS-E) and asked about past ADHD…

  8. Agreement Rates between Parent and Self-Report on Past ADHD Symptoms in an Adult Clinical Sample

    Science.gov (United States)

    Dias, Gabriela; Mattos, Paulo; Coutinho, Gabriel; Segenreich, Daniel; Saboya, Eloisa; Ayrao, Vanessa

    2008-01-01

    Objective: To investigate agreement rates between parent and self-report on childhood symptoms of ADHD. Method: Sixty-eight self-referred treatment-naive adults (33 men, 35 women) were interviewed with a modified version of the Kiddie Schedule for Affective Disorders and Schizophrenia-Epidemiological Version (K-SADS-E) and asked about past ADHD…

  9. Cure rate study of isothermally aged Sylgard 182, (an addendum). Progress report, October--December 1975

    Energy Technology Data Exchange (ETDEWEB)

    Clink, G.L.

    1975-01-01

    Isothermal aging of freshly prepared Sylgard 182 at 21/sup 0/C has been completed. Chemical analysis through NMR procedures, and hardness determinations through Shore durometer measurements are reported.

  10. Optimizing cellulase mixtures for maximum rate and extent of hydrolysis. Final report

    Energy Technology Data Exchange (ETDEWEB)

    Walker, L.P.; Wilson, D.B. [Cornell Univ., Ithaca, NY (United States)

    1997-03-01

    Pure Thomomonospora fusca and Trichoderma reesei cellulases and their mixtures were studied to determine the optimal set of cellulases for biomass hydrolysis. The objective was to reduce the cost of cellulase in order to help lower the overall processing cost of the enzymatic conversion of biomass cellulose to sugars, which can then be fermented into fuels and other energy-intensive chemicals. No cellulase mixture was obtained that was much better than the best commercially available preparations. However, the study has greatly increased knowledge of T. fusca cellulases, synergism, and cellulose binding, and provide evidence that future work will produce cellulases with higher activity in degrading crystalline cellulose. T. fusca cellulases may have good industrial potential because: (1) they are compatible with industrial processes that operate at elevated temperatures; (2) they retain 90% of their activity under neutral or basic conditions, which provides a great deal of flexibility in reactor design and operation; and (3) tools are now available to change specific amino acid residues in their catalytic domains and to assess how these changes influence catalysis. 74 refs.

  11. Reporting instructions significantly impact false positive rates when reading chest radiographs

    Energy Technology Data Exchange (ETDEWEB)

    Robinson, John W.; Brennan, Patrick C.; Mello-Thoms, Claudia; Lewis, Sarah J. [The University of Sydney, Medical Image Optimisation and Perception Group, Discipline of Medical Radiation Sciences, Faculty of Health Sciences, Lidcombe, NSW (Australia)

    2016-10-15

    To determine the impact of specific reporting tasks on the performance of radiologists when reading chest radiographs. Ten experienced radiologists read a set of 40 postero-anterior (PA) chest radiographs: 21 nodule free and 19 with a proven solitary nodule. There were two reporting conditions: an unframed task (UFT) to report any abnormality and a framed task (FT) reporting only lung nodule/s. Jackknife free-response operating characteristic (JAFROC) figure of merit (FOM), specificity, location sensitivity and number of true positive (TP), false positive (FP), true negative (TN) and false negative (FN) decisions were used for analysis. JAFROC FOM for tasks showed a significant reduction in performance for framed tasks (P = 0.006) and an associated decrease in specificity (P = 0.011) but no alteration to the location sensitivity score. There was a significant increase in number of FP decisions made during framed versus unframed tasks for nodule-containing (P = 0.005) and nodule-free (P = 0.011) chest radiographs. No significant differences in TP were recorded. Radiologists report more FP decisions when given specific reporting instructions to search for nodules on chest radiographs. The relevance of clinical history supplied to radiologists is called into question and may induce a negative effect. (orig.)

  12. De stille elever

    DEFF Research Database (Denmark)

    Winther-Lindqvist, Ditte Alexandra

    2012-01-01

    Det er blevet en afgørende samværskompetence i uddannelsessystemet at stå aktivt frem og deltage verbalt i skoleklassens liv både fagligt og socialt. Men ikke alle elever deltager lige villigt verbalt i plenum. Artiklen handler om de stille elever og konsekvenserne af stillehed i skolen. Det...... foreslås at skolesystemet sanktionerer ældre elever hårdere for stillehed end yngre elever og det forklares med at skolelivet også er en kultivering henimod elevhed som social identitet og denne er der forventning om at eleverne mestrer i udskolingen....

  13. Interlaboratory reaction rate program. 12th progress report, November 1976-October 1979

    Energy Technology Data Exchange (ETDEWEB)

    Lippincott, E.P.; McElroy, W.N.; Preston, C.C. (comps.)

    1980-09-01

    The Interlaboratory Reaction Rate UILRR) program is establishing the capability to accurately measure neutron-induced reactions and reaction rates for reactor fuels and materials development programs. The goal for the principal fission reactions, /sup 235/U, /sup 238/U and /sup 239/Pu, is an accuracy to within +- 5% at the 95% confidence level. Accurate measurement of other fission and nonfission reactions is also required, but to a lesser accuracy, between +- 5% and 10% at the 95% confidence level. A secondary program objective is improvement in knowledge of the nuclear parameters involved in the standarization of fuels and materials dosimetry measurements of neutron flux, spectra, fluence and burnup.

  14. Response of a tundra ecosystem to elevated atmospheric carbon dioxide and CO{sub 2}-induced climate change. Annual technical report

    Energy Technology Data Exchange (ETDEWEB)

    Oechel, W.C.

    1992-04-01

    Northern ecosystems contain up to 455 Gt of C in the soil active layer and upper permafrost. The soil carbon in these layers is equivalent to approximately 60% of the carbon currently in the atmosphere as CO{sub 2}. Much of this carbon is stored in the soil as dead organic matter. Its fate is subject to the net effects of global change on the plant and soil systems of northern ecosystems. The arctic alone contains about 60 Gt C, 90% of which is present in the soil active layer and upper permafrost. The arctic is assumed to have been a sink for CO{sub 2} during the historic and recent geologic past. The arctic has the potential to be a very large, long-term source or sink of CO{sub 2} with respect to the atmosphere. In situ experimental manipulations of atmospheric CO{sub 2}, indicated that there is little effect of elevated atmospheric CO{sub 2} on leaf level photosynthesis or whole-ecosystem CO{sub 2} flux over the course of weeks to years, respectively. However, there may be longer- term ecosystem responses to elevated CO{sub 2} that could ultimately affect ecosystem CO{sub 2} balance. In addition to atmospheric CO{sub 2}, climate may affect net ecosystem carbon balance. Recent results indicate that the arctic has become a source of CO{sub 2} to the atmosphere. This change coincides with recent climatic variation in the arctic, and suggests a positive feedback of arctic ecosystems on atmospheric CO{sub 2} and global change. The research proposed in this application has four principal aspects: (A) Long-term response of arctic plants and ecosystems to elevated atmospheric CO{sub 2}; (B) Circumpolar patterns of net ecosystem CO{sub 2} flux; (C) In situ controls by temperature and moisture on net ecosystem CO{sub 2} flux; (D) Scaling of CO{sub 2} flux from plot, to landscape, to regional scales (In conjunction with research proposed for NSF support).

  15. Gross Motor Function Classification System used in adults with cerebral palsy: agreement of self-reported versus professional rating.

    Science.gov (United States)

    Jahnsen, Reidun; Aamodt, Geir; Rosenbaum, Peter

    2006-09-01

    The present study investigated the reliability of self-reported rating of Gross Motor Function Classification System (GMFCS) levels compared with professional rating, and changes in gross motor function over time, in adults with cerebral palsy. Twenty-nine females and 33 males aged between 18 years 5 months and 62 years 11 months (mean age 34y 7mo [SD 10y 6mo]) participated in the study. Participants rated their current gross motor function using the GMFCS and reported their judgement of their gross motor function at age 10 to 12 years. The project leader, a physical therapist, also classified participants' current GMFCS levels and conducted a chart review on all accessible medical records of participants' gross motor function when they were 10 to 12 years old, rating the GMFCS level accordingly. Intraclass correlation coefficients (ICC) between self-reported and professional ratings showed excellent agreement (ICC=0.93-0.95, 95% confidence interval [CI] 0.89-0.97). More than half the participants experienced a stable gross motor function from the age of 10 to 12 years to the present. Those at GMFCS Levels II and III at the age of 10 to 12 years (according to the professional rating) had significant change for the worse in gross motor function over time, with odds ratios of 9.30 (95% CI 1.2-73.0, p=0.03) and 7.00 (95% CI 1.1-43.0, p=0.04) respectively. Interview data on circumstances regarding changes in gross motor function since childhood are also reported. Changes in GMFCS level were mostly associated with physical or social environmental factors.

  16. Cardiac troponin elevations among critically ill patients.

    NARCIS (Netherlands)

    Klein Gunnewiek, J.M.T.; Hoeven, J.G. van der

    2004-01-01

    PURPOSE OF THE REVIEW: Elevated levels of cardiac troponins, indicative of the presence of cardiac injury, have been reported in critically ill patients. In this review, the incidence, significance, and clinical relevance of elevated troponin levels among this group of patients will be discussed. RE

  17. Introducing radiology report checklists among residents: adherence rates when suggesting versus requiring their use and early experience in improving accuracy.

    Science.gov (United States)

    Powell, Daniel K; Lin, Eaton; Silberzweig, James E; Kagetsu, Nolan J

    2014-03-01

    To retrospectively compare resident adherence to checklist-style structured reporting for maxillofacial computed tomography (CT) from the emergency department (when required vs. suggested between two programs). To compare radiology resident reporting accuracy before and after introduction of the structured report and assess its ability to decrease the rate of undetected pathology. We introduced a reporting checklist for maxillofacial CT into our dictation software without specific training, requiring it at one program and suggesting it at another. We quantified usage among residents and compared reporting accuracy, before and after counting and categorizing faculty addenda. There was no significant change in resident accuracy in the first few months, with residents acting as their own controls (directly comparing performance with and without the checklist). Adherence to the checklist at program A (where it originated and was required) was 85% of reports compared to 9% of reports at program B (where it was suggested). When using program B as a secondary control, there was no significant difference in resident accuracy with or without using the checklist (comparing different residents using the checklist to those not using the checklist). Our results suggest that there is no automatic value of checklists for improving radiology resident reporting accuracy. They also suggest the importance of focused training, checklist flexibility, and a period of adjustment to a new reporting style. Mandatory checklists were readily adopted by residents but not when simply suggested. Copyright © 2014 AUR. Published by Elsevier Inc. All rights reserved.

  18. CDC Releases Report on 30-Year Low in Youth Homicide Rates

    Science.gov (United States)

    ... is one too many. Comprehensive approaches that include evidence-based prevention strategies are essential to eliminate homicide as ... to 24 years, and 28.8 for non-Hispanic black youth. The annual rate ... school-based programs that build students’ communications skills to solve ...

  19. Death rate due to horseshoe crab poisoning:summarization on Thai reports

    Institute of Scientific and Technical Information of China (English)

    Beuy Joob; Viroj Wiwanitkit

    2015-01-01

    Horseshoe crab can be poisonous and intoxication due to intake of horseshoe crab is possible. Horseshoe crab intoxication can be seen in many countries with seacoasts including Thailand. Here, the authors summarized the death rate due to horseshoe crab poisoning in Thailand.

  20. Teacher Rating of Oral Language and Literacy (TROLL): A Research-Based Tool. CIERA Report.

    Science.gov (United States)

    Dickinson, David K.; McCabe, Allyssa; Sprague, Kim

    The Teacher Rating of Oral Language and Literacy (TROLL) is an instrument that measures skills identified as critical in the New Standards for Speaking and Listening. In 5 to 10 minutes and without prior training, teachers can assess an individual child's current standing with respect to skills that research has identified as critical for literary…

  1. Troponin elevation in subarachnoid hemorrhage

    Directory of Open Access Journals (Sweden)

    Ioannis N. Mavridis

    2015-03-01

    Full Text Available Troponin (tr elevation in aneurysmal subarachnoid hemorrhage (SAH patients is often difficult to be appropriately assessed by clinicians, causing even disagreements regarding its management between neurosurgeons and cardiologists. The purpose of this article was to review the literature regarding the clinical interpretation of tr elevation in SAH. We searched for articles in PubMed using the key words: “troponin elevation” and “subarachnoid hemorrhage”. All of them, as well as relative neurosurgical books, were used for this review. Some type of cardiovascular abnormality develops in most SAH patients. Neurogenic stunned myocardium is a frequent SAH complication, due to catecholamine surge which induces cardiac injury, as evidenced by increased serum tr levels, electrocardiographic (ECG changes and cardiac wall motion abnormalities. Tr elevation, usually modest, is an early and specific marker for cardiac involvement after SAH and its levels peak about two days after SAH. Cardiac tr elevation predictors include poor clinical grade, intraventricular hemorrhage, loss of consciousness at ictus, global cerebral edema, female sex, large body surface area, lower systolic blood pressure, higher heart rate and prolonged Q-Tc interval. Elevated tr levels are associated with disability and death (especially tr >1 μg/L, worse neurological grade, systolic and diastolic cardiac dysfunction, pulmonary congestion, longer intensive care unit stay and incidence of vasospasm. Tr elevation is a common finding in SAH patients and constitutes a rightful cause of worry about the patients' cardiac function and prognosis. It should be therefore early detected, carefully monitored and appropriately managed by clinicians.

  2. Osteopoikilosis: A Cause of Elevated Bone Mineral Density on Dual X-Ray Absorptiometry Measurement in a Young Woman: Case Report

    Directory of Open Access Journals (Sweden)

    Asylbek Kaparov

    2010-04-01

    Full Text Available Osteopoikilosis (OPK is an asymptomatic, rare bone dysplasia. It causes an increase in bone density. The etiology and pathogenesis is unknown. OPK is generally diagnosed incidentally on plain radiographies which were performed for other locomotor system symptoms. Diagnostic lesions of OPK are typically diffuse, round, symmetrically shaped sclerotic bone areas. Laboratory findings and bone scintigraphy are usually normal. OPK should be considered in the differential diagnosis of osteoblastic bone disorders. OPK is a benign disease and invasive diagnostic procedures as well as aggressive treatment modalities should be avoided. In young individuals who have elevated scores on dual-energy X-Ray absoptiometry measurement, OPK as well as other sclerosing bone disorders would be considered. (From the World of Osteoporosis 2010;16:25-8

  3. National requirements for improved elevation data

    Science.gov (United States)

    Snyder, Gregory I.; Sugarbaker, Larry J.; Jason, Allyson L.; Maune, David F.

    2014-01-01

    This report presents the results of surveys, structured interviews, and workshops conducted to identify key national requirements for improved elevation data for the United States and its territories, including coastlines. Organizations also identified and reported the expected economic benefits that would be realized if their requirements for improved elevation were met (appendixes 1–3). This report describes the data collection methodology and summarizes the findings. Participating organizations included 34 Federal agencies, 50 States and two territories, and a sampling of local governments, tribes, and nongovernmental orgnizations. The nongovernmental organizations included The Nature Conservancy and a sampling of private sector businesses. These data were collected in 2010-2011 as part of the National Enhanced Elevation Assessment (NEEA), a study to identify program alternatives for better meeting the Nation’s elevation data needs. NEEA tasks included the collection of national elevation requirements; analysis of the benefits and costs of meeting these requirements; assessment of emerging elevation technologies, lifecycle data management needs, and costs for managing and distributing a national-scale dataset and derived products; and candidate national elevation program alternatives that balance costs and benefits in meeting the Nation’s elevation requirements. The NEEA was sponsored by the National Digital Elevation Program (NDEP), a government coordination body with the U.S. Geological Survey (USGS) as managing partner that includes the National Geospatial-Intelligence Agency (NGA), the Federal Emergency Management Agency (FEMA), the Natural Resources Conservation Service (NRCS), the U.S. Army Corps of Engineers (USACE), and the National Oceanic and Atmospheric Administration (NOAA), among the more than a dozen agencies and organizations. The term enhanced elevation data as used in this report refers broadly to three-dimensional measurements of land or

  4. Fluoroquinolone-associated anaphylaxis in spontaneous adverse drug reaction reports in Germany: differences in reporting rates between individual fluoroquinolones and occurrence after first-ever use.

    Science.gov (United States)

    Sachs, Bernhardt; Riegel, Stefan; Seebeck, Jörg; Beier, Rainer; Schichler, Dagmar; Barger, Antina; Merk, Hans F; Erdmann, Stephan

    2006-01-01

    The frequency of fluoroquinolone-associated anaphylaxis has been estimated to be 1.8-23 per 10 million days of treatment based on spontaneous reports. It is unknown whether there are differences between the reporting rates of anaphylaxis with individual fluoroquinolones. According to pathophysiology, anaphylaxis may be immune mediated (anaphylactic) or not (anaphylactoid). The latter may occur after first-ever intake since no sensitisation phase is necessary. To analyse spontaneous reports of fluoroquinolone-associated anaphylaxis contained in the spontaneous adverse drug reaction database of the Federal Institute for Drugs and Medical Devices in Germany with regard to differences in reporting rates between various fluoroquinolones, the previous intake and the time to onset of the reaction. All fluoroquinolone-associated cases of anaphylaxis, anaphylactic shock, and anaphylactic/anaphylactoid reaction spontaneously reported to the Federal Institute for Drugs and Medical Devices between 1 January 1993 and 31 December 2004 were identified and assessed with regard to the correctness of the diagnosis of anaphylaxis, the causal relationship with the drug, the previous intake of fluoroquinolones and the time to onset of the reaction. In 166 of 204 cases identified, the diagnosis of anaphylaxis and a causal relationship with the drug were considered at least possible. Moxifloxacin, levofloxacin, ciprofloxacin and ofloxacin accounted for 90 (54%), 25 (15%), 21 (13%) and 16 (10%) of the 166 cases, respectively. The corresponding reporting rates per 1 million defined daily doses based on crude estimates of exposure were 3.3, 0.6, 0.2 and 0.2 for moxifloxacin, levofloxacin, ciprofloxacin and ofloxacin, respectively. The occurrence of anaphylaxis after the first dose or within the first three days was reported in 71 of 166 (43%) cases, but no information on prior exposure with this or any other fluoroquinolone was provided with these reports. In 21 of 166 (13%) cases, the

  5. Undervisning af tosprogede elever

    DEFF Research Database (Denmark)

    Horst, Christian

    2003-01-01

    Artiklen fremdrager hovedresultaterne fra Virginia P. Collier's og Wayne P. Thomas's længdeundersøgelser af tosprogede elever i USA, som formentlig er de mest omfattende undersøgelser af undervisningen af tosprogede elever overhovedet. Resultaterne diskuteres i relation til udviklingen af en...

  6. Preliminary Report on Use of Self-Ratings to Provide J-Coefficient Data.

    Science.gov (United States)

    Primoff, Ernest S.

    This report shows how Beta weights for the J-Coefficient may be easily developed without a formal validity study, and indicates how indications of ability other than tests can be used to measure the same abilities that are measured by tests. See also TM 001 163-64,166 for further information on job elements (J-Scale) procedures. (Author/DLG)

  7. How Students Rate the Quality Service Climate on Campus. National Research Report, 2012

    Science.gov (United States)

    Noel-Levitz, Inc, 2012

    2012-01-01

    How satisfied are students with the service they receive--and how important is it to them? This report documents significant strides that colleges and universities have made in recent years to improve service quality and their overall campus climate, yet also finds that campuses still have room for improvement. A few highlights: (1) While progress…

  8. How Students Rate the Quality Service Climate on Campus. National Research Report, 2011

    Science.gov (United States)

    Noel-Levitz, Inc, 2011

    2011-01-01

    How satisfied are students with the service they receive--and how important is it to them? This report documents significant strides that colleges and universities have made in recent years to improve service quality and their overall campus climate, yet also finds that campuses still have room for improvement. A few highlights: (1) While progress…

  9. Methodology for assessing the impacts of alternative rate designs on industrial energy use. Draft report

    Energy Technology Data Exchange (ETDEWEB)

    None

    1980-01-11

    A task was undertaken to develop a method for analyzing industrial user responses to alternative rate designs. The method described considers the fuel switching and conservation responses of industrial users and the impact to a hypothetical utility regarding revenue stability, annual gas demand, and seasonal fluctuations. Twenty-seven hypothetical industrial plant types have been specified. For each combustor in the plant, the fuel consumption by season, initial fuel type, fuel switching costs, conservation costs, and amount of fuel conservable is provided. The decision making takes place at the plant level and is aggregated to determine the impact to the utility. Section 2 discusses the factors affecting an industrial user's response to alternative rate designs. Section 3 describes the methodology, includes an overview of the model and an example industrial user's response to a set of fuel prices. The data describing the 27 hypothetical firms is in an appendix.

  10. Plastic surgeons’ self-reported operative infection rates at a Canadian academic hospital

    OpenAIRE

    Ng, Wendy KY; Kaur, Manraj Nirmal; Thoma, Achilleas

    2014-01-01

    The significant morbidity associated with surgical site infections, in addition to increased hospital stays and health care resource utilization, has garnered much attention, especially in the era of cost-conscious health care systems and third-party payers. Although previous studies have investigated hospital-acquired infection rates across all surgical subspecialities, none have focused specifically on plastic surgery procedures. This retrospective study examined surgical site infection dat...

