ETUDE DE L'EFFET DE QUELQUES FACTEURS SUR LA CYTOTOXICITE INDUITE PAR L'AMPHOTERICINE B ASSOCIEE AUX LIPOPROTEINES DU SERUM SANGUIN CHEZ DES CELLULES DE GLOBULES ROUGES HUMAINES

OpenAIRE

BOUCHERIT, ATMANI Zahia

2014-01-01

toxiques. Dans le cadre de l'élaboration d'une stratégie de développement de cette molécule visant à augmenter l'index thérapeutique tout en réduisant la toxicité, nous avons étudié l'effet de quelques facteurs sur la cytotoxicité induite par l'amphotéricine B associée à des lipoprotéines du sérum sanguin chez le globule rouge humain (modèle universel de cellules animales supérieures). Dans notre travail nous avons abordé d'une part, les effets des caractéristiques des lipoprot...

A Phase Ib open label, randomized, safety study of SANGUINATE™ in patients with sickle cell anemia

Directory of Open Access Journals (Sweden)

Hemant Misra

Full Text Available Abstract Background: Treatment of sickle cell anemia is a challenging task and despite the well understood genetic and biochemical pathway of sickle hemoglobin, current therapy continues to be limited to the symptomatic treatment of pain, supplemental oxygen, antibiotics, red blood cell transfusions and hydroxyurea. SANGUINATE is a carbon monoxide releasing molecule and oxygen transfer agent under clinical development for the treatment of sickle cell anemia and comorbidities. Methods: An open-label randomized Phase Ib study was performed in adult sickle cell anemia patients. Two dose levels of SANGUINATE were compared to hydroxyurea in 24 homozygotes for Hb SS. Twelve subjects received either a low dose (160 mg/kg of SANGUINATE or 15 mg/kg hydroxyurea. Another 12 subjects received either a high dose (320 mg/kg of SANGUINATE or 15 mg/kg hydroxyurea. The primary endpoint was the safety of SANGUINATE versus hydroxyurea in sickle cell anemia patients. Secondary endpoints included determination of the plasma pharmacokinetics and assessment of hematologic measurements. Results: Musculoskeletal related adverse events were the most common. Transient troponin I levels increased in three patients, one of whom had an increase in tricuspid regurgitant velocity; however, no clinical signs were noted. Following an assessment of vital signs, tricuspid regurgitant velocity, electrocardiogram, serum biochemistry, hematology, urinalysis, and analysis of reported adverse events, SANGUINATE was found to be safe in stable sickle cell anemia patients. Conclusions: The clinical trial met its primary objective of demonstrating an acceptable safety profile for SANGUINATE in patients with sickle cell anemia. This trial established the safety of SANGUINATE at both dose levels and permitted its advance to Phase II trials.

Strategic analysis of International Forest Products Limited

OpenAIRE

Modesto, Robin M.

2005-01-01

International Forest Products Limited is a sawmilling company that produces softwood lumber for sale in domestic and international markets including the United States and Japan. Production facilities located in British Columbia, Washington and Oregon produce nearly 1.5 billion board feet of lumber annually. Timber is secured through Crown forest tenure holdings and external open market purchases. This paper includes: a strategic analysis of the firm; an industry analysis; a strategic fit anal...

Miniaturization limitations of rotary internal combustion engines

International Nuclear Information System (INIS)

Wang, Wei; Zuo, Zhengxing; Liu, Jinxiang

2016-01-01

Highlights: • Developed a phenomenological model for rotary internal combustion engines. • Presented scaling laws for the performance of micro rotary engines. • Adiabatic walls can improve the cycle efficiency but result in higher charge leakage. • A lower compression ratio can increase the efficiency due to lower mass losses. • Presented possible minimum engine size of rotary internal combustion engines. - Abstract: With the rapid development of micro electro-mechanical devices, the demands for micro power generation systems have significantly increased in recent years. Traditional chemical batteries have energy densities much lower than hydrocarbon fuels, which makes internal-combustion-engine an attractive technological alternative to batteries. Micro rotary internal combustion engine has drawn great attractions due to its planar design, which is well-suited for fabrication in MEMS. In this paper, a phenomenological model considering heat transfer and mass leakage has been developed to investigate effects of engine speed, compression ratio, blow-by and heat transfer on the performance of micro rotary engine, which provide the guidelines for preliminary design of rotary engine. The lower possible miniaturization limits of rotary combustion engines are proposed.

Atomizer

DEFF Research Database (Denmark)

Fixed stereo electroacoustic music, included in Robert Voisey’s (Curator) VoxNovus 60×60 Dance, 60×60 2010 International Mix and 60×60 Sanguine Mix projects. Performed internationally, including Stratford Circus, London, UK. Full performance listings and press available online....

Effects of internal limiting membrane peeling during vitrectomy for macula-off primary rhegmatogenous retinal detachment.

Science.gov (United States)

Blanco-Teijeiro, María José; Bande Rodriguez, Manuel; Mansilla Cuñarro, Raquel; Paniagua Fernández, Laura; Ruiz-Oliva Ruiz, Francisco; Piñeiro Ces, Antonio

2018-03-01

To determine the effectiveness of internal limiting membrane peeling during vitrectomy for macula-off primary rhegmatogenous retinal detachment in the prevention of postoperative epiretinal membrane formation and achievement of good visual outcomes and to identify preoperative and intraoperative risk factors for epiretinal membrane formation. We retrospectively analyzed data from 62 eyes of 62 consecutive patients with macula-off primary rhegmatogenous retinal detachment who underwent vitrectomy with (n = 30) or without (n = 32) internal limiting membrane peeling between January 2014 and March 2016 and were followed up for at least 12 months. The effects of internal limiting membrane peeling on visual outcomes and postoperative recovery of the macular structure were determined. We subsequently divided patients into an epiretinal membrane group and a non-epiretinal membrane group and assessed the effects of various preoperative and intraoperative factors on postoperative epiretinal membrane formation. Postoperative epiretinal membrane developed in 10 patients in the no internal limiting membrane peeling group and three patients in the internal limiting membrane peeling group. Postoperative visual acuity significantly improved in both groups. Epiretinal membrane formation was found to be correlated with a higher number of retinal breaks. Our results suggest that internal limiting membrane peeling during macula-off primary rhegmatogenous retinal detachment surgery can reduce the occurrence of postoperative epiretinal membrane, is safe, and results in favorable visual outcomes.

Evolution of glycaemia in the blood of mice in the presence or absence of imidazole; Evolution de la glycemie sanguine chez la souris protegee ou non par l'imidazole

Energy Technology Data Exchange (ETDEWEB)

Polverelli, M; Teoule, R [Commissariat a l' Energie Atomique, Grenoble (France). Centre d' Etudes Nucleaires

1969-07-01

With respect to the radioprotective properties of the heterocyclic compound, imidazole, the authors followed the action of this product on blood sugar levels of mice X irradiated with a lethal dose. The main results of this work are: probably a hypo-glycemic action of the imidazole; an abolishment of the post-irradiation hyperglycemia by imidazole; an appreciably difference between male and female towards irradiation. (author) [French] Dans le cadre de l'etude des proprietes radioprotectrices de l'imidazole, nous nous sommes attaches a suivre l'action de ce produit sur le taux de glucose sanguin de souris irradiees a dose letale. Les principaux resultats de ce travail sont les suivants: l'action probablement hypoglycemiante de l'imidazole; en tant que radioprotecteur, cet heterocycle azote supprime l'hyperglycemie consecutive a l'irradiation; une difference assez sensible entre males et femelles vis-a-vis de l'irradiation. (auteur)

Registration factors that limit international mobility of people holding physiotherapy qualifications: A systematic review.

Science.gov (United States)

Foo, Jonathan S; Storr, Michael; Maloney, Stephen

2016-06-01

There is no enforced international standardisation of the physiotherapy profession. Thus, registration is used in many countries to maintain standards of care and to protect the public. However, registration may also limit international workforce mobility. What is known about the professional registration factors that may limit the international mobility of people holding physiotherapy qualifications? Systematic review using an electronic database search and hand searching of the World Confederation for Physical Therapy and International Network of Physiotherapy Regulatory Authorities websites. Analysis was conducted using thematic analysis. 10 articles and eight websites were included from the search strategy. Data is representative of high-income English speaking countries. Four themes emerged regarding limitations to professional mobility: practice context, qualification recognition, verification of fitness to practice, and incidental limitations arising from the registration process. Professional mobility is limited by differences in physiotherapy education programmes, resulting in varying standards of competency. Thus, it is often necessary to verify clinical competencies through assessments, as well as determining professional attributes and ability to apply competencies in a different practice context, as part of the registration process. There has been little evaluation of registration practices, and at present, there is a need to re-evaluate current registration processes to ensure they are efficient and effective, thereby enhancing workforce mobility. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

Solidarity and its limits for economic integration in the EU’s internal market

DEFF Research Database (Denmark)

Butler, Graham

2018-01-01

Solidarity is applicable to multiple strands of Union law, including in the fostering of an internal market. Whereas the internal market has always held constitutional status, the objects that underlie it came about much later. The question of how solidarity, as a principle, value, and concept...... of the internal market, but also for the purposes of economic integration. The article demonstrates that solidarity in law can be a reason or justification for measures to promote the treaty-based aim of the internal market. Yet simultaneously, it finds that solidarity is not an all-encompassing principle, value......, or concept in absolute terms, and has limits for utilisation in the spirit of European integration. Conclusively, by demonstrating the limits of solidarity as a ‘legal’ principle, value, or concept, the article asks whether it is time to reassess the role that solidarity should play in Union law...

Evolution of glycaemia in the blood of mice in the presence or absence of imidazole; Evolution de la glycemie sanguine chez la souris protegee ou non par l'imidazole

Energy Technology Data Exchange (ETDEWEB)

Polverelli, M.; Teoule, R. [Commissariat a l' Energie Atomique, Grenoble (France). Centre d' Etudes Nucleaires

1969-07-01

With respect to the radioprotective properties of the heterocyclic compound, imidazole, the authors followed the action of this product on blood sugar levels of mice X irradiated with a lethal dose. The main results of this work are: probably a hypo-glycemic action of the imidazole; an abolishment of the post-irradiation hyperglycemia by imidazole; an appreciably difference between male and female towards irradiation. (author) [French] Dans le cadre de l'etude des proprietes radioprotectrices de l'imidazole, nous nous sommes attaches a suivre l'action de ce produit sur le taux de glucose sanguin de souris irradiees a dose letale. Les principaux resultats de ce travail sont les suivants: l'action probablement hypoglycemiante de l'imidazole; en tant que radioprotecteur, cet heterocycle azote supprime l'hyperglycemie consecutive a l'irradiation; une difference assez sensible entre males et femelles vis-a-vis de l'irradiation. (auteur)

Development of an international BRC [Below Regulatory Concern] limit

International Nuclear Information System (INIS)

Kennedy, W.E. Jr.

1987-07-01

The International Atomic Energy Agency (IAEA) has recently investigated the exemption from regulatory control of radiation sources containing limited quantities of radioactive materials. Early efforts were entitled de minimis and were aimed at establishing a philosophical basis and radiation dose limits. The main objectives of more recent work on exemption are to illustrate a method for developing practical radiological criteria, to establish generic criteria, and to determine the practicability of the preliminary exemption principles. The method used to develop the criteria relies on models to evaluate the potential radiation exposure pathways and scenarios for individuals and population groups potentially present following the unrestricted release of materials. This paper describes the assessment methods, presents the generic results expressed in terms of the limiting concentrations of selected radionuclides in municipal waste, and provides a comparison with recent regulatory efforts in the United States for considering selected wastes being Below Regulatory Concern (BRC). 17 refs., 4 tabs

limit loads for wall-thinning feeder pipes under combined bending and internal pressure

International Nuclear Information System (INIS)

Je, Jin Ho; Lee, Kuk Hee; Chung, Ha Joo; Kim, Ju Hee; Han, Jae Jun; Kim, Yun Jae

2009-01-01

Flow Accelerated Corrosion (FAC) during inservice conditions produces local wall-thinning in the feeder pipes of CANDU. The Wall-thinning in the feeder pipes is main degradation mechanisms affecting the integrity of piping systems. This paper discusses the integrity assessment of wall-thinned feeder pipes using limit load analysis. Based on finite element limit analyses, this paper compare limit loads for wall-thinning feeder pipes under combined bending and internal pressure with proposed limit loads. The limit loads are determined from limit analyses based on rectangular wall-thinning and elastic-perfectly-plastic materials using the large geometry change.

Averaging, not internal noise, limits the development of coherent motion processing

Directory of Open Access Journals (Sweden)

Catherine Manning

2014-10-01

Full Text Available The development of motion processing is a critical part of visual development, allowing children to interact with moving objects and navigate within a dynamic environment. However, global motion processing, which requires pooling motion information across space, develops late, reaching adult-like levels only by mid-to-late childhood. The reasons underlying this protracted development are not yet fully understood. In this study, we sought to determine whether the development of motion coherence sensitivity is limited by internal noise (i.e., imprecision in estimating the directions of individual elements and/or global pooling across local estimates. To this end, we presented equivalent noise direction discrimination tasks and motion coherence tasks at both slow (1.5°/s and fast (6°/s speeds to children aged 5, 7, 9 and 11 years, and adults. We show that, as children get older, their levels of internal noise reduce, and they are able to average across more local motion estimates. Regression analyses indicated, however, that age-related improvements in coherent motion perception are driven solely by improvements in averaging and not by reductions in internal noise. Our results suggest that the development of coherent motion sensitivity is primarily limited by developmental changes within brain regions involved in integrating motion signals (e.g., MT/V5.

[Comparison of external fixation with or without limited internal fixation for open knee fractures].

Science.gov (United States)

Li, K N; Lan, H; He, Z Y; Wang, X J; Yuan, J; Zhao, P; Mu, J S

2018-03-01

Objective: To explore the characteristics and methods of different fixation methods and prevention of open knee joint fracture. Methods: The data of 86 cases of open knee joint fracture admitted from January 2002 to December 2015 in Department of Orthopaedics, Affiliated Hospital of Chengdu University were analyzed retrospectively.There were 65 males and 21 females aged of 38.6 years. There were 38 cases treated with trans articular external fixation alone, 48 cases were in the trans articular external fixation plus auxiliary limited internal fixation group. All the patients were treated according to the same three stages except for different fixation methods. Observation of external fixation and fracture fixation, fracture healing, wound healing and treatment, treatment and related factors of infection control and knee function recovery. χ(2) test was used to analyze data. Results: Eleven patients had primary wound healing, accounting for 12.8%. Seventy-five patients had two wounds healed, accounting for 87.2%. Only 38 cases of trans articular external fixator group had 31 cases of articular surface reduction, accounting for 81.6%; Five cases of trans articular external fixator assisted limited internal fixation group had 5 cases of poor reduction, accounting for 10.4%; There was significant difference between the two groups (χ(2)=44.132, P external fixation group, a total of 23 cases of patients with infection, accounted for 60.5% of external fixation group; trans articular external fixation assisted limited internal fixation group there were 30 cases of patients with infection, accounting for the assistance of external fixator and limited internal fixation group 62.5%; There was significant difference between the two groups(χ(2)=0.035, P >0.05). Five cases of fracture nonunion cases of serious infection, patients voluntarily underwent amputation. The Lysholm Knee Scale: In the external fixation group, 23 cases were less than 50 points, accounting for 60

Multiple extrafoveal macular holes following internal limiting membrane peeling

Directory of Open Access Journals (Sweden)

Hussain N

2018-05-01

Full Text Available Nazimul Hussain, Sandip Mitra Department of Ophthalmology, Al Zahra Hospital, Sharjah, United Arab Emirates Objective: Internal limiting membrane (ILM peeling has been the standard of treatment for macular holes. Besides, causing retinal nerve fiber layer surface abnormality, postoperative extrafoveal multiple retinal holes is a rare phenomenon following ILM peeling. We report an unusual complication of eight extrafoveal macular holes occurring following ILM peeling.Case presentation: A 60-year-old male presented with complaints of decreased and distorted vision in the right eye. He was diagnosed as having epiretinal membrane with lamellar macular hole. He underwent 23G pars plana vitrectomy, brilliant blue assisted ILM peeling and fluid gas exchange. Intraoperatively, ILM was found to be adherent to the underlying neurosensory retina. One month after cataract surgery, he underwent YAG capsulotomy in the right eye. He complained of visual distortion. His fundus evaluation in the right eye showed multiple (eight extrafoveal retinal holes temporal to the macula clustered together.Conclusion: This case demonstrated that peeling of ILM, especially when it is adherent to the underlying neurosensory retina, may cause unwanted mechanical trauma to the inner retina. Glial apoptosis and neuronal degeneration may presumably play a role in delayed appearance of multiple (eight extrafoveal macular holes, which has not been reported earlier. Keywords: internal limiting membrane, lamellar macular hole, full thickness macular holes, epiretinal membrane

14 CFR 399.41 - Zones of limited suspension for international cargo rates.

Science.gov (United States)

2010-01-01

... TRANSPORTATION (AVIATION PROCEEDINGS) POLICY STATEMENTS STATEMENTS OF GENERAL POLICY Policies Relating to Rates and Tariffs § 399.41 Zones of limited suspension for international cargo rates. (a) Applicability. This section states the Board's policy for suspending rate changes for the transportation of property...

The Method of Economic Analysis of International Law: What are its Limits?

DEFF Research Database (Denmark)

Tang, Yi Shin

2016-01-01

in specific contemporary issues such as international security, trade and environment. The article also points out the most important limitations of this approach, which mainly derive from a misunderstanding of the assumptions behind the use of rational choice theories, particularly through a recurrent...

Africa Sanguine

African Journals Online (AJOL)

The aim of this journal is to promote, and disseminate, the knowledge of the science, and practice of blood transfusion and related disciplines, toward greater blood safety, on the African continent. Vol 19, No 1 (2017). DOWNLOAD FULL TEXT Open Access DOWNLOAD FULL TEXT Subscription or Fee Access. Table of ...

L'épargne sanguine: un enjeu actuel

OpenAIRE

ERPICUM, Marie; BLAFFART, Francine; DEFRAIGNE, Jean; LARBUISSON, Robert

2012-01-01

In view of the demographic evolution, the progress of quality requirements and the shortage of donors, a deficiency of blood components is to be feared in the coming years.. This implies the development of a blood conservation strategy, the revision of transfusion practices and the implementation of preventive measures to limit transfusion requirements. Each department caring for patients at high transfusion risk should assess and rationalize its transfusion practices in a structured mu...

Retinal thinning after internal limiting membrane peeling for idiopathic macular hole.

Science.gov (United States)

Imamura, Yutaka; Ishida, Masahiro

2018-03-01

To determine the changes in retinal thickness and whether they correlate with the size of the macular hole (MH) after vitrectomy with internal limiting membrane peeling. Retrospective, interventional case series METHODS: Consecutive patients with an MH and undergoing pars plana vitrectomy with internal limiting membrane peeling were studied. The retinal thicknesses in the inner 4 sectors as defined by the Early Treatment of Diabetic Retinopathy Study were measured using spectral-domain optical coherence tomography (SD-OCT) before and at 2 weeks and 1, 3, 6, and 12 months after the surgery. The basal and minimum diameters of the MHs were measured. The correlations between the retinal thicknesses and the size of the MH were determined. Thirty-three eyes of 32 consecutive patients (18 women; mean age, 64.2 ± 8.8 years) with an MH were studied. Thirteen eyes had a stage-2 MH; 12 eyes, a stage-3 MH; and 8 eyes, a stage-4 MH. The mean retinal thickness in the temporal sector was 362.8 ± 29.9 µm preoperatively, 337.9 ± 20.6 µm at 2 weeks postoperatively, and 307.6 ± 20.2 µm at 12 months postoperatively (P peeling.

[Treatment of pediatric distal femur fractures by external fixator combined with limited internal fixation].

Science.gov (United States)

Wei, Sheng-wang; Shi, Zhan-ying; Hu, Ju-zheng; Wu, Hao

2016-03-01

To discuss the clinical effects of external fixator combined with limited internal fixation in the treatment of pediatric distal femur fractures. From January 2008 to June 2014, 17 children of distal femur fractures were treated by external fixator combined with limited internal fixation. There were 12 males and 5 females, aged from 6 to 13 years old with an average of 10.2 years, ranged in the course of disease from 1 h to 2 d. Preoperative diagnoses were confirmed by X-ray films in all children. There were 11 patients with supracondylar fracture , and 6 patients with intercondylar comminuted fracture. According to AO/ASIF classification, 9 fractures were type A1, 5 cases were type A2,and 3 cases were type C1. The intraoperative and postoperative complications, postoperative radiological examination, lower limbs length and motion of knee joints were observed. Knee joint function was assessed by KSS score. All the patients were followed up from 6 to 38 months with an average of 24.4 months. No nerve or blood vessel injury was found. One case complicated with the external fixation loosening, 2 cases with the infection of pin hole and 3 cases with the leg length discrepancy. Knee joint mobility and length measurement (compared with the contralateral), the average limited inflexion was 10 degrees (0 degrees to 20 degrees), the average limited straight was 4 degrees (0 degrees to 10), the average varus or valgus angle was 3 degrees (0 degrees to 5 degrees). KSS of the injured side was (96.4 +/- 5.0) points at final follow-up, 16 cases got excellent results and 1 good. All fractures obtained healing and no epiphyseal closed early was found. External fixator combined with limited internal fixation has advantages of simple operation, reliable fixation, early functional exercise in treating pediatric distal femurs fractures.

[Global public health: international health is tested to its limits by the human influenza A epidemic].

Science.gov (United States)

Franco-Giraldo, Alvaro; Alvarez-Dardet, Carlos

2009-06-01

This article comes from the intense international pressure that follows a near-catastrophy, such as the human influenza A H1N1 epidemic, and the limited resources for confronting such events. The analysis covers prevailing 20th century trends in the international public health arena and the change-induced challenges brought on by globalization, the transition set in motion by what has been deemed the "new" international public health and an ever-increasing focus on global health, in the context of an international scenario of shifting risks and opportunities and a growing number of multinational players. Global public health is defined as a public right, based on a new appreciation of the public, a new paradigm centered on human rights, and altruistic philosophy, politics, and ethics that undergird the changes in international public health on at least three fronts: redefining its theoretical foundation, improving world health, and renewing the international public health system, all of which is the byproduct of a new form of governance. A new world health system, directed by new global public institutions, would aim to make public health a global public right and face a variety of staggering challenges, such as working on public policy management on a global scale, renewing and democratizing the current global governing structure, and conquering the limits and weaknesses witnessed by international health.

Employee Attitude to Management Style : case: International equitable association Nigeria Limited.

OpenAIRE

Osondu, Marshall

2012-01-01

The aim of the study is to reveal employees’ attitudes to management style in International equitable association Limited, Aba, Nigeria (IEA). IEA is a soap and detergent manufacturing company. The company uses modern management styles to drive employee performance. This study set out to investigate employee attitudes to the various management styles in use at IEA. The study used a framework which shows that employee attitude is driven by the employee’s awareness, the employee’s application o...

Determination of external and internal mass transfer limitation in nitrifying microbial aggregates.

Science.gov (United States)

Wilén, Britt-Marie; Gapes, Daniel; Keller, Jürg

2004-05-20

In this article we present a study of the effects of external and internal mass transfer limitation of oxygen in a nitrifying system. The oxygen uptake rates (OUR) were measured on both a macro-scale with a respirometric reactor using off-gas analysis (Titrimetric and Off-Gas Analysis (TOGA) sensor) and on a micro-scale with microsensors. These two methods provide independent, accurate measurements of the reaction rates and concentration profiles around and in the granules. The TOGA sensor and microsensor measurements showed a significant external mass transfer effect at low dissolved oxygen (DO) concentrations in the bulk liquid while it was insignificant at higher DO concentrations. The oxygen distribution with anaerobic or anoxic conditions in the center clearly shows major mass transfer limitation in the aggregate interior. The large drop in DO concentration of 22-80% between the bulk liquid and aggregate surface demonstrates that the external mass transfer resistance is also highly important. The maximum OUR even for floccular biomass was only attained at much higher DO concentrations (approximately 8 mg/L) than typically used in such systems. For granules, the DO required for maximal activity was estimated to be >20 mg/L, clearly indicating the effects of the major external and internal mass transfer limitations on the overall biomass activity. Smaller aggregates had a larger volumetric OUR indicating that the granules may have a lower activity in the interior part of the aggregate. Copyright 2004 Wiley Periodicals, Inc.

INTERNAL LIMITING MEMBRANE PEELING IN MACULAR HOLE SURGERY; WHY, WHEN, AND HOW?

Science.gov (United States)

Chatziralli, Irini P; Theodossiadis, Panagiotis G; Steel, David H W

2018-05-01

To review the current rationale for internal limiting membrane (ILM) peeling in macular hole (MH) surgery and to discuss the evidence base behind why, when, and how surgeons peel the ILM. Review of the current literature. Pars plana vitrectomy is an effective treatment for idiopathic MH, and peeling of the ILM has been shown to improve closure rates and to prevent postoperative reopening. However, some authors argue against ILM peeling because it results in a number of changes in retinal structure and function and may not be necessary in all cases. Furthermore, the extent of ILM peeling optimally performed and the most favorable techniques to remove the ILM are uncertain. Several technique variations including ILM flaps, ILM scraping, and foveal sparing ILM peeling have been described as alternatives to conventional peeling in specific clinical scenarios. Internal limiting membrane peeling improves MH closure rates but can have several consequences on retinal structure and function. Adjuvants to aid peeling, instrumentation, technique, and experience may all alter the outcome. Hole size and other variables are important in assessing the requirement for peeling and potentially its extent. A variety of evolving alternatives to conventional peeling may improve outcomes and need further study.

Simulating the effect of SFCL on limiting the internal fault of synchronous machine

International Nuclear Information System (INIS)

Kheirizad, I; Varahram, M H; Jahed-Motlagh, M R; Rahnema, M; Mohammadi, A

2008-01-01

In this paper, we have modelled a synchronous generator with internal one phase to ground fault and then the performance of this machine with internal one phase to ground fault have been analyzed. The results show that if the faults occur in vicinity of machine's terminal, then we would have serious damages. To protect the machine from this kind of faults we have suggested integrating a SFCL (superconducting fault current limiter) into the machine's model. The results show that the fault currents in this case will reduce considerably without influencing the normal operation of the machine

Limit loads for piping branch junctions under internal pressure and in-plane bending-Extended solutions

International Nuclear Information System (INIS)

Kim, Yun-Jae; Lee, Kuk-Hee; Park, Chi-Yong

2008-01-01

The authors have previously proposed plastic limit load solutions for thin-walled branch junctions under internal pressure and in-plane bending, based on finite element (FE) limit loads resulting from three-dimensional (3-D) FE limit analyses using elastic-perfectly plastic materials [Kim YJ, Lee KH, Park CY. Limit loads for thin-walled piping branch junctions under internal pressure and in-plane bending. Int J Press Vessels Piping 2006;83:645-53]. The solutions are valid for ratios of the branch-to-run pipe radius and thickness from 0.4 to 1.0, and for the mean radius-to-thickness ratio of the run pipe from 10.0 to 20.0. Moreover, the solutions considered the case of in-plane bending only on the branch pipe. This paper extends the previous solutions in two aspects. Firstly, plastic limit load solutions are given also for in-plane bending on the run pipe. Secondly, the validity of the proposed solutions is extended to ratios of the branch-to-run pipe radius and thickness from 0.0 to 1.0, and the mean radius-to-thickness ratio of the run pipe from 5.0 to 20.0. Comparisons with FE results show good agreement

Psychometrics and the neuroscience of individual differences: Internal consistency limits between-subjects effects.

Science.gov (United States)

Hajcak, Greg; Meyer, Alexandria; Kotov, Roman

2017-08-01

In the clinical neuroscience literature, between-subjects differences in neural activity are presumed to reflect reliable measures-even though the psychometric properties of neural measures are almost never reported. The current article focuses on the critical importance of assessing and reporting internal consistency reliability-the homogeneity of "items" that comprise a neural "score." We demonstrate how variability in the internal consistency of neural measures limits between-subjects (i.e., individual differences) effects. To this end, we utilize error-related brain activity (i.e., the error-related negativity or ERN) in both healthy and generalized anxiety disorder (GAD) participants to demonstrate options for psychometric analyses of neural measures; we examine between-groups differences in internal consistency, between-groups effect sizes, and between-groups discriminability (i.e., ROC analyses)-all as a function of increasing items (i.e., number of trials). Overall, internal consistency should be used to inform experimental design and the choice of neural measures in individual differences research. The internal consistency of neural measures is necessary for interpreting results and guiding progress in clinical neuroscience-and should be routinely reported in all individual differences studies. (PsycINFO Database Record (c) 2017 APA, all rights reserved).

Vitrectomy with internal limiting membrane peeling versus inverted internal limiting membrane flap technique for macular hole-induced retinal detachment: a systematic review of literature and meta-analysis.

Science.gov (United States)

Yuan, Jing; Zhang, Ling-Lin; Lu, Yu-Jie; Han, Meng-Yao; Yu, Ai-Hua; Cai, Xiao-Jun

2017-11-28

To evaluate the effects on vitrectomy with internal limiting membrane (ILM) peeling versus vitrectomy with inverted internal limiting membrane flap technique for macular hole-induced retinal detachment (MHRD). Pubmed, Cochrane Library, and Embase were systematically searched for studies that compared ILM peeling with inverted ILM flap technique for macular hole-induced retinal detachment. The primary outcomes are the rate of retinal reattachment and the rate of macular hole closure 6 months later after initial surgery, the secondary outcome is the postoperative best-corrected visual acuity (BCVA) 6 months later after initial surgery. Four studies that included 98 eyes were selected. All the included studies were retrospective comparative studies. The preoperative best-corrected visual acuity was equal between ILM peeling and inverted ILM flap technique groups. It was indicated that the rate of retinal reattachment (odds ratio (OR) = 0.14, 95% confidence interval (CI):0.03 to 0.69; P = 0.02) and macular hole closure (OR = 0.06, 95% CI:0.02 to 0.19; P peeling. However, there was no statistically significant difference in postoperative best-corrected visual acuity (mean difference (MD) 0.18 logarithm of the minimum angle of resolution; 95% CI -0.06 to 0.43 ; P = 0.14) between the two surgery groups. Compared with ILM peeling, vitrectomy with inverted ILM flap technique resulted significantly higher of the rate of retinal reattachment and macular hole closure, but seemed does not improve postoperative best-corrected visual acuity.