  11. Heart rate variability analysis in postural orthostatic tachycardia syndrome: a case report

    Directory of Open Access Journals (Sweden)

    Raffaele Calabrò

    2006-09-01

    Full Text Available The authors present a case of 36 year old male patient with idiopathic postural orthostatic tachycardia syndrome (POTS diagnosed during head-up tilt testing. Power spectral analysis of heart rate variability (HRV during the tilt test revealed that the ratio of low and high frequency powers (LF/HF increased with the onset of orthostatic intolerance. This analysis confirmed in our patient a strong activation in sympathetic tone.

  12. The Preliminary Report on Rumen Protozoa Grazing Rate on Bacteria with a Fluorescence-Labeled Technique

    Institute of Scientific and Technical Information of China (English)

    WANG Meng-zhi; WANG Hong-rong; LI Guo-xiang; CAO Heng-chun; LU Zhan-jun

    2008-01-01

    Studies on the bacterial predation rate by rumen protozoa were carried out under laboratory conditions using a technique of fluorescence-labeled bacteria (FLB). Four Xuhuai goats were used in this experiment to obtain rumen protozoa and bacteria. Two groups were designed as follows: One group was the whole bacteria which were labeled using fluorescence through removing free bacteria from rumen fluid (WFLB); the other group was the bacteria which were labeled using fluorescence without removing free bacteria from rumen fluid (FLB). The result indicated that the bacterial predation rates of rumen Protozoa was 398.4 cells/(cell h) for the group WFLB, 230.4 cells/(cell h) for the group FLB, when the corresponding values expressed as bacteria-N, they were 2.15Pg N/(cell h) for the group WFLB, and 1.24Pg N/(cell h) for the group FLB, respectively. Extrapolating the assimilation quantity of nitrogen by ciliates on bacteria of Xuhuai goat, there were 103.2mg N/(d capita) for the group WFLB, and 59.5mg N/(d capita) for the group FLB, respectively. It was estimated that protein losses due to microbial recycling were 0.645g pro/(d capita) for the group WFLB and 0.372g pro/(d capita) for the group FLB, respectively. In addition, the fluorescence-labeled technique would be a potential assay for the determination of bacterial predation rate by rumen protozoa.

  13. Impacts of Elevated Atmospheric CO2 and O3 on Paper Birch (Betula papyrifera: Reproductive Fitness

    Directory of Open Access Journals (Sweden)

    Joseph N. T. Darbah

    2007-01-01

    Full Text Available Atmospheric CO2 and tropospheric O3 are rising in many regions of the world. Little is known about how these two commonly co-occurring gases will affect reproductive fitness of important forest tree species. Here, we report on the long-term effects of CO3 and O3 for paper birch seedlings exposed for nearly their entire life history at the Aspen FACE (Free Air Carbon Dioxide Enrichment site in Rhinelander, WI. Elevated CO2 increased both male and female flower production, while elevated O3 increased female flower production compared to trees in control rings. Interestingly, very little flowering has yet occurred in combined treatment. Elevated CO2 had significant positive effect on birch catkin size, weight, and germination success rate (elevated CO2 increased germination rate of birch by 110% compared to ambient CO2 concentrations, decreased seedling mortality by 73%, increased seed weight by 17%, increased root length by 59%, and root-to-shoot ratio was significantly decreased, all at 3 weeks after germination, while the opposite was true of elevated O3 (elevated O3 decreased the germination rate of birch by 62%, decreased seed weight by 25%, and increased root length by 15%. Under elevated CO2, plant dry mass increased by 9 and 78% at the end of 3 and 14 weeks, respectively. Also, the root and shoot lengths, as well as the biomass of the seedlings, were increased for seeds produced under elevated CO2, while the reverse was true for seedlings from seeds produced under the elevated O3. Similar trends in treatment differences were observed in seed characteristics, germination, and seedling development for seeds collected in both 2004 and 2005. Our results suggest that elevated CO2 and O3 can dramatically affect flowering, seed production, and seed quality of paper birch, affecting reproductive fitness of this species.

  14. Framing violence: the effect of survey context and question framing on reported rates of partner violence

    OpenAIRE

    Regan, Katherine V.

    2008-01-01

    In this dissertation, I investigated two explanations for the variability in levels of partner violence found by large community surveys. In Study 1, I examined the effect of how questions about partner violence are introduced (question framing: conflict, violence-in-relationships, or attacks) on reports of partner violence. Although there was not a reliable effect of question framing, the pattern of findings was consistent across 3 of 4 analyses. Counter to predictions, an attacks question f...

  15. Transport and transfer rates in the waters of the continental shelf. Annual report

    Energy Technology Data Exchange (ETDEWEB)

    Biscaye, P.E.

    1980-09-01

    The goal of govern project is to understand and quantify the processes that the transport and dispersal of energy-related pollutants introduced to the waters of the continental shelf and slope. The report is divided into sections dealing with processes associated with suspended solids; processes associated with sediments sinks for radionuclides and other pollutants; and spreading of water characteristics and species in solution. (ACR)

  16. Creatine kinase elevation caused by a combination of fluvastatin and telmisartan in a patient heterozygous for the CYP2C9*3 and ABCC2 -24C > T variants: a case report.

    Science.gov (United States)

    Meyer zu Schwabedissen, Henriette E; Siegmund, Werner; Kroemer, Heyo K; Rollnik, Jens D

    2014-10-03

    Genetic factors as predictor of the individual outcome of drug therapy is one aim of personalized medicine approaches. We report a drug metabolism based analysis of genetic polymorphisms in a Caucasian patient receiving fluvastatin and telmisartan experiencing myotoxicity (myalgia and moderate creatine kinase elevation). The obtained findings suggest that heterocygocity of cytochrome P450 CYP2C9*3 variant in combination with multidrug resistance-associated protein MRP2-24C > T functions as risk factor predisposing to experience drug-drug interaction combing those drugs.

  17. WTP Waste Feed Qualification: Hydrogen Generation Rate Measurement Apparatus Testing Report

    Energy Technology Data Exchange (ETDEWEB)

    Stone, M. E. [Savannah River Site (SRS), Aiken, SC (United States). Savannah River National Lab. (SRNL); Newell, J. D. [Savannah River Site (SRS), Aiken, SC (United States). Savannah River National Lab. (SRNL); Smith, T. E. [Savannah River Site (SRS), Aiken, SC (United States). Savannah River National Lab. (SRNL); Pareizs, J. M. [Savannah River Site (SRS), Aiken, SC (United States). Savannah River National Lab. (SRNL)

    2016-06-01

    The generation rate of hydrogen gas in the Hanford tank waste will be measured during the qualification of the staged tank waste for processing in the Hanford Tank Waste Treatment and Immobilization Plant. Based on a review of past practices in measurement of the hydrogen generation, an apparatus to perform this measurement has been designed and tested for use during waste feed qualification. The hydrogen generation rate measurement apparatus (HGRMA) described in this document utilized a 100 milliliter sample in a continuously-purged, continuously-stirred vessel, with measurement of hydrogen concentration in the vent gas. The vessel and lid had a combined 220 milliliters of headspace. The vent gas system included a small condenser to prevent excessive evaporative losses from the sample during the test, as well as a demister and filter to prevent particle migration from the sample to the gas chromatography system. The gas chromatograph was an on line automated instrument with a large-volume sample-injection system to allow measurement of very low hydrogen concentrations. This instrument automatically sampled the vent gas from the hydrogen generation rate measurement apparatus every five minutes and performed data regression in real time. The fabrication of the hydrogen generation rate measurement apparatus was in accordance with twenty three (23) design requirements documented in the conceptual design package, as well as seven (7) required developmental activities documented in the task plan associated with this work scope. The HGRMA was initially tested for proof of concept with physical simulants, and a remote demonstration of the system was performed in the Savannah River National Laboratory Shielded Cells Mockup Facility. Final verification testing was performed using non-radioactive simulants of the Hanford tank waste. Three different simulants were tested to bound the expected rheological properties expected during waste feed qualification testing. These

  18. WTP Waste Feed Qualification: Hydrogen Generation Rate Measurement Apparatus Testing Report

    Energy Technology Data Exchange (ETDEWEB)

    Stone, M. E. [Savannah River Site (SRS), Aiken, SC (United States). Savannah River National Lab. (SRNL); Newell, J. D. [Savannah River Site (SRS), Aiken, SC (United States). Savannah River National Lab. (SRNL); Smith, T. E. [Savannah River Site (SRS), Aiken, SC (United States). Savannah River National Lab. (SRNL); Pareizs, J. M. [Savannah River Site (SRS), Aiken, SC (United States). Savannah River National Lab. (SRNL)

    2016-06-01

    The generation rate of hydrogen gas in the Hanford tank waste will be measured during the qualification of the staged tank waste for processing in the Hanford Tank Waste Treatment and Immobilization Plant. Based on a review of past practices in measurement of the hydrogen generation, an apparatus to perform this measurement has been designed and tested for use during waste feed qualification. The hydrogen generation rate measurement apparatus described in this document and shown in Figure 0-1 utilized a 100 milliliter sample in a continuously-purged, continuously-stirred vessel, with measurement of hydrogen concentration in the vent gas. The vessel and lid had a combined 220 milliliters of headspace. The vent gas system included a small condenser to prevent excessive evaporative losses from the sample during the test, as well as a demister and filter to prevent particle migration from the sample to the gas chromatography system. The gas chromatograph was an on line automated instrument with a large-volume sample-injection system to allow measurement of very low hydrogen concentrations. This instrument automatically sampled the vent gas from the hydrogen generation rate measurement apparatus every five minutes and performed data regression in real time. The fabrication of the hydrogen generation rate measurement apparatus was in accordance with twenty three (23) design requirements documented in the conceptual design package, as well as seven (7) required developmental activities documented in the task plan associated with this work scope. The HGRMA was initially tested for proof of concept with physical simulants and a remote demonstration of the system was performed in the Savannah River National Laboratory Shielded Cells Mockup Facility. Final verification testing was performed using non-radioactive simulants of the Hanford tank waste. Three different simulants were tested to bound the expected rheological properties expected during waste feed qualification

  19. Correlation between adherence rates measured by MEMS and self-reported questionnaires: a meta-analysis.

    Science.gov (United States)

    Shi, Lizheng; Liu, Jinan; Fonseca, Vivian; Walker, Philip; Kalsekar, Anupama; Pawaskar, Manjiri

    2010-09-13

    It is vital to understand the associations between the medication event monitoring systems (MEMS) and self-reported questionnaires (SRQs) because both are often used to measure medication adherence and can produce different results. In addition, the economic implication of using alternative measures is important as the cost of electronic monitoring devices is not covered by insurance, while self-reports are the most practical and cost-effective method in the clinical settings. This meta-analysis examined the correlations of two measurements of medication adherence: MEMS and SRQs. The literature search (1980-2009) used PubMed, OVID MEDLINE, PsycINFO (EBSCO), CINAHL (EBSCO), OVID HealthStar, EMBASE (Elsevier), and Cochrane Databases. Studies were included if the correlation coefficients [Pearson (rp) or Spearman (rs)] between adherences measured by both MEMS and SRQs were available or could be calculated from other statistics in the articles. Data were independently abstracted in duplicate with standardized protocol and abstraction form including 1) first author's name; 2) year of publication; 3) disease status of participants; 4) sample size; 5) mean age (year); 6) duration of trials (month); 7) SRQ names if available; 8) adherence (%) measured by MEMS; 9) adherence (%) measured by SRQ; 10) correlation coefficient and relative information, including p-value, 95% confidence interval (CI). A meta-analysis was conducted to pool the correlation coefficients using random-effect model. Eleven studies (N = 1,684 patients) met the inclusion criteria. The mean of adherence measured by MEMS was 74.9% (range 53.4%-92.9%), versus 84.0% by SRQ (range 68.35%-95%). The correlation between adherence measured by MEMS and SRQs ranged from 0.24 to 0.87. The pooled correlation coefficient for 11 studies was 0.45 (p = 0.001, 95% confidence interval [95% CI]: 0.34-0.56). The subgroup meta-analysis on the seven studies reporting rp and four studies reporting rs reported the pooled

  20. SRI对急性前壁STEMI患者心肌存活的早期预测价值%Early prediction of myocardial viability by strain rate imaging in patients with anterior wall ST elevation myocardial infarction

    Institute of Scientific and Technical Information of China (English)

    钟新波; 赵有生; 王小庆; 王涓; 陈文斌; 李涯

    2012-01-01

    目的 探讨应变率成像(SRI)对急性前壁ST段抬高心肌梗死(STEMI)患者心肌存活的早期预测价值.方法 行急诊经皮冠状动脉介入术(PCI)的前壁STEMI患者在术后测量室间隔心尖段的SRI指标,当收缩末期应变(SES)≥-7%时则纳入研究,并于6个月后复查,评价急性期SRI指标对心肌存活的预测价值.结果 46例前壁STEMI患者纳入研究,其中25例在6个月时SES<-7%,我们定义为存活心肌;21例随访时SES≥-7%,我们定义为失活心肌.存活心肌组SES、收缩后应变(SPS)、收缩期应变率(SRS)及舒张早期应变率(SRE)等指标明显优于失活心肌组(P<0.01),而收缩后应变率、舒张晚期应变率两组间无明显差异(P>0.05).SRS、SRE、SPS、SES均能预测心肌的存活,其中SRS曲线下面积最大(0.803,P<0.01),当临界值取-0.31 s-1时,其预测存活心肌的敏感性、特异性、阳性预测值、阴性预测值分别为83%、68%、76%、71%.结论 在行急诊PCI的前壁STEMI患者中,SRI技术能早期预测受累心肌的存活性.%Objective To investigate the predictive value of strain rate imaging (SRI) on myocardial viability in patients with anterior wall ST-elevation myocardial infarction (STEMI) undergoing primary percutaneous coronary intervention (PCI). Methods SRI parameters of apical septal segments were determined in patients with anterior wall STEMI. The patients with their acute end-systolic strain values (SES)≥-7% were included and reassess wall motion at 6-month followed-up. Results Forty-six anterior wall STEMI patients were enrolled. At the end of the followed-up, twenty-five segments improved their SES to <-7% and were defined as viable, twenty-one failed to do so defined as non-viable. Compared to the non-viable group, viable segments had significantly better SES, post-systolic strain, systolic and early diastolic strain rate values. All the above-mentioned parameters could predict myocardial viability in

  1. The study of human mutation rates. Progress report, 1989--1992

    Energy Technology Data Exchange (ETDEWEB)

    Neel, J.V.

    1992-12-01

    We will describe recent developments regarding the question of induced mutations in the survivors of the atomic bombings of Hiroshima and Nagasaki. As part of that work we, describe some developments with respect to the Amerindian blood samples collected under DoE sponsorship between 1964 and 1982. Then developments regarding the application of two-dimensional polyacrylamide gel electrophoresis (2-D PAGE) to the study of genetic variation and mutation affecting protein characteristics. In particular, we will report on the identification and isolation of genes of especial interest as reflected in the behavior of the proteins which they encode.

  2. Dissolution rates and surface chemistry of feldspar glass and crystal. Final technical report, June 15, 1995 - August 14, 2001

    Energy Technology Data Exchange (ETDEWEB)

    Brantley, S.; Pantano, C.

    2002-06-11

    Final report summarizing the completed work of the project entitled 'Dissolution of Feldspar in the Field and Laboratory.' One of the highly debated questions today in low-temperature geochemical kinetics centers upon the rate and mechanism of dissolution of feldspar, the most common mineral in the crust. In this project, the mechanisms of feldspar dissolution were investigated by emphasizing experiments with feldspar glass and crystal while comparing surface and solution chemistry. Specifically, laboratory work focused on the structure of altered surface layers on feldspars, the rate of dissolution of feldspar crystal and glass, and the presence of porosity and surface coatings on feldspars. In a complementary field project, the use of Sr concentrations and isotopic ratios were used to calculate feldspar dissolution rates.

  3. Relationship between staff-reported culture change and occupancy rate and organizational commitment among nursing homes in South Korea.

    Science.gov (United States)

    Lee, Minhong; Choi, Jae-Sung; Lim, Jinseop; Kim, Young Sun

    2013-04-01

    This study aims to examine culture change in nursing homes in South Korea and to identify the outcomes of culture change implementation. Data were taken from survey responses from 223 top- or mid-level staff among nursing homes in South Korea that were selected through a proportionate random-stratified sampling method from four regions nationwide. Culture change in nursing homes was operationalized by five person-directed care (PDC) constructs and three organizational environment constructs, and outcome quality was indicated by changes to occupancy rate and organizational commitment. After controlling for facility characteristics, the effect of staff-reported culture change on occupancy rate and organizational commitment was analyzed through the multiple-regression method. Consistent with previous research, this study revealed positive effects of culture change for nursing homes in South Korea. The study found that staff-reported culture change correlated with occupancy rate and organizational commitment. Given that culture change variables were significantly related to occupancy rate and organizational commitment, the findings of the study provide a persuasive argument that policies and/or programs to support culture change in nursing homes should be enhanced. Management-level workers in these facilities should have the skills and knowledge to foster more PDC and a more person-directed environment.

  4. On-demand Reporting of Risk-adjusted and Smoothed Rates for Quality Profiling in ACS NSQIP.

    Science.gov (United States)

    Cohen, Mark E; Liu, Yaoming; Huffman, Kristopher M; Ko, Clifford Y; Hall, Bruce L

    2016-12-01

    Surgical quality improvement depends on hospitals having accurate and timely information about comparative performance. Profiling accuracy is improved by risk adjustment and shrinkage adjustment to stabilize estimates. These adjustments are included in ACS NSQIP reports, where hospital odds ratios (OR) are estimated using hierarchical models built on contemporaneous data. However, the timeliness of feedback remains an issue. We describe an alternative, nonhierarchical approach, which yields risk- and shrinkage-adjusted rates. In contrast to our "Traditional" NSQIP method, this approach uses preexisting equations, built on historical data, which permits hospitals to have near immediate access to profiling results. We compared our traditional method to this new "on-demand" approach with respect to outlier determinations, kappa statistics, and correlations between logged OR and standardized rates, for 12 models (4 surgical groups by 3 outcomes). When both methods used the same contemporaneous data, there were similar numbers of hospital outliers and correlations between logged OR and standardized rates were high. However, larger differences were observed when the effect of contemporaneous versus historical data was added to differences in statistical methodology. The on-demand, nonhierarchical approach provides results similar to the traditional hierarchical method and offers immediacy, an "over-time" perspective, application to a broader range of models and data subsets, and reporting of more easily understood rates. Although the nonhierarchical method results are now available "on-demand" in a web-based application, the hierarchical approach has advantages, which support its continued periodic publication as the gold standard for hospital profiling in the program.

  5. Influence of hydrologic loading rate on phosphorus retention and ecosystem productivity in created wetlands. Final report

    Energy Technology Data Exchange (ETDEWEB)

    Mitsch, W.J.; Cronk, J.K.

    1995-01-01

    Four 2- to 3-ha constructed freshwater riparian wetlands in Lake County, Illinois, were subjected to two hydrologic regimes of pumped river water to simulate nonpoint source pollution. The experimental wetlands at the Des Plaines River Wetland Demonstration Project were designed to develop and test wetland design principles, construction methods, and management programs needed to create and maintain wetlands for the purposes of water quality management, flood control, and fish and wildlife habitat. High-flow wetlands (HFW) with short retention times received 34 to 38 cm of river water per week, and low-flow wetlands (LFW) with high retention times received 10 to 15 cm per week. This report summarizes research results for phosphorus dynamics and retention, macrophyte development, periphyton productivity, and overall water column metabolism through 1992. All of these functions were hypothesized to be related to hydrologic conditions.

  6. Can turnout measurements be used to predict physiotherapist-reported injury rates in dancers?

    Science.gov (United States)

    Jenkins, Jo Baker; Wyon, Matthew; Nevill, Alan

    2013-12-01

    Research has suggested that dancers may be more at risk of injury when they excessively utilise non-hip components of turnout to compensate for deficits in hip external rotation when trying to achieve maximal total turnout. However, recently different measures of turnout have been cited in the literature as well as suggestions for derived variables to account for shortfalls in particular components of turnout. This study aimed to assess whether measurements of turnout can predict the number of injuries (0 or 1 injury, or 2+ injuries) over a 10-month period. At the beginning of the academic year, 47 female, full-time, contemporary dance students (mean age 19.9 ± 2.51 yrs; height 1.65 ± 0.05 cm; weight 56.23 ± 6.51 kg) were screened as part of a biannual screening process. Measurements, summed of both legs, were obtained for passive hip external rotation (pER), total passive turnout (TPT), and total active turnout (TAT). From these, three further variables were derived: compensated turnout, muscular turnout, and active ER lag. At the end of 10 months, the dancers' physiotherapist-reported and self-reported injuries were obtained. Binary regression analyses for the six turnout variables identified compensated and muscular values as having significant positive effects. For every 1% increase in compensated and muscular values, there was a corresponding 9% or 8.4% increase in the odds that the dancer would sustain 2 or more injuries compared to 0 or 1 injury. Screening compensated and muscular values may be useful to address shortfalls to prevent injuries in the future.