Increase in average foveal thickness after internal limiting membrane peeling

Directory of Open Access Journals (Sweden)

Kumagai K

2017-04-01

Full Text Available Kazuyuki Kumagai,1 Mariko Furukawa,1 Tetsuyuki Suetsugu,1 Nobuchika Ogino2 1Department of Ophthalmology, Kami-iida Daiichi General Hospital, 2Department of Ophthalmology, Nishigaki Eye Clinic, Aichi, Japan Purpose: To report the findings in three cases in which the average foveal thickness was increased after a thin epiretinal membrane (ERM was removed by vitrectomy with internal limiting membrane (ILM peeling.Methods: The foveal contour was normal preoperatively in all eyes. All cases underwent successful phacovitrectomy with ILM peeling for a thin ERM. The optical coherence tomography (OCT images were examined before and after the surgery. The changes in the average foveal (1 mm thickness and the foveal areas within 500 µm from the foveal center were measured. The postoperative changes in the inner and outer retinal areas determined from the cross-sectional OCT images were analyzed.Results: The average foveal thickness and the inner and outer foveal areas increased significantly after the surgery in each of the three cases. The percentage increase in the average foveal thickness relative to the baseline thickness was 26% in Case 1, 29% in Case 2, and 31% in Case 3. The percentage increase in the foveal inner retinal area was 71% in Case 1, 113% in Case 2, and 110% in Case 3, and the percentage increase in foveal outer retinal area was 8% in Case 1, 13% in Case 2, and 18% in Case 3.Conclusion: The increase in the average foveal thickness and the inner and outer foveal areas suggests that a centripetal movement of the inner and outer retinal layers toward the foveal center probably occurred due to the ILM peeling. Keywords: internal limiting membrane, optical coherence tomography, average foveal thickness, epiretinal membrane, vitrectomy

[Drusen characteristics after internal limiting membrane peeling].

Science.gov (United States)

Lehmann, F; Jenisch, T; Helbig, H; Gamulescu, M A

2015-05-01

There are some reports showing isolated cases of drusen regression after pars plana vitrectomy (ppV) with peeling of the internal limiting membrane (iLM). Drusen characteristics after iLM peeling was investigated in this study. The data of 527 patients who had received iLM peeling between 2004 and 2012 were retrospectively collected and those patients with retinal drusen were selected for the study. Fundus photographs before and after vitrectomy due to a macular hole or epiretinal gliosis were compared and drusen arrangement in the peeling site was analyzed. The aim of the study was to show whether there was drusen regression 2-5 months after surgery. Out of the 527 patients 11 showed central macular drusen, 4 with confluent large drusen (> 63 µm diameter) and 7 with small hard drusen (≤ 63 µm diameter). One patient showed drusen regression after iLM peeling without any changes in the other eye and all other patients showed no differences in the drusen findings (n = 6) or even some additional drusen (n = 4) without drusen alterations in the other eye. The results of this study could not confirm some reports showing drusen regression after iLM peeling in the peeling site in general and there was only one single case of central drusen regression.

A Meta-Analysis for Postoperative Complications in Tibial Plafond Fracture: Open Reduction and Internal Fixation Versus Limited Internal Fixation Combined With External Fixator.

Science.gov (United States)

Wang, Dong; Xiang, Jian-Ping; Chen, Xiao-Hu; Zhu, Qing-Tang

2015-01-01

The treatment of tibial plafond fractures is challenging to foot and ankle surgeons. Open reduction and internal fixation and limited internal fixation combined with an external fixator are 2 of the most commonly used methods of tibial plafond fracture repair. However, conclusions regarding the superior choice remain controversial. The present meta-analysis aimed to quantitatively compare the postoperative complications between open reduction and internal fixation and limited internal fixation combined with an external fixator for tibial plafond fractures. Nine studies with 498 fractures in 494 patients were included in the present study. The meta-analysis found no significant differences in bone healing complications (risk ratio [RR] 1.17, 95% confidence interval [CI] 0.68 to 2.01, p = .58], nonunion (RR 1.09, 95% CI 0.51 to 2.36, p = .82), malunion or delayed union (RR 1.24, 95% CI 0.57 to 2.69, p = .59), superficial (RR 1.56, 95% CI 0.43 to 5.61, p = .50) and deep (RR 1.89, 95% CI 0.62 to 5.80) infections, arthritis symptoms (RR 1.20, 95% CI 0.92 to 1.58, p = .18), or chronic osteomyelitis (RR 0.31, 95% CI 0.05 to 1.84, p = .20) between the 2 groups. Copyright © 2015 American College of Foot and Ankle Surgeons. Published by Elsevier Inc. All rights reserved.

Imposing limits on autonomous systems.

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Hancock, P A

2017-02-01

Our present era is witnessing the genesis of a sea-change in the way that advanced technologies operate. Amongst this burgeoning wave of untrammelled automation there is now beginning to arise a cadre of ever-more independent, autonomous systems. The degree of interaction between these latter systems with any form of human controller is becoming progressively more diminished and remote; and this perhaps necessarily so. Here, I advocate for human-centred and human favouring constraints to be designed, programmed, promulgated and imposed upon these nascent forms of independent entity. I am not sanguine about the collective response of modern society to this call. Nevertheless, the warning must be voiced and the issue debated, especially among those who most look to mediate between people and technology. Practitioner Summary: Practitioners are witnessing the penetration of progressively more independent technical orthotics into virtually all systems' operations. This work enjoins them to advocate for sentient, rational and mindful human-centred approaches towards such innovations. Practitioners need to place user-centred concerns above either the technical or the financial imperatives which motivate this line of progress.

DETRIMENTAL EFFECTS OF ACTIVE INTERNAL LIMITING MEMBRANE PEELING DURING EPIRETINAL MEMBRANE SURGERY: Microperimetric Analysis.

Science.gov (United States)

Deltour, Jean-Baptiste; Grimbert, Pierre; Masse, Helene; Lebreton, Olivier; Weber, Michel

2017-03-01

The aim of the study was to assess the microperimetric consequences of active internal limiting membrane (ILM) peeling during idiopathic epimacular membrane (IEMM) surgery. This retrospective monocentric study included 32 eyes of 31 consecutive patients who underwent IEMM surgery. Internal limiting membrane integrity was assessed by ILM Blue staining after IEMM removal: peeling was spontaneous (Group S) or active (Group A). Preprocedure and postprocedure (1 and 6 months) examinations were performed using visual acuity determination, spectral domain optical coherence tomography and microperimetry. Twenty-two eyes had an "active ILM peeling" and 10 a "spontaneous ILM peeling." Both groups had comparable and significant improvements in visual acuity 6 months after surgery (+1.82 lines [+9 letters] [Group A] and +1.51 lines [+8 letters] [Group S], P peeling has progressively become generalized in IEMM surgery to reduce recurrences. This additional procedure does not change the postoperative visual acuity but increases the development of deeper microscotomas. The real impact on the quality of vision remains unclear. Active ILM peeling in IEMM surgery may be responsible for visual impairment related to its microtraumatic effects.

1871-IJBCS-Article-Kougoum Piebeng

African Journals Online (AJOL)

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prélèvements sanguins. Leurs microorganismes restent également inconnus. Le but de notre travail était de rechercher les parasites sanguins des tisserins ..... Blood parasites of birds in Cameroun. J. Parasitol., 74: 1009-1013. Murphy FA. 1998. Emerging zoonoses. Emerg Infec Dis., 4: 429-435. OMS (Organisation ...

PEGylated Bovine Carboxyhemoglobin (SANGUINATE™): Results of Clinical Safety Testing and Use in Patients.

Science.gov (United States)

Abuchowski, A

2016-01-01

Oxygen transfer agents have long been sought as a means to treat hypoxia caused by congenital or acquired conditions. Hemoglobin-based oxygen carriers were in clinical development as blood substitutes, but development was halted due to the finding of significant vasoactivity. Rather than develop a blood substitute, a product for indications characterized by hypoxia is in development. PEGylated bovine carboxyhemoglobin (SANGUINATE™) is both a carbon monoxide releasing molecule and an oxygen transfer agent. It is comprised of three functional components that act to inhibit vasoconstriction, reduce inflammation and optimize the delivery of oxygen. SANGUINATE has the potential to reduce or prevent the effects of ischemia by inhibiting vasoconstriction and re-oxygenating tissue. Phase 1 safety trials in healthy volunteers were completed in 2013. SANGUINATE was shown to be safe and well tolerated with no serious adverse effects. Phase Ib studies have been completed in stable patients with Sickle Cell Disease. SANGUINATE has also been administered to two patients under emergency use protocols. Both patients exhibited improved status following treatment with SANGUINATE.

Evaluation of the international limitations and conditions of the Argentinian nuclear politics

International Nuclear Information System (INIS)

Martin, Hugo R.

2003-01-01

It is a broadly accepted fact that the Argentine Republic is one of the few development countries that has reached an advance status in the world in pacific applications of nuclear science and technology. A retrospective vision of the main technical and political aspects that characterized the process to global scale allows to confirm, starting from the theory of the International Relations, that the position reached by the country was the consequence of a coherent effort sustained under the almost exclusive conduction of the National Atomic Energy Commission (CNEA). The Nuclear politics of Argentine in the international concert during the last fifty years, sample a behavior of non adhesion to the juridical treaties commitments that were considered limitative for the initial objectives proposed when President General J. D. Peron created the CNEA in 1950: self-sufficiency and national autonomy. This continuity shows an unusual coherence in the foreign policy of the country maintained by all the governments that exercised the power during five decades. The result of this investigation task has allowed to elaborate a complex, reasonably coherent vision of the consequences that the limitations and conditions on the Argentine nuclear politics had in the three temporary dimensions and in different levels. From the theoretical point of view, the scenario starts from the crisis of the Utopism that revaluate the Classic Realism (H. Morgenthau) after the Second World War. In the next stage K. Waltz's Structural Realism starts when the internationalization process of the nuclear technology begins in the 50. Other theoretical models: Complex Interdependence (R. Keohane and J. Nye) and Peripheric Realism (C. Escude) at local level seem to be the representative models to describe the Argentine political behavior in the nuclear politic and to prove that the main variable in this field was the genuine domain of the scientific and technological knowledge developed in the national

Internal cycling, not external loading, decides the nutrient limitation in eutrophic lake: A dynamic model with temporal Bayesian hierarchical inference.

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Wu, Zhen; Liu, Yong; Liang, Zhongyao; Wu, Sifeng; Guo, Huaicheng

2017-06-01

Lake eutrophication is associated with excessive anthropogenic nutrients (mainly nitrogen (N) and phosphorus (P)) and unobserved internal nutrient cycling. Despite the advances in understanding the role of external loadings, the contribution of internal nutrient cycling is still an open question. A dynamic mass-balance model was developed to simulate and measure the contributions of internal cycling and external loading. It was based on the temporal Bayesian Hierarchical Framework (BHM), where we explored the seasonal patterns in the dynamics of nutrient cycling processes and the limitation of N and P on phytoplankton growth in hyper-eutrophic Lake Dianchi, China. The dynamic patterns of the five state variables (Chla, TP, ammonia, nitrate and organic N) were simulated based on the model. Five parameters (algae growth rate, sediment exchange rate of N and P, nitrification rate and denitrification rate) were estimated based on BHM. The model provided a good fit to observations. Our model results highlighted the role of internal cycling of N and P in Lake Dianchi. The internal cycling processes contributed more than external loading to the N and P changes in the water column. Further insights into the nutrient limitation analysis indicated that the sediment exchange of P determined the P limitation. Allowing for the contribution of denitrification to N removal, N was the more limiting nutrient in most of the time, however, P was the more important nutrient for eutrophication management. For Lake Dianchi, it would not be possible to recover solely by reducing the external watershed nutrient load; the mechanisms of internal cycling should also be considered as an approach to inhibit the release of sediments and to enhance denitrification. Copyright © 2017 Elsevier Ltd. All rights reserved.

The internal disruption as hard Magnetohydrodynamic limit of 1/2 sawtooth like activity in large helical device

Energy Technology Data Exchange (ETDEWEB)

Varela, J. [Department of Physics, Universidad Carlos III, 28911 Leganes, Madrid (Spain); Watanabe, K. Y.; Ohdachi, S. [National Institute for Fusion Science, Oroshi-cho 322-6, Toki 509-5292 (Japan)

2012-08-15

Large helical device (LHD) inward-shifted configurations are unstable to resistive MHD pressure-gradient-driven modes. Sawtooth like activity was observed during LHD operation. The main drivers are the unstable modes 1/2 and 1/3 in the middle and inner plasma region which limit the plasma confinement efficiency of LHD advanced operation scenarios. The aim of the present research is to study the hard MHD limit of 1/2 sawtooth like activity, not observed yet in LHD operation, and to predict its effects on the device performance. Previous investigations pointed out this system relaxation can be an internal disruption [J. Varela et al., 'Internal disruptions and sawtooth like activity in LHD,' 38th EPS Conference on Plasma Physics (2011), P5.077]. In the present work, we simulate an internal disruption; we study the equilibria properties before and after the disruptive process, its effects on the plasma confinement efficiency during each disruptive phase, the relation between the n/m = 1/2 hard MHD events and the soft MHD events, and how to avoid or reduce their adverse effects. The simulation conclusions point out that the large stochastic region in the middle plasma strongly deforms and tears the flux surfaces when the pressure gradient increases above the hard MHD limit. If the instability reaches the inner plasma, the iota profiles will be perturbed near the plasma core and three magnetic islands can appear near the magnetic axis. If the instability is strong enough to link the stochastic regions in the middle plasma (around the half minor radius {rho}) and the plasma core ({rho}<0.25), an internal disruption is driven.

Housekeeping genes as internal standards: use and limits.

Science.gov (United States)

Thellin, O; Zorzi, W; Lakaye, B; De Borman, B; Coumans, B; Hennen, G; Grisar, T; Igout, A; Heinen, E

1999-10-08

Quantitative studies are commonly realised in the biomedical research to compare RNA expression in different experimental or clinical conditions. These quantifications are performed through their comparison to the expression of the housekeeping gene transcripts like glyceraldehyde-3-phosphate dehydrogenase (G3PDH), albumin, actins, tubulins, cyclophilin, hypoxantine phsophoribosyltransferase (HRPT), L32. 28S, and 18S rRNAs are also used as internal standards. In this paper, it is recalled that the commonly used internal standards can quantitatively vary in response to various factors. Possible variations are illustrated using three experimental examples. Preferred types of internal standards are then proposed for each of these samples and thereafter the general procedure concerning the choice of an internal standard and the way to manage its uses are discussed.

[Characteristics of central nervous system activity in patients with complications of arterial hypertension and dependence on psychomotor status and treatment].

Science.gov (United States)

Usenko, A G; Velichko, N P; Usenko, G A; Nishcheta, O V; Kozyreva, T Iu; Demin, A A

2013-01-01

Changes in certain CNS characteristics were used as indicators of the efficacy of antihypertensive therapy (AHT) both targeted (T-AHT) and empirical (E-AHT) designed to suppress activity of the sympathetic component of vegetative nervous system (VNS) and renin-angiotensin-aldosterone system (RAAS) in patients of different psychic status and AH. A group of 835 men (mean age 54.2+-1.8yr) was divided into cholerics, sanguinics, melancholics and phlegmatics with a high and low anxiety level (HA and LA). 416 healthy men served as controls. The following parameters were estimated: mobility of cortical processes, balance between sympathetic and parasympathetic activities, blood corrisol and aldosterone levels, oxygen utilization coefficient, resistance to breath holding, severity of dyscirculatory encephalopathy and the fraction of patients with AH complications during 12 month T-AHT for the suppression of sympathetic activity in cholerics and sanguinics by beta-adrenoblockers and PAA C- ACE inhibitors in phlegmatics and melancholics and during E-AHT (ACE inhibitors in cholerics and sanguinics, BAB in phlegmatics and melancholics). The functional activity of CNS in phlegmatics and melancholics before and during AHT was lower and severity of encephalopathy and the number ofAH complications higher than in cholerics and sanguinics. . The changes wiere more pronounced in patients with HA than in those with LA. Unlike E-AHT T-AHT (anxiolytics for cholerics and sanguinics with HA, antidepressants for phlegmatics and melancholics with HA) normalized the study parameters and decreased the frequency of complications by 2-3 times.

Retinal Damage Induced by Internal Limiting Membrane Removal

Directory of Open Access Journals (Sweden)

Rachel Gelman

2015-01-01

Full Text Available The internal limiting membrane (ILM, the basement membrane of the Müller cells, serves as the interface between the vitreous body and the retinal nerve fiber layer. It has a fundamental role in the development, structure, and function of the retina, although it also is a pathologic component in the various vitreoretinal disorders, most notably in macular holes. It was not until understanding of the evolution of idiopathic macular holes and the advent of idiopathic macular hole surgery that the idea of adjuvant ILM peeling in the treatment of tractional maculopathies was explored. Today intentional ILM peeling is a commonly applied surgical technique among vitreoretinal surgeons as it has been found to increase the rate of successful macular hole closure and improve surgical outcomes in other vitreoretinal diseases. Though ILM peeling has refined surgery for tractional maculopathies, like all surgical procedures it is not immune to perioperative risk. The essential role of the ILM to the integrity of the retina and risk of trauma to retinal tissue spurs suspicion with regard to its routine removal. Several authors have investigated the retinal damage induced by ILM peeling and these complications have been manifested across many different diagnostic studies.

. اﻟﺤﻤﺎم اﻷهﻠﻲ ؛ اﻟﻔﺘﺮة اﻟﻀﻮﺋﻴﺔ ؛ اﻟﺘﻴﺮوآﺴﻴﻦ ؛ ﺗﻜﺎﺛﺮ : ا

African Journals Online (AJOL)

Prélèvement sanguin par ponction de la veine brachiale. Pesée. Prélèvement sanguin par ponction de la veine brachiale. -Taille des gonades. -Poids des gonades ..... glucose in blood, using glucose oxydase with an alternative oxygen acceptor. Cli. Biochimy., Vol. 6, 1969, p.24. [23] N. Biuret, R.J. Henry, D.C. Cannon,.

La recherche de l'antigene D faible au Togo: etat des lieux | Kolou ...

African Journals Online (AJOL)

Matériel et méthodes: Nous avons analysé à travers une étude transversale la recherche du RH:W1 par la méthode sérologique dans trois laboratoires publics : le Centre Hospitalier Universitaire Campus, l'Institut National d'Hygiène et le Centre National de Transfusion Sanguine. Parmi les 6737 groupages sanguins ...

Management and follow up of tibial plateau fractures by ′T′ clamp external fixator and limited internal fixation

Directory of Open Access Journals (Sweden)

Thimmegowda M

2005-01-01

Full Text Available Background: Tibial plateau fractures are difficult to treat especially when soft tissue is compromised by open reduction and internal fixation. Many methods have be1en tried in the past to manage these cases of which external fixation were shown to be effective as they limit the soft tissue and wound complications. Methods: Complex tibial plateau fractures of sixteen patients were treated by closed reduction, fixation of articular fragments by screws and application of unilateral external fixator. The external fixator was kept in place till fracture united clinically and radiologically. The patients were followed up for at least one year to assess the function of the knee joint Results: The average duration of external fixation was 13 weeks. All the fractures healed. Pin track infection (five patients and instability (six patients of the knee were encountered with this procedure. The average duration of follow up was 62 weeks. The mean range of motion was 1250 arc. The IOWA knee score averaged 90.3 points. Conclusions: External fixation with limited internal fixation may be effective in the management of complex tibial plateau fractures which requires further support from studies with large sample size. ′T′ clamp external fixation with limited Internal fixation is the procedure of choice when alignment, stability, early mobilisation is required in a soft tissue compromised tibial plateau fractures.

Internal microdosimetry of inhaled radon progeny in bronchial airways: advantages and limitations

International Nuclear Information System (INIS)

Hofmann, Werner; Fakir, Hatim; Pihet, Pascal

2007-01-01

The objective of the present study was to identify advantages and limitations of the application of microdosimetric concepts for inhaled radon progeny activities in the lungs. The methods employed for this analysis were a recently developed Monte- Carlo microdosimetry code for the calculation of energy deposition in bronchial target cells and the Probability Per Unit Track Length (PPUTL) model, which relates these microdosimetric parameters to cellular radiation effects. The major advantages of internal microdosimetry of radon progeny in bronchial airways are: (i) quantitative characterisation of non-uniform dose distributions and identification of target sites with enhanced carcinogenic potential, (ii) quantification of low doses of alpha particles by the number of cells hit and the dose received by those cells, (iii) illustration of the random variations of cellular doses by specific energy distributions and (iv) establishment of a direct link to cellular radiobiological effects. At present, a major limitation of microdosimetry is the extrapolation of the response of individual cells to the resulting tissue response, which is still not fully explored. (authors)

Principles of the International Commission on Radiological Protection system of dose limitation

International Nuclear Information System (INIS)

Thorne, M.C.

1987-01-01

The formulation of a quantitative system of dose limitation based on ICRP principles of 'stochastic' and 'non-stochastic' effects requires that judgements be made on several factors including: relationships between radiation dose and the induction of deleterious effects for a variety of endpoints and radiation types; acceptable levels of risk for radiation workers and members of the public; and methods of assessing whether the cost of introducing protective measures is justified by the reduction in radiation detriment which they will provide. In the case of patients deliberately exposed to ionising radiations, the objectives of radiation protection differ somewhat from those applying to radiation workers and members of the public. For patients, risks and benefits relate to the same person and upper limits on acceptable risks may differ grossly from those appropriate to normal individuals. For these reasons, and because of its historical relationship with the International Congress of Radiology, the ICRP has given special consideration to radiation protection in medicine and has published reports on protection of the patient in diagnostic radiology and in radiation therapy. (author)

Multiple extrafoveal macular holes following internal limiting membrane peeling.

Science.gov (United States)

Hussain, Nazimul; Mitra, Sandip

2018-01-01

Internal limiting membrane (ILM) peeling has been the standard of treatment for macular holes. Besides, causing retinal nerve fiber layer surface abnormality, postoperative extrafoveal multiple retinal holes is a rare phenomenon following ILM peeling. We report an unusual complication of eight extrafoveal macular holes occurring following ILM peeling. A 60-year-old male presented with complaints of decreased and distorted vision in the right eye. He was diagnosed as having epiretinal membrane with lamellar macular hole. He underwent 23G pars plana vitrectomy, brilliant blue assisted ILM peeling and fluid gas exchange. Intraoperatively, ILM was found to be adherent to the underlying neurosensory retina. One month after cataract surgery, he underwent YAG capsulotomy in the right eye. He complained of visual distortion. His fundus evaluation in the right eye showed multiple (eight) extrafoveal retinal holes temporal to the macula clustered together. This case demonstrated that peeling of ILM, especially when it is adherent to the underlying neurosensory retina, may cause unwanted mechanical trauma to the inner retina. Glial apoptosis and neuronal degeneration may presumably play a role in delayed appearance of multiple (eight) extrafoveal macular holes, which has not been reported earlier.

INTERNAL LIMITING MEMBRANE PEELING-DEPENDENT RETINAL STRUCTURAL CHANGES AFTER VITRECTOMY IN RHEGMATOGENOUS RETINAL DETACHMENT.

Science.gov (United States)

Hisatomi, Toshio; Tachibana, Takashi; Notomi, Shoji; Koyanagi, Yoshito; Murakami, Yusuke; Takeda, Atsunobu; Ikeda, Yasuhiro; Yoshida, Shigeo; Enaida, Hiroshi; Murata, Toshinori; Sakamoto, Taiji; Sonoda, Koh-Hei; Ishibashi, Tatsuro

2018-03-01

To examine retinal changes after vitrectomy with internal limiting membrane (ILM) peeling, we used 3-dimensional optical coherence tomography (3D-OCT) in rhegmatogenous retinal detachment cases. The 68 eyes from 67 patients with rhegmatogenous retinal detachment were studied, including 35 detached macula cases (51%) and 33 attached macula cases. Internal limiting membrane peeling was performed with fine forceps after brilliant blue G staining. The 3D-OCT images were obtained with volume-rendering technologies from cross-sectional OCT images. The 3D-OCT detected 45 eyes (66%) with ILM peeling-dependent retinal changes, including dissociated optic nerve fiber layer appearance, dimple sign, temporal macular thinning, ILM peeling area thinning, or forceps-related retinal thinning. The ILM peeled area was detectable in only 9 eyes with 3D-OCT, whereas it was undetectable in other 59 eyes. The dissociated optic nerve fiber layer appearance was detected in 8 of the total cases (12%), and dimple signs were observed in 14 cases (21%). Forceps-related thinning was also noted in eight cases (24%) of attached macula cases and in four cases (11%) of detached macula cases. No postoperative macular pucker was noted in the observational period. The 3D-OCT clearly revealed spatial and time-dependent retinal changes after ILM peeling. The changes occurred in 2 months and remained thereafter.

Partnerships – Limited partnerships and limited liability limited partnerships

OpenAIRE

Henning, Johan J.

2000-01-01

Consideration of the Limited Liability Partnership Act 2000 which introduced a new corporate entity, carrying the designations “partnership” and “limited” which allow members to limit their liability whilst organising themselves internally as a partnership. Article by Professor Johan Henning (Director of the Centre for Corporate Law and Practice, IALS and Dean of the Faculty of Law, University of the Free State, South Africa). Published in Amicus Curiae - Journal of the Institute of Advanced ...

[Case-control study on effects of external fixation combined with limited internal fixation for the treatment of Pilon fractures of Rüedi-Allgower type III].

Science.gov (United States)

Duan, Da-Peng; You, Wu-Lin; Ji, Le; Zhang, Yong-Tao; Dang, Xiao-Qian; Wang, Kun-Zheng

2014-01-01

To analyze the effects of three surgical operations in the treatment of Pilon fracture of Rüedi-Allgower type III, and put forward the best therapeutic method. The clinical data of 33 patients with Pilon fracture who received surgical operations (plaster immobilization group, 10 cases; distal tibia anatomical plate group, 11 cases; external fixation with limited internal fixation group, 12 cases) from October 2009 to January 2012 were analyzed. There were 5 males and 5 females, ranging in age from 24 to 61 years in the plaster immobilization group. There were 7 males and 4 females, ranging in age from 21 to 64 years in the distal tibia anatomical plate group. There were 7 males and 5 females, ranging in age from 23 to 67 years in the external fixation with limited internal fixation group. The Ankle X-ray of Pilon fracture after operation, ankle score, early and late complications were collected. Bourne system was used to evaluate ankle joint function. After 8 months to 3 years follow-up, it was found that three kinds of treatment had significant differences in the outcomes and complications (P external fixation with limited internal fixation group got the best results. The number of anatomic reduction cases in the external fixation with limited internal fixation group (7 cases) and the distal tibia anatomical plate group (8 cases) was more than the plaster immobilization group (2 cases). According to the ankle score, 8 patients got an excellent result, 3 good and 1 poor in the limited internal fixation group ,which was better than those of distal tibia anatomical plate group (5 excellent, 4 good and 2 poor) and the plaster immobilization group (3 excellent, 4 good and 3 poor). The number of early and late complications in the external fixation with limited internal fixation group was more than those in the plaster immobilization group and the distal tibia anatomical plate group (Pexternal fixation with limited internal fixation in the treatment of Pilon fracture

Evaluation of functional outcome of pilon fractures managed with limited internal fixation and external fixation: A prospective clinical study.

Science.gov (United States)

Meena, Umesh Kumar; Bansal, Mahesh Chand; Behera, Prateek; Upadhyay, Rahul; Gothwal, Gyan Chand

2017-11-01

The management of pilon fractures is controversial primarily due to the high rate of complications irrespective of the mode of treatment. Limited internal fixation with external fixation is associated with minimal soft tissue handling. This may reduce the chances of wound dehiscence and infection. This study was designed to evaluate the functional and clinical outcomes in patients treated with limited internal fixation combined with external fixation in pilon fractures. This study was conducted as a prospective clinical study on 56 skeletally mature patients with closed fractures with poor skin condition, and with open grade 1 and grade 2 distal tibial intra-articular fractures. All patients were treated with combined limited internal fixation and ankle spanning external fixation. All fractures in this series united with an average time period of union of 18.3weeks (ranging from 13 weeks to 30 weeks). There was no non-union in any case. There was malunion in 4 cases, varus malunion (>5 degree) in 2 cases and recurvatum in another 2 cases). Excellent to good functional results were observed in 88% cases based on the modified Ovadia and Beals score. The mean ankle dorsiflexion and planter flexion movements were 10.2±5.3 degrees and 27.4±7.2 degrees respectively. infections occurred in 6 patients which included 4 pin tract infections and 2 superficial wound infection, all 6 healed after removal of pin tract and with oral antibiotics. The technique of combined external fixation with internal fixation is safe and effective management option for intra-articular distal tibial fractures.

Internal transport barrier and β limit in ohmically heated plasma in TUMAN-3M

International Nuclear Information System (INIS)

Andreiko, M.V.; Askinazi, L.G.; Golant, V.E.

2001-01-01

An Internal Transport Barrier (ITB) was found in ohmically heated plasma in TUMAN-3M (R 0 =53 cm, a l =22 cm - circular limiter configuration, B t ≤0.7T, I p ≤175 kA, ≤6.0·10 19 m -3 ). The barrier reveals itself as a formation of a steep gradient on electron temperature and density radial profiles. The regions with reduced diffusion and electron thermal diffusivity are in between r=0.5a and r=0.7a. The ITB appears more frequently in the shots with higher plasma current. At lower currents (I p N limit in the ohmically heated plasma are presented. Stored energy was measured using diamagnetic loops and compared with W calculated from kinetic data obtained by Thomson scattering and microwave interferometry. Measurements of the stored energy and of the β were performed in the ohmic H-mode before and after boronization and in the scenario with the fast Current Ramp-Down in the ohmic H-mode. Maximum value of β T of 2.0 % and β N of 2 were achieved. The β N limit achieved is 'soft' (nondisruptive) limit. The stored energy slowly decays after the Current Ramp-Down. No correlation was found between beta restriction and MHD phenomena. (author)

Internal transport barrier and β limit in ohmically heated plasma in TUMAN-3M

International Nuclear Information System (INIS)

Andreiko, M.V.; Askinazi, L.G.; Golant, V.E.