  7. Elevated CO2 and Soil Nitrogen Cycling

    Science.gov (United States)

    Hofmockel, K.; Schlesinger, W.

    2002-12-01

    Although forests can be large terrestrial carbon sinks, soil fertility can limit carbon sequestration in response to increased atmospheric CO2. During five years of CO2 fertilization (ambient + 200ppm) at the Duke Free-Air CO2 Enrichment (FACE) site, net primary production increased significantly by an average of 25% in treatment plots. Total nitrogen in the foliar canopy increased by 16%, requiring an additional 1.3 g N m-2yr-1 to be taken up from soils under elevated CO2. Mechanisms supporting increased nitrogen acquisition have not been identified. Here we report on biological N-fixation rates, using the acetylene reduction assay, in litter and mineral soil during three years of the CO2 enrichment experiment. Lack of a significant CO2 treatment effect on acetylene reduction indicates that carbon is not directly limiting biological N fixation. Nutrient addition experiments using a complete block design with glucose, Fe, Mo and P indicate biological N fixation is co-limited by molybdenum and carbon. These results suggest even if elevated atmospheric CO2 enhances below-ground carbon availability via root exudation, biological nitrogen fixation may not be stimulated due to micronutrient limitations. Assessment of future carbon sequestration by forest stands must consider limitations imposed by site fertility, including micronutrients.

  8. Partners' Empathy Increases Pain Ratings: Effects of Perceived Empathy and Attachment Style on Pain Report and Display

    Science.gov (United States)

    Hurter, Sarah; Paloyelis, Yannis; de C. Williams, Amanda C.; Fotopoulou, Aikaterini

    2014-01-01

    Pain can be influenced by its social context. We aimed to examine under controlled experimental conditions how empathy from a partner and personal attachment style affect pain report, tolerance, and facial expressions of pain. Fifty-four participants, divided into secure, anxious, and avoidant attachment style groups, underwent a cold pressor task with their partners present. We manipulated how much empathy the participants perceived that their partners had for them. We observed a significant main effect of perceived empathy on pain report, with greater pain reported in the high perceived empathy condition. No such effects were found for pain tolerance or facial display. We also found a significant interaction of empathy with attachment style group, with the avoidant group reporting and displaying less pain than the secure and the anxious groups in the high perceived empathy condition. No such findings were observed in the low empathy condition. These results suggest that empathy from one's partner may influence pain report beyond behavioral reactions. In addition, the amount of pain report and expression that people show in high empathy conditions depends on their attachment style. Perspective Believing that one's partner feels high empathy for one's pain may lead individuals to rate the intensity of pain as higher. Individual differences in attachment style moderate this empathy effect. PMID:24953886

  9. Transport and transfer rates in the waters of the Continental Shelf. Annual report

    Energy Technology Data Exchange (ETDEWEB)

    Biscaye, P.E.

    1978-07-01

    The present contract year has been one of transition from an emphasis on field work and sample gathering to the predominance of sample and data analysis and the formulation of testable hypotheses concerning specific processes in the New York Bight. We have begun to understand the seasonal transition in the role of phytoplankton vs. grazing zooplankton in forming the particles on which some reactive pollutants are removed. Using natural radioactive tracers we have estimated the removal rates of reactive metals from the surface waters and these range over an order of magnitude from most rapid nearshore to least rapid over the upper continental slope. Once removed nearshore, however, these tracers, and the pollutants for which they proxy, do not remain permanently in the sediments but appear to be remobilized (probably by oxidation) during the winter and are reintroduced into the water column. Work on transport and mixing processes of pollutants which are or behave like those in solution has continued along several fronts. Hydrographic data on the structure of the water column continues to give a description of the system that is crucial to understanding geochemical and biological processes which affect pollutants. Hydrographic characterization of water masses from the data sets of cruises has resulted in hypotheses concerning the renewal of shelf water by direct exchange between shelf and upper slope water.

  10. Fe-burden quality at high coal injection rates. Final report

    Energy Technology Data Exchange (ETDEWEB)

    Muelheims, K.; Rosenplaenter, R.; Hess, E.; Lectard, E.; Sert, D.; Pastore, M.; Lindert, M.Te.; Matthews, T. [TKS, Duisburg (Germany)

    2002-07-01

    The aim of the project, funded by the ECSC, was to investigate the chemical and physical properties of different production and laboratory sinter and to improve the sinter quality to characterise the quality requirements for high coal injection rates in the blast furnace. Studies on synthetically prepared material have shown that softening is triggered by the initial formation of metal within the core region of partly reduced iron bearing material. The temperatures at which the deformation of pellets or sinter started do not correspond with the temperatures detected by the differential thermal analysis on single phases. From sinter pot and sinter plant test results it could be confirmed that sinter disintegration can be influenced by its chemical composition. The basicity has a dominant influence on the sinter quality. The sinter degradation decreases as the FeO content increases and the porosity decreases. Results from the melting down tests showed that the reduction of sinter at different temperatures progresses faster as the porosity increases. Further on, the beginning of the melting down temperature increases as the reduction degree increases. Pilot blast furnace trials increased confidence in the validity of the melting down test in evaluating key material parameters and assisted in establishing realistic gas/temperature reducing cycles. The ASAM tests highlighted the importance of gangue composition in determining the sinter's melting/dripping qualities.

  11. Reliability of a patient-reported outcome measure in schizophrenia: Results from back-to-back self-ratings.

    Science.gov (United States)

    Takeuchi, Hiroyoshi; Fervaha, Gagan; Remington, Gary

    2016-10-30

    This study aimed to assess patient's capacity to perform a patient-reported outcome (PRO) measure (i.e., a self-rating scale) and examine its relationship with clinical characteristics including cognition. Fifty patients with schizophrenia were asked to rate the Subjective Well-being under Neuroleptics scale - Short form (SWNS) twice; the second rating was started immediately after they completed the first to minimize the gap between ratings. At the same time, the Positive and Negative Symptoms Scale (PANSS) and Brief Neurocognitive Assessment (BNA) were administered. The correlations between the two ratings for the SWNS total and each item scores were high (rs=0.94 and rs=0.60-0.84, respectively); however, for 16 (80%) of 20 items, 5 or more patients (i.e., ≥10%) demonstrated a>1 point score difference. There was no significant correlation between the SWNS total score difference and any clinical characteristics including age, education duration, illness duration, antipsychotic dose, psychopathology, and cognition. In contrast, the number of items with a>1 point score difference was significantly correlated with disorganized symptoms and overall severity (rs=0.29 for both), as well as working memory and global cognition (rs=-0.41 and rs=-0.40, respectively). These findings suggest that PROs should be interpreted with caution in patients with schizophrenia with prominent disorganization and cognitive impairment.

  12. Elevated B6 levels and peripheral neuropathies.

    Science.gov (United States)

    Scott, K; Zeris, S; Kothari, M J

    2008-01-01

    Polyneuropathy related to decreased levels of Vitamin B6 are well known. In contrast, the association between elevated levels of pyridoxine and neuropathy is not well described. This study is a retrospective review of patients in our neuromuscular clinic that were found to have elevated B6 levels. Twenty-six patients were found to have elevated serum B6 levels. The mean B6 level was 68.8 ng/ml. Twenty patients (76.9%) reported daily vitamin use. Twenty-one patients (80.8%) reported only sensory complaints. The most common symptoms reported were numbness (96%), burning pain (49.9%), tingling (57.7%), balance difficulties (30.7%), and weakness (7.8%). Nine (out of 26) had an abnormal EMG/NCS. Eight patients had an abnormal quantitative sensory study. We conclude that elevated pyridoxine levels should be considered in the differential diagnosis of any sensory or sensorimotor polyneuropathy.

  13. Improving the Success Rate of Delivering Annual Occupational Dosimetry Reports to Persons Issued Temporary External Dosimeters

    Energy Technology Data Exchange (ETDEWEB)

    Mallett, Michael Wesley [Los Alamos National Lab. (LANL), Los Alamos, NM (United States)

    2014-09-09

    Workers who are not routinely monitored for occupational radiation exposure at LANL may be issued temporary dosimeters in the field. Per 10CFR835 and DOE O 231.1A, the Laboratory's radiation protection program is responsible for reporting these results to the worker at the end of the year. To do so, the identity of the worker and their mailing address must be recorded by the delegated person at the time the dosimeter is issued. Historically, this data has not been consistently captured. A new online application was developed to record the issue of temporary dosimeters. The process flow of the application was structured such that: 1) the worker must be uniquely identified in the Lab's HR database, and 2) the mailing address of record is verified live time via a commercial web service, for the transaction to be completed. A COPQ savings (Type B1) of $96K/year is demonstrated for the new application.

  14. High Repetition Rate, LINAC-based Nuclear Resonance Fluorescence FY 2009 Final Report

    Energy Technology Data Exchange (ETDEWEB)

    Mathew Kinlaw; Scott Watson; James Johnson; Alan Hunt; Heather Seipel; Edward Reedy

    2009-10-01

    Nuclear Resonance Fluorescence (NRF), which is possible for nuclei with atomic numbers greater than helium (Z=2), occurs when a nuclear level is excited by resonant absorption of a photon and subsequently decays by reemission of a photon. The excited nuclear states can become readily populated, provided the incident photon’s energy is within the Doppler-broadened width of the energy level being excited. Utilizing continuous energy photon spectra, as is characteristic of a bremsstrahlung photon beam, as the inspection source, ensures that at least some fraction of the impinging beam will contribute to the population of the excited energy levels in the material of interest. Upon de-excitation, either to the ground state or to a lower-energy excited state, the emitted fluorescence photon’s energy will correspond to the energy difference between the excited state and the state to which it decays. As each isotope inherently contains unique nuclear energy levels, the NRF states for each isotope are also unique. By exploiting this phenomenon, NRF photon detection provides a well-defined signature for identifying the presence of individual nuclear species. This report summarizes the second year (Fiscal Year [FY] 2009) of a collaborative research effort between Idaho National Laboratory, Idaho State University’s Idaho Accelerator Center, and Pacific Northwest National Laboratory. This effort focused on continuing to assess and optimize NRF-based detection techniques utilizing a slightly modified, commercially available, pulsed medical electron accelerator.

  15. Preliminary report of pulsed dose rate brachytherapy in head-and-neck cancer

    Energy Technology Data Exchange (ETDEWEB)

    Ziemlewski, A.; Zienkiewicz, J. [Medical Univ. of Gdansk (Poland). Dept. of Oral and Maxillofacial Surgery; Serkies, K.; Badzio, A. [Medical Univ. of Gdansk (Poland). Dept. of Oncology and Radiotherapy

    2007-09-15

    Purpose: To assess the feasibility and acute/delayed toxicity of pulsed-dose-rate brachytherapy (PDR BT) in head-and-neck tumors. Patients and Methods: 45 head and neck cancer patients underwent interstitial or contact PDR BT at a dose of 10.2-70 Gy (median, 70 Gy) and 0.6 or 1.0 Gy/pulse/h. 42 patients were administered BT as part of their curative treatment; 32 of them had sole BT. Three reirradiated patients with recurrent tumor had palliative BT. Results: PDR BT was well tolerated. Intense bleeding was the only complication associated with catheter removal from the tongue and bucca. 44 patients who completed BT experienced acute mucositis. Grade 3 toxicity of skin and oral mucosa occurred in three (6.8%) and six patients (13.6%), respectively. At a median follow-up of 22 months (range, 2-67 months), late serious toxicity (grade 4, for soft tissue and bone) was seen in seven patients (15.9%). Among the parameters analyzed, only dental care performed before BT had a significant impact on mucosal side effects. Acute severe mucositis was observed in 23% of patients without dental care compared to 0% of those with dental care (p = 0.044). Late severe mucositis occurred in 17.7% and 26.9% of the respective patients (p = 0.035), overall in 23%. The larger the volume encompassed by the reference isodose, the more late (p = 0.004) mucosal reactions were observed. Conclusion: PDR BT continued over a few days is a feasible and safe approach in head-and-neck tumors; however, it is accompanied by some toxicity. Dental care should precede isotope application. (orig.)

  16. Increased error rates in preliminary reports issued by radiology residents working more than 10 consecutive hours overnight.

    Science.gov (United States)

    Ruutiainen, Alexander T; Durand, Daniel J; Scanlon, Mary H; Itri, Jason N

    2013-03-01

    To determine if the rate of major discrepancies between resident preliminary reports and faculty final reports increases during the final hours of consecutive 12-hour overnight call shifts. Institutional review board exemption status was obtained for this study. All overnight radiology reports interpreted by residents on-call between January 2010 and June 2010 were reviewed by board-certified faculty and categorized as major discrepancies if they contained a change in interpretation with the potential to impact patient management or outcome. Initial determination of a major discrepancy was at the discretion of individual faculty radiologists based on this general definition. Studies categorized as major discrepancies were secondarily reviewed by the residency program director (M.H.S.) to ensure consistent application of the major discrepancy designation. Multiple variables associated with each report were collected and analyzed, including the time of preliminary interpretation, time into shift study was interpreted, volume of studies interpreted during each shift, day of the week, patient location (inpatient or emergency department), block of shift (2-hour blocks for 12-hour shifts), imaging modality, patient age and gender, resident identification, and faculty identification. Univariate risk factor analysis was performed to determine the optimal data format of each variable (ie, continuous versus categorical). A multivariate logistic regression model was then constructed to account for confounding between variables and identify independent risk factors for major discrepancies. We analyzed 8062 preliminary resident reports with 79 major discrepancies (1.0%). There was a statistically significant increase in major discrepancy rate during the final 2 hours of consecutive 12-hour call shifts. Multivariate analysis confirmed that interpretation during the last 2 hours of 12-hour call shifts (odds ratio (OR) 1.94, 95% confidence interval (CI) 1.18-3.21), cross

  17. Violent crime rates as a proxy for the social determinants of sexually transmissible infection rates: the consistent state-level correlation between violent crime and reported sexually transmissible infections in the United States, 1981-2010.

    Science.gov (United States)

    Chesson, Harrell W; Owusu-Edusei, Kwame; Leichliter, Jami S; Aral, Sevgi O

    2013-11-01

    Numerous social determinants of health are associated with violent crime rates and sexually transmissible infection (STI) rates. This report aims to illustrate the potential usefulness of violent crime rates as a proxy for the social determinants of STI rates. For each year from 1981 to 2010, we assessed the strength of the association between the violent crime rate and the gonorrhoea (Neisseria gonorrhoeae) rate (number of total reported cases per 100?000) at the state level. Specifically, for each year, we calculated Pearson correlation coefficients (and P-values) between two variables (the violent crime rate and the natural log of the gonorrhoea rate) for all 50 states and Washington, DC. For comparison, we also examined the correlation between gonorrhoea rates, and rates of poverty and unemployment. We repeated the analysis using overall syphilis rates instead of overall gonorrhoea rates. The correlation between gonorrhoea and violent crime was significant at the Ppoverty, and in 17 of the 30 years for that between gonorrhoea and unemployment. Because violent crime is associated with many social determinants of STIs and because it is consistently associated with STI rates, violent crime rates can be a useful proxy for the social determinants of health in statistical analyses of STI rates.

  18. Elevation-Dependent Vegetation Greening of the Yarlung Zangbo River Basin in the Southern Tibetan Plateau, 1999–2013

    Directory of Open Access Journals (Sweden)

    Haidong Li

    2015-12-01

    Full Text Available The Yarlung Zangbo River basin is an important alley to transport moisture from the Indian Ocean to the inner Tibetan Plateau. With a wide range of elevations from 147 m to over 7000 m above sea level (a.s.l., ecosystems respond differently to climate change at various elevations. However, the pattern of elevation-dependent vegetation change and how it responds to recent warming have been rarely reported. Here, we investigated the pattern of vegetation greening at different elevations in this river basin using SPOT normalized difference vegetation index (NDVI data during 1999–2013, and examined its relationship with elevation-dependent changes in temperature and precipitation. The annual NDVI has increased by 8.83% from 1999 to 2013. In particular, the NDVI increased more apparently at lower elevations, but remained relatively stable or even decreased at high elevations. It seems that rising temperature has driven the basin-wide vegetation greening, but the greening rate is in contrast to the pattern of elevation-dependent warming (EDW with more significant temperature increase at higher elevations. It appears that decreasing precipitation does not reverse the overall increasing trend in NDVI, but relatively limited precipitation (<500 mm may constrain the NDVI increases, causing apparently stable or even decreased NDVI at higher elevations (>4000 m.

  19. Report on the Study of the Tax and Rate Treatment of Renewable Energy Projects

    Energy Technology Data Exchange (ETDEWEB)

    Hadley, S.W.

    1993-01-01

    This study was conducted in response to Section 1205 of the Energy Policy Act of 1992 (EPACT), requiring the U.S. Department of Energy in conjunction with state regulatory commissions to determine if conventional tax measures and ratemaking procedures provide economic barriers to or incentives for the adoption of renewable electric generating plants compared to conventional ones. For this study, we defined barriers and incentives in terms of financial criteria used by investor-owned utilities (IOUs) and nonutility electricity generators (NUGs) when making decisions on technologies for new generating plants. For IOUs, the major criterion used was the levelized cost of producing power over the useful life of the technology. For NUGs, the major criterion used was the internal rate of return. Clearly, there are many factors outside the scope of this study that relate to the decisionmaking process of IOUs and NUGs. This study to determine barriers and incentives does not attempt to determine which technologies would most likely be adopted by IOUs and NUGs. Technologies are only cost (in)effective relative to a given power system and its set of internal and external conditions. Other technology-related factors such as availability, dispatchability, diversity, and reliability of generating alternatives are also considered in the decisionmaking process used by IOUs and NUGs. The results of this study show only the relative impact of certain tax measures and ratemaking procedures on financial criteria that IOUs and NUGs use as inputs to make technology-adoption decisions. Where these tax measures and ratemaking procedures provide incentives for an alternative, they increase the likelihood that the alternative will be selected by IOUs or NUGs when making generating-resource decisions. In quantifying the parameters of the seven renewable and four conventional generating options studied, we used today's ''conventional wisdom'' on the values of

  20. Monty Roberts’ Public Demonstrations: Preliminary Report on the Heart Rate and Heart Rate Variability of Horses Undergoing Training during Live Audience Events

    Directory of Open Access Journals (Sweden)

    Loni Loftus

    2016-09-01

    Full Text Available Effective training of horses relies on the trainer’s awareness of learning theory and equine ethology, and should be undertaken with skill and time. Some trainers, such as Monty Roberts, share their methods through the medium of public demonstrations. This paper describes the opportunistic analysis of beat-to-beat (RR intervals and heart rate variability (HRV of ten horses being used in Monty Roberts’ public demonstrations within the United Kingdom. RR and HRV was measured in the stable before training and during training. The HRV variables standard deviation of the RR interval (SDRR, root mean square of successive RR differences (RMSSD, geometric means standard deviation 1 (SD1 and 2 (SD2, along with the low and high frequency ratio (LF/HF ratio were calculated. The minimum, average and maximum RR intervals were significantly lower in training (indicative of an increase in heart rate as measured in beats-per-minute than in the stable ( p = 0.0006; p = 0.01; p = 0.03. SDRR, RMSSD, SD1, SD2 and the LF/HF ratio were all significantly lower in training than in the stable ( p = 0.001; p = 0.049; p = 0.049; p = 0.001; p = 0.01. When comparing the HR and HRV of horses during Join-up ® to overall training, there were no significant differences in any variable with the exception of maximum RR which was significantly lower ( p = 0.007 during Join-up ® , indicative of short increases in physical exertion (canter associated with this training exercise. In conclusion, training of horses during public demonstrations is a low-moderate physiological, rather than psychological stressor for horses. The physiological stress responses observed within this study were comparable or less to those previously reported in the literature for horses being trained outside of public audience events. Furthermore, there is no evidence that the use of Join-up ® alters HR and HRV in a way to suggest that this training method negatively affects the psychological welfare

  1. Monty Roberts' Public Demonstrations: Preliminary Report on the Heart Rate and Heart Rate Variability of Horses Undergoing Training during Live Audience Events.

    Science.gov (United States)

    Loftus, Loni; Marks, Kelly; Jones-McVey, Rosie; Gonzales, Jose L; Fowler, Veronica L

    2016-09-09

    Effective training of horses relies on the trainer's awareness of learning theory and equine ethology, and should be undertaken with skill and time. Some trainers, such as Monty Roberts, share their methods through the medium of public demonstrations. This paper describes the opportunistic analysis of beat-to-beat (RR) intervals and heart rate variability (HRV) of ten horses being used in Monty Roberts' public demonstrations within the United Kingdom. RR and HRV was measured in the stable before training and during training. The HRV variables standard deviation of the RR interval (SDRR), root mean square of successive RR differences (RMSSD), geometric means standard deviation 1 (SD1) and 2 (SD2), along with the low and high frequency ratio (LF/HF ratio) were calculated. The minimum, average and maximum RR intervals were significantly lower in training (indicative of an increase in heart rate as measured in beats-per-minute) than in the stable ( p = 0.0006; p = 0.01; p = 0.03). SDRR, RMSSD, SD1, SD2 and the LF/HF ratio were all significantly lower in training than in the stable ( p = 0.001; p = 0.049; p = 0.049; p = 0.001; p = 0.01). When comparing the HR and HRV of horses during Join-up (®) to overall training, there were no significant differences in any variable with the exception of maximum RR which was significantly lower ( p = 0.007) during Join-up (®) , indicative of short increases in physical exertion (canter) associated with this training exercise. In conclusion, training of horses during public demonstrations is a low-moderate physiological, rather than psychological stressor for horses. The physiological stress responses observed within this study were comparable or less to those previously reported in the literature for horses being trained outside of public audience events. Furthermore, there is no evidence that the use of Join-up (®) alters HR and HRV in a way to suggest that this training method negatively affects the psychological welfare of

  2. Understanding the elevated suicide risk of female soldiers during deployments

    Science.gov (United States)

    Street, A. E.; Gilman, S. E.; Rosellini, A. J.; Stein, M. B.; Bromet, E. J.; Cox, K. L.; Colpe, L. J.; Fullerton, C. S.; Gruber, M. J.; Heeringa, S. G.; Lewandowski-Romps, L.; Little, R. J. A.; Naifeh, J. A.; Nock, M. K.; Sampson, N. A.; Schoenbaum, M.; Ursano, R. J.; Zaslavsky, A. M.; Kessler, R. C.

    2016-01-01

    Background The Army Study to Assess Risk and Resilience in Servicemembers (Army STARRS) has found that the proportional elevation in the US Army enlisted soldier suicide rate during deployment (compared with the never-deployed or previously deployed) is significantly higher among women than men, raising the possibility of gender differences in the adverse psychological effects of deployment. Method Person-month survival models based on a consolidated administrative database for active duty enlisted Regular Army soldiers in 2004–2009 (n = 975 057) were used to characterize the gender × deployment interaction predicting suicide. Four explanatory hypotheses were explored involving the proportion of females in each soldier’s occupation, the proportion of same-gender soldiers in each soldier’s unit, whether the soldier reported sexual assault victimization in the previous 12 months, and the soldier’s pre-deployment history of treated mental/behavioral disorders. Results The suicide rate of currently deployed women (14.0/100 000 person-years) was 3.1–3.5 times the rates of other (i.e. never-deployed/previously deployed) women. The suicide rate of currently deployed men (22.6/100 000 person-years) was 0.9–1.2 times the rates of other men. The adjusted (for time trends, sociodemographics, and Army career variables) female:male odds ratio comparing the suicide rates of currently deployed v. other women v. men was 2.8 (95% confidence interval 1.1–6.8), became 2.4 after excluding soldiers with Direct Combat Arms occupations, and remained elevated (in the range 1.9–2.8) after adjusting for the hypothesized explanatory variables. Conclusions These results are valuable in excluding otherwise plausible hypotheses for the elevated suicide rate of deployed women and point to the importance of expanding future research on the psychological challenges of deployment for women. PMID:25359554

  3. Parental report of vaccine receipt in children with autism spectrum disorder: Do rates differ by pattern of ASD onset?

    Science.gov (United States)

    Goin-Kochel, Robin P; Mire, Sarah S; Dempsey, Allison G; Fein, Rachel H; Guffey, Danielle; Minard, Charles G; Cunningham, Rachel M; Sahni, Leila C; Boom, Julie A

    2016-03-01

    A contentious theory espoused by some parents is that regressive-onset of autism spectrum disorder (ASD) is triggered by vaccines. If this were true, then vaccine receipt should be higher in children with regressive-onset ASD compared with other patterns of onset. Parental report of rate of receipt for six vaccines (DPT/DTaP, HepB, Hib, polio, MMR, varicella) was examined in children with ASD (N=2755) who were categorized by pattern of ASD onset (early onset, plateau, delay-plus-regression, regression). All pairwise comparisons were significantly equivalent within a 10% margin for all vaccines except varicella, for which the delay-plus-regression group had lower rates of receipt (81%) than the early-onset (87%) and regression (87%) groups. Findings do not support a connection between regressive-onset ASD and vaccines in this cohort.

  4. Quarterly progress report, January 1--March 30, 1979 - Study of plutonium oxide leak rates from shipping containers.

    Energy Technology Data Exchange (ETDEWEB)

    Schwendiman, L.C.; Madia, W.J.; Mishima, J.; Sutter, S.L.; Owzarski, P.C.; Bander, T.J.; Schmidt, E.W.; Yesso, J.D.

    1979-05-01

    The study was initiated in October 1976, as outlined in the 189 research proposal submitted previously. Several tasks are to be undertaken in this study which, when combined, have the end objective of defining the leak rates of plutonium oxide powder from characterized leaks. Progress during the reporting period is briefly described on the following tasks: review of the literature and theoretical work relating to transmission of particles through channels; investigation of the relationship of gas flow rates, leak geometries, pressure and temperatures; measurement of the transmission of a well-characterized simulant (UO/sub 2/ powder) through leaks characterized in Task B; measurement of the fuel grade PuO/sub 2/ leaks through a standard leak incorporated into a suitable container; and investigation of PuO/sub 2/ leaks through simulated defected containers. (TFD)

  5. The analysis of speed-reporting rates from a cellular network based on a fingerprint-positioning algorithm

    Directory of Open Access Journals (Sweden)

    Chi-Hua Chen

    2013-05-01

    Full Text Available The collection of real-time traffic information is an important part of intelligent transportation systems. In particular, cellular floating vehicle data (CFVD technology has become increasingly widespread, and more and more popular for measuring and forecasting real-time traffic information, based on anonymous sampling of the positions of mobile phones. This study proposes an analytical model to analyse the speed-reporting rates based on communication behaviour, traffic conditions, and the two consecutive fingerprint-positioning locations from the call arrival and call completion signals of the same call for a feasibility evaluation of CFVD.

  6. The development of a generic ecosystem model for assessing the effects of elevated carbon dioxide on ecosystems. Progress report, September 1, 1986--May 18, 1987

    Energy Technology Data Exchange (ETDEWEB)

    Reynolds, J.F.; Skiles, J.W.; Dougherty, R.L.

    1987-05-19

    This report consists of three major sections which are: progress made on the development of a generic plant growth model, progress made on the holistic ecosystem model, and a summary outlining future directions of our modeling efforts. The major accomplishments of the plant growth modeling have been the identification and implementation of components for the photosynthesis module, development of a plant canopy module, and further refinement of the various modules that make up the basic structure for a generic plant growth mode. Research examined several implementations of a leaf-based, CO{sub 2} responsive, photosynthesis model that incorporates information at the enzyme-kinetics level. Also presented, are several models of forest canopies, transpiration, and photosynthesis.

  7. Elevated transaminases as a predictor of coma in a patient with anorexia nervosa: a case report and review of the literature

    Directory of Open Access Journals (Sweden)

    Yoshida Shuhei

    2010-09-01

    Full Text Available Abstract Introduction Liver injury is a frequent complication associated with anorexia nervosa, and steatosis of the liver is thought to be the major underlying pathology. However, acute hepatic failure with transaminase levels over 1000 IU/mL and deep coma are very rare complications and the mechanism of pathogenesis is largely unknown. Case presentation A 37-year-old Japanese woman showed features of acute liver failure and hepatic coma which were not associated with hypoglycemia or hyper-ammonemia. Our patient's consciousness was significantly improved with the recovery of liver function and normalization of transaminase levels after administration of nutritional support. Conclusions Our case report demonstrates that transaminase levels had an inverse relationship with the consciousness of our patient, although the pathogenesis of coma remains largely unknown. This indicates that transaminase levels can be one of the key predictors of impending coma in patients with anorexia nervosa. Therefore, frequent monitoring of transaminase levels combined with rigorous treatment of the underlying nutritional deficiency and psychiatric disorder are necessary to prevent this severe complication.

  8. Influence of elevated CO

    NARCIS (Netherlands)

    Annibale, D' Alessandra; Larsen, Thomas; Sechi, Valentina; Cortet, Jérôme; Strandberg, Beate; Vincze, Éva; Filser, Juliane; Audisio, Paolo Aldo; Krogh, Paul Henning

    2015-01-01

    We hypothesized that the combined effect of rising levels of atmospheric carbon dioxide (CO2) and increasing use of genetically modified (GM) crops in agriculture may affect soil food-webs. So we designed a study for the assessment of the effects of elevated CO2

  9. Interaktive tavler - interaktive elever

    DEFF Research Database (Denmark)

    Reusch, Charlotte F.; Otzen, Elsebeth

    2012-01-01

    Abstract, Poster-præsentation 13.-14. juni 2012, Pilotprojekt: Interaktive tavler – interaktive elever Lektor, cand. pæd., Elsebeth Otzen og Lektor, cand. mag., Charlotte Reusch, Institut for Skole og Læring, Læreruddannelsen, Professionshøjskolen Metropol, København Hvordan motiverer en interaktiv...... tavle lærere og elever? Hvad sker der mellem elev, stof og lærer, når læreren bliver i stand til at billedliggøre og dynamisere sine oplæg på tavlen? Bliver læreroplæg prioriteret? Bliver eleverne aktive, eller ender den interaktive tavle med blot at understøtte lærerens envejskommunikation til klassen......? Og hvad sker der mellem eleverne? Disse spørgsmål var igangsættende for arbejdet med pilotprojektet Interaktive tavler – interaktive elever, som blev afviklet i skoleåret 2010-2011. Projektet blev udført af en tværfaglig gruppe, bestående af lektorer i matematik, biologi og dansk i læreruddannelsen...

  10. Interaktive tavler - interaktive elever

    DEFF Research Database (Denmark)

    Reusch, Charlotte; Otzen, Elsebeth

    2012-01-01

    Abstract, Poster-præsentation 13.-14. juni 2012, Pilotprojekt: Interaktive tavler ? interaktive elever Lektor, cand. pæd., Elsebeth Otzen og Lektor, cand. mag., Charlotte Reusch, Institut for Skole og Læring, Læreruddannelsen, Professionshøjskolen Metropol, København Hvordan motiverer en interaktiv...... tavle lærere og elever? Hvad sker der mellem elev, stof og lærer, når læreren bliver i stand til at billedliggøre og dynamisere sine oplæg på tavlen? Bliver læreroplæg prioriteret? Bliver eleverne aktive, eller ender den interaktive tavle med blot at understøtte lærerens envejskommunikation til klassen......? Og hvad sker der mellem eleverne? Disse spørgsmål var igangsættende for arbejdet med pilotprojektet Interaktive tavler ? interaktive elever, som blev afviklet i skoleåret 2010-2011. Projektet blev udført af en tværfaglig gruppe, bestående af lektorer i matematik, biologi og dansk i læreruddannelsen...

  11. Udeskole og elevers handlekompetence

    DEFF Research Database (Denmark)

    Breiting, Søren

    2011-01-01

    Elever elsker at komme væk fra undervisningen i skolen. Er det positivt eller negativt? Og hvad har betydning for, at eleverne får mest muligt ud af oplevelserne uden for skolen? Forskellige former for udeskole giver nogle oplagte muligheder, så eleverne udvikler sig som engagerede borgere i et...

  12. LMFBR (LIQUID METAL FAST BREEDER REACTOR) READTION RATE AND DOSIMETRY 3RD QUARTERLY PROGRESS REPORT DECEMBER 1971 JANUARY FEBRUARY 1972

    Energy Technology Data Exchange (ETDEWEB)

    MCELROY WN

    1972-03-01

    This report was compiled at the Hanford Engineering Development Laboratory operated by Westinghouse Hanford Company, a subsidiary of Westinghouse Electric Corporation, for the United States Atomic Energy Commission, Division of Reactor Development and Technology, under Contract No. AT (45-1) 2170. It describes technical progress made in the Interlaboratory LMFBR Reaction Rate Program during the reporting period. The Interlaboratory LMFBR Reaction Rate (ILRR) program has been established by USAEC/RDT to develop a capability to accurately measure neutron-induced reaction rates for LMFBR fuels and materials development programs. The initial goal for the principal fission reactions, {sup 235}U, {sup 238}U, and {sup 239}Pu, is an accuracy to within {+-}5 at the 95% confidence level. Accurate measurement of other fission and non-fission reactions will be required, but to a lesser accuracy, between {+-}5 to 10% at the 95% confidence level. A secondary program objective is improvement in knowledge of the nuclear parameters involved in fuels and materials dosimetry measurements of neutron flux, spectra, fluence, and burnup. These accuracy goals for the ILRR program are severe; measurements of fast-neutron-induced reaction rates have not been rapidly moving toward this level of precision. Using a number of techniques in well established neutron environments of current interest for fast reactor development and critically evaluating the results will help establish existing levels of accuracy and indicate the scale of effort required for improvement. To accomplish the objectives of this program, reliable and documented experimental values of reaction rates and ratios will be determined for various well established and permanent neutron fields. The Coupled Fast Reactivity Measurement Facility (CFRMF) at Aerojet Nuclear Company (ANC) is the first neutron field being studied because of the similarity of its spectrum to that of a fast reactor and the range and reproducibility of

  13. Skuldertesten "Kombineret Elevation"

    DEFF Research Database (Denmark)

    Clausen, Mikkel Bek; Overkær, Brian

    2010-01-01

    Formål: At udarbejde en testprotokol for testen Kombineret Elevation (KE) og undersøge test-retest variationen ved test af elite svømmere, samt diskutere testens relevans og validitet. Materiale og Metode: 9 elite og 10 sub-elite svømmere, heraf var 11 mænd og 8 kvinder, gennemførte testen KE 2...

  14. A Switch in Keystone Seed-Dispersing Ant Genera between Two Elevations for a Myrmecochorous Plant, Acacia terminalis.

    Science.gov (United States)

    Thomson, Fiona J; Auld, Tony D; Ramp, Daniel; Kingsford, Richard T

    2016-01-01

    The dispersal capacity of plant species that rely on animals to disperse their seeds (biotic dispersal) can alter with changes to the populations of their keystone dispersal vectors. Knowledge on how biotic dispersal systems vary across landscapes allows better understanding of factors driving plant persistence. Myrmecochory, seed dispersal by ants, is a common method of biotic dispersal for many plant species throughout the world. We tested if the seed dispersal system of Acacia terminalis (Fabaceae), a known myrmecochore, differed between two elevations in the Greater Blue Mountains World Heritage Area, in southeastern Australia. We compared ant assemblages, seed removal rates of ants and other vertebrates (bird and mammal) and the dominant seed-dispersing ant genera. At low elevations (c. 200 m a.s.l) seed removal was predominantly by ants, however, at high elevation sites (c. 700 m a.s.l) vertebrate seed dispersers or seed predators were present, removing over 60% of seeds from experimental depots when ants were excluded. We found a switch in the keystone seed-dispersing ant genera from Rhytidoponera at low elevations sites to Aphaenogaster at high elevation sites. This resulted in more seeds being removed faster at low elevation sites compared to high elevation sites, however long-term seed removal rates were equal between elevations. Differences in the keystone seed removalist, and the addition of an alternate dispersal vector or seed predator at high elevations, will result in different dispersal and establishment patterns for A. terminalis at different elevations. These differences in dispersal concur with other global studies that report myrmecochorous dispersal systems alter with elevation.

  15. A Switch in Keystone Seed-Dispersing Ant Genera between Two Elevations for a Myrmecochorous Plant, Acacia terminalis.

    Directory of Open Access Journals (Sweden)

    Fiona J Thomson

    Full Text Available The dispersal capacity of plant species that rely on animals to disperse their seeds (biotic dispersal can alter with changes to the populations of their keystone dispersal vectors. Knowledge on how biotic dispersal systems vary across landscapes allows better understanding of factors driving plant persistence. Myrmecochory, seed dispersal by ants, is a common method of biotic dispersal for many plant species throughout the world. We tested if the seed dispersal system of Acacia terminalis (Fabaceae, a known myrmecochore, differed between two elevations in the Greater Blue Mountains World Heritage Area, in southeastern Australia. We compared ant assemblages, seed removal rates of ants and other vertebrates (bird and mammal and the dominant seed-dispersing ant genera. At low elevations (c. 200 m a.s.l seed removal was predominantly by ants, however, at high elevation sites (c. 700 m a.s.l vertebrate seed dispersers or seed predators were present, removing over 60% of seeds from experimental depots when ants were excluded. We found a switch in the keystone seed-dispersing ant genera from Rhytidoponera at low elevations sites to Aphaenogaster at high elevation sites. This resulted in more seeds being removed faster at low elevation sites compared to high elevation sites, however long-term seed removal rates were equal between elevations. Differences in the keystone seed removalist, and the addition of an alternate dispersal vector or seed predator at high elevations, will result in different dispersal and establishment patterns for A. terminalis at different elevations. These differences in dispersal concur with other global studies that report myrmecochorous dispersal systems alter with elevation.

  16. Flood Insurance Rate Maps and Base Flood Elevations, FIRM, DFIRM, BFE - FLOODPLAINS_CROSSSECTION_DFIRM_IDNR_IN: DFIRM Floodplain Cross section Lines for 86 of 92 Counties in Indiana (Indiana Department of Natural Resources, 1:12,000, Line Shapefile)

    Data.gov (United States)

    NSGIC GIS Inventory (aka Ramona) — This line layer represents cross sections (XS) created from FEMA Flood Rate Insurance Maps (FIRM). These lines represent the locations of channel surveys performed...

  17. Accuracy of self-report, biological tests, collateral reports and clinician ratings in identifying substance use disorders among adults with schizophrenia.

    Science.gov (United States)

    Desmarais, Sarah L; Van Dorn, Richard A; Sellers, Brian G; Young, M Scott; Swartz, Marvin S

    2013-09-01

    Identifying substance use disorders among adults with schizophrenia presents unique challenges but is critical to research and practice. This study examined: (a) the accuracy of assessments completed using various approaches in identifying substance use disorders, (b) their ability to discriminate between disorders of abuse and dependence, and (c) the benefits of using multiple indicators to identify substance use disorders. Data are from the Clinical Antipsychotic Trials of Intervention Effectiveness study. The sample comprised 1,460 community-based adults with schizophrenia, 15.8% (n = 230) of whom were positive for a current (past month) drug or alcohol use disorder using the Structured Clinical Interview for DSM-IV Disorders (SCID). Clinician ratings, self-report, collateral reports, and results of hair and urine tests were compared to SCID diagnoses. Congruence with SCID diagnoses was good across approaches and evidence for superiority of one approach over another was limited. No approach discriminated between abuse and dependence. There was limited benefit of using multiple indicators. Findings suggest that the decision regarding the "best" approach for identifying substance use disorders among adults with schizophrenia may be made through consideration of practical issues and assessment purpose, rather than selection of the approach that yields the most accurate diagnostic assessment.

  18. Feeding Activity, Rate of Consumption, Daily Ration and Prey Selection of Major Predators in John Day Reservoir, 1985: Annual Report.

    Energy Technology Data Exchange (ETDEWEB)

    Palmer, Douglas E.; United States. Bonneville Power Administration; U.S. Fish and Wildlife Service; National Fishery Research Center (U.S.)

    1986-10-01

    This report summarizes activities in 1985 to determine the extent of predation on juvenile salmonids in John Day Reservoir. To estimate consumption of juvenile salmonids we used the composition of the natural diet of predators and in the laboratory determined rate of gastric evacuation by predators. Salmonids were the single most important food item for northern squawfish (Ptychocheilus oregonensis) at McNary tailrace during all sampling periods and at John Day forebay during July. Salmonids accounted for 11.6% of the diet of walleye (Stizostedion vitreum vitreum) in 1985 which was about twice that found in previous years. Salmonids contributed little to smallmouth bass (Micropterus dolomieui) diet but comprised about 25% of the diet of channel catfish (Ictalurus punctatus). Composition of prey taxa in beach seine catches in 1985 was similar to 1983 and 1984 with chinook salmon (Oncorhynchus tschawytscha), northern squawfish, largescale sucker (Catostomus macrocheilus), and sand roller (Percopsis transmontana) dominating the catch at main channel stations and crappies (Pomoxis spp.) and largescale sucker dominating at backwater stations. Preliminary results of beach seine efficiency studies suggest that seine efficiency varied significantly among prey species and between substrate types in 1985. Results of digestion rate experiments indicate that gastric evacuation in northern squawfish can be predicted using water temperature, prey weight, predator weight and time. 19 refs., 19 figs., 13 tabs.

  19. Systematic review of reporting rates of adverse events following immunization: an international comparison of post-marketing surveillance programs with reference to China.

    Science.gov (United States)

    Guo, Biao; Page, Andrew; Wang, Huaqing; Taylor, Richard; McIntyre, Peter

    2013-01-11

    China is the most populous country in the world, with an annual birth cohort of approximately 16 million, requiring an average of 500 million vaccine doses administered annually. In China, over 30 domestic and less than 10 overseas vaccine manufacturers supply over 60 licensed vaccine products, representing a growing vaccine market mainly due to recent additions to the national immunization schedule, but data on post-marketing surveillance for adverse events following immunization (AEFI) are sparse. To compare reporting rates for various categories of AEFI from China with other routine post-marketing surveillance programs internationally. Systematic review of published studies reporting rates of AEFI by vaccine, category of reaction and age from post-marketing surveillance systems in English and Chinese languages. Overall AEFI reporting rates (all vaccines, all ages) in Chinese studies were consistent with those from similar international studies elsewhere, but there was substantial heterogeneity in regional reporting rates in China (range 2.3-37.8/100,000 doses). The highest AEFI reporting rates were for diphtheria-tetanus-pertussis whole-cell (DTwP) and acellular (DTaP) vaccines (range 3.3-181.1/100,000 doses for DTwP; range 3.5-92.6/100,000 doses for DTaP), with higher median rates for DTwP than DTaP, and higher than expected rates for DTaP vaccine. Similar higher rates for DTwP and DTaP containing vaccines, and relatively lower rates for vaccines against hepatitis B virus, poliovirus, and Japanese encephalitis virus were found in China and elsewhere in the world. Overall AEFI reporting rates in China were consistent with similar post-marketing surveillance systems in other countries. Sources of regional heterogeneity in AEFI reporting rates, and their relationships to differing vaccine manufacturers versus differing surveillance practices, require further exploration. Copyright © 2012 Elsevier Ltd. All rights reserved.