1999-01-01

An Internal Transport Barrier (ITB) was found in ohmically heated plasma in TUMAN-3M (R 0 = 53 cm, a l = 22 cm - circular limiter configuration, B t ≤ 0.7 T, I p ≤ 175 kA, ≤ 6.0·10 19 m -3 ). The barrier reveals itself as a formation of a steep gradient on electron temperature and density radial profiles. The regions with reduced diffusion and electron thermal diffusivity are in between r = 0.5a and r = 0.7a. The ITB appears more frequently in the shots with higher plasma current. At lower currents (I p N limit in the ohmically heated plasma are presented. Stored energy was measured using diamagnetic loops and compared with W calculated from kinetic data obtained by Thomson scattering and microwave interferometry. Measurements of the stored energy and of the β were performed in the ohmic H-mode before and after boronization and in the scenario with the fast Current Ramp-Down in the ohmic H-mode. Maximum value of β T of 2.0% and β N of 2 were achieved. The β N limit achieved is 'soft' (non-disruptive) limit. The stored energy slowly decays after the Current Ramp-Down. No correlation was found between beta restriction and MHD phenomena. (author)

Limits to Party Autonomy in International Commercial Arbitration

OpenAIRE

Giuditta Cordero-Moss

2014-01-01

International contracts are often written in a standardised manner and without taking into consideration the applicable law. This may create the illusion that the contract is the only basis for the parties' rights and obligations, especially when the contract contains an arbitration clause. Using two typical contract clauses as an illustration (force majeure clause and entire agreement clause), this article analyses the extent to which an international contract, eventhough it contains an arbi...

A rare case of large isolated internal iliac artery aneurysm with ureteral obstruction and hydronephrosis: Compression symptoms are limitation for endovascular procedures.

Science.gov (United States)

Nenezic, Dragoslav; Tanaskovic, Slobodan; Gajin, Predrag; Ilijevski, Nenad; Novakovic, Aleksandra; Radak, Djordje

2015-04-01

In this report, we aim to present a rare case of isolated internal iliac artery aneurysm with associated left ureteric obstruction and consequent hydronephrosis. A 66-year-old male patient was admitted for occasional pain in the lower back that appeared one month earlier. CT arteriography revealed isolated internal iliac artery (diameter 99 mm) with ureteral obstruction, hydroureter and left kidney hydronephrosis occurrence. Aneurysm was resected, after six months the patient was doing well. Bearing in mind that 77% of the patients with isolated internal iliac artery have symptoms caused by aneurysmal compression on adjacent organs, we wanted to highlight that despite the amazing expansion of endovascular procedures in the last decades, its therapeutic effect in isolated internal iliac artery's treatment is to a great extent limited since compression symptoms cannot be solved. Open surgery remains the gold standard for isolated internal iliac artery's treatment considering significant limitations of endovascular procedures due to the inability to eliminate problems caused by compression. © The Author(s) 2014 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav.

Efficiency Limits of Solar Energy Harvesting via Internal Photoemission in Carbon Materials

Directory of Open Access Journals (Sweden)

Svetlana V. Boriskina

2018-02-01

Full Text Available We describe strategies to estimate the upper limits of the efficiency of photon energy harvesting via hot electron extraction from gapless absorbers. Gapless materials such as noble metals can be used for harvesting the whole solar spectrum, including visible and near-infrared light. The energy of photo-generated non-equilibrium or ‘hot’ charge carriers can be harvested before they thermalize with the crystal lattice via the process of their internal photo-emission (IPE through the rectifying Schottky junction with a semiconductor. However, the low efficiency and the high cost of noble metals necessitates the search for cheaper abundant alternative materials, and we show here that carbon can serve as a promising IPE material candidate. We compare the upper limits of performance of IPE photon energy-harvesting platforms, which incorporate either gold or carbon as the photoactive material where hot electrons are generated. Through a combination of density functional theory, joint electron density of states calculations, and Schottky diode efficiency modeling, we show that the material electron band structure imposes a strict upper limit on the achievable efficiency of the IPE devices. Our calculations reveal that graphite is a good material candidate for the IPE absorber for harvesting visible and near-infrared photons. Graphite electron density of states yields a sizeable population of hot electrons with energies high enough to be collected across the potential barrier. We also discuss the mechanisms that prevent the IPE device efficiency from reaching the upper limits imposed by their material electron band structures. The proposed approach is general and allows for efficient pre-screening of materials for their potential use in IPE energy converters and photodetectors within application-specific spectral windows.

Pitfalls in Using Limitation Clauses in the International General Conditions ECE 188 and Orgalime S 2000

DEFF Research Database (Denmark)

Henschel, Rene Franz

2008-01-01

various individual provisions contained in the general conditions - for example limitation of the right to require repair and further limitation of liability. If this is not motivated by the circumstances surrounding the particular contract, the parties risk creating imbalances in the otherwise well-balanced......The article centers on the rules on the limitation of liability in the general conditions ECE 188 and Orgalime S 2000. ECE 188 differ considerably from S 2000, as the provisions in ECE 188 do not give the necessary consideration to the development in industry practices and legal rules, including...... the approximation and harmonization of legal systems that have taken place during the last 50 years. S 2000 reflects an international trend that increasingly recognizes the importance of striking a balance between the interests of the parties. However, in practice the parties often derogate considerably from...

Resistência natural de seis espécies de madeiras da região amazônica a fungos apodrecedores, em ensaios de laboratório

Directory of Open Access Journals (Sweden)

Marcus Vinicius Da Silva Alves

2006-01-01

Full Text Available This study evaluated the natural resistance of six Amazonian wood species: Aspidosperma desmanthum (Araracanga, Parinari excelsa (Parinari, Mouriri callocarpa (Miraúba, Marmaroxylon racemosum (Angelim-rajado, Peltogyne paniculata (Roxinho e Astronium sp. (Muiracatiara against Pycnoporus sanguineous, a white rot fungus, and Gloeophyllum trabeum, a brown rot fungus. Testing was performed based on the American Society for Testing and Materials - Standard Method for Accelerated Laboratory Test of Natural Decay Resistance of Woods - ASTM D2017/81(86. Results showed that all tested wood species were classified as very resistant to both decay fungi, except the wood of Aspidosperma desmanthum, which demonstrated to be very resistant to Pycnoporus sanguineous and resistant to Gloeophyllum trabeum. The wood of Peltogyne paniculata showed the best performance against Pycnoporus sanguineous, whereas the wood of Astronium sp. presented the best results when submitted to Gloeophyllum trabeum attack.

Research

African Journals Online (AJOL)

abp

13 avr. 2016 ... National de Transfusion Sanguine (CNTS) à Kinshasa en RDC. Méthodes: Entre Décembre 2012 et Août 2013, une étude transversale a été menée au CNTS où des DS éligibles au don de sang ont été inclus. Les informations socio démographiques et des prélèvements sanguins ont été collectés de ...

Donor Blood Procurement and Utilisation at the University of Benin ...

African Journals Online (AJOL)

Les dossiers du service de la transfusion sanguine de l\\'hôpital ont été étudiés pour identifier les méthodes d\\'obtention et d\\'utilisation du sang à partir du 1er janvier 2000 jusqu\\'au 31 décembre 2002. Au total, 11,021 unités de sang ont été obtenu dans le service de transfusion sanguine au cours de la période.

Erythropoïétine recombinante, traitement de l'anémie grave d'un ...

African Journals Online (AJOL)

Un nourrisson de 25 mois présentant un paludisme grave forme anémique décompensé avec un taux d'hémoglobine de 1,9 g/dl dont les parents sont des Témoins de Jéhovah a été traité par de l'EPOr en lieu et place d'une transfusion sanguine. En effet, les parents étaient contre la transfusion sanguine en raison de leur ...

26 CFR 1.851-2 - Limitations.

Science.gov (United States)

2010-04-01

... 26 Internal Revenue 9 2010-04-01 2010-04-01 false Limitations. 1.851-2 Section 1.851-2 Internal Revenue INTERNAL REVENUE SERVICE, DEPARTMENT OF THE TREASURY (CONTINUED) INCOME TAX (CONTINUED) INCOME TAXES Regulated Investment Companies and Real Estate Investment Trusts § 1.851-2 Limitations. (a...

Limitation of liability for maritime claims: Chronological critical review (international instruments and Croatian solutions

Directory of Open Access Journals (Sweden)

Vasilj Aleksandra V.

2016-01-01

Full Text Available Limitation of liability of shipowner can based on property or can be personal - shipowner responds to certain part of the property (for example ship or his entire assets to a certain amount. In the first case it is a real, and in the other the personal limitation of liability. On these principles all international instruments in this legal field have been developed. One of the well-known 'universal' principle of civil law says that the injurer must pay for a damage in full, in full extent and amount. However, when we are applying provisions of maritime law (as well as transport law in general on the liability for damages and its compensation, the situation is quite opposite. Though, that the amount of suffered damages is coming closer to said universal principle of civil law has been confirmed by Amendments to the Protocol to the Convention on Limitation of Liability for Maritime Claims 1996 (LLMC 1996. These Amendments increased amount of general (global limitation of liability for maritime claims by 51% compared to the amounts in LLMC. Increased amounts are applicable from 8th June 2015. Regarding these amendments, a number of issues can be placed: justification for introducing the institute of limitation of liability in general; reasons why the injurer is privileged in maritime (and broader in transport, in the context of the amount of the obligation of compensation for damage; and whether the application of the institute undermine the principle that is enshrined in the legal system of every modern country, according to which the injured party has the right to just compensation. On the other hand, justice can be taken as well as an argument just to implement the limitation of liability system.

Institutional limits to the internalization of work systems : A comparative study of three Japanese multinational companies in the UK

NARCIS (Netherlands)

Saka, A

2002-01-01

This study adopts a multilevel comparative approach to investigating the degree to which Japanese work systems are implemented and internalized in the UK business system. The focus is on the limits to accepting the continuous improvement schemes of Japanese multinational corporations. The article

Method for calculation of upper limit internal alpha dose rates to aquatic organisms with application of plutonium-239 in plankton

International Nuclear Information System (INIS)

Paschoa, A.S.; Baptista, G.B.

1977-01-01

A method for the calculation of upper limit internal alpha dose rates to aquatic organisms is presented. The mean alpha energies per disintegration of radionuclides of interest are listed to be used in standard methodologies to calculate dose to aquatic biota. As an application, the upper limits for the alpha dose rates from 239 Pu to the total body of plankton are estimated based on data available in open literature [pt

Pars Plana Vitrectomy with Internal Limiting Membrane Peeling for Nontractional Diabetic Macular Edema.

Science.gov (United States)

Ulrich, Jan Niklas

2017-01-01

Diabetes mellitus remains the leading cause of blindness among working age Americans with diabetic macular edema being the most common cause for moderate and severe vision loss. To investigate the anatomical and visual benefits of pars plana vitrectomy with inner limiting membrane peeling in patients with nontractional diabetic macular edema as well as correlation of integrity of outer retinal layers on spectral domain optical coherence tomography to visual outcomes. We retrospectively reviewed the charts of 42 diabetic patients that underwent vitrectomy with internal limiting membrane peeling for nontractional diabetic macula edema. The integrity of outer retinal layers was evaluated and preoperative central macular thickness and visual acuity were compared with data at 1 month, 3 months and 6 months postoperatively. The student t-test was used to compare the groups. 31 eyes were included. While no differences were seen at 1 and 3 months, there was significant improvement of both central macular thickness and visual acuity at the 6 months follow up visit compared to preoperatively (357, 427 microns; p=0.03. 20/49, 20/82; p=0.03) . Patients with intact external limiting membrane and ellipsoid zone had better preoperative vision than patients with outer retinal layer irregularities (20/54, 20/100; p=0.03) and greater visual gains postoperatively (20/33, ppeeling can improve retinal anatomy and visual acuity in patients with nontractional diabetic macular edema. Spectral domain optical coherence tomography may help identify patients with potential for visual improvement.

Determination and Interpretation of Characteristic Limits for Radioactivity Measurements: Decision Threshhold, Detection Limit and Limits of the Confidence Interval

International Nuclear Information System (INIS)

2017-01-01

Since 2004, the environment programme of the IAEA has included activities aimed at developing a set of procedures for analytical measurements of radionuclides in food and the environment. Reliable, comparable and fit for purpose results are essential for any analytical measurement. Guidelines and national and international standards for laboratory practices to fulfil quality assurance requirements are extremely important when performing such measurements. The guidelines and standards should be comprehensive, clearly formulated and readily available to both the analyst and the customer. ISO 11929:2010 is the international standard on the determination of the characteristic limits (decision threshold, detection limit and limits of the confidence interval) for measuring ionizing radiation. For nuclear analytical laboratories involved in the measurement of radioactivity in food and the environment, robust determination of the characteristic limits of radioanalytical techniques is essential with regard to national and international regulations on permitted levels of radioactivity. However, characteristic limits defined in ISO 11929:2010 are complex, and the correct application of the standard in laboratories requires a full understanding of various concepts. This publication provides additional information to Member States in the understanding of the terminology, definitions and concepts in ISO 11929:2010, thus facilitating its implementation in Member State laboratories.

Decreased retinal sensitivity after internal limiting membrane peeling for macular hole surgery.

Science.gov (United States)

Tadayoni, Ramin; Svorenova, Ivana; Erginay, Ali; Gaudric, Alain; Massin, Pascale

2012-12-01

To compare the retinal sensitivity and frequency of microscotomas found by spectral domain optical coherence tomography (SD-OCT) combined with scanning laser ophthalmoscopy (SLO) microperimetry after idiopathic macular hole closure, in eyes that underwent internal limiting membrane (ILM) peeling and eyes that did not. This was a retrospective, non-randomised, comparative study. Combined SD-OCT and SLO microperimetry was performed in 16 consecutive eyes after closure of an idiopathic macular hole. A customised microperimetry pattern with 29 measurement points was used. The ILM was peeled in 8/16 eyes. The main outcome measure was mean retinal sensitivity. Mean retinal sensitivity (in dB) was lower after peeling: 9.80 ± 2.35 dB with peeling versus 13.19 ± 2.92 without (p=0.0209). Postoperative microscotomas were significantly more frequent after ILM peeling: 11.3 ± 6.6 points with retinal sensitivity below 10 dB in eyes that underwent peeling versus 2.9 ± 4.6 in those that did not (p=0.0093). These results suggest that ILM peeling may reduce retinal sensitivity, and significantly increase the incidence of microscotomas. Until a prospective trial confirming or not these results, it seems justified to avoid peeling the ILM when its potential benefit seems minor or unproved, and when peeling is carried out, to limit the surface peeled to the bare minimum.

Research

African Journals Online (AJOL)

abp

23 juin 2012 ... La quasi-totalité de ces cas d'anémie sévère ont été transfusés, le taux de transfusion sanguine était de 87% dans une autre étude réalisée à. Yaoundé [2]. La transfusion sanguine représente une protection contre certains décès (1). Cette mesure salvatrice n'est pas toujours facile à mettre en œuvre en ...

Tokamak pump limiters

International Nuclear Information System (INIS)

Conn, R.W.

1984-05-01

Recent experiments with a scoop limiter without active internal pumping have been carried out in the PDX tokamak with up to 6MW of auxiliary neutral beam heating. Experiments have also been done with a rotating head pump limiter in the PLT tokamak in conjunction with RF plasma heating. Extensive experiments have been done in the ISX-B tokamak and first experiments have been completed with the ALT-I limiter in TEXTOR. The pump limiter modules in these latter two machines have internal getter pumping. Experiments in ISX-B are with ohmic and auxiliary neutral beam heating. The results in ISX-B and TEXTOR show that active density control and particle removal is achieved with pump limiters. In ISX-B, the boundary layer (or scape-off layer) plasma partially screens the core plasma from gas injection. In both ISX-B and TEXTOR, the pressure internal to the module scales linearly with plasma density but in ISX-B, with neutral beam injection, a nonlinear increase is observed at the highest densities studied. Plasma plugging is the suspected cause. Results from PDX suggest that a region may exist in which core plasma energy confinement improves using a pump limiter during neutral beam injection. Asymmetric radial profiles and an increased edge electron temperature are observed in discharges with improved confinement. The injection of small amounts of neon into ISX-B has more clearly shown an improved electron core energy confinement during neutral beam injection. While carried out with a regular limiter, this Z-mode of operation is ideal for use with pump limiters and should be a way to achieve energy confinement times similar to values for H-mode tokamak plasmas. The implication of all these results for the design of a reactor pump limiter is described

Tokamak pump limiters

International Nuclear Information System (INIS)

Conn, R.W.; California Univ., Los Angeles

1984-01-01

Recent experiments with a scoop limiter without active internal pumping have been carried out in the PDX tokamak with up to 6 MW of auxiliary neutral beam heating. Experiments have also been performed with a rotating head pump limiter in the PLT tokamak in conjunction with RF plasma heating. Extensive experiments have been done in the ISX-B tokamak and first experiments have been completed with the ALT-I limiter in TEXTOR. The pump limiter modules in these latter two machines have internal getter pumping. Experiments in ISX-B are with ohmic and auxiliary neutral beam heating. The results in ISX-B and TEXTOR show that active density control and particle removal is achieved with pump limiters. In ISX-B, the boundary layer (or scrape-off layer) plasma partially screens the core plasma from gas injection. In both ISX-B and TEXTOR, the pressure internal to the module scales linearly with plasma density but in ISX-B, with neutral beam injection, a nonlinear increase is observed at the highest densities studied. Plasma plugging is the suspected cause. Results from PDX suggest that a regime may exist in which core plasma energy confinement improves using a pump limiter during neutral beam injection. Asymmetric radial profiles and an increased edge electron temperature are observed in discharges with improved confinement. The injection of small amounts of neon into ISX-B has more clearly shown an improved electron core energy confinement during neutral beam injection. While carried out with a regular limiter, this 'Z-mode' of operation is ideal for use with pump limiters and should be a way to achieve energy confinement times similar to values for H-mode tokamak plasmas. The implication of all these results for the design of a reactor pump limiter is described. (orig.)

26 CFR 1.904(i)-1 - Limitation on use of deconsolidation to avoid foreign tax credit limitations.

Science.gov (United States)

2010-04-01

... foreign tax credit limitations. 1.904(i)-1 Section 1.904(i)-1 Internal Revenue INTERNAL REVENUE SERVICE... United States § 1.904(i)-1 Limitation on use of deconsolidation to avoid foreign tax credit limitations... applying the foreign tax credit provisions of section 59(a), sections 901 through 908, and section 960, the...

Limitation of therapeutic effort in patients hospitalised in departments of internal medicine.

Science.gov (United States)

García Caballero, R; Herreros, B; Real de Asúa, D; Gámez, S; Vega, G; García Olmos, L

There is little information on the limitation of therapeutic effort (LTE) in patients admitted to hospital internal medicine units. To describe the indicated LTE regimens in the departments of internal medicine and the characteristics of the patients who undergo them. An observational, descriptive retrospective study was conducted on 4 hospitals of the Community of Madrid. The study collected demographic and comorbidity data and the LTE orders prescribed for all patients who died during a period of 6 months. The study included 382 patients with a mean age of 85±10 years; 204 were women (53.4%) and 222 (58.1%) came from their homes. Some 51.1% of the patients were terminal, 43.2% had moderate to severe dementia, and 95.5% presented at least moderate comorbidity. Some type of LTE was performed in 318 patients (83.7%); the most common orders were "No cardiopulmonary resuscitation" (292 patients, 76.4%; 95% CI 72.1-80.8), "Do not use aggressive measures" (113 patients, 16.4%; 95% CI 13.7-19.4) and "Do not transfer to an intensive care unit" (102 cases, 14.8%, 95% CI 12.3-17.7). Some type of LTE was performed in 318 patients (83.7%); the most common orders were "No cardiopulmonary resuscitation" (292 patients, 76.4%; 95% CI 72.1-80.8), "Do not use aggressive measures" (113 patients, 16.4%; 95% CI 13.7-19.4) and "Do not transfer to an intensive care unit" (102 cases, 14.8%, 95% CI 12.3-17.7). LTE is common among patients who die in Internal Medicine. The most widely used regimens were "No CPR" and the unspecific statement "Do not use aggressive measures". The patients were elderly and had significant comorbidity, terminal illness and advanced dementia. Copyright © 2017 Elsevier España, S.L.U. and Sociedad Española de Medicina Interna (SEMI). All rights reserved.

Clinical efficacy and safety of limited internal fixation combined with external fixation for Pilon fracture: A systematic review and meta-analysis

OpenAIRE

Zhang, Shaobo; Zhang, Yibao; Wang, Shenghong; Zhang, Hua; Liu, Peng; Zhang, Wei; Ma, Jing-Lin; Wang, Jing

2017-01-01

Purpose: To compare the clinical efficacy and complications of limited internal fixation combined with external fixation (LIFEF) and open reduction and internal fixation (ORIF) in the treatment of Pilon fracture. Methods: We searched databases including Pubmed, Embase, Web of science, Cochrane Library and China Biology Medicine disc for the studies comparing clinical efficacy and complications of LIFEF and ORIF in the treatment of Pilon fracture. The clinical efficacy was evaluated by the ...

Internal Consistency and Concurrent Validity of the Questionnaire for Limitations and Restrictions Assessment in Children with ADHD

Directory of Open Access Journals (Sweden)

Luisa Matilde Salamanca-Duque

2014-09-01

Full Text Available Introduction: ADHD is one of the most common diagnoses in child psychiatry, its early diagnosis is of great importance for intervention at family, school and social environment. Based on the International Classification of Functioning, Disability and Health (ICF, a questionnaire was designed to assess activity limitations and participation restrictions in children with ADHD. The questionnaire was called “CLARP-ADHD Parent and Teacher Version”. Objective: To determine the degree of internal consistency of the CLARP-ADHD questionnaire, and its concurrent validity with the “Strengths and Difficulties Questionnaire SDQ parent and teacher version”. Material and Methods: A sample of 203 children aged 6 to 12 with ADHD, currently attending school in five Colombian cities. The questionnaires were applied to parents and teachers. The internal consistency analysis was performed through Cronbach coefficient and concurrent validity using the Spearman correlation coefficient utilizing multiple and unique predictors through multiple linear regression as well as simple regression models. Results: A high internal consistency was found for global questionnaires for each of its domains. The CLARP-ADHD for parents gave as result an internal consistency of 0.83, and the CLARP-ADHD for teachers one of 0.93. Concurrent validity was found between the CLARP-ADHD and the SDQ Parent and Teacher version; also, concurrence between the CLARPADHD for Teachers and the SDQ Teachers was found, as well as between CLARP ADHD for Parents and CLARP ADHD Teachers, given by p values of p < 0.001.

Limits of self-regulation in international phytosanitary policy

NARCIS (Netherlands)

Rau, M.L.; Bremmers, H.J.; Szajkowska, A.; Bakker, de E.; Bremmer, J.

2012-01-01

In accordance with international agreements, phytosanitary regulations from standard setting to conformity assessment and monitoring have been assigned a public task which is carried out by government authorities. The private sector needs to comply with these phytosanitary requirements, and it is

On the necessity for evaluation of the limits of radioactive waste disposal into water systems of international importance

International Nuclear Information System (INIS)

Gedeonov, L.I.; Blinov, V.A.; Gustova, L.I.; Ivanova, L.M.; Lazarev, L.N.; Vakulovskij, S.M.; Chumichev, V.B.; Rakov, N.A.

1977-01-01

The paper considers the IAEA criteria for determination of the concept of high-level radioactive waste, the disposal of which into the oceans is forbidden according to the London Convention of 1972. It is proposed that this concept be revised every five years, using the experience which may be acquired from the present practice of disposal in the Atlantic. Data on the assessment of global fallout quantities introduced into the Atlantic and on the dilution of contamination in its waters are given. The problem is discussed of the principles of international collaboration in accepting limiting rates of disposal into water systems of international importance. It is shown that in the Irish Sea and the North Sea sources of radioactive contamination have arisen which are dangerous for the Baltic. Co-operative research of the Baltic within the CEC framework is reported. A review and evaluation of radiation conditions and their trends in the Baltic Sea is given. The problem of mutual co-operation in limiting radioactive pollution of the Danube between countries in the Danube Catchment Area is discussed. A review and a forecast of trends of radiation conditions in the Danube area are given. (author)

Internal limiting membrane peeling and gas tamponade for myopic foveoschisis: a systematic review and meta-analysis.

Science.gov (United States)

Meng, Bo; Zhao, Lu; Yin, Yi; Li, Hongyang; Wang, Xiaolei; Yang, Xiufen; You, Ran; Wang, Jialin; Zhang, Youjing; Wang, Hui; Du, Ran; Wang, Ningli; Zhan, Siyan; Wang, Yanling

2017-09-08

Myopic foveoschisis (MF) is among the leading causes of visual loss in high myopia. However, it remains controversial whether internal limiting membrane (ILM) peeling or gas tamponade is necessary treatment option for MF. PubMed, EMBASE, CBM, CNKI, WANFANG DATA and VIP databases were systematically reviewed. Outcome indicators were myopic foveoschisis resolution rate, visual acuity improvement and postoperative complications. Nine studies that included 239 eyes were selected. The proportion of resolution of foveoschisis was higher in ILM peeling group than non-ILM peeling group (OR = 2.15, 95% CI: 1.06-4.35; P = 0.03). The proportion of postoperative complications was higher in Tamponade group than non-Tamponade group (OR = 10.81, 95% CI: 1.26-93.02; P = 0.03). However, the proportion of visual acuity improvement (OR = 1.63, 95% CI: 0.56-4.80; P = 0.37) between ILM peeling group and non-ILM peeling group and the proportion of resolution of foveoschisis (OR = 1.80, 95% CI: 0.76-4.28; P = 0.18) between Tamponade group and non-Tamponade group were similar. Vitrectomy with internal limiting membrane peeling could contribute to better resolution of myopic foveoschisis than non-peeling, however it does not significantly influence the proportion of visual acuity improvement and postoperative complications. Vitrectomy with gas tamponade is associated with more complications than non-tamponade and does not significantly influence the proportion of visual acuity improvement and resolution of myopic foveoschisis.

The issue concerning the use of an annual as opposed to a committed dose limit for internal radiation protection

International Nuclear Information System (INIS)

Skrable, K.W.; Chabot, G.E.; Alexander, E.L.; French, C.S.

1985-01-01

The scientific, technical, practical, and ethical considerations that relate to the use of an annual as opposed to a committed dose limitation system for internal radiation protection are evaluated and presented. The concerns about problems associated with the more recent ICRP committed dose recommendations that have been expressed by persons who are currently operating under an annual dose limitation system are reviewed and discussed in terms of the radiation protection programme elements that are required for an effective ALARA programme. We include in this and a follow-up article a comparison of how these alternative dose limitation systems affect the economic and professional livelihood of radiation workers and the requirements that they impose upon employers. Finally, we recommend the use of an ICRP based committed dose limitation system that provides protection of workers over an entire occupational lifetime without undue impact on their livelihood and without undue requirements for employers. (author)

Séroprévalence des marqueurs viraux sur les dons du sang au Centre de Transfusion Sanguine, Hôpital Militaire d’Instruction Mohammed V de Rabat

Science.gov (United States)

Uwingabiye, Jean; Zahid, Hafidi; Unyendje, Loubet; Hadef, Rachid

2016-01-01

Le but de ce travail était de déterminer la prévalence du virus de l’immunodéficience humaine (VIH), du virus de l’hépatite B (VHB) et C (VHC) sur les dons du sang collectés au Centre de transfusion sanguine(CTS) de l’hôpital militaire d’instruction Mohammed V entre 2010 et 2012. Etude rétrospective menée auprès des donneurs de sang militaires âgés de 18 à 50 ans avec prédominance masculine (95%). L’entretien médical pré-don constitue la première barrière de sélection des sujets à risque. Le dépistage biologique était réalisé par technique immuno-enzymatique en milieu liquide utilisant des anticorps et/ou des antigènes. L’ELISA (enzyme linked immuno-sorbent assay) combiné de quatrième génération pour VHC et VIH a été utilisé. La confirmation a été faite en réalisant la même technique en double au CTS et au laboratoire de virologie. Dans notre série de 25661 échantillons testés, la prévalence du VHB était 3,97‰ (n=102), celle de VHC était 2,45 ‰ (n=63), celle de VIH était 0,15 ‰ (n=4). Un seul cas de coïnfection (0,039 ‰) par le VHB et VHC a été noté, aucune association entre VIH-VHB, VIH-VHC ou VHB, VHC et VIH n’a été enregistrée. Les taux faibles de séroprévalence des marqueurs viraux de notre étude montrent l’amélioration des mesures préventives en ce qui concerne la sélection des donneurs et des tests de dépistage. Cette prévalence constatée incite à maintenir l’utilisation du réactif combiné qui est la seule alternative à la biologie moléculaire pour les pays en voie de développement. PMID:28292147

26 CFR 1.382-5 - Section 382 limitation.

Science.gov (United States)

2010-04-01

... 26 Internal Revenue 4 2010-04-01 2010-04-01 false Section 382 limitation. 1.382-5 Section 1.382-5 Internal Revenue INTERNAL REVENUE SERVICE, DEPARTMENT OF THE TREASURY (CONTINUED) INCOME TAX (CONTINUED) INCOME TAXES Insolvency Reorganizations § 1.382-5 Section 382 limitation. (a) Scope. Following an...

Evaluation of the international restraints and limitations on the Argentine nuclear policy

International Nuclear Information System (INIS)

Martin, Hugo R.

2002-01-01

The first part of the book makes a short description of the nuclear development in the 20th. Century in the international, Latin American and Argentine frameworks. The second part outlines the relationship between the nuclear technology and the international relations in the light of the different theoretical models of international relations. Finally the third part analyzes in the international context the Argentine nuclear policy, from the presidency of J. D. Peron that of C. Menem. The international restraints to the Argentine nuclear policy are also described

Does Internal Limiting Membrane Peeling in Macular Hole Surgery Improve Reading Vision?

Directory of Open Access Journals (Sweden)

Das Taraprasad

2003-01-01

Full Text Available Purpose: To document the effect of internal limiting membrane (ILM peeling in macular hole closure and reading vision. Method: Fifty-four patients with idiopathic and traumatic macular hole underwent standard vitreous surgery and received either ILM peeling (n= 25 or no ILM peeling (n= 29. The hole closure, and Snellen acuity (distant and near were recorded 12 weeks after surgery and statistically analysed. Results: The macular hole closure rate was 96% (24 of 25 and 72.4% (21 of 29 with and without ILM peeling respectively (P = 0.028. Distant vision improvement of two or more lines was recorded in 64% (16 of 25 and 51.7% (15 of 29 eyes (P = 0.417 with and without ILM peeling respectively. Near vision improvement of two or more lines was seen in 68% (17 of 25 and 41.2% (12 of 29 eyes (P = 0.048 with and without ILM peeling respectively. Conclusion: ILM peeling in macular hole surgery improves the macular hole closure rate and reading vision.

Vitrectomy with internal limiting membrane (ILM) peeling versus vitrectomy with no peeling for idiopathic full-thickness macular hole (FTMH)

DEFF Research Database (Denmark)

Spiteri Cornish, Kurt; Lois, Noemi; Scott, Neil

2013-01-01

Several observational studies have suggested the potential benefit of internal limiting membrane (ILM) peeling to treat idiopathic full-thickness macular hole (FTMH). However, no strong evidence is available on the potential benefit(s) of this surgical manoeuvre and uncertainty remains among...... vitreoretinal surgeons about the indication for peeling the ILM, whether to use it in all cases or in long-standing and/or larger holes. ...

Linking international research to global health equity: the limited contribution of bioethics.

Science.gov (United States)

Pratt, Bridget; Loff, Bebe

2013-05-01

Health research has been identified as a vehicle for advancing global justice in health. However, in bioethics, issues of global justice are mainly discussed within an ongoing debate on the conditions under which international clinical research is permissible. As a result, current ethical guidance predominantly links one type of international research (biomedical) to advancing one aspect of health equity (access to new treatments). International guidelines largely fail to connect international research to promoting broader aspects of health equity - namely, healthier social environments and stronger health systems. Bioethical frameworks such as the human development approach do consider how international clinical research is connected to the social determinants of health but, again, do so to address the question of when international clinical research is permissible. It is suggested that the narrow focus of this debate is shaped by high-income countries' economic strategies. The article further argues that the debate's focus obscures a stronger imperative to consider how other types of international research might advance justice in global health. Bioethics should consider the need for non-clinical health research and its contribution to advancing global justice. © 2011 Blackwell Publishing Ltd.

Strategic establishment of an International Pharmacology Specialty Laboratory in a resource-limited setting.

Science.gov (United States)

Mtisi, Takudzwa J; Maponga, Charles; Monera-Penduka, Tsitsi G; Mudzviti, Tinashe; Chagwena, Dexter; Makita-Chingombe, Faithful; DiFranchesco, Robin; Morse, Gene D

2018-01-01

A growing number of drug development studies that include pharmacokinetic evaluations are conducted in regions lacking a specialised pharmacology laboratory. This necessitated the development of an International Pharmacology Specialty Laboratory (IPSL) in Zimbabwe. The aim of this article is to describe the development of an IPSL in Zimbabwe. The IPSL was developed collaboratively by the University of Zimbabwe and the University at Buffalo Center for Integrated Global Biomedical Sciences. Key stages included infrastructure development, establishment of quality management systems and collaborative mentorship in clinical pharmacology study design and chromatographic assay development and validation. Two high performance liquid chromatography instruments were donated by an instrument manufacturer and a contract research organisation. Laboratory space was acquired through association with the Zimbabwe national drug regulatory authority. Operational policies, standard operating procedures and a document control system were established. Scientists and technicians were trained in aspects relevant to IPSL operations. A high-performance liquid chromatography method for nevirapine was developed with the guidance of the Clinical Pharmacology Quality Assurance programme and approved by the assay method review programme. The University of Zimbabwe IPSL is engaged with the United States National Institute of Allergy and Infectious Diseases Division of AIDS research networks and is poised to begin drug assays and pharmacokinetic analyses. An IPSL has been successfully established in a resource-limited setting through the efforts of an external partnership providing technical guidance and motivated internal faculty and staff. Strategic partnerships were beneficial in navigating challenges leading to laboratory development and training new investigators. The IPSL is now engaged in clinical pharmacology research.

Development of mathematical pediatric phantoms for internal dose calculations: designs, limitations, and prospects

International Nuclear Information System (INIS)

Cristy, M.

1980-01-01

Mathematical phantoms of the human body at various ages are employed with Monte Carlo radiation transport codes for calculation of photon specific absorbed fractions. The author has developed a pediatric phantom series based on the design of the adult phantom, but with explicit equations for each organ so that organ sizes and marrow distributions could be assigned properly. Since the phantoms comprise simple geometric shapes, predictive dose capability is limited when geometry is critical to the calculation. Hence, there is a demand for better phantom design in situations where geometry is critical, such as for external irradiation or for internal emitters with low energy photons. Recent advances in computerized axial tomography (CAT) present the potential for derivation of anatomical information, which is so critical to development of phantoms, and ongoing developmental work on compuer architecture to handle large arrays for Monte Carlo calculations should make complex-geometry dose calculations economically feasible within this decade

Housekeeping Genes as Internal Standards: Use and Limits

OpenAIRE

Thellin, Olivier; Zorzi, Willy; Lakaye, Bernard; De Borman, B.; Coumans, Bernard; Hennen, Georges; Grisar, Thierry; Igout, Ahmed; Heinen, Ernst

1999-01-01

Quantitative studies are commonly realised in the biomedical research to compare RNA expression in different experimental or clinical conditions. These quantifications are performed through their comparison to the expression of the housekeeping gene transcripts like glyceraldehyde-3-phosphate dehydrogenase (G3PDH), albumin, actins, tubulins, cyclophilin, hypoxantine phsophoribosyltransferase (HRPT), L32. 28S, and 18S rRNAs are also used as internal standards. In this paper, it is recalled tha...

COMPARATIVE ANALYSIS OF RETINAL REATTACHMENT SURGERY WITH OR WITHOUT INTERNAL LIMITING MEMBRANE PEELING TO PREVENT POSTOPERATIVE MACULAR PUCKER.

Science.gov (United States)

Forlini, Matteo; Date, Purva; Ferrari, Luisa Micelli; Lorusso, Massimo; Lecce, Gabriella; Verdina, Tommaso; Neri, Giovanni; Benatti, Caterina; Rossini, Paolo; Bratu, Adriana; DʼEliseo, Domenico; Ferrari, Tommaso Micelli; Cavallini, Gian Maria

2017-07-18

To determine whether internal limiting membrane (ILM) peeling during pars plana vitrectomy for rhegmatogenous retinal detachment reduces the incidence of epiretinal membrane (ERM) formation. In this retrospective study, preoperative, intraoperative, and postoperative data from all eyes undergoing pars plana vitrectomy for rhegmatogenous retinal detachment between January 2007 and December 2013 was analyzed. All cases with at least 1-year of follow-up were included. Data collection included vision, intraoperative complications, occurrence of ERM, and spectral domain optical coherence tomography characteristics. The OCTs were retrieved for all eyes and were graded by a single masked grader. Out of 159 eyes recruited, ILM peeling was done in 78 eyes (49%). Overall occurrence of ERM was 20%. Seven eyes (9%) in ILM peeling group and 25 eyes in the non-ILM peeling group (31%) showed ERM (P = 0.001). Postoperative vision was significantly better in eyes that had ILM peeling (0.48 ± 0.4 logarithm of the minimum angle of resolution [20/63] vs. 0.77 ± 0.6 logarithm of the minimum angle of resolution [20/125], P = 0.003). In multivariable models adjusting for type of tamponade, ILM peeling reduced the likelihood of ERM formation by 75% (P = 0.01). Internal limiting membrane peeling during pars plana vitrectomy for rhegmatogenous retinal detachment significantly reduces ERM formation in the postoperative period and is associated with better visual and anatomical outcomes.

Global limit load solutions for thick-walled cylinders with circumferential cracks under combined internal pressure, axial force and bending moment − Part II: Finite element validation

International Nuclear Information System (INIS)

Li, Yuebing; Lei, Yuebao; Gao, Zengliang

2014-01-01

Global limit load solutions for thick-walled cylinders with circumferential internal/external surface and through-wall defects under combined positive/negative axial force, positive/negative global bending moment and internal pressure have been developed in Part I of this paper. In this Part II, elastic-perfectly plastic 3-D finite element (FE) analyses are performed for selected cases, covering a wide range of geometries and load combinations, to validate the developed limit load solutions. The results show that these limit load solutions can predict the FE data very well for the cases with shallow or deep and short cracks and are conservative. For the cases with very long and deep cracks, the predictions are reasonably accurate and more conservative. -- Highlights: • Elastic-perfectly plastic 3D finite element limiting analyses of cylinders. • Thin/thick-walled cylinders with circumferential surface defects. • Combined loading for pressure, end-force and global bending moment. • Totally 1458 cases analysed and tabulated normalised results provided. • Results used to validate the developed limit load solutions in Part I of this paper

Deconstructing Civil Society Actors and Functions: On the Limitations of International Frameworks for Fragile States

Directory of Open Access Journals (Sweden)

Simone Datzberger

2018-02-01

Full Text Available Over the past three decades, there has been a steady increase of funds by the international community to support civil society organizations (CSOs in fragile states. Surprisingly, this growing attention has not strengthened local civil society landscapes in a way that it would lead to processes of social transformation. On the contrary, civic freedom and space is shrinking around the globe. In analyzing prominent international aid-effectiveness frameworks and donor strategies towards civil society, this paper will put forward one central argument. The way in which civil society actors and functions are currently appropriated threatens deep-rooted social transformation thereby impeding processes of structural and political change—necessary for the transition from conflict to sustainable peace. In delineating, how actors and functional approaches informed peacebuilding and development policy and practice, their strengths and limitations will be examined. Doing so, we draw on different case studies and examples from the literature. We find that existing frameworks for fragile states operate on a presumed model of a public sphere and civil society that may or may not exist. Such an approach disregards an organic formation of a civil society landscape thereby impeding processes of structural, social, and political change in times of fragility.

Clinical and cost-effectiveness of internal limiting membrane peeling for patients with idiopathic full thickness macular hole. Protocol for a Randomised Controlled Trial: FILMS (Full-thickness macular hole and Internal Limiting Membrane peeling Study

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Cook Jonathan

2008-11-01

Full Text Available Abstract Background A full-thickness macular hole (FTMH is a common retinal condition associated with impaired vision. Randomised controlled trials (RCTs have demonstrated that surgery, by means of pars plana vitrectomy and post-operative intraocular tamponade with gas, is effective for stage 2, 3 and 4 FTMH. Internal limiting membrane (ILM peeling has been introduced as an additional surgical manoeuvre to increase the success of the surgery; i.e. increase rates of hole closure and visual improvement. However, little robust evidence exists supporting the superiority of ILM peeling compared with no-peeling techniques. The purpose of FILMS (Full-thickness macular hole and Internal Limiting Membrane peeling Study is to determine whether ILM peeling improves the visual function, the anatomical closure of FTMH, and the quality of life of patients affected by this disorder, and the cost-effectiveness of the surgery. Methods/Design Patients with stage 2–3 idiopathic FTMH of less or equal than 18 months duration (based on symptoms reported by the participant and with a visual acuity ≤ 20/40 in the study eye will be enrolled in this FILMS from eight sites across the UK and Ireland. Participants will be randomised to receive combined cataract surgery (phacoemulsification and intraocular lens implantation and pars plana vitrectomy with postoperative intraocular tamponade with gas, with or without ILM peeling. The primary outcome is distance visual acuity at 6 months. Secondary outcomes include distance visual acuity at 3 and 24 months, near visual acuity at 3, 6, and 24 months, contrast sensitivity at 6 months, reading speed at 6 months, anatomical closure of the macular hole at each time point (1, 3, 6, and 24 months, health related quality of life (HRQOL at six months, costs to the health service and the participant, incremental costs per quality adjusted life year (QALY and adverse events. Discussion FILMS will provide high quality evidence on the

Effect of internal limiting membrane peeling on the development of epiretinal membrane after pars plana vitrectomy for primary rhegmatogenous retinal detachment.

Science.gov (United States)

Nam, Ki Yup; Kim, Jung Yeul

2015-05-01

To investigate the difference in the occurrence of postoperative epiretinal membranes (ERMs) in vitrectomy for rhegmatogenous retinal detachment with and without peeling of the internal limiting membrane (ILM). The medical records of the 135 patients, who underwent vitrectomy for primary rhegmatogenous retinal detachment from November 2007 to August 2011, were analyzed retrospectively. Of the subjects, 70 patients underwent ILM peeling during the surgery and 65 did not. The best-corrected visual acuity, fundus photograph, and optical coherence tomography were collected 3, 6, and 12 months postoperatively. The relationship between ILM peeling and the preoperative findings of rhegmatogenous retinal detachment and development of a postoperative ERM was analyzed. No ERM occurred in the ILM peeling group, whereas an ERM occurred in 14 of 65 patients who underwent vitrectomy without ILM peeling (21.5%). This difference was significant (P peeling group and was significantly higher 12 months postoperatively (P = 0.03). Internal limiting membrane peeling seems to prevent the occurrence of a postoperative ERM in patients with primary rhegmatogenous retinal detachment.

Vitrectomy with Internal Limiting Membrane Peeling versus No Peeling for Idiopathic Full-Thickness Macular Hole

DEFF Research Database (Denmark)

Spiteri Cornish, Kurt; Lois, Noemi; Scott, Neil W

2014-01-01

OBJECTIVE: To determine whether internal limiting membrane (ILM) peeling improves anatomic and functional outcomes of full-thickness macular hole (FTMH) surgery when compared with the no-peeling technique. DESIGN: Systematic review and individual participant data (IPD) meta-analysis undertaken...... under the auspices of the Cochrane Eyes and Vision Group. Only randomized controlled trials (RCTs) were included. PARTICIPANTS AND CONTROLS: Patients with idiopathic stage 2, 3, and 4 FTMH undergoing vitrectomy with or without ILM peeling. INTERVENTION: Macular hole surgery, including vitrectomy and gas...... endotamponade with or without ILM peeling. MAIN OUTCOME MEASURES: Primary outcome was best-corrected distance visual acuity (BCdVA) at 6 months postoperatively. Secondary outcomes were BCdVA at 3 and 12 months; best-corrected near visual acuity (BCnVA) at 3, 6, and 12 months; primary (after a single surgery...

Two Cases of Severe Degeneration of the Macula Following Vitrectomy with Indocyanine Green-Assisted Internal Limiting Membrane Peeling for Idiopathic Macular Hole

OpenAIRE

Inoue, Junji; Sakuma, Toshiro; Kiyokawa, Masatoshi; Kobayashi, Yasuhiko; Takebayashi, Hiroshi; Mizota, Atsushi; Tanaka, Minoru

2008-01-01

We describe three eyes of two cases of severe degeneration of the macula following vitrectomy with indocyanine green-assisted internal limiting membrane peeling for idiopathic macular hole. We need to remember the possibility of these complications and have to select the procedures that are safest to use for macular hole surgery.

International Children's Palliative Care Network: A Global Action Network for Children With Life-Limiting Conditions.

Science.gov (United States)

Marston, Joan; Boucher, Sue; Downing, Julia

2018-02-01

The International Children's Palliative Care Network (ICPCN) is a global network of individuals and organizations working together to reach the estimated 21 million children with life-limiting conditions and life-threatening illnesses. The drive to establish the ICPCN was born from the recognition of the gaps in service provision for children's palliative care and the need to collaborate, network, and share resources. Established in 2005 during a meeting in Seoul, South Korea, the ICPCN has developed over the years into an established network with a global membership. The history of the organization is described, including some of the key events since its inception. Working in collaboration with others, ICPCN has five key focus areas: Communication; Advocacy; Research; Education; and Strategic development, and is the only international charity working globally for the rights of children with palliative care needs. Activities in these areas are discussed, along with the inter-connection between the five areas. Without the ICPCN, palliative care for children would not have developed as far as it has over the years and the organization is committed to ongoing work in this area until all children requiring palliative care have access to quality services, wherever they live around the world. Copyright © 2017 American Academy of Hospice and Palliative Medicine. Published by Elsevier Inc. All rights reserved.

What are the minimum requirements for ketogenic diet services in resource-limited regions? Recommendations from the International League Against Epilepsy Task Force for Dietary Therapy.

Science.gov (United States)

Kossoff, Eric H; Al-Macki, Nabil; Cervenka, Mackenzie C; Kim, Heung D; Liao, Jianxiang; Megaw, Katherine; Nathan, Janak K; Raimann, Ximena; Rivera, Rocio; Wiemer-Kruel, Adelheid; Williams, Emma; Zupec-Kania, Beth A

2015-09-01

Despite the increasing use of dietary therapies for children and adults with refractory epilepsy, the availability of these treatments in developing countries with limited resources remains suboptimal. One possible contributory factor may be the costs. There is often reported a significant perceived need for a large ketogenic diet team, supplements, laboratory studies, and follow-up visits to provide this treatment. The 2009 Epilepsia Consensus Statement described ideal requirements for a ketogenic diet center, but in some situations this is not feasible. As a result, the International League Against Epilepsy (ILAE) Task Force on Dietary Therapy was asked to convene and provide practical, cost-effective recommendations for new ketogenic diet centers in resource-limited regions of the world. Wiley Periodicals, Inc. © 2015 International League Against Epilepsy.

Summary of the half-day internal review of LHC performance limitations (linked to transverse collective effects) during run II (CERN, 29/11/2016)

CERN Document Server

Metral, Elias; Biancacci, Nicolo; Buffat, Xavier; Carver, Lee Robert; Iadarola, Giovanni; Li, Kevin Shing Bruce; Persson, Tobias Hakan Bjorn; Romano, Annalisa; Schenk, Michael; Tambasco, Claudia; CERN. Geneva. ATS Department

2017-01-01

In this note the half-day internal review of LHC performance limitations (linked to transverse collective effects) during run II (2015-2016), which took place at CERN on 29/11/2016 (https://indico.cern.ch/event/589625/), is summarised and the next steps are discussed.

INCOMPLETE REPAIR OF RETINAL STRUCTURE AFTER VITRECTOMY WITH INTERNAL LIMITING MEMBRANE PEELING.

Science.gov (United States)

Hisatomi, Toshio; Tachibana, Takashi; Notomi, Shoji; Nakatake, Shunji; Fujiwara, Kohta; Murakami, Yusuke; Ikeda, Yasuhiro; Yoshida, Shigeo; Enaida, Hiroshi; Murata, Toshinori; Sakamoto, Taiji; Sonoda, Koh-Hei; Ishibashi, Tatsuro

2017-08-01

To examine retinal changes after vitrectomy with internal limiting membrane (ILM) peeling, we used a cynomolgus monkey model and focused on surgical damages of ILM peeling for long observational period of 3 years. Vitrectomy was performed followed by ILM peeling similar to clinical settings in humans. Ultrastructural changes of the retina were investigated by light, transmission, and scanning electron microscopy at 3 months and 3 years after ILM peeling. Ultrastructural study showed that the ILM peeled area was still clearly recognized after 3 years. The Müller cell processes covered most of the retina; however, the nerve fiber layer was partly uncovered and exposed to the vitreous space. The arcuate linear nerve fiber bundles were observed as comparable with dissociated optic nerve fiber layer appearance. Small round retinal surface defects were also observed around macula, resembling the dimple sign. Forceps-related retinal thinning was also found on the edge of ILM peeling, where we started peeling with fine forceps. The ultrastructural studies showed that most of ILM peeling area was covered with glial cells during wound healing processes. Retinal changes were found comparable with dissociated optic nerve fiber layer appearance or dimple sign, which were clinically observed with optical coherence tomography.

Autologous transplantation of the internal limiting membrane for refractory macular holes.

Science.gov (United States)

Morizane, Yuki; Shiraga, Fumio; Kimura, Shuhei; Hosokawa, Mio; Shiode, Yusuke; Kawata, Tetsuhiro; Hosogi, Mika; Shirakata, Yukari; Okanouchi, Toshio

2014-04-01

To determine the effectiveness of autologous transplantation of the internal limiting membrane (ILM) for refractory macular holes. Prospective, interventional case series. Ten eyes of 10 consecutive patients who underwent autologous transplantation of the ILM for the treatment of refractory macular holes were studied. The primary diseases in these patients were large idiopathic macular holes that had existed for more than 1 year (4 eyes), a traumatic macular hole (1 eye), myopic foveoschisis (2 eyes), foveoschisis resulting from pit-macular syndrome (2 eyes), and proliferative diabetic retinopathy (1 eye). Apart from the 5 eyes with idiopathic or traumatic macular holes, macular holes developed in the other 5 eyes after initial vitrectomies with ILM removal. In all eyes, regular macular hole surgery failed to achieve closure. The main outcome measures used in this study were macular hole closure and best-corrected visual acuity (BCVA). Macular holes were closed successfully in 9 eyes (90%) after autologous transplantation of the ILM. The postoperative BCVAs were significantly better than the preoperative BCVAs (P = .007, paired t test). Postoperative BCVAs improved by more than 0.2 logarithm of the minimal angle of resolution units in 8 eyes (80%) and were unchanged in 2 eyes (20%). Although this is a pilot study, the results suggest that autologous transplantation of the ILM may contribute to improved anatomic and visual outcomes in the treatment of refractory macular holes and may warrant further investigation. Copyright © 2014 Elsevier Inc. All rights reserved.

Expanding the Operational Limits of the Single-Point Impedance Diagnostic for Internal Temperature Monitoring of Lithium-ion Batteries

International Nuclear Information System (INIS)

Spinner, Neil S.; Love, Corey T.; Rose-Pehrsson, Susan L.; Tuttle, Steven G.

2015-01-01

Highlights: • Single-point impedance diagnostic technique demonstrated for lithium-ion batteries • Correlation between imaginary impedance and internal temperature determined • Instantaneous monitoring of commercial lithium-ion battery internal temperature • Expanded temperature range from −10°C up to 95°C • Non-invasive method useful for practical temperature monitoring of commercial cells - Abstract: Instantaneous internal temperature monitoring of a commercial 18650 LiCoO 2 lithium-ion battery was performed using a single-point EIS measurement. A correlation between the imaginary impedance, –Z imag , and internal temperature at 300 Hz was developed that was independent of the battery’s state of charge. An Arrhenius-type dependence was applied, and the activation energy for SEI ionic conductivity was found to be 0.13 eV. Two separate temperature-time experiments were conducted with different sequences of temperature, and single-point impedance tests at 300 Hz were performed to validate the correlation. Limitations were observed with the upper temperature range (68°C < T < 95°C), and consequently a secondary, empirical fit was applied for this upper range to improve accuracy. Average differences between actual and fit temperatures decreased around 3-7°C for the upper range with the secondary correlation. The impedance response at this frequency corresponded to the anode/SEI layer, and the SEI is reported to be thermally stable up to around 100°C, at which point decomposition may occur leading to battery deactivation and/or total failure. It is therefore of great importance to be able to track internal battery temperatures up to this critical point of 100°C, and this work demonstrates an expansion of the single-point EIS diagnostic to these elevated temperatures

Displacement of fovea toward optic disk after macular hole surgery with internal limiting membrane peeling.

Science.gov (United States)

Ohta, Kouichi; Sato, Atsuko; Senda, Nami; Fukui, Emi

2017-01-01

The purpose of this study was to demonstrate a displacement of the foveal depression toward the optic disk after idiopathic macular hole (MH) surgery with internal limiting membrane (ILM) peeling. Two patients with a unilateral MH developed an MH in the fellow eyes. Vitrectomy with ILM peeling was performed on the fellow eye to close the MH. Images of spectral-domain optical coherence tomography (SD-OCT) were used to measure the disk-to-fovea distances pre MH formation, after MH formation, and 6 months after the closure of the MH. The disk-to-fovea distance was shorter at 6 months than after the development of the MH (4,109 µm and 4,174 µm in Case 1 and 4,001 µm and 4,051 µm in Case 2). These results indicate that the fovea moves nasally after the MH surgery with ILM peeling.

Macular morphology and visual acuity after macular hole surgery with or without internal limiting membrane peeling

DEFF Research Database (Denmark)

Christensen, U.C.; Kroyer, K.; Sander, B.

2010-01-01

Aim: To examine postoperative macular morphology and visual outcome after 12 months in relation to internal limiting membrane (ILM) peeling versus no peeling, indocyanine green (ICG) staining and re-operation in eyes that achieved macular hole closure after surgery. Methods: Seventy-four eyes...... with closed stage 2 or 3 macular holes were recruited from a randomised clinical trial comparing: (1) vitrectomy without ILM peeling; (2) vitrectomy with 0.05% isotonic ICG-assisted ILM peeling; and (3) vitrectomy with 0.15% trypan blue-assisted ILM peeling. Contrast-enhanced Stratus optical coherence...... between subgroups. Conclusions: Poor vision after 12 months despite macular hole closure was associated with attenuation and disruption of the foveolar photoreceptor matrix. The extent of attenuation and disruption was independent of peeling and staining....

Pars plana vitrectomy combined with internal limiting membrane peeling for recurrent macular edema due to branch retinal vein occlusion after antivascular endothelial growth factor treatments

Directory of Open Access Journals (Sweden)

Shirakata Y

2016-02-01

Full Text Available Yukari Shirakata,1 Kouki Fukuda,1 Tomoyoshi Fujita,1 Yuki Nakano,1 Hiroyuki Nomoto,2 Hidetaka Yamaji,3 Fumio Shiraga,4 Akitaka Tsujikawa1 1Department of Ophthalmology, Faculty of Medicine, Kagawa University, Miki-cho, 2Nomoto Eye Clinic, Himeji, 3Department of Ophthalmology, Shirai Eye Hospital, Mitoyo, 4Department of Ophthalmology, Okayama University, Okayama, Japan Purpose: To evaluate the anatomic and functional outcomes of pars plana vitrectomy combined with internal limiting membrane peeling for recurrent macular edema (ME due to branch retinal vein occlusion (BRVO after intravitreal injections of antivascular endothelial growth factor (anti-VEGF agents. Methods: Twenty-four eyes of 24 patients with treatment-naive ME from BRVO were treated with intravitreal injections of anti-VEGF agents. Recurred ME was treated with pars plana vitrectomy combined with internal limiting membrane peeling. Results: After the surgery, ME was significantly reduced at 1 month (P=0.031 and the reduction increased with time (P=0.007 at the final visit. With the reduction in ME, treated eyes showed a slow improvement in visual acuity (VA. At the final visit, improvement in VA was statistically significant compared with baseline (P=0.048. The initial presence of cystoid spaces, serous retinal detachment, or subretinal hemorrhage under the fovea, as well as retinal perfusion status, showed no association with VA improvement. However, the presence of epiretinal membrane showed a significant association with the visual recovery. Although eyes without epiretinal membrane showed visual improvement (-0.10±0.32 in logarithm of the minimum angle of resolution [logMAR], eyes with epiretinal membrane showed greater visual improvement (-0.38±0.12 in logMAR, P=0.012. Conclusion: For recurrent ME due to BRVO after anti-VEGF treatment, particularly when accompanied by epiretinal membrane, pars plana vitrectomy combined with internal limiting membrane peeling might be a

Modelling internal migration in Kenya: an econometric analysis with limited data.

Science.gov (United States)

Barber, G M; Milne, W J

1988-09-01

"In this paper the determinants of internal migration in Kenya are analyzed on the basis of a human capital model. Explanatory variables included in the specification are both economic (wage rates and employment rates) and noneconomic (for example, population density and educational attainment). Also incorporated are variables which reflect intervening opportunities.... The econometric results show that destination variables are important determinants of internal migration, as is distance between the districts. Further, the variables for the intervening opportunities add significantly to the explanatory power of the model." excerpt

[Optical coherence tomography and microperimetry after internal limiting membrane peeling for epiretinal membrane].

Science.gov (United States)

Grimbert, P; Lebreton, O; Weber, M

2014-06-01

To evaluate the anatomical and functional consequences of internal limiting membrane (ILM) peeling in epiretinal membrane (ERM) surgery. Retrospective single-center study including consecutive patients operated on for idiopathic ERM. The integrity of the ILM was assessed by ILM Blue® staining after removal of the ERM: either the peeling was spontaneous (group 1) or a complementary peeling was required (group 2). Pre- and post-operatively (1 and 6 months), all patients were analyzed using visual acuity, SD-OCT (Spectralis HRA OCT, Heidelberg, Germany) and microperimetry (OPKO/OTI, Miami, USA). Twenty-one eyes of 21 patients were included: 12 "active ILM peelings" and 9 "spontaneous peelings". In both groups, visual acuity increased significantly after surgery. Microperimetry revealed more microscotomata at 1 and 6 months for active peeling (Ppeeling is frequently performed to reduce ERM recurrence. Despite lack of effect on visual acuity, active ILM peeling increases the incidence of microscotomas related to the site where the ERM or ILM is grasped. Active ILM peeling may be responsible for postoperative visual discomfort related to microscopic trauma during peeling. Copyright © 2014 Elsevier Masson SAS. All rights reserved.

Comparison of two-staged ORIF and limited internal fixation with external fixator for closed tibial plafond fractures.