  20. Medicare Program; FY 2016 Hospice Wage Index and Payment Rate Update and Hospice Quality Reporting Requirements. Final rule.

    Science.gov (United States)

    2015-08-06

    This final rule will update the hospice payment rates and the wage index for fiscal year (FY) 2016 (October 1, 2015 through September 30, 2016), including implementing the last year of the phase-out of the wage index budget neutrality adjustment factor (BNAF). Effective on January 1, 2016, this rule also finalizes our proposals to differentiate payments for routine home care (RHC) based on the beneficiary's length of stay and implement a service intensity add-on (SIA) payment for services provided in the last 7 days of a beneficiary's life, if certain criteria are met. In addition, this rule will implement changes to the aggregate cap calculation mandated by the Improving Medicare Post-Acute Care Transformation Act of 2014 (IMPACT Act), align the cap accounting year for both the inpatient cap and the hospice aggregate cap with the federal fiscal year starting in FY 2017, make changes to the hospice quality reporting program, clarify a requirement for diagnosis reporting on the hospice claim, and discuss recent hospice payment reform research and analyses.

  1. Developing IntegRATE: a fast and frugal patient-reported measure of integration in health care delivery

    Directory of Open Access Journals (Sweden)

    Glyn Elwyn

    2015-03-01

    Full Text Available Background: Efforts have been made to measure integration in health care delivery, but few existing instruments have adopted a patient perspective, and none is sufficiently generic and brief for administration at scale. We sought to develop a brief and generic patient-reported measure of integration in health care delivery.Methods: Drawing on both existing conceptualisations of integrated care and research on patients’ perspectives, we chose to focus on four distinct domains of integration: information sharing,consistent advice, mutual respect and role clarity. We formulated candidate items and conducted cognitive interviews with end users to further develop and refine the items. We then pilot-tested the measure.Results: Four rounds of cognitive interviews were conducted (n = 14 and resulted in a four-item measure that was both relevant and understandable to end users. The pilot administration of the measure (n = 15 further confirmed the relevance and interpretability of items and demonstrated that the measure could be completed in less than one minute.Conclusions: This new measure, IntegRATE, represents a patient-reported measure of integration in health care delivery that is conducive to use in both routine performance monitoring and research. The psychometric properties of the measure will be assessed in the next stage of development. 

  2. Incidental lung nodules on CT examinations of the abdomen: Prevalence and reporting rates in the PACS era

    Energy Technology Data Exchange (ETDEWEB)

    Rinaldi, Maria Francesca [Radiologia III - Azienda Ospedaliera Pol. S.Orsola-Malpighi, via Massarenti 9 - 40138 Bologna (Italy); Bartalena, Tommaso, E-mail: t.bartalena@email.i [Radiologia III - Azienda Ospedaliera Pol. S.Orsola-Malpighi, via Massarenti 9 - 40138 Bologna (Italy); Giannelli, Giovanni; Rinaldi, Giovanni [Radiologia III - Azienda Ospedaliera Pol. S.Orsola-Malpighi, via Massarenti 9 - 40138 Bologna (Italy); Sverzellati, Nicola [Dipartimento di Scienze Cliniche, sezione di Radiologia - Universita di Parma, via Gramsci 14 - 43100 Parma (Italy); Canini, Romeo [Dipartimento Clinico di Scienze Radiologiche ed Istocitopatologiche, divisione di Diagnostica per Immagini - Universita di Bologna, via Massarenti 9 - 40138 Bologna (Italy); Gavelli, Giampaolo [Servizio di Diagnostica per Immagini, Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori (I.R.S.T.), via Piero Maroncelli, 40 - 47014 Meldola (Italy)

    2010-06-15

    Objectives: To retrospectively evaluate prevalence, reporting rates and clinical implications of incidental pulmonary nodules detected in multidetector computed tomography (MDCT) abdominal studies. Materials and methods: Abdominal MDCT studies of 243 consecutive patients, 94 of whom had a history of cancer, were evaluated. Lung bases included in the scan were reviewed on a PACS workstation with different window settings and post-processing techniques. Nodules were classified according to their density (calcified, solid noncalcified, non-solid, part-solid) and size (<4 mm; 4-6 mm; 6-8 mm; >8 mm). The study findings were compared with the corresponding radiologic reports. Previous of following CT studies, when available from the PACS, were also reviewed to evaluate changes in number and size of the detected nodules. Results: An average of 8.2 cm of lung parenchyma was imaged in each patient. 213 noncalcified nodules (NCNs) were identified in 95 patients (39.1%) but only 8 patients (8.4%) had it mentioned in the final report. Comparison CT studies were available for 44 out of the 95 positive patients showing disappearance of the nodules in 2 cases, no interval change in 26 and progression in size and/or number in 16 patients, in whom a final diagnosis of metastasis or primary lung cancers was achieved. Conclusion: Radiologists tend to overlook lung portions on abdominal CT studies. Underreporting may affect patient care and have medico-legal implications since images are permanently stored in digital format on PACS and CD-ROMs. Management of the discovered nodules should be tailored to the clinical situation of the patient, and particular care should be reserved to patients with oncologic history.

  3. MELT RATE ENHANCEMENT FOR HIGH ALUMINUM HLW (HIGH LEVEL WASTE) GLASS FORMULATION FINAL REPORT 08R1360-1

    Energy Technology Data Exchange (ETDEWEB)

    KRUGER AA; MATLACK KS; KOT W; PEGG IL; JOSEPH I; BARDAKCI T; GAN H; GONG W; CHAUDHURI M

    2010-01-04

    This report describes the development and testing of new glass formulations for high aluminum waste streams that achieve high waste loadings while maintaining high processing rates. The testing was based on the compositions of Hanford High Level Waste (HLW) with limiting concentrations of aluminum specified by the Office of River Protection (ORP). The testing identified glass formulations that optimize waste loading and waste processing rate while meeting all processing and product quality requirements. The work included preparation and characterization of crucible melts and small scale melt rate screening tests. The results were used to select compositions for subsequent testing in a DuraMelter 100 (DM100) system. These tests were used to determine processing rates for the selected formulations as well as to examine the effects of increased glass processing temperature, and the form of aluminum in the waste simulant. Finally, one of the formulations was selected for large-scale confirmatory testing on the HLW Pilot Melter (DM1200), which is a one third scale prototype of the Hanford Tank Waste Treatment and Immobilization Plant (WTP) HLW melter and off-gas treatment system. This work builds on previous work performed at the Vitreous State Laboratory (VSL) for Department of Energy (DOE) to increase waste loading and processing rates for high-iron HLW waste streams as well as previous tests conducted for ORP on the same high-aluminum waste composition used in the present work and other Hanford HLW compositions. The scope of this study was outlined in a Test Plan that was prepared in response to an ORP-supplied statement of work. It is currently estimated that the number of HLW canisters to be produced in the WTP is about 13,500 (equivalent to 40,500 MT glass). This estimate is based upon the inventory of the tank wastes, the anticipated performance of the sludge treatment processes, and current understanding of the capability of the borosilicate glass waste form

  4. Long term low latitude and high elevation cosmogenic 3He production rate inferred from a 107 ka-old lava flow in northern Chile; 22°S-3400 m a.s.l.

    Science.gov (United States)

    Delunel, Romain; Blard, Pierre-Henri; Martin, Léo C. P.; Nomade, Sébastien; Schlunegger, Fritz

    2016-07-01

    Available geological calibration sites used to estimate the rate at which cosmogenic 3He is produced at the Earth's surface are mostly clustered in medium to high latitudes. Moreover, most of them have exposure histories shorter than tens of thousands of years. This lack of sites prevents a qualitative assessment of available production models used to convert cosmogenic 3He concentrations into exposure ages and/or denudation rates. It thus limits our ability to take into account the atmospheric, geomagnetic and solar modulation conditions that might have affected the production of cosmogenic nuclides in the past for longer exposure histories and in low latitude regions. We present the cosmogenic 3He production rate inferred from a new geological calibration site located in northern Chile. Five samples were collected on the surface of the largest and best-preserved lava flow of the San Pedro volcano (21.934°S-68.510°W-3390 m a.s.l.), which displays pristine crease-structure features. 40Ar/39Ar dating yields a reliable plateau age of 107 ± 12 ka for the eruption of this lava flow. Eight pyroxene aliquots separated from the surface samples yield a weighted average cosmogenic 3He concentration of 99.3 ± 1.2 Mat g-1 from which a local cosmogenic 3He production rate of 928 ± 101 at g-1 yr-1 is calculated. The local production rate is then scaled to a sea level high latitude (SLHL) reference position using different combinations of geographic spatialization schemes, atmosphere models and geomagnetic field reconstructions, yielding SLHL production rates between 103 ± 11 and 130 ± 14 at g-1 yr-1 consistent with the most recent estimates available from the literature. Finally, we use the same scaling frameworks to re-evaluate the mean global-scale cosmogenic 3He production rate in olivine and pyroxene minerals at 120 ± 16 at g-1 yr-1 from the compilation of previously published calibration datasets.

  5. Facilitating adaptation in montane plants to changing precipitation along an elevation gradient

    Science.gov (United States)

    Hess, Steve; Leopold, Christina

    2017-01-01

    Montane plant communities throughout the world have responded to changes in precipitation and temperature regimes by shifting ranges upward in elevation. Continued warmer, drier climate conditions have been documented and are projected to increase in high-elevation areas in Hawai‘i, consistent with climate change effects reported in other environments throughout the world. Organisms that cannot disperse or adapt biologically to projected climate scenarios in situ may decrease in distributional range and abundance over time. Restoration efforts will need to accommodate future climate change and account for the interactive effects of existing invasive species to ensure long-term persistence. As part of a larger, ongoing restoration effort, we hypothesized that plants from a lower-elevation forest ecotype would have higher rates of survival and growth compared to high-elevation forest conspecifics when grown in common plots along an elevation gradient. We monitored climate conditions at planting sites to identify whether temperature or rainfall influenced survival and growth after 20 weeks. We found that origin significantly affected survival in only one of three native montane species, Dodonaea viscosa. Contrary to our hypothesis, 75.2% of seedlings from high-elevation origin survived in comparison to 58.7% of seedlings from low elevation across the entire elevation gradient. Origin also influenced survival in linearized mixed models that controlled for temperature, precipitation, and elevation in D. viscosa and Chenopodium oahuense. Only C. oahuense seedlings had similar predictors of growth and survival. There were no common patterns of growth or survival between species, indicating that responses to changing precipitation and emperature regimes varied between montane plant species. Results also suggest that locally sourced seed is important to ensure highest survival at restoration sites. Further experimentation on larger spatial and temporal scales is necessary

  6. Report: EPA Has Not Met Statutory Requirements for Hazardous Waste Treatment, Storage and Disposal Facility Inspections, but Inspection Rates Are High

    Science.gov (United States)

    Report #16-P-0104, March 11, 2016. Although the EPA’s overall inspection completion rate is high, the agency did not fully meet the legal requirement for inspecting 100 percent of operating TSDFs for fiscal year 2014.

  7. Predictive Value of Baseline Electronic Columbia–Suicide Severity Rating Scale (eC–SSRS) Assessments for Identifying Risk of Prospective Reports of Suicidal Behavior During Research Participation

    OpenAIRE

    Greist, John H.; Mundt, James C.; Gwaltney, Chad J.; Jefferson, James W.; Posner, Kelly

    2014-01-01

    Objective: Examine the ability of baseline electronic Columbia–Suicide Severity Rating Scale lifetime suicidal ideation and behavior categories to predict prospective reports of suicidal behavior in psychiatric and non-psychiatric research participants.

  8. Unusual head and neck injury in elevator: autopsy study.

    Science.gov (United States)

    Eren, B; Türkmen, N; Dokgöz, H

    2012-10-01

    Industrial injuries related to auto-load-carrying vehicles were not frequently reported in the literature. Presented case was, 31-year-old male furniture worker. Deceased was found in awkward position in furniture workshop. Victim was observed on his knees in front of the elevator, head and neck lodged within openings of the elevator, and head and neck structures compressed-guillotined by the lower platform of the elevator were detected. We presented rare case of head and neck compression by elevator. Key words: head - neck - accidents - elevator - autopsy.

  9. Surface elevation change on ice caps in the Qaanaaq region, northwestern Greenland

    Science.gov (United States)

    Saito, Jun; Sugiyama, Shin; Tsutaki, Shun; Sawagaki, Takanobu

    2016-09-01

    A large number of glaciers and ice caps (GICs) are distributed along the Greenland coast, physically separated from the ice sheet. The total area of these GICs accounts for 5% of Greenland's ice cover. Melt water input from the GICs to the ocean substantially contributed to sea-level rise over the last century. Here, we report surface elevation changes of six ice caps near Qaanaaq (77°28‧N, 69°13‧W) in northwestern Greenland based on photogrammetric analysis of stereo pair satellite images. We processed the images with a digital map plotting instrument to generate digital elevation models (DEMs) in 2006 and 2010 with a grid resolution of 500 m. Generated DEMs were compared to measure surface elevation changes between 2006 and 2010. Over the study area of the six ice caps, covering 1215 km2, the mean rate of elevation change was -1.1 ± 0.1 m a-1. This rate is significantly greater than that previously reported for the 2003-2008 period (-0.6 ± 0.1 m a-1) for GICs all of northwestern Greenland. This increased mass loss is consistent with the rise in summer temperatures in this region at a rate of 0.12 °C a-1 for the 1997-2013 period.

  10. Convergent Validity with the BERS-2 Teacher Rating Scale and the Achenbach Teacher's Report Form: A Replication and Extension

    Science.gov (United States)

    Benner, Gregory J.; Beaudoin, Kathleen; Mooney, Paul; Uhing, Brad M.; Pierce, Corey D.

    2008-01-01

    In the present study, we sought to extend instrument validation research for a strength-based emotional and behavior rating scale, the "Teacher Rating Scale of the Behavior and Emotional Rating Scale-Second Edition" (BERS-2; Epstein, M. H. (2004). "Behavioral and emotional rating scale" (2nd ed.). Austin, TX: PRO-ED) through…

  11. Convergent Validity with the BERS-2 Teacher Rating Scale and the Achenbach Teacher's Report Form: A Replication and Extension

    Science.gov (United States)

    Benner, Gregory J.; Beaudoin, Kathleen; Mooney, Paul; Uhing, Brad M.; Pierce, Corey D.

    2008-01-01

    In the present study, we sought to extend instrument validation research for a strength-based emotional and behavior rating scale, the "Teacher Rating Scale of the Behavior and Emotional Rating Scale-Second Edition" (BERS-2; Epstein, M. H. (2004). "Behavioral and emotional rating scale" (2nd ed.). Austin, TX: PRO-ED) through…

  12. Student Self-Regulated Learning in an Urban High School: Predictive Validity and Relations between Teacher Ratings and Student Self-Reports

    Science.gov (United States)

    Cleary, Timothy J.; Callan, Gregory L.

    2014-01-01

    This study examined the predictive validity of a teacher rating scale called the Self-Regulation Strategy Inventory-Teacher Rating Scale (SRSI-TRS) and its level of convergence with several student self-report measures of self-regulated learning (SRL). Eighty-seven high school students enrolled in one of four sections of a mathematics course in an…

  13. Are Student Ratings of Communication Instructors Due to "Easy" Grading Practices? An Analysis of Teacher Credibility and Student-Reported Performance Levels.

    Science.gov (United States)

    Beatty, Michael J.; Zahn, Christopher J.

    1990-01-01

    Investigates the empirical relationships between student ratings of teachers and student-reported performance. Finds that students discriminate between sociability and qualification-related aspects of teacher performance and that student ratings were not the product of "easy" grading practices. (SR)

  14. Reported Diabetes Mellitus Prevalence Rates in the Colombia Healthcare System from 2009 to 2012: Analysis by Regions Using Data of the Official Information Sources.

    Science.gov (United States)

    Barengo, Noël C; Tamayo, Diana Carolina

    2015-01-01

    The objective of this study was to describe the reported diabetes mellitus (DM) prevalence rates of the 20-79-year-old population in Colombia from 2009 to 2012 reported by the healthcare system. Information on number of patients treated for DM was obtained by the Integral Information System of Social Protection (SISPRO), the registry of the Ministry of Health and Social Protection, and the High Cost Account (CAC), an organization to trace high expenditure diseases. From both sources age-standardized reported DM prevalence rates per 100.000 inhabitants from 2009 to 2012 were calculated. Whereas the reported DM prevalence rates of SISPRO revealed an increase from 964/100.000 inhabitants (2009) to 1398/100.000 inhabitants in 2012 (mean annual increase 141/100.000; p value: 0.001), the respective rates in the CAC register were 1082/100.000 (2009) and 1593/100.000 in 2012 (mean annual increase 165/100.000; p value: 0.026). The number of provinces reporting not less than 19% of the highest national reported DM prevalence rates (1593/100.000) increased from two in 2009 to ten in 2012. Apparently, the registries and the information retrieving system have been improved during 2009 and 2012, resulting in a greater capacity to identify and report DM cases by the healthcare system.

  15. Reported Diabetes Mellitus Prevalence Rates in the Colombia Healthcare System from 2009 to 2012: Analysis by Regions Using Data of the Official Information Sources

    Science.gov (United States)

    Barengo, Noël C.; Tamayo, Diana Carolina

    2015-01-01

    The objective of this study was to describe the reported diabetes mellitus (DM) prevalence rates of the 20–79-year-old population in Colombia from 2009 to 2012 reported by the healthcare system. Information on number of patients treated for DM was obtained by the Integral Information System of Social Protection (SISPRO), the registry of the Ministry of Health and Social Protection, and the High Cost Account (CAC), an organization to trace high expenditure diseases. From both sources age-standardized reported DM prevalence rates per 100.000 inhabitants from 2009 to 2012 were calculated. Whereas the reported DM prevalence rates of SISPRO revealed an increase from 964/100.000 inhabitants (2009) to 1398/100.000 inhabitants in 2012 (mean annual increase 141/100.000; p value: 0.001), the respective rates in the CAC register were 1082/100.000 (2009) and 1593/100.000 in 2012 (mean annual increase 165/100.000; p value: 0.026). The number of provinces reporting not less than 19% of the highest national reported DM prevalence rates (1593/100.000) increased from two in 2009 to ten in 2012. Apparently, the registries and the information retrieving system have been improved during 2009 and 2012, resulting in a greater capacity to identify and report DM cases by the healthcare system. PMID:26494999

  16. Optional time-of-use prices for electricity: Analysis of PG&E`s experimental TOU rates. Final report

    Energy Technology Data Exchange (ETDEWEB)

    Train, K.; Mehrez, G.

    1992-07-01

    We examine customers` time-of-use (TOU) demand for electricity and their choice between standard and TOU rate schedules. We specify an econometric model in which the customer`s demand curves determine the customer`s choice of rate schedule. We estimate the model on data from Pacific Gas & Electric Company`s experiment with optional TOU prices in the residential sector. With the model, we compare the TOU consumption and price elasticities of customers who chose TOU rates with those who chose standard rates. We also estimate the impact of the TOU rates on the utility`s revenues and costs. The analysis suggests that the TOU rates offered under PG&E`s experiment decreased PG&E`s profits and hence contributed to higher general rate levels. The model can be used, however, to design optional TOU rates that increase profits and lower general rate levels.

  17. Physiological levels of nitrate support anoxic growth by denitrification of Pseudomonas aeruginosa at growth rates reported in cystic fibrosis lungs and sputum

    DEFF Research Database (Denmark)

    Klitten, Laura Line; Alhede, Morten; Kolpen, Mette

    2014-01-01

    reported that O2 is mainly consumed by the activated PMNs, while O2 consumption by aerobic respiration is diminutive and nitrous oxide (N2O) is produced in infected CF sputum. This suggests that the reported growth rates of P. aeruginosa in lungs and sputum may result from anaerobic respiration using...

  18. A summary of the performance of exposure rate and dose rate instruments contained in instrument evaluation reports NRPB-IE1 to NRPB-IE13

    CERN Document Server

    Burgess, P H

    1979-01-01

    The various radiations encountered in radiological protection cover a wide range of energies and radiation measurements have to be carried out under an equally broad spectrum of environmental conditions. This report is one of a series intended to give information on the performance characteristics of radiological protection instruments, to assist in the selection of appropriate instruments for a given purpose, to interpret the results obtained with such instruments, and, in particular, to know the likely sources and magnitude of errors that might be associated with measurements in the field. The radiation, electrical and environmental characteristics of radiation protection instruments are considered together with those aspects of the construction which make an instrument convenient for routine use. To provide consistent criteria for instrument performance, the range of tests performed on any particular class of instrument, the test methods and the criteria of acceptable performance are based broadly on the a...

  19. Preparation of low flow-resistant methacrylate-based monolithic stationary phases of different hydrophobicity and the application to rapid reversed-phase liquid chromatographic separation of alkylbenzenes at high flow rate and elevated temperature.

    Science.gov (United States)

    Ueki, Yuji; Umemura, Tomonari; Iwashita, Yoshikazu; Odake, Tamao; Haraguchi, Hiroki; Tsunoda, Kin-ichi

    2006-02-17

    Low flow-resistant alkyl methacrylate-based monolithic stationary phases of different hydrophobicity were constructed for reversed-phase capillary liquid chromatography by thermally initiated radical polymerization of respective methacrylate ester monomer with different alkyl chain (C2, C4, C6, C12, C18) and ethylene glycol dimethacrylate (EDMA) in a 250 microm i.d. fused silica capillary. The hydrophobicity was basically controlled by changing the length and/or the density of the alkyl-chain, while the composition and the ratio of porogenic solvent were adjusted to obtain highly permeable rigid monoliths with adequate column efficiency. Among the prepared monolithic stationary phases, C18-methacrylate monoliths polymerized from a binary porogenic solvent of isoamyl alcohol and 1,4-buthandiol exhibited the most promising performance in terms of hydraulic resistance and column efficiency. The pressure drops of 20-cm long monolithic columns were below approximately 0.4 MPa at a normal linear velocity of 1mm/s (a flow rate of 3 microL/min), and the numbers of theoretical plates for alkylbenzenes mostly exceeded 3000 plates/20 cm. The produced monolithic columns had good mechanical strength for high pressure and temperature, and could be properly operated even at a temperature of 80 degrees C and at a pressure of at least 33 MPa. At 80 degrees C, the theoretical plate numbers reached 6000 plates/20 cm because of the enhanced mass transfer. Due to the novel hydraulic resistance and mechanical strength, the separation time could be reduced 120-fold simply by raising the flow rate and column temperature.

  20. Base Flood Elevation

    Data.gov (United States)

    Earth Data Analysis Center, University of New Mexico — The National Flood Hazard Layer (NFHL) data incorporates all Digital Flood Insurance Rate Map(DFIRM) databases published by FEMA, and any Letters Of Map Revision...

  1. Heart Rate Variability and Cardiac Vagal Tone in Psychophysiological Research – Recommendations for Experiment Planning, Data Analysis, and Data Reporting

    Science.gov (United States)

    Laborde, Sylvain; Mosley, Emma; Thayer, Julian F.

    2017-01-01

    Psychophysiological research integrating heart rate variability (HRV) has increased during the last two decades, particularly given the fact that HRV is able to index cardiac vagal tone. Cardiac vagal tone, which represents the contribution of the parasympathetic nervous system to cardiac regulation, is acknowledged to be linked with many phenomena relevant for psychophysiological research, including self-regulation at the cognitive, emotional, social, and health levels. The ease of HRV collection and measurement coupled with the fact it is relatively affordable, non-invasive and pain free makes it widely accessible to many researchers. This ease of access should not obscure the difficulty of interpretation of HRV findings that can be easily misconstrued, however, this can be controlled to some extent through correct methodological processes. Standards of measurement were developed two decades ago by a Task Force within HRV research, and recent reviews updated several aspects of the Task Force paper. However, many methodological aspects related to HRV in psychophysiological research have to be considered if one aims to be able to draw sound conclusions, which makes it difficult to interpret findings and to compare results across laboratories. Those methodological issues have mainly been discussed in separate outlets, making difficult to get a grasp on them, and thus this paper aims to address this issue. It will help to provide psychophysiological researchers with recommendations and practical advice concerning experimental designs, data analysis, and data reporting. This will ensure that researchers starting a project with HRV and cardiac vagal tone are well informed regarding methodological considerations in order for their findings to contribute to knowledge advancement in their field.

  2. Acquaintance ratings of the Big Five personality traits: incremental validity beyond and interactive effects with self-reports in the prediction of workplace deviance.

    Science.gov (United States)

    Kluemper, Donald H; McLarty, Benjamin D; Bing, Mark N

    2015-01-01

    It is widely established that the Big Five personality traits of conscientiousness, agreeableness, and emotional stability are antecedents to workplace deviance (Berry, Ones, & Sackett, 2007). However, these meta-analytic findings are based on self-reported personality traits. A recent meta-analysis by Oh, Wang, and Mount (2011) identified the value of acquaintance-reported personality in the prediction of job performance. The current investigation extends prior work by comparing the validities of self- and acquaintance-reported personality in the prediction of workplace deviance across 2 studies. We also hypothesized and tested an interactive, value-added integration of self- with acquaintance-reported personality using socioanalytic personality theory (R. T. Hogan, 1991). Both studies assessed self- and acquaintance-rated Big Five traits, along with supervisor-rated workplace deviance. However, the studies varied the measures of workplace deviance, and the 2nd study also included a self-rated workplace deviance criterion for additional comparison. Across both studies, the traits of conscientiousness and agreeableness were strong predictors of workplace deviance, and acquaintance-reported personality provided incremental validity beyond self-reports. Additionally, acquaintance-reported conscientiousness and agreeableness moderated the prediction of workplace deviance by interacting with the corresponding self-reported traits. Implications for personality theory and measurement are discussed along with applications for practice.

  3. Advanced composite elevator for Boeing 727 aircraft

    Science.gov (United States)

    1979-01-01

    Detail design activities are reported for a program to develop an advanced composites elevator for the Boeing 727 commercial transport. Design activities include discussion of the full scale ground test and flight test activities, the ancillary test programs, sustaining efforts, weight status, and the production status. Prior to flight testing of the advanced composites elevator, ground, flight flutter, and stability and control test plans were reviewed and approved by the FAA. Both the ground test and the flight test were conducted according to the approved plan, and were witnessed by the FAA. Three and one half shipsets have now been fabricated without any significant difficulty being encountered. Two elevator system shipsets were weighed, and results validated the 26% predicted weight reduction. The program is on schedule.

  4. Sex Education in Connecticut High Schools: Teachers' Reports of Content and Importance Ratings According to the SIECUS Guidelines

    Science.gov (United States)

    Obloj, Wallace; Lynn, Donna

    2010-01-01

    The purpose of this study was to examine Connecticut teachers' reports of the sex education content taught to high school students as well as teachers' reports of the degree of importance for Connecticut high school students to understand according to the SIECUS Guidelines. The data revealed that participants (N=125) reported teaching 72% of the…

  5. Can mindful parenting be observed? Relations between observational ratings of mother-youth interactions and mothers' self-report of mindful parenting.

    Science.gov (United States)

    Duncan, Larissa G; Coatsworth, J Douglas; Gayles, Jochebed G; Geier, Mary H; Greenberg, Mark T

    2015-04-01

    Research on mindful parenting, an extension of mindfulness to the interpersonal domain of parent-child relationships, has been limited by its reliance on self-report assessment. The current study is the first to examine whether observational indices of parent-youth interactions differentiate between high and low levels of self-reported mindful parenting. The Iowa Family Interaction Rating Scales (IFIRS) were used to code interactions between mothers and their 7th grade youth. Mothers drawn from the top and bottom quartiles (n = 375) of a larger distribution of self-reported interpersonal mindfulness in parenting (N = 804) represented clearly defined high- and low-mindful parenting groups. Discriminant function analysis (DFA) was used to analyze how well 6 composite IFIRS observational rating variables (e.g., parental warmth, consistent discipline) discriminated between high and low self-reports of mindful parenting. DFA results were cross-validated, with statistically significant canonical correlations found for both subsamples (p < .05). Subsequent independent samples t tests revealed that group means were significantly different on all 6 IFIRS composite ratings. Confirmation of the relations between self-report mindful parenting and the observational ratings was also provided through hierarchical regression analyses conducted with a continuous predictor of mindful parenting using the full sample. Thus, the present study provides preliminary evidence for a link between self-reported mindful parenting and observed interactions between parents and youth.

  6. 短期模拟增温对杭州湾滨海湿地芦苇群落土壤呼吸速率的影响%Effects of Simulated Short-Term Elevated Temperature on Soil Respiration Rate in the Reed Community in Hangzhou Bay Wetland

    Institute of Scientific and Technical Information of China (English)

    杨文英; 邵学新; 吴明; 刘芸

    2012-01-01

    To investigate the effects of simulated short-term elevated temperature on soil respiration rate in the reed community, a simulation study was conducted in situ with open-top chambers and an LICOR-6400 photosynthesis system connected to 09 soil respiration chamber to measure soil respiration. Compared with the control, short-term simulation of warming increased soil respiration rate by 17. 36%. The diurnal variation of soil respiration rate in the elevated temperature treatment and the control was 3.23±0. 28 μmol/ (m^2 · s) and 2.75±0.68μmol/(m^2· s) ; respectively. The diurnal variation was characterized by a single peak curve, with the peak occurring at about 14.00 and the minimum occurring at 6:00 in the morning; Soil respiration rate in the elevated temperature treatment and the control was in a highly significant correlation with soil temperature at 10 cm (p〈0.01) and was in a significant correlation with air temperature (p〈0.05). The Q10 value in the elevated temperature treatment and the control was 2.74 and 3.42, respectively. In the 0-10 cm soil layer, β-glucosidase activity and invertase activity significantly increased in the elevated temperature treatment as compared with the control (p〉0.05), urease activity increased to a certain extent (0.76%), and alkaline phosphatase activity was slightly lower(2. 54%).%采用原位OTCs模拟增温和LICOR-6400-09土壤呼吸室法,研究了杭州湾滨海湿地芦苇群落土壤呼吸及土壤酶活性对温度升高的响应.结果表明,通过短期的模拟增温,土壤呼吸速率与对照相比提高了17.36%;增温和对照的土壤呼吸速率日变化幅度分别为:3.23±0.29和2.75±0.68/μmol/(m^2·s);日动态变化呈单峰曲线,峰值出现在14:00左右,最低值在早上6:00;增温和对照下的土壤呼吸速率与10cm土壤温度呈极显著的指数相关性(P〈0.01);与空气温度呈

  7. Elevator-related injuries to children in the United States, 1990 through 2004.

    Science.gov (United States)

    O'Neil, Joseph; Steele, Gregory K; Huisingh, Carrie; Smith, Gary A

    2007-09-01

    This study describes the epidemiology of elevator-related injuries among children in the United States from 1990 to 2004. A retrospective cohort analysis was performed using data from the National Electronic Injury Surveillance System of the US Consumer Product Safety Commission. Reported cases were used to project national estimates. An estimated 29 030 elevator-related injuries occurred among children in the United States during 1990 to 2004. The mean age was 8.1 years (SD, 6.1 years), with 53.3% of injuries among boys. The overall injury rate was 2.5 injuries per 100,000 population. The injury rate for children aged 0-4 years was 4.2 per 100,000 population, and for children aged 5-19 years the injury rate was 1.9 per 100,000 population. The most frequent cause of injury was the elevator door closing on a body part, the most frequently injured body region was the upper extremity, and soft-tissue injuries were the most frequent type of injury. Children should be closely supervised on or near elevators to reduce the risk of injury.

  8. Acetone photophysics at 282 nm excitation at elevated pressure and temperature. II: Fluorescence modeling

    Science.gov (United States)

    Hartwig, Jason; Raju, Mandhapati; Sung, Chih-Jen

    2017-07-01

    This is the second in a series of two papers that presents an updated fluorescence model and compares with the new experimental data reported in the first paper, as well as the available literature data, to extend the range of acetone photophysics to elevated pressure and temperature conditions. This work elucidates the complete acetone photophysical model in terms of each and every competing radiative and non-radiative rate. The acetone fluorescence model is then thoroughly examined and optimized based on disparity with recently conducted elevated pressure and temperature photophysical calibration experiments. The current work offers insight into the competition between non-radiative and vibrational energy decay rates at elevated temperature and pressure and proposes a global optimization of model parameters from the photophysical model developed by Thurber (Acetone Laser-Induced Fluorescence for Temperature and Multiparameter Imaging in Gaseous Flows. PhD thesis, Stanford University Mechanical Engineering Department, 1999). The collisional constants of proportionality, which govern vibrational relaxation, are shown to be temperature dependent at elevated pressures. A new oxygen quenching rate is proposed which takes into account collisions with oxygen as well as the oxygen-assisted intersystem crossing component. Additionally, global trends in ketone photophysics are presented and discussed.

  9. 17 CFR 240.17g-3 - Annual financial reports to be furnished by nationally recognized statistical rating organizations.

    Science.gov (United States)

    2010-04-01

    ...) Include a balance sheet, an income statement and statement of cash flows, and a statement of changes in... financial condition, results of operations, cash flows, revenues, analyst compensation, and credit rating... financial statements of the nationally recognized statistical rating organization or audited consolidated...

  10. [Successful outcome of a pregnancy with an extremely low fetal heart rate (34 bpm) due to isolated complete heart block--case report].

    Science.gov (United States)

    Hamela-Olkowska, Anita; Dangel, Joanna; Miszczak-Knecht, Maria

    2009-09-01

    Isolated complete congenital heart block (CHB) in the majority of cases is associated with the presence of autoantibodies to SSA (Ro) and SSB (La) antigens in the maternal serum. The prognosis is less favorable in fetuses with a ventricular rate bpm. We have reported a case of a fetus with an isolated non-autoimmune CHB with an extremely low ventricular rate (34bpm) in which the outcome was favorable. In the neonate the non-compaction of the myocardium was diagnosed.

  11. Lærer-elev-relationer

    DEFF Research Database (Denmark)

    Laursen, Per Fibæk; Nielsen, Anne Maj

    2015-01-01

    I kapitlet belyser vi relationskompetence i forholdet mellem lærer og elever og hvordan læreren kan arbejde med forhold til elever og med sin opmærksomhed på relationsarbejdet. Afslutningsvis ser vi på hvordan lærere fortsat kan udvikle deres relationskompetence.......I kapitlet belyser vi relationskompetence i forholdet mellem lærer og elever og hvordan læreren kan arbejde med forhold til elever og med sin opmærksomhed på relationsarbejdet. Afslutningsvis ser vi på hvordan lærere fortsat kan udvikle deres relationskompetence....

  12. Do We Need Multiple Informants When Assessing Autistic Traits? The Degree of Report Bias on Offspring, Self, and Spouse Ratings

    Science.gov (United States)

    Möricke, Esmé; Buitelaar, Jan K.; Rommelse, Nanda N. J.

    2016-01-01

    This study focused on the degree of report bias in assessing autistic traits. Both parents of 124 preschoolers completed the Social Communication Questionnaire and the Autism-spectrum Quotient. Acceptable agreement existed between mother and father reports of children's mean scores of autistic traits, but interrater reliability for rank-order…

  13. Do We Need Multiple Informants When Assessing Autistic Traits? The Degree of Report Bias on Offspring, Self, and Spouse Ratings

    Science.gov (United States)

    Möricke, Esmé; Buitelaar, Jan K.; Rommelse, Nanda N. J.

    2016-01-01

    This study focused on the degree of report bias in assessing autistic traits. Both parents of 124 preschoolers completed the Social Communication Questionnaire and the Autism-spectrum Quotient. Acceptable agreement existed between mother and father reports of children's mean scores of autistic traits, but interrater reliability for rank-order…

  14. Hypoxia increases exercise heart rate despite combined inhibition of [beta]-adrenergic and muscarinic receptors.(Report)(Author abstract)

    National Research Council Canada - National Science Library

    Aachmann-Andersen, N.J; Rasmussen, P; Secher, N.H; Zaar, M; Lundby, C; Sorensen, H; Nordsborg, N.B; Bonne, T.C; Siebenmann, C

    2015-01-01

    Hypoxia increases the heart rate response to exercise, but the mechanism(s) remains unclear. We tested the hypothesis that the tachycardic effect of hypoxia persists during separate, but not combined, inhibition...

  15. Brief report: Sex differences in suicide rates and suicide methods among adolescents in South Korea, Japan, Finland, and the US.

    Science.gov (United States)

    Park, Subin

    2015-04-01

    Sex differences in suicide rates and suicide methods was compared among adolescents in South Korea, Japan, Finland, and the United States. This study analyzed suicide rates and suicide methods of adolescents aged 15-19 years in four countries, using the World Health Organization mortality database. Among both male and female adolescents, the most common method of suicide was jumping from heights in South Korea and hanging in Japan. In Finland, jumping in front of moving objects and firearms were frequently used by males, but not by females. In the United States, males were more likely to use firearms, and females were more likely to use poison. The male to female ratio of suicide rates was higher in the United States (3.8) and Finland (3.6) than in Korea (1.3) and Japan (1.9). Sex differences in suicide methods may contribute to differences in the suicide rates among males and female adolescents in different countries.

  16. Inferior ST-Elevation Myocardial Infarction Associated with Takotsubo Cardiomyopathy

    Directory of Open Access Journals (Sweden)

    Oliver Koeth

    2010-01-01

    Full Text Available Takotsubo cardiomyopathy (TCM is usually characterized by transient left ventricular apical ballooning. Due to the clinical symptoms which include chest pain, electrocardiographic changes, and elevated myocardial markers, Takotsubo cardiomyopathy is frequently mimicking ST-elevation myocardial infarction in the absence of a significant coronary artery disease. Otherwise an acute occlusion of the left anterior descending coronary artery can produce a typical Takotsubo contraction pattern. ST-elevation myocardial infarction (STEMI is frequently associated with emotional stress, but to date no cases of STEMI triggering TCM have been reported. We describe a case of a female patient with inferior ST-elevation myocardial infarction complicated by TCM.

  17. Inferior ST-Elevation Myocardial Infarction Associated with Takotsubo Cardiomyopathy

    Science.gov (United States)

    Koeth, Oliver; Zeymer, Uwe; Schiele, Rudolf; Zahn, Ralf

    2010-01-01

    Takotsubo cardiomyopathy (TCM) is usually characterized by transient left ventricular apical ballooning. Due to the clinical symptoms which include chest pain, electrocardiographic changes, and elevated myocardial markers, Takotsubo cardiomyopathy is frequently mimicking ST-elevation myocardial infarction in the absence of a significant coronary artery disease. Otherwise an acute occlusion of the left anterior descending coronary artery can produce a typical Takotsubo contraction pattern. ST-elevation myocardial infarction (STEMI) is frequently associated with emotional stress, but to date no cases of STEMI triggering TCM have been reported. We describe a case of a female patient with inferior ST-elevation myocardial infarction complicated by TCM. PMID:20811565

  18. Are self-reports of smoking rate biased? Evidence from the Second National Health and Nutrition Examination Survey.

    Science.gov (United States)

    Klesges, R C; Debon, M; Ray, J W

    1995-10-01

    This study determined evidence for digit preference in self-reports of smoking in the Second National Health and Nutrition Examination Survey (NHANES II). Subjects were 4275 adult smokers. Self-reports of smoking showed a marked degree of digit preference, with the vast majority of smokers reporting in multiples of 10 cigarettes per day. When number per day was compared to an objective measure of smoking exposure (carboxyhemoglobin; n = 2070) the distribution was found to be significantly assymetrical. Analysis of the distribution of COHb and various levels of number per day indicates that the differences in distribution are not due to variability in COHb. Heavier smokers, Caucasians, and those with less education were more likely to report a digit preference than lighter smokers. African-Americans, and those with more education. Results suggest that self-reports of number of cigarettes per day may be biased towards round numbers (particularly 20 cigarettes per day). Implications for assessment of smoking behavior are discussed.

  19. Absence of gender disparity in short-term clinical outcomes in patients with acute ST-segment elevation myocardial infarction undergoing irolimus-eluting stent based primary coronary intervention: a report from Shanghai Acute Coronary Event (SACE) Registr

    Institute of Scientific and Technical Information of China (English)

    ZHANG Qi; LIAO Min-lei; HU Jian; SHEN Wei-feng; QIU Jian-ping; ZHANG Rui-yan; LI Yi-gang; HE Ben; JIN Hui-gen; ZHANG Jun-feng; WANG Xiao-long; JIANG Li

    2010-01-01

    Background Randomized, controlled trials have demonstrated the superiority of sirolimus-eluting stent (SES) implantation during primary percutaneous coronary intervention (PCI), as opposed to bare-metal stents, in patients with ST-elevation myocardial infarction (STEMI). This study aimed to test the hypothesis that clinical benefits of SES treatment were independent of gender in this setting.Methods A total of 2042 patients with STEMI undergoing SES-based primary PCI were prospectively enrolled into Shanghai Acute Coronary Event (SACE) registry (1574 men and 468 women). Baseline demographics, angiographic and PCI features, and in-hospital and 30-day major adverse cardiac events (MACE) were analyzed as a function of gender. Results Compared with men, women were older and more frequently had hypertension, diabetes, and hypercholesterolemia. Use of platelet glycoprotein IIb/IIIa receptor inhibitor (GPI, 65.5% vs. 62.2%, P=0.10) and procedural success rate (95.0% vs. 94.2%, P=0.52) were similar in both genders. In-hospital death and MACE occurred in 3.8% and 7.6%, and 4.5% and 8.1% in the male and female patients, respectively (all P >0.05). At 30-day follow-up, survival (94.3% vs. 93.8%, P=0.66) and MACE-free survival (90.2% vs. 89.3%, P=0.52) did not significantly differ between men and women. After adjustment for differences in patient demographics, angiographic and proceduralfeatures, there were no significant difference in either in-hospital (OR=0.77, 95%C/ of 0.48 to 1.22, P=0.30) or 30-day mortality (OR=1.28, 95%C/ of 0.73 to 2.23, P=0.38) between women and men.Conclusion Despite more advanced age and clustering of risk factors in women, female patients with STEMI treated by SES-based primary PCI had similar in-hospital and short-term clinical outcomes as their male counterparts.