Science.gov (United States)

Wang, Cheng; Li, Ying; Huang, Lei; Wang, Manyi

2010-10-01

To compare the results of two-staged open reduction and internal fixation (ORIF) and limited internal fixation with external fixator (LIFEF) for closed tibial plafond fractures. From January 2005 to June 2007, 56 patients with closed type B3 or C Pilon fractures were randomly allocated into groups I and II. Two-staged ORIF was performed in group I and LIFEF in group II. The outcome measures included bone union, nonunion, malunion, pin-tract infection, wound infection, osteomyelitis, ankle joint function, etc. These postoperative data were analyzed with Statistical Package for Social Sciences (SPSS) 13.0. Incidence of superficial soft tissue infection (involved in wound infection or pin-tract infection) in group I was lower than that in group II (P delayed union, and arthritis symptoms, with no statistical significance. Both groups resulted similar ankle joint function. Logistic regression analysis indicated that smoking and fracture pattern were the two factors significantly influencing the final outcomes. In the treatment of closed tibial plafond fractures, both two-staged ORIF and LIFEF offer similar results. Patients undergo LIFEF carry significantly greater radiation exposure and higher superficial soft tissue infection rate (usually occurs on pin tract and does not affect the final outcomes).

Bilingualism--A Sanguine Step in ELT

Science.gov (United States)

Anil, Beena

2014-01-01

Bilingualism can be used as a teaching aid in teaching and learning English language in an Indian classroom and to improve the language accuracy, fluency, and clarity of learners. Bilingualism can aid the teaching and learning process productively in the classroom. In India, most of the students consider English as a subject rather than a tool of…

Sanguine Cover vol17no2

African Journals Online (AJOL)

27 juil. 2015 ... ne permet pas de predire le nombre de jours en unité de soins intensifs, de ..... de collègues médecins, de paƟents et la société en général. Il est un fait que .... Prélğvement des échanƟllons primaires- avec le consentement.

Sanguine Cover vol17no2

African Journals Online (AJOL)

2015-07-15

Jul 15, 2015 ... over a 7-week period from the hospital blood bank during regular working hours to nonbleeding paƟents. For each transfusion, we ... transfusion, with most occurring during or within 4 hours of a transfusion. Over the past 20 ...

Postoperative eccentric macular holes after vitrectomy and internal limiting membrane peeling.

Science.gov (United States)

Brouzas, Dimitrios; Dettoraki, Maria; Lavaris, Anastasios; Kourvetaris, Dimitrios; Nomikarios, Nikolaos; Moschos, Marilita M

2017-06-01

The purpose of this study was to describe the incidence, clinical characteristics, and outcome of eccentric macular holes presenting after vitrectomy and internal limiting membrane (ILM) peeling for the treatment of macular pathology and discuss the pathogenesis of holes formation. A retrospective, noncomparative, interventional case-series study of five patients who developed eccentric macular holes postoperatively following vitrectomy in 198 consecutive patients who underwent ILM peeling for idiopathic macular hole and epiretinal membrane formation between 2008 and 2015. Five patients (2.5 %) developed full-thickness eccentric macular holes postoperatively. Three patients presented with a single eccentric macular hole, one patient had an eccentric hole after a failed idiopathic macular hole surgery and one patient developed four eccentric macular holes. The mean diameter of the holes was 584 μm (range 206-1317 μm) and the average time of holes formation after vitrectomy was 27.7 weeks (range 1-140 weeks). Postoperative best-corrected visual acuity ranged from "counting fingers" to 20/25. The eyes with the holes distant from the fovea had the best final visual acuity. No further intervention was attempted and no complications occurred. The mean follow-up time was 26.8 months. The postoperative macular holes after vitrectomy and ILM peeling were variable in number, size, and time of appearance but remained stable and were not associated with any complications. The pathogenesis of macular holes is most consistent with contraction of the residual ILM or secondary epimacular proliferation probably stimulated by ILM peeling.

Two-stage open reduction and internal fixation versus limited internal fixation combined with external fixation: a meta-analysis of postoperative complications in patients with severe Pilon fractures.

Science.gov (United States)

Cui, Xueliang; Chen, Hui; Rui, Yunfeng; Niu, Yang; Li, He

2018-01-01

Objectives Two-stage open reduction and internal fixation (ORIF) and limited internal fixation combined with external fixation (LIFEF) are two widely used methods to treat Pilon injury. However, which method is superior to the other remains controversial. This meta-analysis was performed to quantitatively compare two-stage ORIF and LIFEF and clarify which method is better with respect to postoperative complications in the treatment of tibial Pilon fractures. Methods We conducted a meta-analysis to quantitatively compare the postoperative complications between two-stage ORIF and LIFEF. Eight studies involving 360 fractures in 359 patients were included in the meta-analysis. Results The two-stage ORIF group had a significantly lower risk of superficial infection, nonunion, and bone healing problems than the LIFEF group. However, no significant differences in deep infection, delayed union, malunion, arthritis symptoms, or chronic osteomyelitis were found between the two groups. Conclusion Two-stage ORIF was associated with a lower risk of postoperative complications with respect to superficial infection, nonunion, and bone healing problems than LIFEF for tibial Pilon fractures. Level of evidence 2.

Internal Dosimetry Monitoring- Detection Limits for a Selected Set of Radionuclides and Their Translation Into Committed Effective Dose

International Nuclear Information System (INIS)

Brandl, A.; Hrnecek, E.; Steger, F.

2004-01-01

To harmonize the practice of internal dosimetry monitoring across the country, the Austrian Standards Institute is currently drafting a new set of standards which are concerned with occupational incorporation monitoring of individuals handling non-sealed radioactive material. This set of standards is expected to consist of three parts discussing the general necessity and frequency, the requirements for monitoring institutions, and the determination and rigorous calculation of committed effective dose after incorporation of radioactive material, respectively. Considerations of the requirements for routine monitoring laboratories have led to an evaluation of the detection limits for routine monitoring equipment. For a selected set of radionuclides, these detection limits are investigated in detail. The main emphasis is placed on the decay chains of naturally occurring radionuclides showing some significant potential for being out of equilibrium due to chemical processes in certain mining industries. The radionuclides considered in this paper are 226Ra, 228Ra, 228Th, 232Th, 234U, 235U, and 238U. Given the routine monitoring intervals of the Austrian Standard, these detection limits are translated into information on committed effective dose. This paper investigates whether routine monitoring equipment is sufficient to ensure compliance with EC directive 96/29/Euratom for this selected set of radionuclides. (Author) 9 refs

Limited internal radiation exposure associated with resettlements to a radiation-contaminated homeland after the Fukushima Daiichi nuclear disaster.

Directory of Open Access Journals (Sweden)

Masaharu Tsubokura

Full Text Available Resettlement to their radiation-contaminated hometown could be an option for people displaced at the time of a nuclear disaster; however, little information is available on the safety implications of these resettlement programs. Kawauchi village, located 12-30 km southwest of the Fukushima Daiichi nuclear power plant, was one of the 11 municipalities where mandatory evacuation was ordered by the central government. This village was also the first municipality to organize the return of the villagers. To assess the validity of the Kawauchi villagers' resettlement program, the levels of internal Cesium (Cs exposures were comparatively measured in returnees, commuters, and non-returnees among the Kawauchi villagers using a whole body counter. Of 149 individuals, 5 villagers had traceable levels of Cs exposure; the median detected level was 333 Bq/body (range, 309-1050 Bq/kg, and 5.3 Bq/kg (range, 5.1-18.2 Bq/kg. Median annual effective doses of villagers with traceable Cs were 1.1 x 10(-2 mSv/y (range, 1.0 x 10(-2-4.1 x 10(-2 mSv/y. Although returnees had higher chances of consuming locally produced vegetables, Cochran-Mantel-Haenszel test showed that their level of internal radiation exposure was not significantly higher than that in the other 2 groups (p=0.643. The present findings in Kawauchi village imply that it is possible to maintain internal radiation exposure at very low levels even in a highly radiation-contaminated region at the time of a nuclear disaster. Moreover, the risks for internal radiation exposure could be limited with a strict food control intervention after resettlement to the radiation-contaminated village. It is crucial to establish an adequate number of radio-contaminated testing sites within the village, to provide immediate test result feedback to the villagers, and to provide education regarding the importance of re-testing in reducing the risk of high internal radiation exposure.

An injection limiting thrustor control device for internal combustion engines

International Nuclear Information System (INIS)

Givaudan, B.

1993-01-01

The aim of this device is the automatic limitation, without any command circuit, of the injection in large diesel engines (16 or 20 cylinders) during a compressed air assisted start-up. The thrustor is driven directly by the compressed air. The limitation may be extended and regulated by the means of valves. Application to start-up of diesel generating sets for nuclear power plants

Teacher Research: Limits and Possibilities of Global and International Connections.

Science.gov (United States)

Diniz-Pereira, Julio Emilio

This paper suggests that teacher research, as an international movement, has the potential to become a counter-hegemonic strategy to construct critical teacher education approaches in a globalized world. It begins by describing globalization and discussing the distinction between hegemonic and counter-hegemonic globalization, or between…

Design of an internal dosimetry program

International Nuclear Information System (INIS)

Wu, C.F.; Goff, T.E.

2004-01-01

Measurement of radiation dose is an essential element of radiation protection programs at nuclear facilities. To protect workers and demonstrate compliance with regulatory requirements, dosimetry programs must be established based on sound technical basis. Historically, external exposure was controlled by occupational dose limits. Internal exposure to radionuclides was limited by maximum permissible body burden and maximum permissible concentration. With the issuance of ICRP 26, ICRP 30, DOE Order 5480.11, DOE/EH-0256T, and the new 10 CFR 20, it has become a requirement that internal dose be assessed and the sum of internal and external doses be maintained below regulatory limits. Nuclear facilities are required to have internal dose evaluation programs adequate to demonstrate compliance with radiation protection standards (RPSs). The Waste Isolation Pilot Plant is a DOE facility designed to demonstrate safe disposal of transuranic (TRU) wastes in an ancient salt bed 2,150 feet underground. Internal dose measurement is required to support waste handling activities. This paper describes the technical basis for the WIPP Internal Dosimetry Program. (author)

Comparison of German and international clearance regulations - chances and limits for harmonization

International Nuclear Information System (INIS)

Thierfeldt, S.; Schartmann, F.

2005-01-01

The regulations on clearance in the German nuclear regulatory framework (especially sect. 29 and Annexes III and IV of the Radiation Protection Ordinance) are comprehensive and well founded. Germany has developed some of its clearance levels in advance of recommendations issued by the EC. Therefore, there are differences between the German and international clearance regulations. That has been investigated by a working group on clearance of the German Commission on Radiological Protection (SSK) which has performed an analysis of differences and their reasons for clearance levels in Germany and other countries (UK, The Netherlands, Sweden, USA and others). Differences can mainly be explained by country specific approaches in scenarios. Differences especially for the most relevant nuclides are not significant from a radiological point of view. The level of radiological protection (trivial dose range, a few 10 μSv/a) is guaranteed in all countries. The international discussion on the international harmonisation of clearance levels (mainly within the scope of the OECD/NEA and IAEA) can be enlightened on the basis of these results. This discussion concentrates on the question how far a harmonisation of clearance level values is actually necessary and possible. The IAEA Safety Guide RS-G-1.7 'Application of the concepts of exclusion, exemption and clearance' is of particular importance, because it proposes a set of values which might in the long-term take the role of international unconditional clearance levels. International harmonisation is only relevant for unconditional clearance of those materials, which are traded in large quantities among countries, in particular metal scrap. Harmonisation of the values to the same order of magnitude is sufficient. (orig.)

Detection and quantification limits: basic concepts, international harmonization, and outstanding ('low-level') issues

International Nuclear Information System (INIS)

Currie, L.A.

2004-01-01

A brief review is given of concepts, basic definitions, and terminology for metrological detection and quantification capabilities, representing harmonized recommendations and norms of the International Union of Pure and Applied Chemistry (IUPAC) and the International Organization for Standardization (ISO), respectively. Treatment of the (low-level) blank and variance function are discussed in some detail, together with special problems arising with detection decisions and the reporting of low-level data. Key references to the international documents follow, as well as specialized references addressing very low-level counting data, skewed environmental blank distributions, and multiple and multivariate detection decisions

UNCLOS and International Law

DEFF Research Database (Denmark)

Martinez Romera, Beatriz; Coelho, Nelson F.

2018-01-01

, treaty law is only one of many sources of the law that governs international relations, the others being customary international law and principles of law. The main conclusion of this chapter is that states may have to wake up to the limitations of the UNCLOS and that this will require understanding...... the relative role of this treaty among other sources of international law....

Friction coefficient and limiter load test analysis by flexibility coefficient model of Hold-Down Spring of nuclear reactor vessel internals

Energy Technology Data Exchange (ETDEWEB)

Xie, Linjun [Zhejiang Univ. of Technology, Hangzhou (China). College of Mechanical Engineering; Xue, Guohong; Zhang, Ming [Shanghai Nuclear Engineering Research and Design Institute, Shanghai (China)

2017-11-15

The friction force between the contact surfaces of a reactor internal hold-down spring (HDS) and core barrel flanges can directly influence the axial stiffness of an HDS. However, friction coefficient cannot be obtained through theoretical analysis. This study performs a mathematical deduction of the physical model of an HDS. Moreover, a mathematical model of axial load P, displacement δ, and flexibility coefficient is established, and a set of test apparatuses is designed to simulate the preloading process of the HDS. According to the experimental research and theoretical analysis, P-δ curves and the flexibility coefficient λ are obtained in the loading processes of the HDS. The friction coefficient f of the M1000 HDS is further calculated as 0.224. The displacement limit load value (4,638 kN) can be obtained through a displacement limit experiment. With the friction coefficient considered, the theoretical load is 4,271 kN, which is relatively close to the experimental result. Thus, the friction coefficient exerts an influence on the displacement limit load P. The friction coefficient should be considered in the design analysis for HDS.

Friction coefficient and limiter load test analysis by flexibility coefficient model of Hold-Down Spring of nuclear reactor vessel internals

International Nuclear Information System (INIS)

Xie, Linjun

2017-01-01

The friction force between the contact surfaces of a reactor internal hold-down spring (HDS) and core barrel flanges can directly influence the axial stiffness of an HDS. However, friction coefficient cannot be obtained through theoretical analysis. This study performs a mathematical deduction of the physical model of an HDS. Moreover, a mathematical model of axial load P, displacement δ, and flexibility coefficient is established, and a set of test apparatuses is designed to simulate the preloading process of the HDS. According to the experimental research and theoretical analysis, P-δ curves and the flexibility coefficient λ are obtained in the loading processes of the HDS. The friction coefficient f of the M1000 HDS is further calculated as 0.224. The displacement limit load value (4,638 kN) can be obtained through a displacement limit experiment. With the friction coefficient considered, the theoretical load is 4,271 kN, which is relatively close to the experimental result. Thus, the friction coefficient exerts an influence on the displacement limit load P. The friction coefficient should be considered in the design analysis for HDS.

Term limits and the tobacco industry.

Science.gov (United States)

Apollonio, Dorie E; Glantz, Stanton A; Bero, Lisa A

2014-03-01

In the 1990s several American states passed term limits on legislators with the stated intention of reducing the influence of wealthy industries on career legislators. Although term limits in the United States do not have a direct relationship to public health, the tobacco industry anticipated that term limits could have indirect effects by either limiting or expanding industry influence. We detail the strategy of the tobacco industry in the wake of term limits using internal tobacco company documents and a database of campaign contributions made to legislators in term limited states between 1988 and 2002. Despite some expectations that term limits would limit tobacco industry access to state legislators, term limits appear to have had the opposite effect. Copyright © 2013 Elsevier Ltd. All rights reserved.

Impact of the internal contamination monitoring for national and international regulations

International Nuclear Information System (INIS)

Gaburo, J.C.; Sordi, G.M.

1996-01-01

An evaluation of the internal radiation dose received by workers between 1984 and 1994 was performed, after a brief description of IPEN facility. The National and International Recommendation aims to reduce the workers' doses below 1/10 of the annual limits. The routine monitoring should be eliminated, if the individual annual dose is below 3/10 of the annual limits. In this case, only the operational monitoring should be maintained. In principle, the concept of restricted area should be reviewed, because, according to Publication 26 of ICRP, 1977, it should be a supervised area instead. The new concept of restricted area recommended by the Publication 60, ICRP 1991, should be adjusted accordingly. Thus, the classification used by the Commission-controlled areas and supervised areas will be with the foreseeable dose and not with the actual dose. When the individual annual dose is kept below 1/10 of the annual limits, the routine monitoring is not necessary, and only operational monitoring is needed. Finally, the future possible activities of the Individual Internal Dosimetry Laboratory at IPEN are discussed, after the elimination of individual monitoring. (authors). 8 refs

Intercrystalline internal adsorption in systems with limiting solubility of components

International Nuclear Information System (INIS)

Krysova, S.K.; Stepanova, V.A.; Mozgovoj, M.V.

1979-01-01

The decrease of the excessive energy of the intercrystalline boundary of ion by additions of transitional elements having unlimited solubility in iron has been studied. The data obtained agree with the results of an earlier work based on materials of a less higher initial purity. For the systems studied (Fe-V, Fe-Cr, Fe-Mn, Fe-Ni) the degree of the intercrystalline interval adsorption is independent of either the annealing temperature or the cooling method. This corresponds to the notion of the relationship between the intercrystalline internal adsorption and the cubic solubility of the addition in a given solvent. For pure ion, a weak temperature dependence of the excessive energy of the intercrystalline boundries was found in the lower section of the examined temperature range. The constants of cumulative recrystallization of the alloys studied in α-phase show a stepwise dependence upon the atomic number of the solute component, what indicates the relationship between the cumulative recrystallization and the intercrystalline internal adsorption. A monotonous decrease of the constant of cumulative recrystallization is observed for the same alloys in α-phase, on both sides of iron

Secondary limits of exposure in facilities handling uranium

International Nuclear Information System (INIS)

Raghavayya, M.

1999-08-01

Annual limits of exposure and intake for radiation workers in nuclear installations have been recommended by the International Commission on Radiological Protection and the same have been adopted by the Indian Atomic Energy Regulatory Board for all the radionuclides of interest. The prescribed limits cannot be directly used for day to day radiation protection work. Hence secondary limits have to be derived for routine applications. The modeling steps may be simple in some situations and more complicated in some others. The limits recommended are for individual radionuclides. But in facilities handling natural or enriched uranium the radionuclides (isotopes of uranium and its decay products) generally occur together in specific ratios. Derivation of secondary limits has to take this into consideration. The present document is an attempt at deriving the secondary limits required for routine application in facilities handling uranium (Mine, mill, refineries and fuel fabrication etc.). Secondary limits of exposure have been derived in this document for air borne activity, activity in water, surface contamination and internal exposures. (author)

Speed limits in The Netherlands : a detailed consideration of the situation inside and outside built-up areas. Contribution to the International OECD symposium "The Effects of Speed Limits on Traffic Accidents and Transport Energy Use", Dublin, 6-8 October, 1981.

NARCIS (Netherlands)

Wegman, F.C.M.

1981-01-01

This paper is a contribution to the international OECD symposium "the effect of speed limits on traffic accidents and transport energy use", held in Dublin on 6-8 October 1981. Outlined are the problems of actual speeds, how speed is influenced, speed restrictions etc. in the Netherlands. In

β limit disruptions in the TFTR tokamak

International Nuclear Information System (INIS)

Fredrickson, E.D.; McGuire, K.; Janos, A.; Bell, M.; Budny, R.V.; Bush, C.E.; Manickam, J.; Mynick, H.; Nazikian, R.; Taylor, G.

1994-11-01

A disruptive β limit (β = plasma pressure/magnetic pressure) is observed in high performance plasmas in TFTR. The MHD character of these disruptions differs substantially from the disruptions in high density plasmas (density limit disruptions) on TFTR. The high β disruptions can occur with less than a milliseconds warning in the form of a fast growing precursor. The precursor appears to be an external kink or internal (m,n)=(1,1) kink strongly coupled through finite β effects and toroidal terms to higher m components. It does not have the open-quote cold bubble close-quote structure found in density limit disruptions. There is also no evidence for a change in the internal inductance, i.e., a major reconnection of the flux, at the time of the thermal quench

International organizations as corporate actors: Agency and emergence in theories of international relations

OpenAIRE

Maier-Rigaud, Remi

2008-01-01

In this paper, the implicit and explicit conceptualizations of international organizations found in the three major theories of international relations are outlined and compared. It turns out that in a neorealist framework, international organizations can be explained; however, they exhibit no autonomy and cannot therefore be conceptualized as a corporate actor. Principally, the same applies to rational choice institutionalism, although limited autonomy is conceivable. Both theories are reduc...

Internal Limiting Membrane Peeling to Prevent Post-vitrectomy Epiretinal Membrane Development in Retinal Detachment.

Science.gov (United States)

Akiyama, Kunihiko; Fujinami, Kaoru; Watanabe, Ken; Tsunoda, Kazushige; Noda, Toru

2016-11-01

To determine the efficacy of internal limiting membrane (ILM) peeling during vitrectomy for rhegmatogenous retinal detachment (RRD) regarding post-vitrectomy epiretinal membrane (ERM) development and visual outcomes. Retrospective, interventional, comparative case series. Setting: Institutional. One hundred and two consecutive eyes with RRD treated with vitrectomy and followed for at least 6 months. ILM was peeled without using dye such as indocyanine green (ICG). Observational Procedures: Patients were divided into 2 groups based on postoperative ERM development: Group 1, 81 eyes without ERM formation; Group 2, 21 eyes with ERM development. Patients also were divided into 2 subgroups: those with and without ILM peeling (58 and 44 eyes, respectively). Statistical analyses were performed between the 2 groups with/without ERM formation and between the 2 subgroups with/without ILM peeling for 5 preoperative factors including foveal involvement of the RRD, 4 intraoperative factors including ILM peeling, baseline best-corrected visual acuity (BCVA), and final BCVA. An association of ILM peeling with ERM prevention and the influence of ILM peeling on visual outcomes. ILM peeling was significantly (P peeling. ILM peeling without ICG staining during the initial vitrectomy for RRDs may prevent postoperative ERM formation with favorable visual outcomes. Copyright © 2016 Elsevier Inc. All rights reserved.

Le groupe de recherches transfusionnelles d’Afrique francophone: bilan des cinq premières années

Science.gov (United States)

Tagny, Claude Tayou; Murphy, Edward L.; Lefrère, Jean-Jacques

2016-01-01

Les travaux de recherches sur la sécurité transfusionnelle en Afrique sub-saharienne sont peu nombreux, souvent limités à des initiatives locales avec des conclusions difficilement représentatives de cette région. Le Groupe de recherches transfusionnelles en Afrique sub-saharienne francophone a été créé en mai 2007 avec pour objectif de développer des stratégies globales d’amélioration de la sécurité transfusionnelle mais adaptables à la situation de chaque pays. Les activités du Groupe à ce jour ont porté essentiellement sur l’obtention de données épidémiologiques et de laboratoire sur la transfusion sanguine et à proposer des stratégies de sécurité transfusionnelle dans le domaine des infections transmissibles par la transfusion. Pour mener à bien ces activités de recherche, le Groupe travaille en étroite collaboration avec les Centres nationaux de transfusion sanguine (CNTS), les Centres régionaux de transfusion sanguine (CRTS), les banques de sang hospitalières (BSH) et les postes de collecte de sang. Pour les 5 premières années, quatre priorités de recherche ont été identifiées: (i) des études descriptives sur les caractéristiques des donneurs de sang et des centres de transfusion; (ii) une estimation du risque résiduel post-transfusionnel des principales infections virales transmissibles par la transfusion; (iii) une analyse des stratégies de sélection médicale des donneurs de sang; et (iv) une description des stratégies de dépistage des ITT et une description du système d’assurance qualité externe existant. Durant cette période, sept projets ont été mis en œuvre au niveau national et publiés et cinq études multicentriques ont été réalisées et publiées. La présente étude rapporte les principales observations et recommandations de ces études. PMID:24360798

Anticipatory action in self-defence: essence and limits under international law

NARCIS (Netherlands)

Tibori Szabó, K.

2011-01-01

The legality of preemptive strikes is one of the most controversial questions of contemporary international law. At the core of this controversy stands the temporal dimension of self-defence: when and for how long can a state defend itself against an armed attack? Can it resort to armed force before

Escaping the Ashby limit for mechanical damping/stiffness trade-off using a constrained high internal friction interfacial layer.

Science.gov (United States)

Unwin, A P; Hine, P J; Ward, I M; Fujita, M; Tanaka, E; Gusev, A A

2018-02-06

The development of new materials with reduced noise and vibration levels is an active area of research due to concerns in various aspects of environmental noise pollution and its effects on health. Excessive vibrations also reduce the service live of the structures and limit the fields of their utilization. In oscillations, the viscoelastic moduli of a material are complex and it is their loss part - the product of the stiffness part and loss tangent - that is commonly viewed as a figure of merit in noise and vibration damping applications. The stiffness modulus and loss tangent are usually mutually exclusive properties so it is a technological challenge to develop materials that simultaneously combine high stiffness and high loss. Here we achieve this rare balance of properties by filling a solid polymer matrix with rigid inorganic spheres coated by a sub-micron layer of a viscoelastic material with a high level of internal friction. We demonstrate that this combination can be experimentally realised and that the analytically predicted behaviour is closely reproduced, thereby escaping the often termed 'Ashby' limit for mechanical stiffness/damping trade-off and offering a new route for manufacturing advanced composite structures with markedly reduced noise and vibration levels.

Tomographic Structural Changes of Retinal Layers after Internal Limiting Membrane Peeling for Macular Hole Surgery.

Science.gov (United States)

Faria, Mun Yueh; Ferreira, Nuno P; Cristóvao, Diana M; Mano, Sofia; Sousa, David Cordeiro; Monteiro-Grillo, Manuel

2018-01-01

To highlight tomographic structural changes of retinal layers after internal limiting membrane (ILM) peeling in macular hole surgery. Nonrandomized prospective, interventional study in 38 eyes (34 patients) subjected to pars plana vitrectomy and ILM peeling for idiopathic macular hole. Retinal layers were assessed in nasal and temporal regions before and 6 months after surgery using spectral domain optical coherence tomography. Total retinal thickness increased in the nasal region and decreased in the temporal region. The retinal nerve fiber layer (RNFL), ganglion cell layer (GCL), and inner plexiform layer (IPL) showed thinning on both nasal and temporal sides of the fovea. The thickness of the outer plexiform layer (OPL) increased. The outer nuclear layer (ONL) and outer retinal layers (ORL) increased in thickness after surgery in both nasal and temporal regions. ILM peeling is associated with important alterations in the inner retinal layer architecture, with thinning of the RNFL-GCL-IPL complex and thickening of OPL, ONL, and ORL. These structural alterations can help explain functional outcome and could give indications regarding the extent of ILM peeling, even though peeling seems important for higher rate of hole closure. © 2017 S. Karger AG, Basel.

Teaching Vocabulary through Games--A Sanguine Step

Science.gov (United States)

Anil, Beena

2011-01-01

Vocabulary is predominant in improving one's communicative skill. Language is more powerful when it is being used perfectly. Teachers should consider the background of learners and aid them to learn and develop their vocabulary in many interesting ways especially through games. This paper deals with a productive and a logical study, done on a set…

Africa Sanguine - Vol 18, No 1 (2015)

African Journals Online (AJOL)

Adverse reactions in voluntary whole blood donors: Experience at the National Blood Transfusion Centre in Democratic Republic of Congo · EMAIL FULL TEXT EMAIL FULL TEXT · DOWNLOAD FULL TEXT DOWNLOAD FULL TEXT. Salomon Batina Agasa, Paul Kabamba, David Ndakala, Sylvain Yuma, Danlele Sondag- ...

Africa Sanguine - Vol 16, No 2 (2013)

African Journals Online (AJOL)

T-REC: Strengthening capacity for blood transfusion research in Ghana and Zimbabwe · EMAIL FULL TEXT EMAIL FULL TEXT · DOWNLOAD FULL TEXT DOWNLOAD FULL TEXT. A Dunn, D Ansong, D Mvere, J Ansah, S Owusu-Ofori, E Gomo, I Bates, 14-18 ...

Africa Sanguine - Vol 17, No 2 (2015)

African Journals Online (AJOL)

Effects of Interrupted Power Supply on the Viability of SAGM and CPDA1 Stored Erythrocytes · EMAIL FULL TEXT EMAIL FULL TEXT · DOWNLOAD FULL TEXT DOWNLOAD FULL TEXT. AO Shittu, HO Olawumi, WB Yahya, JO Adewuyi, 1-6. Application of Information Technology by Blood Banking and Transfusion Facilities ...

The role of internal limiting membrane peeling in epiretinal membrane surgery: a randomised controlled trial.

Science.gov (United States)

Tranos, Paris; Koukoula, Stavrenia; Charteris, Davic G; Perganda, Georgia; Vakalis, Athanasios; Asteriadis, Solon; Georgalas, Ilias; Petrou, Petros

2017-06-01

To compare the anatomical and functional outcomes after primary idiopathic epiretinal membrane (ERM) peeling with or without internal limiting membrane (ILM) peeling. A two-centre randomised, controlled clinical trial with 12 months of follow-up. One hundred and two eyes of 102 patients were included in the analysis and were randomised into two groups (ILM peeling (P) and non-ILM peeling (NP) group). Inclusion criteria were: Idiopathic ERM confirmed on optical coherence tomography, age ≥18 years, binocular distortion, best-corrected visual acuity (BCVA) ≤90 ETDRS letters, intraocular pressure ≤23 mm Hg and informed consent. The primary outcome measure was the mean change in the ETDRS distance BCVA at 12 months' follow-up for each group. The mean change in distance BCVA at 12 months was 0.30±0.24 logMAR (15 ETDRS letters) in the P group and 0.31±0.23 logMAR (14 ETDRS letters) in the NP group, a change that was not statistically significant (p=0.84). No statistically significant differences were observed when comparing the changes in distance BCVA, the changes in metamorphopsia (Amsler grid) and the changes in central retinal thickness between the two groups at any of the time points studied. Our analysis suggests that ILM peeling in idiopathic ERM surgery does not result in better visual improvement. The more frequent presence of an uninterrupted interdigitation zone in the P group did not result in a better functional outcome of our patients. No recurrent ERMs were noted in either group. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.

Author Details

African Journals Online (AJOL)

ananas comosus» sur les parametres morphometriques et le taux des lipides sanguins atherogenes chez les rats obeses. Abstract. ISSN: 2413-354X. AJOL African Journals Online. HOW TO USE AJOL... for Researchers · for Librarians ...

US ITER limiter module design

International Nuclear Information System (INIS)

Mattas, R.F.; Billone, M.; Hassanein, A.

1996-08-01

The recent U.S. effort on the ITER (International Thermonuclear Experimental Reactor) shield has been focused on the limiter module design. This is a multi-disciplinary effort that covers design layout, fabrication, thermal hydraulics, materials evaluation, thermo- mechanical response, and predicted response during off-normal events. The results of design analyses are presented. Conclusions and recommendations are also presented concerning, the capability of the limiter modules to meet performance goals and to be fabricated within design specifications using existing technology

Internal Audit and Risk Management

OpenAIRE

Constantin Nicolae Vasile; Alexandru Georgiana

2011-01-01

Internal audit and risk management have the same goal: the control of risk. There are various roles for the internal audit in respect of risk management. The main limitations of internal audit in respect of risk management regards assuming risk management tasks. One of the main issues regarding risk management is to make sure that the key risks are taken into consideration and that the management and the board of the organization take action as needed. Internal audit could give advice to mana...

Morphological study in internal derangement of the temporomandibular joint with MRI. The relationships between the state of the articular disc and limitation of motion of the mandibular head

International Nuclear Information System (INIS)

Miyazu, Hiroko; Sakurai, Takashi; Numayama, Sukenao; Furuya, Nobuaki; Kashima, Isamu

1997-01-01

In this study, we used MRI to investigate the relationships between these factors in temporomandibular joint (TMJ) patients, especially with regard to the range of condylar movement. Bone configurations and articular disc conditions were analyzed in a total of 367 TMJ of 255 internal derangement patients using MRI. We examined the influence of articular disc condition on functional disorder and identified the tendencies of the pathology of patients with internal derangements. Anterolateral displacement was more frequent than anteromedial displacement, and lateral rotary displacement was more frequent than medial rotary displacement. Therefore, the articular disc displaced more readily laterally, rather than medially. With regard to the relationship between the articular disc configuration and reduction, enlargement of the posterior band and biconvex discs showed a tendency for articular disc displacement that did not reduce, while discs with even thickness showed a tendency of articular disc displacement which would reduce. Folding and biconvexity tended to limit condylar movement while less limitation occurred with discs of even thickness. In cases of disc displacement without reduction, there was a significantly higher percentage of cases with limited condylar movement than in cases of displacement with reduction. (K.H.)

Range-reference determination of lymphocyte subsets in Moroccan

African Journals Online (AJOL)

Administrator

Centre de Transfusion Sanguine, Hôpital Militaire d'Instruction Med V Rabat, Morocco. 3. Service ... The percentage of CD3-CD56+ subsets was affected by smoking (p < 0.01). Our analysis .... lymphocyte subpopulations in non-smokers and.

fortification des farines tropicales par l'introduction de proteines ...

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2Université d'Abomey Calavy, Faculté des Sciences et Techniques, Bénin ... valeur recommandée par le Codex Alimentarius pour ce type de complément alimentaire destiné aux enfants. ..... neurotransmission, coagulation sanguine et.

77 FR 15003 - Passive Activity Losses and Credits Limited; Hearing

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2012-03-14

... DEPARTMENT OF THE TREASURY Internal Revenue Service 26 CFR Part 1 [REG-109369-10] RIN 1545-BJ33 Passive Activity Losses and Credits Limited; Hearing AGENCY: Internal Revenue Service (IRS), Treasury. [[Page 15004

Limitations of poster presentations reporting educational innovations at a major international medical education conference

Directory of Open Access Journals (Sweden)

Morris Gordon

2013-02-01

Full Text Available Background: In most areas of medical research, the label of ‘quality’ is associated with well-accepted standards. Whilst its interpretation in the field of medical education is contentious, there is agreement on the key elements required when reporting novel teaching strategies. We set out to assess if these features had been fulfilled by poster presentations at a major international medical education conference. Methods: Such posters were analysed in four key areas: reporting of theoretical underpinning, explanation of instructional design methods, descriptions of the resources needed for introduction, and the offering of materials to support dissemination. Results: Three hundred and twelve posters were reviewed with 170 suitable for analysis. Forty-one percent described their methods of instruction or innovation design. Thirty-three percent gave details of equipment, and 29% of studies described resources that may be required for delivering such an intervention. Further resources to support dissemination of their innovation were offered by 36%. Twenty-three percent described the theoretical underpinning or conceptual frameworks upon which their work was based. Conclusions: These findings suggest that posters presenting educational innovation are currently limited in what they offer to educators. Presenters should seek to enhance their reporting of these crucial aspects by employing existing published guidance, and organising committees may wish to consider explicitly requesting such information at the time of initial submission.

Limitations of poster presentations reporting educational innovations at a major international medical education conference.

Science.gov (United States)

Gordon, Morris; Darbyshire, Daniel; Saifuddin, Aamir; Vimalesvaran, Kavitha

2013-02-19

In most areas of medical research, the label of 'quality' is associated with well-accepted standards. Whilst its interpretation in the field of medical education is contentious, there is agreement on the key elements required when reporting novel teaching strategies. We set out to assess if these features had been fulfilled by poster presentations at a major international medical education conference. Such posters were analysed in four key areas: reporting of theoretical underpinning, explanation of instructional design methods, descriptions of the resources needed for introduction, and the offering of materials to support dissemination. Three hundred and twelve posters were reviewed with 170 suitable for analysis. Forty-one percent described their methods of instruction or innovation design. Thirty-three percent gave details of equipment, and 29% of studies described resources that may be required for delivering such an intervention. Further resources to support dissemination of their innovation were offered by 36%. Twenty-three percent described the theoretical underpinning or conceptual frameworks upon which their work was based. These findings suggest that posters presenting educational innovation are currently limited in what they offer to educators. Presenters should seek to enhance their reporting of these crucial aspects by employing existing published guidance, and organising committees may wish to consider explicitly requesting such information at the time of initial submission.

Relationship between Peeled Internal Limiting Membrane Area and Anatomic Outcomes following Macular Hole Surgery: A Quantitative Analysis

Directory of Open Access Journals (Sweden)

Yasin Sakir Goker

2016-01-01

Full Text Available Purpose. To quantitatively evaluate the effects of peeled internal limiting membrane (ILM area and anatomic outcomes following macular hole surgery using spectral domain optical coherence tomography (SD-OCT. Methods. Forty-one eyes in 37 consecutive patients with idiopathic, Gass stage 3-4 macular hole (MH were enrolled in this retrospective comparative study. All patients were divided into 2 groups according to anatomic success or failure. Basal MH diameter, peeled ILM area, and MH height were calculated using SD-OCT. Other prognostic parameters, including age, stage, preoperative BCVA, and symptom duration were also assessed. Results. Thirty-two cases were classified as anatomic success, and 9 cases were classified as anatomic failure. Peeled ILM area was significantly wider and MH basal diameter was significantly less in the anatomic success group (p=0.024 and 0.032, resp.. Other parameters did not demonstrate statistical significance. Conclusion. The findings of the present study show that the peeled ILM area can affect the anatomic outcomes of MH surgery.

A bibliographical survey of bruxism with special emphasis on non-traditional treatment modalities.

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Nissani, M

2001-06-01

After proposing a common-sense definition of bruxism, this partial review distills its various symptoms and consequences from the literature. That literature suggests that the splint-the most popular treatment modality-falls short in some respects. The research literature is even less sanguine about the efficacy of such other traditional therapies as sound alarms and stress reduction. Given the limited success of traditional approaches, and given, moreover, the high incidence of bruxism and its harmful consequences, clinicians may occasionally be interested in experimenting with non-intrusive, safe, less widely known, treatment modalities. To meet this need, this review-unlike all other reviews of the subject-focuses on such comparatively unpopular or recent approaches.

Les hémorragies post coïtales: à propos de 68 cas et revue de ...

African Journals Online (AJOL)

% des cas, associé à une transfusion sanguine chez deux patientes et une abstinence sexuelle pendant minimum deux semaines chez toutes nous patientes. Le contexte social ainsi que le manque d'éducation sexuelle sont souvent incriminé ...

Revised dose limits and new respiratory tract model and their implications for annual limits of intake of radioactive materials - A review of recent ICRP publications

Energy Technology Data Exchange (ETDEWEB)

Schlesinger, T; Silverman, I; Shapira, M [Israel Atomic Energy Commission, Yavne (Israel). Soreq Nuclear Research Center

1996-12-01

Ionizing radiation may cause immediate and/or delayed biological damages to the body of the exposed person and/or his/her progeny. The exposure may be caused by an external source or may arise due to internal contamination by a radioactive material. To prevent such exposure, or to reduce the probability that it will occur, national authorities and international organizations engaged in radiation safety and protection have set limits for the exposure to ionizing radiation from either source. The sensitivity of the body to ionizing radiation usually decreases with age. For this reason and due to the limited possibilities to control the exposure of the general public, different limits have been set for for occupational exposure and for the exposure of members of the public of different age groups. The general principles of these limits and guidelines for their calculations are set by the International Commission on Radiological Protection (ICRP) and published in the Annals of the ICRP. The basic philosophy of the Commission, which includes the principles of justification, optimization and dose limits, the basic radiobiological models, and the distinction between stochastic and non-stochastic effects has been presented in its publication no. 26. Based on this philosophy, the Commission issued between 1979 and 1988 a series of publications followed by annexes and addenda known as publication no. 30. This series presented models describing the metabolism of radioactive materials which enter the body by inhalation and ingestion, the transfer of such materials from the respiratory tract and the gastrointestinal tract to the blood, and from there to the body organs and the excretion of the material from the body. This series presented also values for biokinetic parameters of these systems and transfer paths, and methods for calculating limits on intake which ensure that the exposure from internal contamination will not exceed the dose limits set.

Smooth massless limit of field theories

International Nuclear Information System (INIS)

Fronsdal, C.

1980-01-01

The massless limit of Fierz-Pauli field theories, describing fields with fixed mass and spin interacting with external sources, is examined. Results are obtained for spins, 1, 3/2, 2 and 3 using conventional models, and then for all half-integral spins in a relatively model-independent manner. It is found that the massless limit is smooth provided that the sources satisfy certain conditions. In the massless limit these conditions reduce to the conservation laws required by internal consistency of massless field theory. Smoothness simply requires that quantities that vanish in the massless case approach zero in a certain well-defined manner. (orig.)

26 CFR 1.615-4 - Limitation of amount deductible.

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2010-04-01

... 1.615-4 Internal Revenue INTERNAL REVENUE SERVICE, DEPARTMENT OF THE TREASURY (CONTINUED) INCOME TAX (CONTINUED) INCOME TAXES (CONTINUED) Natural Resources § 1.615-4 Limitation of amount deductible. (a) Taxable... lease with respect to certain coal lands. A has deducted exploration expenditures under section 615 for...

SWEPT-SOURCE OPTICAL COHERENCE TOMOGRAPHY ANGIOGRAPHY REVEALS INTERNAL LIMITING MEMBRANE PEELING ALTERS DEEP RETINAL VASCULATURE.

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Michalewska, Zofia; Nawrocki, Jerzy

2018-04-30

To describe morphology of retinal and choroidal vessels in swept-source optical coherence tomography angiography before and after vitrectomy with the temporal inverted internal limiting membrane (ILM) flap technique for full-thickness macular holes. Prospective, observational study of 36 eyes of 33 patients with full-thickness macular holes swept-source optical coherence tomography angiography was performed in patients before and 1 month after vitrectomy. Vitrectomy with the temporal inverted ILM flap technique was performed. In this method, ILM is peeled only at one side of the fovea. An ILM flap is created to cover the macular hole. Comparison of retina vasculature in the areas of ILM peeling vs. no ILM peeling at 1 and 3 months after successful vitrectomy was performed. The study demonstrated lower density of vessels in the deep retinal plexus in the area where ILM was peeled as compared to the rest of the fovea. Visual acuity and central retinal thickness 1 month after surgery correlates with fovea avascular zone diameter in deep retinal layers at the same time point (P = 0.001). This study confirmed that ILM peeling might alter blood flow in deep retinal vessels below the peeling area in the early postoperative period. The area of the fovea avascular zone corresponds to functional results at the same time point.

Outcomes of 23-gauge pars plana vitrectomy and internal limiting membrane peeling with brilliant blue in macular hole

Directory of Open Access Journals (Sweden)

Nohutcu A

2011-08-01

Full Text Available Huseyin Sanisoglu1, Mehmet Sahin Sevim1, Betul Aktas1, Semra Sevim2, Ahmet Nohutcu11Haydarpasa Numune Education and Research Hospital, Department of Ophthalmology, 2Uskudar State Hospital, Eye Clinic, Istanbul, TurkeyPurpose: The evaluation of anatomic and visual outcomes in macular hole cases treated with internal limiting membrane (ILM peeling, brilliant blue (BB, and 23-gauge pars plana vitrectomy (PPV.Materials and methods: Fifty eyes of 48 patients who presented between July 2007 and December 2009 with the diagnosis of stage 2, 3, or 4 macular holes according to Gass Classification who had undergone PPV and ILM peeling were included in this study. Pre- and postoperative macular examinations were assessed with spectral-domain optical coherence tomography. 23 G sutureless PPV and ILM peeling with BB was performed on all patients.Results: The mean age of patients was 63.34 ± 9.6 years. Stage 2 macular hole was determined in 17 eyes (34%, stage 3 in 24 eyes (48%, and stage 4 in 9 eyes (18%. The mean follow-up time was 13.6 ± 1.09 months. Anatomic closure was detected in 46/50 eyes (92%, whereas, in four cases, macular hole persisted and a second operation was not required due to subretinal fluid drainage. At follow-up after 2 months, persistant macular hole was detected in one case and it was closed with reoperation. At 12 months, an increase in visual acuity in 41 eyes was observed, while it remained at the same level in six eyes. In three eyes visual acuity decreased. There was a postoperative statistically significant increase in visual acuity in stage 2 and 3 cases (P < 0.05, however, no increase in visual acuity in stage 4 cases was observed.Conclusion: PPV and ILM peeling in stage 2, 3, and 4 macular hole cases provide successful anatomic outcomes, however, in delayed cases, due to photoreceptor loss, it has no effect on functional recovery. BB, used for clarity of ILM, may be beneficial due to its low retinal toxicity.Keywords: macular

Maritime law and naval arms limitation: A Soviet perspective

International Nuclear Information System (INIS)

Vtorygin, L.

1986-01-01

Under conditions of the sharply aggravated international situation, there is an urgent necessity to intensify the struggle for the creation and consistent application of the principles and rules of international security law - which is a newly developing branch of modern international law. The Soviet scientists working in the field of international law regard international security law as a leading branch among the various branches of modern international law. The principles and rules of international security law are called upon to regulate international relations in the spheres of arms race limitation, in disarmament (particularly nuclear disarmament), and in the employment of naval fleets with one purpose only-to protect peace. They present, by themselves, an important group of principles and rules which influence the formation of a new international legal order in the oceans

Total internal reflection effect on gyrotropic interface

Science.gov (United States)

Glushchenko, Alexander G.; Glushchenko, Eugene P.; Zhukov, Sergey V.

2018-02-01

This article considers the physical features of total internal reflection at gyrotropic and isotropic interfaces for two cases: electrical gyrotropy (plasma) and magnetic gyrotropy (ferrite). It is shown that the plasma magnetization may lead to the formation of the total internal reflection effect, which does not occur in isotropic plasma. The threshold values of the magnetic field, which are necessary for the total internal reflection effect, are determined. The total internal reflection effect on a ferrite-dielectric interface for waves emanating from different angles is observed in various frequency ranges and magnetization fields. The study points out the possibility of changing the total internal reflection angle value in large limits due to a change in the external magnetic field magnitude. The calculation results of the total internal reflection angle dependence on the external magnetic field magnitude are presented. The formulas are elaborated for calculating the total internal reflection angles of different interfaces for gyrotropic and isotropic media. The generalized formulas are defined for calculating the Doppler effect in the gyrotropic media. The study demonstrates how the velocity of the media interface affects the limiting angle of total internal refection.

26 CFR 1.617-2 - Limitation on amount deductible.

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2010-04-01

... 1.617-2 Internal Revenue INTERNAL REVENUE SERVICE, DEPARTMENT OF THE TREASURY (CONTINUED) INCOME TAX (CONTINUED) INCOME TAXES (CONTINUED) Natural Resources § 1.617-2 Limitation on amount deductible. (a... 1967, 1968, 1969, and 1970 A had exploration costs of $80,000 all with respect to coal deposits located...

Plastic Limit Loads for Slanted Circumferential Through-Wall Cracked Pipes Using 3D Finite-Element Limit Analyses

International Nuclear Information System (INIS)

Jang, Hyun Min; Cho, Doo Ho; Kim, Young Jin; Huh, Nam Su; Shim, Do Jun; Choi, Young Hwan; Park, Jung Soon

2011-01-01

On the basis of detailed 3D finite-element (FE) limit analyses, the plastic limit load solutions for pipes with slanted circumferential through-wall cracks (TWCs) subjected to axial tension, global bending, and internal pressure are reported. The FE model and analysis procedure employed in the present numerical study were validated by comparing the present FE results with existing solutions for plastic limit loads of pipes with idealized TWCs. For the quantification of the effect of slanted crack on plastic limit load, slant correction factors for calculating the plastic limit loads of pipes with slanted TWCs from pipes with idealized TWCs are newly proposed from extensive 3D FE calculations. These slant-correction factors are presented in tabulated form for practical ranges of geometry and for each set of loading conditions

[Case control study on therapeutic effects of dynamic external fixtor combined with limited internal fixation and cross K-wires fixation for the treatment of Pilon fractures of the proximal interphalangeal joint].

Science.gov (United States)

Miao, Dao-yi; Yang, Guo-jing; Zhang, Ling-zhou; Wu, Jian-wei

2015-10-01

To compare the clinical effects and safety of dynamic external fixtor combined with limited internal fixation and cross K-wires fixation for the treatment of close Pilon fractures of the proximal interphalangeal joint. From June 2012 to June 2014, totally 41 patients (45 fingers) with close interphalangeal joint Pilon fracture were treated by dynamic external fixtor combined with limited internal fixation or cross K-wires fixation, and all the patients were followed up. In the dynamic external fixtor combined with limited internal fixation group (group A), there were 21 patients with 22 fingers, including 12 males and 9 females, with an average of (30.6±5.6) years old. In the cross K-wires fixation group (group B), there were 20 patients with 23 fingers, including 11 males and 9 females, with an average of (30.1±5.3) years old. Regular re-examination of X-ray was performed to evaluate the active range of joint motion, fracture healing time, infection rate and postoperative joint motion pain. According to the evaluation criteria of upper extremity function issued by the Hand Surgery Society of Chinese Medical Association, the excellent and good cases of group A was up to 19 and 13 for group B. The evaluation results has significant differences (Z=2.558, P=0.011). The excellent and good rate of group A was obviously higher than that of group B. The average bone union time of group A was (7.9±2.1) weeks, and (8.1±2.3) weeks for group B. There was no significant difference on the mean healing time (t=-0.304, P=0.762). The infection fingers of group A was 5, and 1 for group B. The difference between the results was statistically significant (χ2=3.287, Pexternal fixtor combined with limited internal fixation is a reliable and effective method to treat Pilon fractures of the proximal interphalangeal joint. It allows early postoperative functional rehabilitation and restores the joint function.

Internal limiting membrane peeling or not: a systematic review and meta-analysis of idiopathic macular pucker surgery.

Science.gov (United States)

Fang, Xiao-Ling; Tong, Yao; Zhou, Ya-Li; Zhao, Pei-Quan; Wang, Zhao-Yang

2017-11-01

To determine whether internal limiting membrane (ILM) peeling improves anatomical and functional outcomes in idiopathic macular pucker (IMP)/epiretinal membrane (ERM) surgery in this systematic review and meta-analysis. We searched the PubMed, Medline, Web of Science, Cochrane, Ovid MEDLINE, ClinicalTrials.gov and CNKI databases for studies published before 15 September 2016. The eligibility criteria included studies comparing ILM peeling versus no-peeling for IMP surgery. Thirteen articles (10 retrospective cohort studies, 1 prospective cohort study and 2 randomised controlled trials (RCTs)) were included in the review. Primary outcomes: no differences were observed in the best-corrected visual acuity (BCVA) or central macular thickness (CMT) at 12 months; however, lower ERM recurrence (OR, 0.13; 95% CI 0.04 to 0.41; p=0.0004) and reoperation rates (OR, 0.10; 95% CI 0.02 to 0.49; p=0.004) that favoured ILM peeling were observed at the final follow-up. no difference was observed in BCVA at 3, 6 months, the final follow-up or in CMT at 3, 6 months, the final follow-up. Significantly increased CMT, which favoured ILM peeling, was observed at the final follow-up (p=0.002) in the RCTs. ILM peeling yielded greater anatomical success, but no improvement in functional outcomes as the treatment of choice for patients undergoing IMP surgery. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.

Minimum exposure limits and measured relationships between the vitamin D, erythema and international commission on non-ionizing radiation protection solar ultraviolet.

Science.gov (United States)

Downs, Nathan; Parisi, Alfio; Butler, Harry; Turner, Joanna; Wainwright, Lisa

2015-01-01

The International Commission on Non-Ionizing Radiation Protection (ICNIRP) has established guidelines for exposure to ultraviolet radiation in outdoor occupational settings. Spectrally weighted ICNIRP ultraviolet exposures received by the skin or eye in an 8 h period are limited to 30 J m(-2). In this study, the time required to reach the ICNIRP exposure limit was measured daily in 10 min intervals upon a horizontal plane at a subtropical Australian latitude over a full year and compared with the effective Vitamin D dose received to one-quarter of the available skin surface area for all six Fitzpatrick skin types. The comparison of measured solar ultraviolet exposures for the full range of sky conditions in the 2009 measurement period, including a major September continental dust event, show a clear relationship between the weighted ICNIRP and the effective vitamin D dose. Our results show that the horizontal plane ICNIRP ultraviolet exposure may be used under these conditions to provide minimum guidelines for the healthy moderation of vitamin D, scalable to each of the six Fitzpatrick skin types. © 2014 The American Society of Photobiology.

International Organizations and Trade

OpenAIRE

Antras, Pol

2010-01-01

The three central primitives of international trade theory are consumer preferences, factor endowments, and the production technologies that allow firms to transform factors of production into consumer goods. A limitation of traditional trade theory, however, is that the specification of technology treats the mapping between factors of production and final goods as a black box. In practice, the decisions of agents in organizations determine this mapping. Recently, international trade economis...

Rif1 Binding and Control of Chromosome-Internal DNA Replication Origins Is Limited by Telomere Sequestration.

Science.gov (United States)

Hafner, Lukas; Lezaja, Aleksandra; Zhang, Xu; Lemmens, Laure; Shyian, Maksym; Albert, Benjamin; Follonier, Cindy; Nunes, Jose Manuel; Lopes, Massimo; Shore, David; Mattarocci, Stefano

2018-04-24

The Saccharomyces cerevisiae telomere-binding protein Rif1 plays an evolutionarily conserved role in control of DNA replication timing by promoting PP1-dependent dephosphorylation of replication initiation factors. However, ScRif1 binding outside of telomeres has never been detected, and it has thus been unclear whether Rif1 acts directly on the replication origins that it controls. Here, we show that, in unperturbed yeast cells, Rif1 primarily regulates late-replicating origins within 100 kb of a telomere. Using the chromatin endogenous cleavage ChEC-seq technique, we robustly detect Rif1 at late-replicating origins that we show are targets of its inhibitory action. Interestingly, abrogation of Rif1 telomere association by mutation of its Rap1-binding module increases Rif1 binding and origin inhibition elsewhere in the genome. Our results indicate that Rif1 inhibits replication initiation by interacting directly with origins and suggest that Rap1-dependent sequestration of Rif1 increases its effective concentration near telomeres, while limiting its action at chromosome-internal sites. Copyright © 2018 The Author(s). Published by Elsevier Inc. All rights reserved.

Displacement of foveal area toward optic disc after macular hole surgery with internal limiting membrane peeling.

Science.gov (United States)

Kawano, K; Ito, Y; Kondo, M; Ishikawa, K; Kachi, S; Ueno, S; Iguchi, Y; Terasaki, H

2013-07-01

To determine whether there is a displacement of the fovea toward the optic disc after successful macular hole (MH) surgery with internal limiting membrane (ILM) peeling. The medical records of 54 eyes of 53 patients that had undergone pars plana vitrectomy with ILM peeling and gas or air tamponade for an idiopathic MH were evaluated. Spectral-domain optical coherence tomography (OCT) had been performed before and >6 months after the surgery. The preoperative distances between the center of the MH and the optic disc (MH-OD), center of the MH and the bifurcation or crossing of retinal vessels (MH-RV) were measured in the OCT images. In addition, the postoperative distance between the center of the fovea and optic disc (F-OD) and the center of the fovea and the same bifurcation or crossing of retinal vessels (F-RV) were measured in the OCT images. The F-OD was 2.67±0.33 disc diameters (DD), which was significantly shorter than that of the MH-OD of 2.77±0.33 DD (Pdisplacement of the center of the macula toward the optic disc.

Inner retinal thinning after Brilliant Blue G-assisted internal limiting membrane peeling for vitreoretinal interface disorders.

Science.gov (United States)

Ambiya, Vikas; Goud, Abhilash; Khodani, Mitali; Chhablani, Jay

2017-04-01

The aim of this study was to evaluate ganglion cell layer and nerve fiber layer thickness after Brilliant Blue G (BBG)-assisted internal limiting membrane (ILM) peeling for vitreomacular disorders. Retrospective analysis of spectral domain optical coherence tomography (SD-OCT) of 42 eyes of 42 patients, who underwent pars plana vitrectomy with BBG-assisted ILM peeling, was performed. Inclusion criteria were idiopathic macular hole, idiopathic vitreomacular traction, and idiopathic epiretinal membrane. Key exclusion criteria were vitreoretinal interface abnormalities secondary to any other diseases, follow-up period of less than 3 months, and any other associated retinal pathology. Average, minimum, and sectoral ganglion cell, and inner plexiform layers (GCIPL) and retinal nerve fiber layer (RNFL) parameters were collected. Changes in these parameters from baseline to 3- and 6-month visits after surgery were analyzed. At 3 months after surgery, we found a statistically significant reduction in the average GCIPL thickness (P = 0.031) and also in the superior sectors (P peeling for vitreomacular interface disorders leads to thinning of the inner retina including GCIPL and RNFL. These structural changes should be correlated with retinal function tests to explore the pros and cons of this surgical step.

BLOOD DONORS CAMPAIGN

CERN Document Server

Medical Service

2002-01-01

Tuesday 19 March 2002 in restaurant nr 2, from 9.00 to 16.30 hrs A blood donors campaign, organized by the Centre de Transfusion sanguine of Geneva If you already have a card giving your blood group, please bring this with you.

African Journal of Neurological Sciences 2011 - Vol. 30, No 2 http ...

African Journals Online (AJOL)

AJNS WEBMASTERS

Le syndrome d'hypertension intracrânienne était constant, compliqué de .... sanguine (NFS), glycémie, bilan de coagulation et bilan phosphocalcique, ionogramme ... respiration eupnéique-6 ou de type Cheyne-Stokes- 3 et à un déficit ...

26 CFR 1.52-3 - Limitations with respect to certain persons.

Science.gov (United States)

2010-04-01

... control, under § 1.52-1 (a) and (b). (b) Regulated investment companies and real estate investment trusts... 26 Internal Revenue 1 2010-04-01 2010-04-01 true Limitations with respect to certain persons. 1.52-3 Section 1.52-3 Internal Revenue INTERNAL REVENUE SERVICE, DEPARTMENT OF THE TREASURY INCOME TAX...

Globalization and democracy: international immigration and limits of national citizenship.

Directory of Open Access Journals (Sweden)

Helcio Ribeiro

2013-07-01

Full Text Available Although democracy has become an endlessly widespread idea around the world in recent decades, is also verified in specialized literature and opinion research that the democratic regime is in crisis. This apparently paradoxical process stems from the fact that the new democracies that emerged at the end of the twentieth century are challenged by two important factors: economic globalization and increasing social complexity. With the decline of the nation- state brought by the restructuring of capitalism at a global scale, political and legal mechanisms of economic intervention, income distribution, national development and protection of the citizens’ rights, undergo a radical weakening. On the other hand, globalization intensifies and facilitates population displacement and international migration.

Model studies of limitation of carbon dioxide emissions reduction

International Nuclear Information System (INIS)

1992-01-01

The report consists of two papers concerning mitigation of CO 2 emissions in Sweden, ''Limitation of carbon dioxide emissions. Socio-economic effects and the importance of international coordination'', and ''Model calculations for Sweden's energy system with carbon dioxide limitations''. Separate abstracts were prepared for both of the papers

Effect of reinforcement on plastic limit loads of branch junctions

International Nuclear Information System (INIS)

Kim, Yun-Jae; Myeong, Man-Sik; Yoon, Kee-Bong

2009-01-01

This paper provides effects of reinforcement shape and area on plastic limit loads of branch junctions under internal pressure and in-plane/out-of-plane bending, via detailed three-dimensional finite element limit analysis assuming elastic-perfectly plastic material behaviour. It is found that reinforcement is most effective when (in-plane/out-of-plane) bending is applied to the branch pipe. When bending is applied to the run pipe, reinforcement is less effective when bending is applied to the branch pipe. The reinforcement effect is the least effective for internal pressure.

Revised dose limits and new respiratory tract model and their implications for annual limits of intake of radioactive materials - A review of recent ICRP publications

International Nuclear Information System (INIS)

Schlesinger, T.; Silverman, I.; Shapira, M.