  20. Comparison among the efficacy of interventions for the return rate to receive the pap test report: randomized controlled clinical trial.

    Science.gov (United States)

    Vasconcelos, Camila Teixeira Moreira; Pinheiro, Ana Karina Bezerra; Nicolau, Ana Izabel Oliveira; Lima, Thaís Marques; Barbosa, Denise de Fátima Fernandes

    2017-03-02

    to test the effects of a behavioral, an educative and a comparative intervention on women's adherence to the return appointment to receive the pap test report. randomized controlled clinical trial at a Primary Health Care Service, involving three groups: EG (educative session and test demonstration), BG (recall ribbon) and standard intervention (card containing the return appointment - graphical reminder), called comparative group here (CG). To select the sample, the following was established: having started sexual activity and undergoing the pap smear during the study, resulting in 775 women. among the 775 women, 585 (75.5%) returned to receive the test result within 65 days. The educative group presented the highest return rate (EG=82%/CG=77%/BG=66%), statistically significant only when compared to the behavioral group (p=0.000). The educative group obtained the smallest interval (phacer la citología vaginal durante el estudio, resultando en 775 mujeres. entre las 775 mujeres, 585 (75,5%) regresaron para recibir el resultado del examen con hasta 65 días. El grupo educativo presentó el mayor porcentaje de retorno (GE=82%/GCA=77%/GCP=66%), con significancia estadística sólo cuando comparado al comportamental (p=0,000). El grupo educativo alcanzó menor intervalo (pEnsayo Clínico: RBR-93ykhs. testar os efeitos de uma intervenção comportamental (GCP), educativa (GE) e outra de comparação (GCA) na adesão das mulheres à consulta de retorno para receber o laudo do exame colpocitológico. estudo experimental randomizado controlado em uma Unidade de Atenção Primária à Saúde com três grupos: GE (sessão educativa e demonstração do exame), GCP (fita lembrança) e intervenção-padrão (cartão contendo a data da consulta de retorno - lembrete gráfico), aqui denominado de grupo de comparação (GCA). Para a seleção da amostra, estabeleceu-se: ter iniciado atividade sexual e realizar o exame colpocitológico durante o estudo, resultando em 775 mulheres

  1. Surface elevation change and susceptibility of coastal wetlands to sea level rise in Liaohe Delta, China

    Science.gov (United States)

    Wang, Guo-dong; Wang, Ming; Lu, Xian-guo; Jiang, Ming

    2016-10-01

    The Liaohe Delta in China is an ecologically and commercially important wetland system under threat from sea level rise and marsh subsidence. Sediments deposited in coastal marshes could offer wetlands a potentially important means for adjusting surface elevation with rising sea level, yet coastal wetland stability in Liaohe Delta is not well understood due to limited data from long-term experiments. In this study, wetland surface elevation and vertical accretion were measured from 2011 to 2015 using a surface elevation table (SET) and feldspar marker horizons in two Phragmites and two Suaeda marshes receiving Liaohe River water. The analysis shows that the Phragmites marshes exhibited higher rates of marsh accretion and elevation change than the Suaeda marshes. The two Phragmites marsh sites had average surface elevation change rates at 8.8 and 9.3 mm yr-1, vertical accretion at 17.4 and 17.6 mm yr-1, and shallow subsidence at 8.6 and 8.3 mm yr-1. The average rates of elevation change, vertical accretion, and shallow subsidence at two Suaeda marsh sites were 5.8 and 6.3 mm yr-1, 13.6 and 14.8 mm yr-1, and 7.8 and 8.5 mm yr-1, respectively. The trends suggest that coastal marshes in Liaohe Delta are experiencing changes in average soil elevation that range from a net increase of 0.3 mm y-1 to 6.9 mm y-1 relative to averaged sea level rise in Bohai Sea reported by the 2016 State Oceanic Administration People's Republic of China projection (2.4-5.5 mm y-1), which indicated that the four wetland sites would adjust to the sea level rise and even continue to gain elevation, especially for the Phragmites sites. Nevertheless, the vulnerability of coastal wetlands in Liaohe Delta need further assessment considering the accelerated sea level rise, the high rate of subsidence, and the declining sediment delivery owing to anthropogenic activities such as dam constructions in the river basin.

  2. Studieintro: fra elev til studerende

    DEFF Research Database (Denmark)

    Galle, Per

    2011-01-01

    Dette kompendium indeholder materiale til kurset Studieintro: fra elev til studerende. Kurset er obligatorisk for studerende på bacheloruddannelsens første år.......Dette kompendium indeholder materiale til kurset Studieintro: fra elev til studerende. Kurset er obligatorisk for studerende på bacheloruddannelsens første år....

  3. Extremely high fracture rate of a modular acetabular component with a sandwich polyethylene ceramic insertion for THA: a preliminary report.

    Science.gov (United States)

    Kircher, Jörn; Bader, Rainer; Schroeder, Bettina; Mittelmeier, Wolfram

    2009-09-01

    Improvements of ceramic components and design changes have reduced failure rates over the past 30 years in total hip arthroplasty. We present a series of n = 11 cases with ceramic failure out of n = 113 implantations, from which n = 66 were ceramic-on-ceramic (n = 50 with ceramic insert with sandwich in polyethylene and n = 16 with directly fixed ceramic inlay) and n = 47 ceramic on polyethylene bearings, between 1999 and 2001 after introduction of a new implantation system to the market. The overall fracture rate of ceramic for the whole series (n = 113) was 9.7%. For the combination ceramic head with UHMW-PE (n = 47) the fracture rate was 2.1%. For the combination ceramic with ceramic (n = 66) the fracture rate was 15.2%. For the combination ceramic with ceramic sandwich in PE (n = 50) the failure rate was 18%. Only three patients experienced a trauma. Demography of patients (age, gender, body weight and BMI) was not statistically different between patients with failed ceramics and the rest of the patients making patient-specific risk factors unlikely to be an explanation for the failures. Retrospective X-ray analysis of the cup positioning did not show significant difference between failed and non-failed implants in terms of mean cup inclination and version making also operation-specific factors unlikely to be the only reason of this high failure rate. Therefore, manufacturer-specific factors such as design features may have contributed to this high failure rate. Further analysis of the whole series with biomechanical testing of the retrieved material needs to be performed.

  4. Limbic encephalitis associated with elevated antithyroid antibodies.

    Science.gov (United States)

    Hacohen, Yael; Joseph, Sonia; Kneen, Rachel; Eunson, Paul; Lin, Jean-Pierre; Vincent, Angela; Lim, Ming

    2014-06-01

    Immune-mediated limbic encephalitis affects both adults and children. Patients typically present with seizures, memory problems, and imaging changes in the medial temporal lobes. Both paraneoplastic and nonparaneoplastic forms have been described in which the antibody to the voltage-gated potassium channel-complex associated protein, leucine-rich glioma-inactivated 1, is most commonly reported. Elevated antithyroid antibodies have also been reported in a range of neurological syndromes with encephalopathy, such as limbic encephalitis, often collectively termed Hashimoto encephalopathy, a condition whereby corticosteroids responsiveness with a complete recovery is commonly observed. Here we describe 3 children presenting with limbic encephalitis with elevated thyroid antibodies that did not respond to corticosteroids alone and required more aggressive immunotherapy, mirroring the slower treatment response that is more frequently seen in other immune-mediated forms of limbic encephalitis.

  5. Influences of gaseous environment on low growth-rate fatigue crack propagation in steels. Annual report No. 1, January 1980. Report No. FPL/R/80/1030

    Energy Technology Data Exchange (ETDEWEB)

    Ritchie, R.O.; Suresh, S.; Toplosky, J.

    1980-01-01

    The influence of gaseous environment is examined on fatigue crack propagation behavior in steels. Specifically, a fully martensitic 300-M ultrahigh strength steel and a fully bainitic 2-1/4Cr-1Mo lower strength steel are investigated in environments of ambient temperature moist air and low pressure dehumidified hydrogen and argon gases over a wide range of growth rates from 10/sup -8/ to 10/sup -2/ mm/cycle, with particular emphasis given to behavior near the crack propagation threshold ..delta..K/sub 0/. It is found that two distinct growth rate regimes exist where hydrogen can markedly accelerate crack propagation rates compared to air, (1) at near-threshold levels below (5 x 10/sup -6/ mm/cycle) and (2) at higher growth rates, typically around 10/sup -5/ mm/cycle above a critical maximum stress intensity K/sub max//sup T/. Hydrogen-assisted crack propagation at higher growth rates is attributed to a hydrogen embrittlement mechanism, with K/sub max//sup T/ nominally equal to K/sub Iscc/ (the sustained load stress corrosion threshold) in high strength steels, and far below K/sub Iscc/ in the strain-rate sensitive lower strength steels. Hydrogen-assisted crack propagation at near-threshold levels is attributed to a new mechanism involving fretting-oxide-induced crack closure generated in moist (or oxygenated) environments. The absence of hydrogen embrittlement mechanisms at near-threshold levels is supported by tests showing that ..delta..K/sub 0/ values in dry gaseous argon are similar to ..delta..K/sub 0/ values in hydrogen. The potential ramifications of these results are examined in detail.

  6. Elevación diafragmática con colapso de la aurícula derecha y síntomas de falla cardíaca: reporte de un caso Diaphragmatic elevation with collapse of the right atrium and symptoms of heart failure: a case report

    Directory of Open Access Journals (Sweden)

    Juan C Díaz

    2013-02-01

    Full Text Available La elevación diafragmática es una entidad caracterizada por la alteración en la fuerza contráctil de las fibras musculares del diafragma, que conlleva prolapso de las estructuras abdominales hacia la cavidad torácica. En la mayoría de los casos, los síntomas se presentan por la compresión del parénquima pulmonar subyacente; la compresión de estructuras cardíacas es menos frecuente. Se reporta el caso de una paciente que presentó signos y síntomas compatibles con falla cardíaca derecha y en quien los diferentes estudios demostraron una elevación diafragmática con colapso de la aurícula derecha como causa de su sintomatología.Diaphragmatic elevation is a disorder characterized by impaired contractile force of the muscle fibers of the diaphragm, which results in prolapse of abdominal structures into the chest cavity. In most cases, symptoms occur by the underlying lung parenchyma compression. The compression of cardiac structures is less frequent. We report the case of a female patient who developed signs and symptoms consistent with right heart failure and in whom several studies showed a diaphragmatic elevation with collapse of the right atrium as cause of her symptomatology.

  7. The visual analogue thermometer and the graphic numeric rating scale : A comparison of self-report instruments for pain measurement in adults with burns

    NARCIS (Netherlands)

    De Jong, A. E E; Bremer, M.; Hofland, H. W C; Schuurmans, M. J.; Middelkoop, E.; Van Loey, N. E E

    2015-01-01

    To evaluate the adequacy of pain management in burn care, pain measurement is essential. The visual analogue thermometer (VAT) and graphic numeric rating scale (GNRS) are frequently used self-report instruments for burn pain. To legitimise their interchangeable use in research and practice, we aimed

  8. Incremental Validity of Spouse Ratings versus Self-Reports of Personality as Predictors of Marital Quality and Behavior during Marital Conflict

    Science.gov (United States)

    Cundiff, Jenny M.; Smith, Timothy W.; Frandsen, Clay A.

    2012-01-01

    The personality traits of neuroticism and agreeableness are consistently related to marital quality, influencing the individual's own (i.e., actor effect) and the spouse's marital quality (i.e., partner effect). However, this research has almost exclusively relied on self-reports of personality, despite the fact that spouse ratings have been found…

  9. Incremental Validity of Spouse Ratings versus Self-Reports of Personality as Predictors of Marital Quality and Behavior during Marital Conflict

    Science.gov (United States)

    Cundiff, Jenny M.; Smith, Timothy W.; Frandsen, Clay A.

    2012-01-01

    The personality traits of neuroticism and agreeableness are consistently related to marital quality, influencing the individual's own (i.e., actor effect) and the spouse's marital quality (i.e., partner effect). However, this research has almost exclusively relied on self-reports of personality, despite the fact that spouse ratings have been found…

  10. The effects of elevated CO2 and eutrophication on surface elevation gain in a European salt marsh.

    Science.gov (United States)

    Reef, Ruth; Spencer, Tom; Mӧller, Iris; Lovelock, Catherine E; Christie, Elizabeth K; McIvor, Anna L; Evans, Ben R; Tempest, James A

    2017-02-01

    Salt marshes can play a vital role in mitigating the effects of global environmental change by dissipating incident storm wave energy and, through accretion, tracking increasing water depths consequent upon sea level rise. Atmospheric CO2 concentrations and nutrient availability are two key variables that can affect the biological processes that contribute to marsh surface elevation gain. We measured the effects of CO2 concentrations and nutrient availability on surface elevation change in intact mixed-species blocks of UK salt marsh using six open-top chambers receiving CO2 -enriched (800 ppm) or ambient (400 ppm) air. We found more rapid surface elevation gain in elevated CO2 conditions: an average increase of 3.4 mm over the growing season relative to ambient CO2 . Boosted regression analysis to determine the relative influence of different parameters on elevation change identified that a 10% reduction in microbial activity in elevated CO2 -grown blocks had a positive influence on elevation. The biomass of Puccinellia maritima also had a positive influence on elevation, while other salt marsh species (e.g. Suaeda maritima) had no influence or a negative impact on elevation. Reduced rates of water use by the vegetation in the high CO2 treatment could be contributing to elevation gain, either directly through reduced soil shrinkage or indirectly by decreasing microbial respiration rates due to lower redox levels in the soil. Eutrophication did not influence elevation change in either CO2 treatment despite doubling aboveground biomass. The role of belowground processes (transpiration, root growth and decomposition) in the vertical adjustment of European salt marshes, which are primarily minerogenic in composition, could increase as atmospheric CO2 concentrations rise and should be considered in future wetland models for the region. Elevated CO2 conditions could enhance resilience in vulnerable systems such as those with low mineral sediment supply or where

  11. Outcomes Following Traumatic Grain Elevator Injuries.

    Science.gov (United States)

    Tolefree, Sydnei; Truong, Anthony; Ward, Jeanette; Dong, Fanglong; Ablah, Elizabeth; Haan, James

    2017-01-01

    The absence of a comprehensive database of grain elevator-associated injuries hinders accurate evaluation of injury prevalence and may lead to discordant information about injury frequencies. The main purpose of this study was to identify the most common mechanisms of injury related to grain elevator events. Comparisons of hospital outcomes between patients who sustained traumatic injuries associated with grain elevators at Occupational Safety and Health Administration (OSHA)-regulated industrial sites versus those on OSHA-exempt farming operations were also made. A retrospective review was conducted of all patients' presenting with grain elevator-related injuries at a level-1 trauma center between January 1, 2003, and December 31, 2013. Data collected included demographics, mechanism of injury, injury severity, hospitalization details, and discharge disposition. Data were summarized, and comparisons were made between the groups. All patients (N = 18) in the study were male, with a mean age of 37 years. Falls and being caught in equipment each accounted for 27.8% of injuries. Among the 18 patients, there were a total of 37 injuries. The majority of injuries were either lower extremity (29.7%) or chest injuries (21.6%). The average hospital length of stay was 4 ± 4.5 days, and one patient required mechanical ventilation. There were no reported deaths. The literature reports entrapments as the leading cause of grain elevator-related injuries; however, this study found that falls and being caught in equipment were the most common mechanisms of injury. This suggests that a greater emphasis should be placed on fall prevention and equipment safety.

  12. Pregnancy in an azoospermic patient with markedly elevated serum follicle-stimulating hormone levels.

    Science.gov (United States)

    Gil-Salom, M; Remohí, J; Mínguez, Y; Rubio, C; Pellicer, A

    1995-12-01

    To assess the possibility of achieving a pregnancy in an azoospermic patient with markedly elevated serum FSH level. A case report. In vitro fertilization program at the Instituto Valenciano de Infertilidad. An azoospermic patient with small testes and serum FSH level (38.7 mIU/mL) higher than three times normal. Testicular biopsy revealed Sertoli cell-only syndrome with focal spermatogenesis. Intracytoplasmic microinjection of testicular tissue-extracted spermatozoa. Fertilization rate, cleavage rate, clinical pregnancy. Eight of 11 (73%) intact oocytes showed two pronuclei. All of them cleaved normally. Four embryos were replaced into the uterine cavity and the other four were cryopreserved. A twin clinical pregnancy was achieved. Spermatozoa may be present in testicular biopsy specimens of azoospermic patients with severe spermatogenic failure despite markedly elevated serum FSH level. These patients can be fertile after intracytoplasmic testicular sperm microinjection.

  13. Use of administrative data for surgical site infection surveillance after congenital cardiac surgery results in inaccurate reporting of surgical site infection rates.

    Science.gov (United States)

    Atchley, Krista D; Pappas, Janine M; Kennedy, Andrea T; Coffin, Susan E; Gerber, Jeffrey S; Fuller, Stephanie M; Spray, Thomas L; McCardle, Kenneth; Gaynor, J William

    2014-02-01

    The National Healthcare Safety Network (NHSN) is a safety surveillance system managed by the Centers for Disease Control and Prevention that monitors procedure specific rates of surgical site infections (SSIs). At our institution, SSI data is collected and reported by three different methods: (1) the NHSN database with reporting to the Centers for Disease Control and Prevention; (2) the hospital billing database with reporting to payers; and (3) The Society of Thoracic Surgeons Congenital Heart Surgery Database. A quality improvement initiative was undertaken to better understand issues with SSI reporting and to evaluate the effect of different data sources on annual SSI rates. Annual cardiac surgery procedure volumes for all three data sources were compared. All episodes of SSI identified in any data source were reviewed and adjudicated using NHSN SSI criteria, and the effect on SSI rates was evaluated. From January 1, 2008, to December 31, 2011, 2,474 cardiac procedures were performed and reported to The Society of Thoracic Surgeons Congenital Heart Surgery Database. Billing data identified 1,865 cardiac surgery procedures using the 63 CARD International Classification of Diseases-Ninth Revision codes from the NHSN inclusion criteria. Only 1,425 procedures were targeted for NHSN surveillance using the NHSN's CARD operative procedure group in the same period. Procedures identified for NHSN surveillance annually underestimated the number of cardiac operations performed by 17% to 71%. As a result, annual SSI rates potentially differed by 12% to 270%. The NHSN CARD surveillance guidelines for SSI fail to identify all pediatric cardiac surgical procedures. Failure to target all at-risk procedures leads to inaccurate reporting of SSI rates largely based on identifying the denominator. Inaccurate recording of SSI data has implications for public reporting, benchmarking of outcomes, and denial of payment. Use of The Society of Thoracic Surgeons Congenital Heart Surgery

  14. Physiological levels of nitrate support anoxic growth by denitrification of Pseudomonas aeruginosa at growth rates reported in cystic fibrosis lungs and sputum

    DEFF Research Database (Denmark)

    Klitten, Laura Line; Alhede, Morten; Kolpen, Mette;

    2014-01-01

    Chronic Pseudomonas aeruginosa lung infection is the most severe complication in patients with cystic fibrosis (CF). The infection is characterized by the formation of biofilm surrounded by numerous polymorphonuclear leukocytes (PMNs) and strong O2 depletion in the endobronchial mucus. We have...... reported that O2 is mainly consumed by the activated PMNs, while O2 consumption by aerobic respiration is diminutive and nitrous oxide (N2O) is produced in infected CF sputum. This suggests that the reported growth rates of P. aeruginosa in lungs and sputum may result from anaerobic respiration using...... comparable to our reported growth rates in the majority of P. aeruginosa cells in CF lungs and sputum. Thus, we have demonstrated that denitrification is required for P. aeruginosa growth in infected endobronchial CF mucus....

  15. Rates and Correlates of Undetermined Deaths among African Americans: Results from the National Violent Death Reporting System

    Science.gov (United States)

    Huguet, Nathalie; Kaplan, Mark S.; McFarland, Bentson H.

    2012-01-01

    Little is known about the factors associated with undetermined death classifications among African Americans. In this study, the rates of undetermined deaths were assessed, the prevalence of missing information was estimated, and whether the circumstances preceding death differ by race were examined. Data were derived from the 2005-2008 National…

  16. A study of malignancy rates in different diagnostic categories of the Bethesda system for reporting thyroid cytopathology: An institutional experience

    Directory of Open Access Journals (Sweden)

    P. Arul

    2015-12-01

    Conclusion: Our study validated the efficacy of TBSRTC. In conclusion, the malignancy rate of AUS/FLUS in this study was higher than the risk mentioned in TBSRTC and other published studies. Hence, AUS/FLUS category patients in our setup warrant further workup including ultrasound and/or thyroid scan in addition to immediate repeat FNAC.

  17. Rates and Correlates of Undetermined Deaths among African Americans: Results from the National Violent Death Reporting System

    Science.gov (United States)

    Huguet, Nathalie; Kaplan, Mark S.; McFarland, Bentson H.

    2012-01-01

    Little is known about the factors associated with undetermined death classifications among African Americans. In this study, the rates of undetermined deaths were assessed, the prevalence of missing information was estimated, and whether the circumstances preceding death differ by race were examined. Data were derived from the 2005-2008 National…

  18. Measured Thermal and Fast Neutron Fluence Rates for ATF-1 Holders During ATR Cycle 157D

    Energy Technology Data Exchange (ETDEWEB)

    Smith, Larry Don [Idaho National Lab. (INL), Idaho Falls, ID (United States); Miller, David Torbet [Idaho National Lab. (INL), Idaho Falls, ID (United States)

    2016-03-01

    This report contains the thermal (2200 m/s) and fast (E>1MeV) neutron fluence rate data for the ATF-1 holders located in core for ATR Cycle 157D which were measured by the Radiation Measurements Laboratory (RML) as requested by the Power Reactor Programs (ATR Experiments) Radiation Measurements Work Order. This report contains measurements of the fluence rates corresponding to the particular elevations relative to the 80-ft. core elevation. The data in this report consist of (1) a table of the ATR power history and distribution, (2) a hard copy listing of all thermal and fast neutron fluence rates, and (3) plots of both the thermal and fast neutron fluence rates. The fluence rates reported are for the average power levels given in the table of power history and distribution.

  19. Transcriptional Amplification in Tumor Cells with Elevated c-Myc

    Science.gov (United States)

    Lin, Charles Y.; Lovén, Jakob; Rahl, Peter B.; Paranal, Ronald M.; Burge, Christopher B.; Bradner, James E.; Lee, Tong Ihn; Young, Richard A.

    2012-01-01

    Summary Elevated expression of the c-Myc transcription factor occurs frequently in human cancers and is associated with tumor aggression and poor clinical outcome. The effect of high levels of c-Myc on global gene regulation is poorly understood, but is widely thought to involve newly activated or repressed “Myc target genes”. We report here that in tumor cells expressing high levels of c-Myc, the transcription factor accumulates in the promoter regions of active genes and causes transcriptional amplification, producing increased levels of transcripts within the cell's gene expression program. Thus, rather than binding and regulating a new set of genes, c-Myc amplifies the output of the existing gene expression program. These results provide an explanation for the diverse effects of oncogenic c-Myc on gene expression in different tumor cells and suggest that transcriptional amplification reduces rate-limiting constraints for tumor cell growth and proliferation. PMID:23021215

  20. False elevation of cardiac markers: importance of recognition

    Directory of Open Access Journals (Sweden)

    Yaser Elnahar

    2011-03-01

    Full Text Available Yaser Elnahar, Joseph Daoko, Karim El Kersh, Jennifer C Kam, Chady Sarraf, Fayez ShamoonSt. Michael’s Medical Center, Newark, NJ, USAAbstract: The availability of troponins as cardiac markers in the diagnosis of acute coronary syndrome is invaluable. However, their elevation can sometimes lead the physician astray. We report a rare case of an 86-year-old Hispanic female with a past medical history significant for asthma, hypertension, atrial fibrillation, and dyslipidemia, who presented to the emergency room complaining of a two-day history of shortness of breath associated with wheezing. She denied any chest pain. The patient’s wheezing ameliorated with bronchodilator treatment. However, her admission laboratory investigations were positive for elevated troponin I, with normal creatine kinase (CK and CK-myoglobin (MB. The first set of cardiac enzymes revealed a troponin I of 29.16 ng/mL (normal < 0.05 ng/mL, CK 234 IU/L, and CK-MB 3.9 IU/L. The electrocardiogram showed rate-controlled atrial fibrillation with nonspecific ST changes. Subsequent cardiac enzymes failed to show any increase in CK or CK-MB. However, the troponin I was, as on admission, persistently elevated at 20.87–29.16 ng/mL. Subsequent cardiac catheterization revealed mild nonobstructive coronary artery disease. Other laboratory tests showed normal creatinine, alkaline phosphatase, and bilirubin, and a negative rheumatoid factor, with absence of hemolysis. A blood sample was subsequently drawn and sent to Beckman Coulter laboratories for heterophile antibody testing. The results confirmed our suspicion of a falsely elevated troponin I caused by the presence of a heterophile antibody. The addition of blocking agents yielded troponin I levels in the normal range. Consistent with current guidelines, we conclude that cardiac markers should be used in conjunction with the clinical picture and the electrocardiogram. This case is unique in that the troponin elevation was

  1. The development and validation of the Dormitory Observation Report: a behavioral rating instrument for juvenile delinquents in residential care.

    Science.gov (United States)

    Veneziano, Louis; Veneziano, Carol

    2002-09-01

    In order to provide an objective measure of problematic behavioral patterns among juvenile delinquents in residential facilities, the Dormitory Observation Report (DOR) was developed. The DOR assesses 11 dimensions of problematic behavioral patterns (e.g., physical assaultiveness, manipulativeness), as well as three dimensions of desirable behavioral patterns expected in an institutional setting (e.g., independent functioning, personal hygiene, care of surroundings). Empirical study regarding the reliability and validity of the DOR are reported, and the results are discussed in terms of the theoretical and practical implications of this instrument.

  2. Bethesda System reporting rates for conventional Papanicolaou tests and liquid-based cytology in a large Chinese, College of American Pathologists-certified independent medical laboratory: analysis of 1394389 Papanicolaou test reports.

    Science.gov (United States)

    Zheng, Baowen; Austin, R Marshall; Liang, Xiaoman; Li, Zaibo; Chen, Congde; Yan, Shanshan; Zhao, Chengquan

    2015-03-01

    Reports that use the Bethesda System categories for Chinese Papanicolaou test results are rare. To document and analyze rates reported in the Bethesda System for conventional Papanicolaou tests and liquid-based cytology between 2007 and 2012 in China's largest College of American Pathologists-accredited laboratory. Results from 1,394,389 Papanicolaou tests, rendered between 2007 and 2012 by the Guangzhou Kingmed Diagnostics Cytology Laboratory, were documented by the Bethesda System report categories and Papanicolaou test methodology, which included both conventional Papanicolaou tests and 4 different liquid-based cytology preparations. Results were documented for 326,297 conventional Papanicolaou tests and 1,068,092 liquid-based cytology specimens, which included 928,884 ThinPrep (Hologic, Bedford, Massachusetts), 63,465 SurePath (BD Diagnostics, Franklin Lakes, New Jersey), 50,422 Liqui-Prep (LGM International, Melbourne, Florida), and 25,321 Lituo liquid-cytology (Lituo Biotechnology Co, Hunan, China) specimens. Abnormality rates reported were significantly higher with liquid-based cytology than they were with conventional Papanicolaou tests in all the Bethesda System categories (P < .001). Reporting rates were within the 2006 benchmark ranges from the College of American Pathologists, except for atypical glandular cells (low) and unsatisfactory rates for conventional Papanicolaou tests (low). Participation in the international College of American Pathologists Laboratory Accreditation Program provides laboratory quality standards not otherwise available in many international settings.

  3. Experimental prototype of an electric elevator

    Science.gov (United States)

    Gaiceanu, M.; Epure, S.; Ciuta, S.

    2016-08-01

    The main objective is to achieve an elevator prototype powered by a three-phase voltage system via a bidirectional static power converter ac-ac with regenerating capability. In order to diminish the power size of the electric motor up to 1/3 of rated power, the elevator contains two carriages of the same weight, one serving as the payload, and the other as counterweight. Before proper operation of the static power converter, the capacitor must be charged at rated voltage via a precharge circuit. At the moment of stabilizing the DC voltage at nominal value, the AC-AC power converter can operates in the proper limits. The functions of the control structure are: the load control task, speed and torque controls. System includes transducers for current measuring, voltage sensors and encoder. As reserve power sources the hybrid battery-photovoltaic panels are used. The control voltage is modulated by implementing four types of pulse width modulations: sinusoidal, with reduced commutation, third order harmonic insertion, and the space vector modulation. Therefore, the prototype could operates with an increased efficiency, in spite of the existing ones. The experimental results confirm the well design of the chosen solution. The control solution assures bidirectional power flow control, precharge control, and load control and it is implemented on a digital signal processor. The elevator capacity is between 300-450 kg, and it is driven by using a 1.5 kW three-phase asynchronous machine.

  4. Brief Report: Fathers' and Mothers' Ratings of Behavioral and Emotional Problems in Siblings of Children with Autism Spectrum Disorder

    Science.gov (United States)

    Griffith, Gemma M.; Hastings, Richard P.; Petalas, Michael A.

    2014-01-01

    Debate is ongoing about whether typically developing siblings of children with autism spectrum disorder (ASD) are at greater risk of behavioral or emotional problems than siblings of children without ASD. Most data on behavior is provided by mothers, and we do not know whether fathers' reports differ. The strengths and difficulties questionnaire…

  5. Lowering Student Loan Default Rates: What One Consortium of Historically Black Institutions Did to Succeed. Education Sector Reports

    Science.gov (United States)

    Dillon, Erin; Smiles, Robin V.

    2010-01-01

    Colleges across the nation are struggling to confront a growing problem in higher education: student debt. As more students borrow more money than ever before, and recent graduates enter the worst job market in a generation, students are increasingly unable to pay back their loans. This report discusses the growing problem of students defaulting…

  6. On the invalidity of validity scales: evidence from self-reports and observer ratings in volunteer samples.

    Science.gov (United States)

    Piedmont, R L; McCrae, R R; Riemann, R; Angleitner, A

    2000-03-01

    Because of the potential for bias and error in questionnaire responding, many personality inventories include validity scales intended to correct biased scores or identify invalid protocols. The authors evaluated the utility of several types of validity scales in a volunteer sample of 72 men and 106 women who completed the Revised NEO Personality Inventory (NEO-PI-R; P. T. Costa & R. R. McCrae, 1992) and the Multidimensional Personality Questionnaire (MPQ; A. Tellegen, 1978/1982) and were rated by 2 acquaintances on the observer form of the NEO-PI-R. Analyses indicated that the validity indexes lacked utility in this sample. A partial replication (N = 1,728) also failed to find consistent support for the use of validity scales. The authors illustrate the use of informant ratings in assessing protocol validity and argue that psychological assessors should limit their use of validity scales and seek instead to improve the quality of personality assessments.

  7. Visualization of heart rate variability of long-term heart transplant patient by transition networks: a case report

    Directory of Open Access Journals (Sweden)

    Joanna eWdowczyk

    2016-03-01

    Full Text Available We present a heart transplant patient at his 17th year of uncomplicated follow-up. Within a frame of routine check out several tests were performed. With such a long and uneventful follow-up some degree of graft reinnervation could be anticipated. However, the patient's electrocardiogram and exercise parameters seemed largely inconclusive in this regard. The exercise heart rate dynamics were suggestive of only mild, if any parasympathetic reinnervation of the graft with persisting sympathetic activation. On the other hand, traditional heart rate variability (HRV indices were inadequately high, due to erratic rhythm resulting from interference of the persisting recipient sinus node or nonconducted atrial parasystole. New tools, originated from network representation of time series, by visualization short-term dynamical patterns, provided a method to discern HRV increase due to reinnervation from other reasons.

  8. Environmental and strain rate effects on graphite/epoxy composites. Final Report; M.S. Thesis, 1987

    Science.gov (United States)

    Peimandis, Konstantinos

    1991-01-01

    The hygrothermal characterization of unidirectional graphite/epoxy composites over a range of strain rates was investigated. Special techniques developed for such hygrothermal characterization are also described. The mechanical properties of the composite material were obtained and analyzed by means of a time-temperature-moisture superposition principle. The results show the following: (1) the embedded gage technique was thoroughly examined and found to be appropriate for both hygrothermal expansion and mechanical strain measurements; (2) all transverse properties were found to decrease with increasing temperature and moisture content; and (3) ultimate transverse properties were found to increase with strain rate at low temperatures but follow an opposite trend at high temperatures compared to dry specimens.

  9. Final LDRD report : enhanced spontaneous emission rate in visible III-nitride LEDs using 3D photonic crystal cavities.

    Energy Technology Data Exchange (ETDEWEB)

    Fischer, Arthur Joseph; Subramania, Ganapathi S.; Coley, Anthony J.; Lee, Yun-Ju; Li, Qiming; Wang, George T.; Luk, Ting Shan; Koleske, Daniel David; Fullmer, Kristine Wanta

    2009-09-01

    The fundamental spontaneous emission rate for a photon source can be modified by placing the emitter inside a periodic dielectric structure allowing the emission to be dramatically enhanced or suppressed depending on the intended application. We have investigated the relatively unexplored realm of interaction between semiconductor emitters and three dimensional photonic crystals in the visible spectrum. Although this interaction has been investigated at longer wavelengths, very little work has been done in the visible spectrum. During the course of this LDRD, we have fabricated TiO{sub 2} logpile photonic crystal structures with the shortest wavelength band gap ever demonstrated. A variety of different emitters with emission between 365 nm and 700 nm were incorporated into photonic crystal structures. Time-integrated and time-resolved photoluminescence measurements were performed to measure changes to the spontaneous emission rate. Both enhanced and suppressed emission were demonstrated and attributed to changes to the photonic density of states.

  10. Associations Between Rate of Force Development Metrics and Throwing Velocity in Elite Team Handball Players: a Short Research Report

    OpenAIRE

    Marques, Mário C.; Saavedra, Francisco J.; Abrantes, Catarina; Felipe J. Aidar

    2011-01-01

    Performance assessment has become an invaluable component of monitoring participant’s development in distinct sports, yet limited and contradictory data are available in trained subjects. The purpose of this study was to examine the relationship between ball throwing velocity during a 3-step running throw in elite team handball players and selected measures of rate of force development like force, power, velocity, and bar displacement during a concentric only bench press exercise in elite mal...

  11. Final Report Real Time Monitoring of Rates of Subsurface Microbial Activity Associated with Natural Attenuation and Electron Donor Availability

    Energy Technology Data Exchange (ETDEWEB)

    Lovley, Derek R. [Univ. of Massachusetts, Amherst, MA (United States)

    2016-03-22

    The project was successful in developing new sensing technologies for monitoring rates of microbial activity in soils and sediments and also developed a novel proof-of-concept for monitoring the presence of bioavailable concentrations of a diversity of metabolites and toxic components in sedimentary environments. These studies led not only to publications in the peer-reviewed literature, but also two patent applications and a start-up company.

  12. Stability theory of a confined toroidal plasma. Part II. Modified energy principle and growth rate. Technical summary report

    Energy Technology Data Exchange (ETDEWEB)

    Laurence, P.; Shen, M.C.

    1982-03-01

    Based upon the existence and uniqueness of a solution to the linearized Lundquist equations established previously, the modified energy principle for the sigma-stability of a confined toroidal plasma is rigorously justified. A variational principle is developed to find the infimum of sigma, and an estimate for the maximum growth rate is obtained. The results are also extended to a diffuse pinch and a multiple tori plasma.

  13. Links between self-reported media violence exposure and teacher ratings of aggression and prosocial behavior among German adolescents.

    Science.gov (United States)

    Krahé, Barbara; Möller, Ingrid

    2011-04-01

    The relations between adolescents' habitual usage of media violence and their tendency to engage in aggressive and prosocial behavior in a school setting were examined in a cross-sectional study with 1688 7th and 8th graders in Germany who completed measures of violent media exposure and normative acceptance of aggression. For each participant, ratings of prosocial and aggressive behavior were obtained from their class teacher. Media violence exposure was a unique predictor of teacher-rated aggression even when relevant covariates were considered, and it predicted prosocial behavior over and above gender. Path analyses confirmed a direct positive link from media violence usage to teacher-rated aggression for girls and boys, but no direct negative link to prosocial behavior was found. Indirect pathways were identified to higher aggressive and lower prosocial behavior via the acceptance of aggression as normative. Although there were significant gender differences in media violence exposure, aggression, and prosocial behavior, similar path models were identified for boys and girls. Copyright © 2010 The Association for Professionals in Services for Adolescents. Published by Elsevier Ltd. All rights reserved.

  14. Influence of changing particle structure on the rate of gas-solid gasification reactions. Final report, July 1981-March 1984

    Energy Technology Data Exchange (ETDEWEB)

    1984-04-04

    The objetive of this work is to determine the changes in the particle structure of coal as it undergoes the carbon/carbon dioxide reaction (C + CO/sub 2/ ..-->.. 2CO). Char was produced by heating the coal at a rate of 25/sup 0/C/min to the reaction temperatures of 800/sup 0/C, 900/sup 0/C, 1000/sup 0/C and 1100/sup 0/C. The changes in surface area and effective diffusivity as a result of devolitization were determined. Changes in effective diffusivity and surface area as a function of conversion have been measured for reactions conducted at 800, 900, 1000 and 1100/sup 0/C for Wyodak coal char. The surface areas exhibit a maximum as a function of conversion in all cases. For the reaction at 1000/sup 0/C the maximum in surface area is greater than the maxima determined at all other reaction temperatures. Thermogravimetric rate data were obtained for five coal chars; Wyodak, Wilcox, Cimmeron, Illinois number 6 and Pittsburgh number 6 over the temperature range 800-1100/sup 0/C. All coal chars exhibit a maximum in reaction rate. Five different models for gas-solid reactions were evaluated. The Bhatia/Perlmutter model seems to best represent the data. 129 references, 67 figures, 37 tables.

  15. Outcome, revision rate and indication for revision following resurfacing hemiarthroplasty for osteoarthritis of the shoulder: 837 operations reported to the Danish Shoulder Arthroplasty Registry.

    Science.gov (United States)

    Rasmussen, J V; Polk, A; Sorensen, A K; Olsen, B S; Brorson, S

    2014-04-01

    In this study, we evaluated patient-reported outcomes, the rate of revision and the indications for revision following resurfacing hemiarthroplasty of the shoulder in patients with osteoarthritis. All patients with osteoarthritis who underwent primary resurfacing hemiarthroplasty and reported to the Danish Shoulder Arthroplasty Registry (DSR), between January 2006 and December 2010 were included. There were 772 patients (837 arthroplasties) in the study. The Western Ontario Osteoarthritis of the Shoulder (WOOS) index was used to evaluate patient-reported outcome 12 months (10 to 14) post-operatively. The rates of revision were calculated from the revisions reported to the DSR up to December 2011 and by checking deaths with the Danish National Register of Persons. A complete questionnaire was returned by 688 patients (82.2%). The mean WOOS was 67 (0 to 100). A total of 63 hemiarthroplasties (7.5%) required revision; the cumulative five-year rate of revision was 9.9%. Patients aged < 55 years had a statistically significant inferior WOOS score, which exceeded the minimal clinically important difference, compared with older patients (mean difference 14.2 (8.8; 95% CI 19.6; p < 0.001), but with no increased risk of revision. There was no significant difference in the mean WOOS or the risk of revision between designs of resurfacing hemiarthroplasty.

  16. Cardiac data increase association between self-report and both expert ratings of task load and task performance in flight simulator tasks: An exploratory study.

    Science.gov (United States)

    Lehrer, Paul; Karavidas, Maria; Lu, Shou-En; Vaschillo, Evgeny; Vaschillo, Bronya; Cheng, Andrew

    2010-05-01

    Seven professional airplane pilots participated in a one-session test in a Boeing 737-800 simulator. Mental workload for 18 flight tasks was rated by experienced test pilots (hereinafter called "expert ratings") and by study participants' self-report on NASA's Task Load Index (TLX) scale. Pilot performance was rated by a check pilot. The standard deviation of R-R intervals (SDNN) significantly added 3.7% improvement over the TLX in distinguishing high from moderate-load tasks and 2.3% improvement in distinguishing high from combined moderate and low-load tasks. Minimum RRI in the task significantly discriminated high- from medium- and low-load tasks, but did not add significant predictive variance to the TLX. The low-frequency/high-frequency (LF:HF) RRI ratio based on spectral analysis of R-R intervals, and ventricular relaxation time were each negatively related to pilot performance ratings independently of TLX values, while minimum and average RRI were positively related, showing added contribution of these cardiac measures for predicting performance. Cardiac results were not affected by controlling either for respiration rate or motor activity assessed by accelerometry. The results suggest that cardiac assessment can be a useful addition to self-report measures for determining flight task mental workload and risk for performance decrements. Replication on a larger sample is needed to confirm and extend the results. Copyright 2010 Elsevier B.V. All rights reserved.

  17. Coastal Digital Elevation Models (DEMs)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Digital elevation models (DEMs) of U.S. and other coasts that typically integrate ocean bathymetry and land topography. The DEMs support NOAA's mission to understand...

  18. Elevated Fixed Platform Test Facility

    Data.gov (United States)

    Federal Laboratory Consortium — The Elevated Fixed Platform (EFP) is a helicopter recovery test facility located at Lakehurst, NJ. It consists of a 60 by 85 foot steel and concrete deck built atop...

  19. Elevation Derivatives for National Applications

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — Elevation Derivatives for National Applications (EDNA) is a seamless, nationwide, multi-layered three-dimensional (3D) hydrologic database derived from a version of...

  20. Elevation Derivatives for National Applications

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — Elevation Derivatives for National Applications (EDNA) is a seamless, nationwide, multi-layered three-dimensional (3D) hydrologic database derived from a version of...