1996-01-01

Ionizing radiation may cause immediate and/or delayed biological damages to the body of the exposed person and/or his/her progeny. The exposure may be caused by an external source or may arise due to internal contamination by a radioactive material. In order to prevent such exposure, or to reduce the probability that it will occur, national authorities and international organizations that are engaged in radiation safety and protection have set limits for the exposure to ionizing radiation from either source. The sensitivity of the body to ionizing radiation usually decreases with age. For this reason and due to the limited possibilities to control the exposure of the general public, different limits have been set for for occupational exposure and for the exposure of members of the public of different age groups. The general principles of these limits and guidelines for their calculations are set by the International Commission on Radiological Protection (ICRP) and published in the Annals of the ICRP. The basic philosophy of the Commission, which includes the principles of justification, optimization and dose limits, the basic radiobiological models, and the distinction between stochastic and non-stochastic effects has been presented in its publication no. 26 . Based on this philosophy, the Commission issued between 1979 and 1988 a series of publications followed by annexes and addenda known as publication no. 30 . This series presented models describing the metabolism of radioactive materials which enter the body by inhalation and ingestion, the transfer of such materials from the respiratory tract and the gastrointestinal tract to the blood, and from there to the body organs and the excretion of the material from the body. This series presented also values for biokinetic parameters of these systems and transfer paths, and methods for calculating limits on intake which ensure that the exposure from internal contamination will not exceed the dose limits set by the

Internal sources dosimetry

International Nuclear Information System (INIS)

Savio, Eduardo

1994-01-01

The absorbed dose, need of estimation in risk evaluation in the application of radiopharmaceuticals in Nuclear Medicine practice,internal dosimetry,internal and external sources. Calculation methodology,Marinelli model,MIRD system for absorbed dose calculation based on biological parameters of radiopharmaceutical in human body or individual,energy of emitted radiations by administered radionuclide, fraction of emitted energy that is absorbed by target body.Limitation of the MIRD calculation model. A explanation of Marinelli method of dosimetry calculation,β dosimetry. Y dosimetry, effective dose, calculation in organs and tissues, examples. Bibliography .

[Long-term outcome of vitrectomy combined with internal limiting membrane peeling for idiopathic macular holes].

Science.gov (United States)

Yamamoto, Kaori; Hori, Sadao

2011-01-01

To elucidate the long-term outcome of internal limiting membrane (ILM) peeling on visual function during vitrectomy for idiopathic macular holes using scanning laser ophthalmoscope (SLO) microperimetry. Prospective uncontrolled study. We studied 31 eyes (29 patients) with idiopathic macular holes. All patients underwent vitrectomy with ILM peeling. The SLO microperimetry was performed preoperatively, and once a year for 3 years postoperatively to detect scotomas in and around the macular holes, and both within and in close vicinity to the areas of ILM peeling. Closure of macular holes after one surgery was confirmed in all cases except for 2 with second surgery. The visual acuity by logarithmic minimum angle of resolution (logMAR) averaged 0.71 +/- 0.36 before surgery, 0.23 +/- 0.31 one year, 0.14 +/- 0.27 two years and 0.12 +/- 0.26 three years after surgery. There was significant improvement up to 2 years after the surgery. All scotomas detected before surgery in the holes, and 77.4% of those detected around the holes decreased gradually. No scotomas were detected in or around the area of ILM peeling either before or after surgery. ILM peeling in vitrectomy for idiopathic macular holes successfully improved visual acuity and did not influence retinal sensitivity in and around the area of ILM peeling. The scotomas detected in and around the holes before surgery gradually reduced or disappeared.

Mycetoma caused by Nocardia brasiliensis

Directory of Open Access Journals (Sweden)

Kar P

1990-01-01

Full Text Available One case of actinomycetoma caused by Nocardia brasiliensis presented with a swelling on the right ankle with multiple sinuses discharging sero-sanguinous material without any granules. He was treated successfully with dapsone followed by surgical excision of the swelling and skin graft.

teneurs en éléments majeurs et oligoéléments dans un sol et ...

African Journals Online (AJOL)

ACSS

23 févr. 2015 ... La teneur en zinc dans les laitues et dans les carottes a été supérieure au seuil de .... électrique, phosphore assimilable, carbone organique, azote totale ..... humain affecte le système nerveux central, les cellules sanguines.

Case report

African Journals Online (AJOL)

ebutamanya

4 déc. 2015 ... 1Service d'Anesthésie–Réanimation, Hôpital Maternité Souissi, Centre Hospitalier ... parturiente présentant une maladie de Von Willebrand de type 1 ... se lie également et stabilise le facteur de coagulation sanguine VIII.

Vitrectomy with internal limiting membrane peeling for macular hole in high myopia eyes

Directory of Open Access Journals (Sweden)

Chun-Mei Deng

2015-08-01

Full Text Available AIM: To compare the clinical effects between pars plana vitrectomy(PPVand PPV with internal limiting membrane peeling(ILMPfor macular hole in high myopia eyes. METHODS:The clinical data of 33 high myopia with macular hole patients(36 eyeswith or without retinal detachment caused by macular hole were retrospectively analyzed. The patients were divided into two groups according to different operation methods: 15 eyes in groupⅠhad undergone PPV; 21 eyes in groupⅡhad undergone PPV with ILMPP peeling. According to different conditions of patients,different auxiliary methods were accepted, such as silicone oil tamponade, C3F8 tamponade, photocoagulation, condensation, etc. The follow-up period was 3～12mo. Best corrected visual acuity(BCVA, macular hole closure rate and retinal reattachment rate were continuous checked after operation. Then we evaluated the outcome in the two groups by statistical analysis.RESULTS: The postoperative mean BCVA increased by 0.167 in group Ⅰand 0.456 in group Ⅱ than preoperative, the difference was significant(t=2.46,6.753; P=0.027,0.000. And the difference of BCVA improvement was significant between those two groups(t=-2.943, P=0.006. The macular hole closed in 7 eyes(46.67%in group Ⅰ,and 18 eyes(85.71%in group Ⅱ; The difference was significant between those two groups(χ2=6.287,P=0.025.Retinal reattachment was found in 11 eyes(91.67%in group Ⅰ and 19 eyes(94.73%in group Ⅱ. The difference was not significant between the two groups(χ2=0.856, P=0.418. CONCLUSION: PPV with ILMPP peeling for macular hole in high myopia eyes can obviously improve closure of macular hole and postoperative visual acuity. But the difference of retinal reattachment rate was not significant between peeling and unpeeling of ILMP.

The thermal limits to life on Earth

Science.gov (United States)

Clarke, Andrew

2014-04-01

Living organisms on Earth are characterized by three necessary features: a set of internal instructions encoded in DNA (software), a suite of proteins and associated macromolecules providing a boundary and internal structure (hardware), and a flux of energy. In addition, they replicate themselves through reproduction, a process that renders evolutionary change inevitable in a resource-limited world. Temperature has a profound effect on all of these features, and yet life is sufficiently adaptable to be found almost everywhere water is liquid. The thermal limits to survival are well documented for many types of organisms, but the thermal limits to completion of the life cycle are much more difficult to establish, especially for organisms that inhabit thermally variable environments. Current data suggest that the thermal limits to completion of the life cycle differ between the three major domains of life, bacteria, archaea and eukaryotes. At the very highest temperatures only archaea are found with the current high-temperature limit for growth being 122 °C. Bacteria can grow up to 100 °C, but no eukaryote appears to be able to complete its life cycle above ~60 °C and most not above 40 °C. The lower thermal limit for growth in bacteria, archaea, unicellular eukaryotes where ice is present appears to be set by vitrification of the cell interior, and lies at ~-20 °C. Lichens appear to be able to grow down to ~-10 °C. Higher plants and invertebrates living at high latitudes can survive down to ~-70 °C, but the lower limit for completion of the life cycle in multicellular organisms appears to be ~-2 °C.

Optimal Taxation in a Limited Commitment Economy

OpenAIRE

Yena Park

2012-01-01

This article studies optimal Ramsey taxation when risk sharing in private insurance markets is imperfect due to limited enforcement. In a limited commitment economy, there are externalities associated with capital and labour because individuals do not take into account that their labour and saving decisions affect aggregate labour and capital supply and wages, and thus the value of autarky. Therefore, a Ramsey government has an additional goal, which is to internalize these externalities of l...

Photoreceptor Outer Segment on Internal Limiting Membrane after Macular Hole Surgery: Implications for Pathogenesis.

Science.gov (United States)

Grinton, Michael E; Sandinha, Maria T; Steel, David H W

2015-01-01

This report presents a case, which highlights key principles in the pathophysiology of macular holes. It has been hypothesized that anteroposterior (AP) and tangential vitreous traction on the fovea are the primary underlying factors causing macular holes [Nischal and Pearson; in Kanski and Bowling: Clinical Ophthalmology: A Systemic Approach, 2011, pp 629-631]. Spectral domain optical coherence tomography (OCT) has subsequently corroborated this theory in part but shown that AP vitreofoveal traction is the more common scenario [Steel and Lotery: Eye 2013;27:1-21]. This study was conducted as a single case report. A 63-year old female presented to her optician with blurred and distorted vision in her left eye. OCT showed a macular hole with a minimum linear diameter of 370 µm, with persistent broad vitreofoveal attachment on both sides of the hole edges. The patient underwent combined left phacoemulsification and pars plana vitrectomy, internal limiting membrane (ILM) peel and gas injection. The ILM was examined by electron microscopy and showed the presence of a cone outer segment on the retinal side. Post-operative OCT at 11 weeks showed a closed hole with recovery of the foveal contour and good vision. Our case shows the presence of a photoreceptor outer segment on the retinal side of the ILM and reinforces the importance of tangential traction in the development of some macula holes. The case highlights the theory of transmission of inner retinal forces to the photoreceptors via Müller cells and how a full thickness macular hole defect can occur in the absence of AP vitreomacular traction.

(No) Limits to Anglo-American Accounting? Reconstructing the History of the International Accounting Standards Committee ; A Review Article

OpenAIRE

Botzem, S.; Quack, S.

2009-01-01

The development of the current International Accounting Standards Board (IASB) from the earlier International Accounting Standards Committee (IASC) provides insight into many issues of international financial reporting, among them the characteristics of international accounting standards themselves. This article reviews Camfferman and Zeff’s [Camfferman, K., & Zeff, S. A. (2007). Financial reporting and global capital markets. A history of the international accounting standards committee 1973...

Bases for establishing radiation exposure limits

International Nuclear Information System (INIS)

Pochin, E.E.

1977-01-01

It is an essential requirement of good radiation protection that all unnecessary exposure of people should be avoided and that any necessary exposure, whether of workers or of members of the general public, should be minimized. It is, however, an additional requirement that such necessary exposures should not exceed certain stated limits. These principles are based on the possibility that even the smallest exposures may involve some risk of harm, that any risk of harm should be justifiable by the circumstances necessitating it, and that risk should always be limited to an appropriately low level. The bases for establishing exposure limits must therefore involve an assessment of the risk involved in any form of radiation exposure, and an opinion as to the degree of safety that should be ensured in circumstances which necessitate any occupational or public exposure to radiation. There is increasing quantitative evidence on the frequency on which harm, and particularly the induction of malignancies, may be caused in people exposed to radiation at high doses; and somewhat clearer bases than previously for inferring the possible frequencies at low doses. It is therefore easier to assess the degree of safety ensured by restricting radiation exposure to particular levels. It is clear also that a comparable degree of safety should be ensured whether the radiation exposure involves the whole body more of less uniformly, or individual tissues or organs selectively. The ''weighting'' factors appropriate to irradiation of particular tissues from internal emitters can thus be defined in terms of their likely individual contributions to the harm of whole-body irradiation. In this way the limits for different modes of exposure by external or internal radiation can be related so as to ensure that protection should be equally effective for different distributions of absorbed dose in the body. In particular, the over-simplified concept of a single critical organ determining the

Limit loads for pipe bends under combined pressure and in-plane bending based on finite element limit analysis

International Nuclear Information System (INIS)

Oh, Chang Sik; Kim, Yun Jae

2006-01-01

In the present paper, approximate plastic limit load solutions for pipe bends under combined internal pressure and bending are obtained from detailed three-dimensional (3-D) FE limit analyses based on elastic-perfectly plastic materials with the small geometry change option. The present FE results show that existing limit load solutions for pipe bends are lower bounds but can be very different from the present FE results in some cases, particularly for bending. Accordingly closed-form approximations are proposed for pipe bends under combined pressure and in-plane bending based on the present FE results. The proposed limit load solutions would be a basis of defective pipe bends and be useful to estimate non-linear fracture mechanics parameters based on the reference stress approach

The International Criminal Court and the construction of International Public Order

Directory of Open Access Journals (Sweden)

Sofia Santos

2014-11-01

Full Text Available Envisioning an international public order means envisioning an order sustained by a legal and institutional framework that ensures effective collective action with a view to defending fundamental values of the international community and to solving common global problems, in line with the universalist vision of international law. Envisioning the construction of an international public order means considering that this framework, which embraces and promotes the respect for human rights focused particularly on human dignity, is consolidating and evolving based on the International Criminal Court (ICC. The establishment of the ICC added an international punitive perennial facet to international humanitarian law and international human rights law and linked justice to peace, to security and to the well-being of the world, reaffirming the principles and objectives of the Charter of the United Nations (UN. Nevertheless, the affirmation process of an international criminal justice by punishing those responsible for the most serious crimes of concern to the international community as a whole, faces numerous obstacles of political and normative character. This article identifies the central merits of the Rome Statute and ICC’s practice and indicates its limitations caused by underlying legal-political tensions and interpretive questions relating to the crime of aggression and crimes against humanity. Finally, the article argues for the indispensability of rethinking the jurisdiction of the ICC, defending the categorization of terrorism as an international crime, and of articulating its mission with the "responsibility to protect", which may contribute to the consolidation of the ICC and of international criminal law and reinforce its role in the construction of an effective international public order.

Comparison of the Effectiveness of Pars Plana Vitrectomy with and without Internal Limiting Membrane Peeling for Idiopathic Retinal Membrane Removal: A Meta-Analysis

Directory of Open Access Journals (Sweden)

Hanhan Liu

2015-01-01

Full Text Available We conducted a meta-analysis of published retrospective studies and compared the effectiveness of pars plana vitrectomy with and without internal limiting membrane (ILM peeling for idiopathic epiretinal membrane (IERM. The results revealed that patients in the IERM+ILM peeling group had better BCVA after surgery within 12 months than those in IERM peeling group. But patients in the IERM peeling group showed better BCVA in the 18th month. More retrospective studies or randomized controlled trials are required to investigate and compare the long-term effect of IERM removal with and without ILM peeling.

Comparison of the Effectiveness of Pars Plana Vitrectomy with and without Internal Limiting Membrane Peeling for Idiopathic Retinal Membrane Removal: A Meta-Analysis

Science.gov (United States)

Liu, Hanhan; Zuo, Shanru; Ding, Chun; Dai, Xunzhang; Zhu, Xiaohua

2015-01-01

We conducted a meta-analysis of published retrospective studies and compared the effectiveness of pars plana vitrectomy with and without internal limiting membrane (ILM) peeling for idiopathic epiretinal membrane (IERM). The results revealed that patients in the IERM+ILM peeling group had better BCVA after surgery within 12 months than those in IERM peeling group. But patients in the IERM peeling group showed better BCVA in the 18th month. More retrospective studies or randomized controlled trials are required to investigate and compare the long-term effect of IERM removal with and without ILM peeling. PMID:26693348

International New Venture Legitimation

DEFF Research Database (Denmark)

Turcan, Romeo V.

2013-01-01

the process of their emergence. It is a longitudinal, multiple-case study research that employs critical incident technique for data collection, analysis and interpretation. Following theory driven sampling, five international new ventures were selected that were operating in the software sector in the UK......There is limited theoretical understanding and empirical evidence for how international new ventures legitimate. Drawing from legitimation theory, this study fills in this gap by exploring how international new ventures legitimate and strive for survival in the face of critical events during......, and had internationalized and struggled for survival during the dotcom era. Grounded in data, this study corroborates a number of legitimation strategies yielded by prior research and refutes others. It further contributes to our understanding of international new venture legitimation by suggesting new...

Changes in Retinal Thickness after Vitrectomy for Epiretinal Membrane with and without Internal Limiting Membrane Peeling.

Science.gov (United States)

Obata, Shumpei; Fujikawa, Masato; Iwasaki, Keisuke; Kakinoki, Masashi; Sawada, Osamu; Saishin, Yoshitsugu; Kawamura, Hajime; Ohji, Masahito

2017-01-01

To investigate anatomic changes in retinal thickness (RT) and functional changes after vitrectomy for idiopathic epiretinal membranes (ERMs) with and without internal limiting membrane (ILM) peeling. The medical records of 100 eyes of 96 patients with ERM who underwent vitrectomy and ERM removal were reviewed retrospectively. The RT was measured by optical coherence tomography, and the area was divided into 9 sections. The best-corrected visual acuity (BCVA), 9 RT areas, and incidence rates of recurrent ERM were compared between the groups with and without ILM peeling before the operation and 12 months postoperatively. Thirty-nine eyes that underwent vitrectomy with ILM peeling and 61 eyes that underwent vitrectomy without ILM peeling met the inclusion criteria. There were no significant differences between the groups in the BCVA and any of the RTs before the operation and 12 months postoperatively. The ERMs recurred in 8 (20.5%) of 39 eyes and 26 (42.6%) of 61 eyes in the groups with and without ILM peeling, respectively, with a difference that reached significance (p = 0.02) 12 months postoperatively. Vitrectomy for ERM affects the BCVA or the RTs 12 months postoperatively. Additional ILM peeling does not affect them, but it might reduce the ERM recurrence rate. © 2016 S. Karger AG, Basel.

IMPACT OF INTERNAL LIMITING MEMBRANE PEELING ON MACULAR HOLE REOPENING: A Systematic Review and Meta-Analysis.

Science.gov (United States)

Rahimy, Ehsan; McCannel, Colin A

2016-04-01

To assess the literature regarding macular hole reopening rates stratified by whether the internal limiting membrane (ILM) was peeled during vitrectomy surgery. Systematic review and meta-analysis of studies reporting on macular hole reopenings among previously surgically closed idiopathic macular holes. A comprehensive literature search using the National Library of Medicine PubMed interface was used to identify potentially eligible publications in English. The minimum mean follow-up period for reports to be included in this study was 12 months. Analysis was divided into eyes that underwent vitrectomy with and without ILM peeling. The primary outcome parameter was the proportion of macular hole reopenings among previously closed holes between the two groups. Secondary outcome parameters included duration from initial surgery to hole reopening and preoperative and postoperative best-corrected correct visual acuities among the non-ILM peeling and ILM peeling groups. A total of 50 publications reporting on 5,480 eyes met inclusion criteria and were assessed in this meta-analysis. The reopening rate without ILM peeling was 7.12% (125 of 1,756 eyes), compared with 1.18% (44 of 3,724 eyes) with ILM peeling (odds ratio: 0.16; 95% confidence interval: 0.11-0.22; Fisher's exact test: P peeling during macular hole surgery reduces the likelihood of macular hole reopening.

The revision of dose limits for exposure to ionizing radiation

International Nuclear Information System (INIS)

Hughes, D.

1990-01-01

The paper reviews the current dose limits for exposure to ionizing radiations and the risk factors on which they are based, and summarizes the revised risk factors and the draft proposals for new dose limits published by the International Commission on Radiological Protection. (author)

ICRP-recommendations on dose limits for workers

International Nuclear Information System (INIS)

Beninson, D.J.

1976-01-01

Dose limits proposed by the ICRP have been incorporated in most national and international standards and their respect has caused a distribution of doses with a average not exceeding 1/10 of the maximum permissible dose. This distribution corresponds to a risk which is well within the risks in 'safe industries'. There are at present some inconsistancies in the current system of recommended limits, for example having the same limit of 5 rem for the whole-body and also for some organs. Hopefully, this incosistancy will be removed in the next recommendation of the ICRP. But the whole-body limit of 5 rem in a year has been safe and there is little ground to reduce this limit on the basis of comparisons with 'safe industries'. (orig./HP) [de

International criminal justice and the erosion of sovereignty

Directory of Open Access Journals (Sweden)

Miguel de Serpa Soares

2013-11-01

Full Text Available The author states that any form of international justice always represents a means of limiting national sovereignty. In the case of International Criminal Law, this limiting is even more evident by compromising elements essential to the classical paradigm of International Law, as for example the punishing monopoly of States or the concept of a quasi-absolute State sovereignty. International criminal tools, crimes, sentences, jurisdictions, are all able to be, at least partially, a legal alternative to the issues of peace-keeping and national security, exclusively political and diplomatic. This alternative inevitable leads to tensions with a power structure that has not been altered since 1945. However, for this legal criminal alternative to be put in place, a long period of maturation will be required based on irrefutable technical and legal credibility.

76 FR 27609 - Reduction of Foreign Tax Credit Limitation Categories Under Section 904(d); Correction

Science.gov (United States)

2011-05-12

... Reduction of Foreign Tax Credit Limitation Categories Under Section 904(d); Correction AGENCY: Internal... foreign tax credit limitation categories under section 904(d) of the Internal Revenue Code. DATES: This... in and Losses With Respect to the Pre-2007 Separate Category for High Withholding Tax Interest...

Seroprevalence des anticorps anti-HBc chez les donneurs de sang ...

African Journals Online (AJOL)

'hépatite virale demeure une priorité pour les centres de qualification des produits sanguins labiles au Togo. Objectif: Déterminer la séroprévalence des anticorps anti-HBc au sein des donneurs de sang en vue d'estimer le niveau de risque ...

Author Details

African Journals Online (AJOL)

Pratique de la transfusion sanguine perioperatoire au Togo: etude multicentrique nationale. Abstract · Vol 19, No 1 (2017) - Articles Prise en charge des urgences au service d'accueil des urgences Chirurgicales du CHU Sylvanus Olympio de Lome (Togo) : difficultes, solutions et perspectives. Abstract. ISSN: 2413-354X.

Odors problem in the national and international environmental legislation. Prescriptions, limits and guideline

International Nuclear Information System (INIS)

Littarru, P.

2000-01-01

The present paper expounds the main Italian laws and some international laws and guidelines on the problem of environmental impact of odours, with the attempt to arrive to an odours disturbing criterion as objective and applicable as possible [it

Photoreceptor change and visual outcome after idiopathic epiretinal membrane removal with or without additional internal limiting membrane peeling.

Science.gov (United States)

Ahn, Seong Joon; Ahn, Jeeyun; Woo, Se Joon; Park, Kyu Hyung

2014-01-01

To compare the postoperative photoreceptor status and visual outcome after epiretinal membrane removal with or without additional internal limiting membrane (ILM) peeling. Medical records of 40 eyes from 37 patients undergoing epiretinal membrane removal with residual ILM peeling (additional ILM peeling group) and 69 eyes from 65 patients undergoing epiretinal membrane removal without additional ILM peeling (no additional peeling group) were reviewed. The length of defects in cone outer segment tips, inner segment/outer segment junction, and external limiting membrane line were measured using spectral domain optical coherence tomography images of the fovea before and at 1, 3, 6, and 12 months after the surgery. Cone outer segment tips and inner segment/outer segment junction line defects were most severe at postoperative 1 month and gradually restored at 12 months postoperatively. The cone outer segment tips line defect in the additional ILM peeling group was significantly greater than that in the no additional peeling group at postoperative 1 month (P = 0.006), and best-corrected visual acuity was significantly worse in the former group at the same month (P = 0.001). There was no significant difference in the defect size and best-corrected visual acuity at subsequent visits and recurrence rates between the two groups. Patients who received epiretinal membrane surgery without additional ILM peeling showed better visual and anatomical outcome than those with additional ILM peeling at postoperative 1 month. However, surgical outcomes were comparable between the two groups, thereafter. In terms of visual outcome and photoreceptor integrity, additional ILM peeling may not be an essential procedure.

Limitation schemes to decrease the radon daughters in indoor air

International Nuclear Information System (INIS)

Swedjemark, G.A.

1986-01-01

The limitation schemes to decrease the radon daughter concentrations in Swedish homes are described. The application of the Swedish provisional limitation system in use since 1980 is also reported. As a background the radon source and the international and national recommedations in other countries are reviewed. (author)

The Limits of Responsibility: Liability for Damage in the Deep Seabed?

NARCIS (Netherlands)

Plakokefalos, I.

2013-01-01

This contribution seeks to discuss the limits of state responsibility as they are witnessed in the topic of international liability. The first part addresses the intersection between responsibility and liability using as a reference point the work of the International Law Commission. The second part

Internal limiting membrane peeling in macula-off retinal detachment complicated by grade B proliferative vitreoretinopathy.

Science.gov (United States)

Foveau, Pauline; Leroy, Bertrand; Berrod, Jean-Paul; Conart, Jean-Baptiste

2018-04-02

To investigate the clinical benefit of internal limiting membrane (ILM) peeling as a surgical adjunct in the repair of primary retinal detachment (RD) complicated by grade B proliferative vitreoretinopathy (PVR). Retrospective, interventional, comparative case series. SETTING: Institutional. 75 consecutive patients who underwent vitrectomy for primary macula off RD complicated by grade B PVR. Patients were divided into an ILM peeling (group P) and a no ILM peeling (group NP). Anatomical success rate, best-corrected visual acuity, and spectral-domain optical coherence tomography (SD-OCT) characteristics were collected at 1 and 6 months. In all, 37 eyes with ILM peeling were included in group P and 38 eyes without ILM peeling were included in group NP. The anatomical success rate after single surgery was higher in group P (89%) than in group NP (66%, p=0.03). Mean final visual acuity was 0.41 ±0.40 logMAR in group P versus 0.43 ±0.22 logMAR in group NP (p=0.82). We found no epiretinal membrane (ERM) formation in group P, whereas five cases of ERM (20%) were detected in group NP (p=0.012). The two groups did not differ in terms of cystoid macular edema occurrence, macular thickness, or photoreceptor damage. ILM peeling during vitrectomy in macula off RD complicated by grade B PVR reduces the need for a second surgery for re-detachment or macular pucker. Copyright © 2018. Published by Elsevier Inc.

Revaluation and the the internal audit limits that influence the financial-accounting activity

OpenAIRE

Dragos Laurentiu Zaharia; Luminita Dragne; Doina Maria Tilea

2014-01-01

Regarding the financial-accounting system, the internal audit aims at understanding the accounting and control systems finding and correcting the errors. The auditor must inform the general management about the obvious errors within the entity. The board must know evrything concerning these errors.

Modifications des parametres biochimiques sanguins et de la ...

African Journals Online (AJOL)

Objectives of the study: The aim of our study was to evaluate endothelial histological changes and blood biochemical parameters in cane rats submit to a high salt and hypercholesteric diet. Materials ... However, we realize an important perturbation on the hepatic checkup on animals submitted to a hyper cholesteric diet.

Derivation of recommended limits for radionuclide contamination of foods by the FAO

International Nuclear Information System (INIS)

Wirth, E.; Mueller, M.K.

1986-01-01

As a consequence of the reactor accident at Chernobyl, USSR, various countries defined limits for radioactive contamination of foods at different levels. These limits ranged from a few Bq iodine 131 or cesium 134 + 137/kg (Malaysia and Canada) to more than 1000 Bq/kg (Great Britain and France). These variations in limits hindered the movement of foods in international trade. For this reason the FAO convened an Expert Consultation to derive 'action levels' below which neither intervention nor constraint would be justified in terms of international movement and trade in food and drink. These limits are to find application in cases of widespread environmental contamination after an accidental release of radionuclides. They are not to be applied in cases of local release, e.g. in the vicinity of nuclear facilities. The derivation of 'action levels' by the FAO was based on the recommendations issued by the International Commission of Radiological Protection (ICRP) in May 1985. According to this recommendation the committed dose equivalent for the whole body should not exceed 5 mSv in the first and 1 mSv in the consecutive years. For radionuclides that preferentially irradiate individual organs, e.g. I131 in the thyroid, the dose equivalent to a specified organ may be used to derive limiting values. For individual organs limiting doses of 50 mSv/a and 10 mSv/a respectively were chosen

Derivation of recommended limits for radionuclide contamination of foods by the FAO

Energy Technology Data Exchange (ETDEWEB)

Wirth, E; Mueller, M K [Institute for Radiation Hygiene, Federal Health Office, Neuherberg (Germany)

1986-07-01

As a consequence of the reactor accident at Chernobyl, USSR, various countries defined limits for radioactive contamination of foods at different levels. These limits ranged from a few Bq iodine 131 or cesium 134 + 137/kg (Malaysia and Canada) to more than 1000 Bq/kg (Great Britain and France). These variations in limits hindered the movement of foods in international trade. For this reason the FAO convened an Expert Consultation to derive 'action levels' below which neither intervention nor constraint would be justified in terms of international movement and trade in food and drink. These limits are to find application in cases of widespread environmental contamination after an accidental release of radionuclides. They are not to be applied in cases of local release, e.g. in the vicinity of nuclear facilities. The derivation of 'action levels' by the FAO was based on the recommendations issued by the International Commission of Radiological Protection (ICRP) in May 1985. According to this recommendation the committed dose equivalent for the whole body should not exceed 5 mSv in the first and 1 mSv in the consecutive years. For radionuclides that preferentially irradiate individual organs, e.g. I131 in the thyroid, the dose equivalent to a specified organ may be used to derive limiting values. For individual organs limiting doses of 50 mSv/a and 10 mSv/a respectively were chosen.

Eccentric Macular Hole after Pars Plana Vitrectomy for Epiretinal Membrane Without Internal Limiting Membrane Peeling: A Case Report.

Science.gov (United States)

Garnavou-Xirou, Christina; Xirou, Tina; Kabanarou, Stamatina; Gkizis, Ilias; Velissaris, Stavros; Chatziralli, Irini

2017-12-01

Postoperative eccentric macular hole formation is an uncommon complication after pars plana vitrectomy (PPV) without internal limiting membrane (ILM) peeling for the treatment of epiretinal membrane (ERM). We present a case of eccentric macular hole formation after PPV for ERM without ILM peeling. A 68-year-old male patient presented with ERM and visual acuity of 6/24 in his left eye. He underwent 23-gauge PPV without ILM peeling for treatment of ERM. One week postoperatively the retina was attached and the epiretinal membrane was successfully removed, while visual acuity was 6/9. One month after PPV, a single eccentric retinal hole below the macula was detected using fundoscopy and subsequently confirmed by optical coherence tomography. At this time the visual acuity was 6/9 and the patient reported no symptoms. No further intervention was attempted and at the 9-month follow-up, the visual acuity and the size of the eccentric macular hole remained stable. Eccentric macular holes can be developed after PPV even without ILM peeling and are usually managed conservatively by observation.

Journal de la Recherche Scientifique de l'Université de Lomé - Vol 8 ...

African Journals Online (AJOL)

Place des alanine-aminotransferases dans la securite transfusionnelle : Etude au centre national de transfusion sanguine de Lome au Togo · EMAIL FULL TEXT EMAIL FULL TEXT · DOWNLOAD FULL TEXT DOWNLOAD FULL TEXT. LY Fekete, Y Nabagou, IM Kueviakoe, M Kolou, J Padaro, KSE Amouzou, AY Segbena ...

BLOOD DONORS CAMPAIGN

CERN Multimedia

2001-01-01

A blood donors campaign, organized by the Centre de Transfusion Sanguine of Geneva will be held at CERN on Tuesday 13 March 2001 in restaurant nr 2, from 9.00 to 16.30 hrs If you already have a card giving your blood group, please bring this with you.

The estimation of derived limits

International Nuclear Information System (INIS)

Harrison, N.T.; Bryant, P.M.; Clarke, R.H.; Morley, F.

1979-08-01

In practical radiation protection, it is often necessary to calculate limits of intake of radionuclides associated with various quantities; such limits are needed, for example, to assess the adequacy of the control of environmental contamination. In publication 26 of the International Commission on Radiological Protection (ICRP), these limits, when related to the basic limits of dose-equivalent by a defined model, are referred to as Derived Limits (DLs). In the present report the principles to be adopted by the Board in calculating DLs to be recommended for general application within the United Kingdom are outlined. DLs will be recommended for a wide range of radionuclides and for circumstances relevant to the workplace, and, more frequently, the general environment. The latter will include DLs in foodstuffs and associated environmental materials, such as soil and grass, and DLs for discharges from stacks. DLs will be related to dose equivalents for workers or members of the public for stochastic or non-stochastic effects as appropriate. Consideration will be given to relevant data on radiosensitivity, metabolism and dosimetry for children and to the physicochemical forms of radionuclides. (author)

INAA - application and limitation

International Nuclear Information System (INIS)

Heydorn, K.

1990-01-01

The uncertainties associated with performing Instrumental Neutron Activation Analysis (INAA) are discussed in relation to their category. The Comite International de Poids et Mesure (CIPM) distinguishes between uncertainties according to how their contribution to the overall uncertainty is evaluated. INAA is a potentially definitive method, if all sources of uncertainty can be accounted for. The limitation of the method is reached when uncertainties, which cannot be accounted for, assume significance, and the method cannot be brought in statistical control. (orig.)

Successful treatment for subinvolution of placental sites in the bitch with low oral doses of progestagen.

Science.gov (United States)

Voorhorst, M J; van Brederode, J C; Albers-Wolthers, C H J; de Gier, J; Schaefers-Okkens, A C

2013-10-01

Subinvolution of placental sites (SIPS) is the major cause of persistent sanguineous vaginal discharge after parturition in the bitch. Spontaneous remission is common but may take several months, and hence, medical therapy to end the discharge is often requested. In this retrospective study, we evaluated the effect of treatment for SIPS with low oral doses of a progestagen. Nine bitches with SIPS, but otherwise clinically healthy, were found in the computer database of the Department of Clinical Sciences of Companion Animals. Seven of these bitches were treated with low oral doses of a progestagen (megestrol acetate, 0.1 mg/kg body weight (bw) once daily for the 1st week, then 0.05 mg/kg bw once daily for the 2nd week). The other two bitches were untreated. Treatment results were evaluated by a telephone questionnaire. Progestagen treatment was successful in all of the treated dogs; sanguineous vaginal discharge stopped within the treatment period. One of the two untreated dogs remained symptomatic until the next oestrus, approximately 120 days after parturition, and the other remained symptomatic until 6 weeks before the start of the next pro-oestrus, 270 days after parturition. No side effects of the progestagen treatment were observed. Subsequent gestations, parturitions and puerperal periods of 5 mated bitches were uneventful. One bitch did not become pregnant after mating. In conclusion, the results of this study indicate that oral administration of low doses of progestagen for 2 weeks is effective in stopping persistent sanguineous vaginal discharge in bitches with SIPS, with neither side effects nor reduced subsequent fertility. © 2013 Blackwell Verlag GmbH.

The Security of Russia's Nuclear Arsenal: The Human Factor

International Nuclear Information System (INIS)

Ball, D.Y.

1999-01-01

Assertions by the Russian military that all of their nuclear weapons are secure against theft and that nuclear units within the military are somehow insulated from the problems plaguing the Russian military should not be accepted uncritically. Accordingly, we should not give unwarranted credence to the pronouncements of military figures like Cal.-Gen. Igor Valynkin, Chief of the Defense Ministry's 12th Main Directorate, which oversees the country's nuclear arsenal. He contends that ''Russian nuclear weapons are under reliable supervision'' and that ''talk about the unreliability of our control over nuclear weapons has only one pragmatic goal--to convince international society that the country is incapable of maintaining nuclear safety and to introduce international oversight over those weapons, as it is done, for example, in Iraq.'' While the comparison to Iraq is preposterous, many analysts might agree with Valynkin's sanguine appraisal of the security of Russia's nuclear weapons. In contrast, I argue that the numerous difficulties confronting the military as a whole should cause concern in the West over the security of the Russian nuclear arsenal

Developing International Personas

DEFF Research Database (Denmark)

Jensen, Iben; Hautopp, Heidi; Nielsen, Lene

2017-01-01

Personas have become a popular method in new product development. Personas have traditionally, and are still, primarily created to represent users from a single national culture at a time during the design process. This, however, is unsatisfactory for companies operating on a global market...... as they show an increasing interest in international personas. However, research on personas in a global context is limited. To address this gap, this paper provides an overview of extant research on international personas. Secondly, it presents an empirical study on challenges Danish IT companies experience...... when using the persona method to collect and present insights about their international users. A key finding in both the literature review and the empirical study was the ambiguity concerning the concept of culture. Therefore, the paper draws on theories about culture, and especially practice theory...

Economics and technology in international law

International Nuclear Information System (INIS)

1982-01-01

This volume presents the main address, the lectures and the discussions of the symposium. The papers presented to the symposium were the following: the Draft Convention on the Law of the Sea and problems of the international deep seabed regime; developments in science and technology, as a challenge to international law; modern fishery engineering and its impact on international law; the EEC agricultural market - a case study of European Law; problems of international law in connection with a new system of the world economy; the GATT and a new world economic system; the Third World and UNCTAD; international disaster relief and mutual assistance in case of accidents, especially with a view to Atomic Energy Law; organisation, scope and limits of international co-operation in the peaceful use of nuclear energy. (HSCH) [de

Bases for establishing radiation exposure limits

International Nuclear Information System (INIS)

Pochin, E.E.

1977-01-01

estimate of the frequency of genetic harm resulting from irradiation of gonadal tissues. The ''weighting'' factors appropriate to irradiation of particular tissues from internal emitters can thus be defined in terms of their likely individual contributions to the harm of whole body irradiation. In this way the limits for different modes of exposure by external or internal radiation can be related so as to ensure that protection should be equally effective for different distributions of absorbed dose in the body. In particular, the over-simplified concept of a single critical organ determining the permissible intake of an internal emitter can be replaced by a limitation based upon the levels of exposure of all tissues in relation to their estimated sensitivity to the induction of radiation effects

Mask strategy at International SEMATECH

Science.gov (United States)

Kimmel, Kurt R.

2002-08-01

International SEMATECH (ISMT) is a consortium consisting of 13 leading semiconductor manufacturers from around the globe. Its objective is to develop the infrastructure necessary for its member companies to realize the International Technology Roadmap for Semiconductors (ITRS) through efficiencies of shared development resources and knowledge. The largest area of effort is lithography, recognized as a crucial enabler for microelectronics technology progress. Within the Lithography Division, most of the efforts center on mask-related issues. The development strategy at International SEMATCH will be presented and the interlock of lithography projects clarified. Because of the limited size of the mask production equipment market, the business case is weak for aggressive investment commensurate with the pace of the International Technology Roadmap for Semiconductors. With masks becoming the overwhelming component of lithography cost, new ways of reducing or eliminating mask costs are being explored. Will mask technology survive without a strong business case? Will the mask industry limit the growth of the semiconductor industry? Are advanced masks worth their escalating cost? An analysis of mask cost from the perspective of mask value imparted to the user is presented with examples and generic formulas for the reader to apply independently. A key part to the success for both International SEMATECH and the industry globally will be partnerships on both the local level between mask-maker and mask-user, and the macro level where global collaborations will be necessary to resolve technology development cost challenges.

Five-Year Outcomes of Surgically Treated Symptomatic Epiretinal Membranes With and Without Internal Limiting Membrane Peeling.

Science.gov (United States)

Sultan, Harris; Wykoff, Charles C; Shah, Ankoor R

2018-05-01

The authors evaluated long-term postoperative visual outcomes and recurrence rates following surgery for symptomatic epiretinal membrane (ERM) ± internal limiting membrane (ILM) peeling. This was a retrospective, consecutive case series of 78 patients undergoing vitrectomy for symptomatic ERM between 1/2010 and 4/2012 with follow-up through at least postoperative year 5 (POY5). Outcomes included visual acuity (VA) (Snellen VA converted to logMAR), central retinal thickness (CRT; μm), and ERM recurrence. Subgroup analysis evaluated outcomes related to ILM peeling. Subgroup analysis based on ILM peeling did not find VA (20/50 [0.430 logMAR ± 0.061 logMAR; mean ± SD] vs. 20/60 [0.518 logMAR ± 0.128 logMAR] for ILM vs. non-ILM peeling respectively; P = .513) nor macular thickness (355 μm ± 13 μm vs. 360 μm ± 42 μm; P = .410) to be significantly different at POY5. Recurrence requiring surgery with and without ILM peeling was not statistically significantly different at POY5 (1.6% and 11.8%; P = .118). Vitrectomy for symptomatic ERM led to improved visual and anatomic outcomes with sustained benefit through 5 years. ILM peeling was was associated with reduced ERM recurrence, but this benefit was not statistically significant at POY5. [Ophthalmic Surg Lasers Imaging Retina. 2018;49:296-302.]. Copyright 2018, SLACK Incorporated.

International NGOs and their contribution to overcoming poverty

Directory of Open Access Journals (Sweden)

T. O. Hrachevska

2014-04-01

The article also characterizes existing strategies of combating poverty. It is argued that international non­governmental organizations, limited in their financial resources, cant be widely involved in them. Main challenges, facing international NGO in addressing problems of poverty, are also outlined.

Plastic limit loads for cylindrical shell intersections under combined loading

International Nuclear Information System (INIS)

Skopinsky, V.N.; Berkov, N.A.; Vogov, R.A.

2015-01-01

In this research, applied methods of nonlinear analysis and results of determining the plastic limit loads for shell intersection configurations under combined internal pressure, in-plane moment and out-plane moment loadings are presented. The numerical analysis of shell intersections is performed using the finite element method, geometrically nonlinear shell theory in quadratic approximation and plasticity theory. For determining the load parameter of proportional combined loading, the developed maximum criterion of rate of change of relative plastic work is employed. The graphical results for model of cylindrical shell intersection under different two-parameter combined loadings (as generalized plastic limit load curves) and three-parameter combined loading (as generalized plastic limit load surface) are presented on the assumption that the internal pressure, in-plane moment and out-plane moment loads were applied in a proportional manner. - Highlights: • This paper presents nonlinear two-dimensional FE analysis for shell intersections. • Determining the plastic limit loads under combined loading is considered. • Developed maximum criterion of rate of change of relative plastic work is employed. • Plastic deformation mechanism in shell intersections is discussed. • Results for generalized plastic limit load curves of branch intersection are presented

Internal radioactive contamination treatment

International Nuclear Information System (INIS)

Tobajas, L. M.

1998-01-01

In a radiological emergency, the internal radioactive contamination becomes a therapeutic urgency and must be established as fast as possible. Just when a radioactive contamination accident occurs, it is difficult to know exactly the amount of radioactive materials absorbed and to estimate the dose received.. The decision to be taken after the incorporation of the radioactive material depends on the method and on the Radiological Protection Department collaboration. Any treatment achieving a reduction of the doses received or expected will be useful. The International Radiological Protection Commission doesn't recommend the use of the dose limit, to decide about the intervention necessity. However the LIA can be used as the reference point to establish the necessity and reach of the treatment. The object of the present work, is to introduce the general principles to carry out the internal people decontamination, under the last international recommendations. (Author) 4 refs

Testicular reperfusion injury, post ligation of the spermatic cord in ...

African Journals Online (AJOL)

This experiment was aimed at investigating the level of tissue regeneration following sanguineous reperfusion post ligation of the spermatic cord in dogs. A total of 5 adult Nigerian local dogs conditioned for 3 weeks, laboratorily evaluated twice weekly prior to surgery were maintained for 1month. Dogs were aseptically ...

Author Details

African Journals Online (AJOL)

Etude de la densite erythrocytaire par la methode des grandients de phtalate chez les patients drepanocytaires au Chu-campus de Lome(Togo) Abstract · Vol 8, No 1 (2006): Serie D - Articles Place des alanine-aminotransferases dans la securite transfusionnelle : Etude au centre national de transfusion sanguine de Lome ...

Author Details

African Journals Online (AJOL)

Diop, Saliou. Vol 11, No 4 (2017) - Articles Profil biochimique et hématologique des patients drépanocytaires homozygotes en phase stationnaire au centre National de Transfusion Sanguine de Dakar Abstract PDF. ISSN: 1997-342X. AJOL African Journals Online. HOW TO USE AJOL... for Researchers · for Librarians ...

Confinement and gas fueling in LHD limiter discharges

International Nuclear Information System (INIS)

Nishimura, K.; Kawahata, K.; Narihara, K.; Morisaki, T.; Masuzaki, S.; Sakakibara, S.; Tanaka, K.

2003-01-01

Plasma discharges in the Large Helical Device are normally open helical divertor discharges. To compare limiter discharges with open divertor discharges and to examine the role of the peripheral region, a radial movable limiter, whose head was made of carbon with high heat conductivity, was inserted into the plasma from the high field side (near the helical coil). The electron temperature was bounded well by the limiter. A high temperature gradient at the edge region was observed in both open divertor and limiter discharges. Formation of such a high temperature gradient led to good energy confinement even in the limiter discharges and an enhancement factor of 1.1±0.3 for International Stellarator Scaling 95 (ISS95) scaling was observed at every limiter position (0.75 ax =3.75 m prevents gas fueling by puffing

Value of internal limiting membrane peeling in surgery for idiopathic macular hole stage 2 and 3: a randomised clinical trial

DEFF Research Database (Denmark)

Christensen, U C; Krøyer, K; Sander, B

2009-01-01

AIM: To determine the effect of internal limiting membrane (ILM) peeling on anatomical and functional success rates in stage 2 and 3 idiopathic macular hole surgery (MHS). METHODS: Randomised clinical trial of stage 2 and 3 idiopathic macular hole without visible epiretinal fibrosis and with less...... than 1 year's duration of symptoms. Eyes were randomised to (1) vitrectomy alone without retinal surface manipulation, (2) vitrectomy plus 0.05% isotonic Indocyanine Green (ICG)-assisted ILM peeling or (3) vitrectomy plus 0.15% Trypan Blue (TB)-assisted ILM peeling. Main outcomes were hole closure...... after 3 and 12 months and best-corrected visual acuity after 12 months. RESULTS: 78 eyes were enrolled. Primary closure rates were significantly higher with ILM peeling than without peeling for both stage 2 holes (ICG peeling 100%, non-peeling 55%, p = 0.014) and for stage 3 holes (ICG peeling 91%, TB...

Retinal displacement toward optic disc after internal limiting membrane peeling for idiopathic macular hole.

Science.gov (United States)

Ishida, Masahiro; Ichikawa, Yoshikazu; Higashida, Rieko; Tsutsumi, Yorihisa; Ishikawa, Atsushi; Imamura, Yutaka

2014-05-01

To examine the retinal displacement following successful macular hole (MH) surgery with internal limiting membrane (ILM) peeling and gas tamponade, and to determine the correlation between the extent of displacement and the basal MH size. Retrospective, interventional, observational case series. The medical records of consecutive patients with an idiopathic MH that had undergone vitrectomy with ILM peeling and gas tamponade were studied. The distances between the optic disc and the intersection of 2 retinal vessels located nasal or temporal to the fovea were measured manually preoperatively (A), and 2 weeks and 1, 3, 6, and 12 months postoperatively (B), on the fundus autofluorescence or near-infrared images. The basal and minimum diameters of the MHs were measured in the spectral-domain optical coherence tomographic images. The correlations between the ratio of the retinal displacement (A - B/A) and basal diameters of the MHs were determined. Twenty-one eyes of 21 patients (9 men, mean age: 64.6 ± 8.4 years) were studied. Ten eyes (47.6%) had stage 2 MH, 9 eyes (42.9%) had stage 3 MH, and 2 eyes (9.5%) had stage 4 MH. The temporal retinal vessels were displaced 260.8 ± 145.8 μm toward the optic disc at 2 weeks postoperatively, which was significantly greater than the 91.1 ± 89.7 μm of the nasal retinal vessels (paired t test, P displacement in the temporal field at 2 weeks was significantly correlated with the basal diameter of the MH (Spearman's rank correlation coeffieient = -0.476, P = .033. The greater displacement of the temporal retina than the nasal retina toward the optic disc postoperatively suggests that the temporal retina is more flexible and can be retracted toward the optic disc during the MH closure. Copyright © 2014 Elsevier Inc. All rights reserved.

Indocyanine green-assisted internal limiting membrane peeling in macular hole surgery: a meta-analysis.

Directory of Open Access Journals (Sweden)

Yan Wu

Full Text Available BACKGROUND: The opinion of application of indocyanine green (ICG in the macular hole surgery was contradictory. Here we conducted a meta-analysis to evaluate the effect of in internal limiting membrane (ILM peeling for macular hole surgery. METHODS AND FINDINGS: We searched electronic databases for comparative studies published before July 2012 of ILM peeling with and without ICG. Twenty-two studies including 1585 eyes were included. Visual acuity (VA improvement, including the postoperative rate of ≥20/40 VA gained (OR, 0.65; 95% CI, 0.43 to 0.97; P = 0.033 and increased LogMAR (WMD, -0.09; 95% CI, -0.16 to -0.02; P = 0.011, was less in the ICG group. The risk of visual field defects was greater in the ICG group than in the non-ICG group. There was no significant difference in the rate of anatomical outcomes between ILM peeling procedures performed with and without ICG. RPE changes and other postoperative complications were not significantly different between the ICG and non-ICG groups. An additional analysis showed that the VA improvement of the ICG group was less than the non-ICG group only within the first year of follow up. A subgroup analysis showed that the rate of VA improvement was lower in the ICG group than in other adjuncts group. A higher rate of secondary closure and less VA improvement were observed in a high proportion (>0.1% of the ICG group. A sensitivity analysis after the randomized-controlled trials were excluded from the meta-analysis demonstrated no differences compared with the overall results. CONCLUSIONS: This meta-analysis demonstrated that there is no evidence of clinical superiority in outcomes for ICG-assisted ILM peeling procedure over the non-ICG one. The toxicity of ICG should be considered when choosing the various staining methods.

Characterization of internal dosimetry practices

International Nuclear Information System (INIS)

Traub, R.J.; Heid, K.R.; Mann, J.C.

1983-01-01

Current practices in internal dosimetry at DOE facilities were evaluated with respect to consistency among DOE Contractors. All aspects of an internal dosimetry program were addressed. Items considered include, but are not necessarily limited to, record systems and ease of information retrieval; ease of integrating internal dose and external dose; modeling systems employed, including ability to modify models depending on excretion data, and verification of computer codes utilized; bioassay procedures, including quality control; and ability to relate air concentration data to individual workers and bioassay data. Feasibility of uranium analysis in solution by laser fluorescence excitation at uranium concentrations of one part per billion was demonstrated

Facilitating Automation Development in Internal Logistics Systems

OpenAIRE

Granlund, Anna

2014-01-01

The internal logistics system includes all activities connected with managing the flow of materials within the physical limits of a facility. This system is an important part of operations in need of increased focus and continuous improvements. Automation is one possible tool with a previously confirmed great potential to improve internal logistics. Despite this great potential and a growing trend of using automation in the area, internal logistics activities are still not automated to the sa...

26 CFR 1.854-1 - Limitations applicable to dividends received from regulated investment company.

Science.gov (United States)

2010-04-01

... 26 Internal Revenue 9 2010-04-01 2010-04-01 false Limitations applicable to dividends received from regulated investment company. 1.854-1 Section 1.854-1 Internal Revenue INTERNAL REVENUE SERVICE, DEPARTMENT OF THE TREASURY (CONTINUED) INCOME TAX (CONTINUED) INCOME TAXES Regulated Investment Companies and...

Internal fire protection analysis for the United Kingdom EPR design

Energy Technology Data Exchange (ETDEWEB)

Laid, Abdallah [Nuclear New Build Generation Company Ltd. (NNB GenCo), Barnwood (United Kingdom). EDF Energy Plc.; Cesbron, Mickael [Service Etudes et Project Thermiques et Nucleaires (SEPTEN), Lyon (France). EDF-SA

2015-12-15

In the deterministic design basis analysis of the United Kingdom (UK) EPR based nuclear power plants all postulated initiating events are grouped into two different types, internal faults and internal/external hazards. ''Internal Fires'' is one of the internal hazards analysed at the design stage of the UK EPR. In effect, the main safety objective for fire protection is to ensure that all the required safety functions are performed in the event of an internal fire. To achieve this safety objective, provisions for protection against fire risks are taken to: (i) limit the spread of a fire, protect the safety functions of the facility; (ii) limit the propagation of smoke and dispersion of toxic, radioactive, inflammable, corrosive or explosive materials, and (iii) ensure the achievement of a safe shutdown state, personnel evacuation and all other necessary emergency actions. This paper presents the UK EPR approach on how the above provisions are applied. Such provisions involve implementing means of fire prevention, surveillance, firefighting and limiting fire consequences, appropriate to the risks inherent to the facility. Overall, the design of the UK EPR fire protection systems is based on three types of measures: prevention, containment and control.

Long-term outcomes of pars plana vitrectomy without internal limiting membrane peeling for optic disc pit maculopathy.

Science.gov (United States)

Avci, R; Yilmaz, S; Inan, U U; Kaderli, B; Kurt, M; Yalcinbayir, O; Yildiz, M; Yucel, A

2013-12-01

To evaluate the results of surgical treatment of maculopathy secondary to congenital optic pit anomaly with pars plana vitrectomy (PPV), endolaser to the temporal edge of the optic disc and C3F8 tamponade without internal limiting membrane (ILM) peeling. Thirteen eyes of 12 patients with serous macular detachment and/or macular retinoschisis secondary to congenital optic disc pit (ODP) were included in the study. All eyes underwent PPV, posterior hyaloid removal, endolaser photocoagulation on the temporal margin of the optic disc and 12% C3F8 gas tamponade. Anatomic success and functional outcome determined retrospectively by optical coherence tomography and measurement of best corrected visual acuity (BCVA), respectively were the main outcome parameters. Two lines or more improvement in BCVA was obtained in 11 eyes and 6 of these eyes had 20/40 or better BCVA at the final visit. Subretinal or intraretinal fluid was completely resorbed postoperatively in 12 eyes but a little intraretinal fluid persisted in one eye at the 16-month follow-up. Better visual improvement was observed in patients treated by earlier surgical intervention. PPV, C3F8 gas tamponade and endolaser to the optic disc margin without ILM peeling may yield favourable results in the treatment of ODP maculopathy.

Evaluasi Pengendalian Internal Siklus Pendapatan Pada PT X

Directory of Open Access Journals (Sweden)

Aries Wicaksono

2013-11-01

Full Text Available This study aims to evaluate the implementation of internal control in revenue cycle, to identify weaknesses and limitations of internal control, and to suggest improvements as needed. Research was carried out by using several methods. First, the method of data collection was conducted with internal control questionnaires of revenue cycle, interview, and observation. Second, the method of analysis was performed by using COSO internal control framework. Results obtained are internal control in the revenue cycle applied to the company in general is quite good; and there are ineffective implementation of internal control which can lead to the emergence of risks that could harm the company.

The Chiang Mai Initiative and Its Multilateralization: Toward an Asian Monetary Fund?

Directory of Open Access Journals (Sweden)

Youngwon Cho

2011-11-01

Full Text Available As a regional self-help system of liquidity support established in the aftermath of the Asian crisis of 1997, the Chiang Mai Initiative (CMI and its recent multilateralization have been touted in some quarters as important achievements in a region where institutionalized financial cooperation had been sorely lacking, taking East Asia one step closer to the resuscitation of the still-born Asian Monetary Fund. Against such a sanguine assessment, I argue that the significance of the CMI, even after its multilateralization, is largely limited to symbolism and its practical implications are inconsequential. Despite the progress associated with CMI multilateralization, the underlying political dynamics in the region render East Asia fundamentally incapable of producing a coherent regional solution to the recurring problem of global financial instability.

DoD International Armaments Cooperation Policy

National Research Council Canada - National Science Library

Cohen, William

1997-01-01

.... In the evolving environment of coalition warfare, limited resources, and a global industrial and technology base, it is DoD policy that we utilize International Armaments Cooperation to the maximum...

Increased Retinal Thinning after Combination of Internal Limiting Membrane Peeling and Silicone Oil Endotamponade in Proliferative Diabetic Retinopathy.

Science.gov (United States)

Kaneko, Hiroki; Matsuura, Toshiyuki; Takayama, Kei; Ito, Yasuki; Iwase, Takeshi; Ueno, Shinji; Nonobe, Norie; Yasuda, Shunsuke; Kataoka, Keiko; Terasaki, Hiroko

2017-01-01

The aim of this study was to examine the change in retinal thickness after vitrectomy with internal limiting membrane (ILM) peeling and/or silicone oil (SO) endotamponade in proliferative diabetic retinopathy (PDR). The actual amount and ratio of changes in the retinal thickness were calculated. Compared to control eyes in the ILM peeling (-)/SO (-) group, the central, superior inner, and temporal inner retina in the ILM peeling (+)/SO (-) group, the central and superior inner retina in the ILM peeling (-)/SO (+) group, and the central, inferior inner, temporal inner, and nasal inner retina in the ILM peeling (+)/SO (+) group showed a significant reduction of the retinal thickness. The central, superior inner, and temporal inner retina in the ILM peeling (+)/SO (-) group, the central and superior inner retina in the ILM peeling (-)/SO (+) group, and the central, superior inner, inferior inner, and temporal inner retina in the ILM peeling (+)/SO (+) group showed a significantly increased reduction rate of the retinal thickness compared to the control group. Macular retinal thinning in PDR was observed after ILM peeling and SO endotamponade, and it was increased by the combination of these 2 factors. © 2017 S. Karger AG, Basel.

Internal dosimetry by whole body counting techniques

International Nuclear Information System (INIS)

Sharma, R.C.

1995-01-01

Over decades, whole body counting and bioassay - the two principal methods of internal dosimetry have been most widely used to assess, limit and control the intakes of radioactive materials and the consequent internal doses by the workers in nuclear industry. This paper deals with the whole body counting techniques. The problems inherent in the interpretation of monitoring data and likely future directions of development in the assessments of internal doses by direct methods are outlined. (author). 14 refs., 9 figs., 1 tab

Assessment of effect of reinforcement on plastic limit load of branch junction

International Nuclear Information System (INIS)

Myung, Man Sik; Kim, Yun Jae; Yoon, Ki Bong

2009-01-01

The present work provides effects of reinforcement shape and area on plastic limit loads of branch junctions, based on detailed three-dimensional finite element limit analysis and small strain FE limit analyses assuming elastic-perfectly plastic material behavior. Three types of loading are considered; internal pressure, in-plane bending on the branch pipe and in-plane bending on the run pipe. It is found that reinforcement is the most effective in the case when (in-plane/out-of-plane) bending is applied to the branch pipe. When bending is applied to the run pipe, reinforcement is less effective, compared to the case when bending is applied to the branch pipe. The reinforcement effect is the least effective for internal pressure.

International safety standards and regulatory practices and their application to Brazilian nuclear power plants - a realistic view

International Nuclear Information System (INIS)

Almeida, Claudio; Camargo, Claudio

1999-01-01

An international nuclear safety regime is being established through a series of binding safety conventions, voluntarily adopted international safety standards and an accompanying peer review process. The basis for the evaluation of each country performance within this international regime should be the international practices. However, local conditions should be taken into account to avoid undue stress of the limited resources available to countries with a limited nuclear power programme. This work reviews the current international nuclear safety and discusses the application of some international practices to the Brazilian situation, considering the peculiarities of the national nuclear power programme and the limitations of the available financial and human resources. (author)

Studies of the disruption prevention by ECRH at plasma current rise stage in limiter discharges/Possibility of an internal transport barrier producing under dominating electron transport in the T-10 tokamak

International Nuclear Information System (INIS)

Alikaev, V.V.; Borshegovskij, A.A.; Chistyakov, V.V.

2001-01-01

'Studies of the Disruption Prevention by ECRH at Plasma Current Rise Stage in Limiter Discharges' - Studies of disruption prevention by means of ECRH in T-10 at the plasma current rise phase in limiter discharges with circular plasma cross-section were performed. Reliable disruption prevention by ECRH at HF power (P HF ) min level equal to 20% of ohmic heating power P OH was demonstrated. m/n=2/1 mode MHD-activity developed before disruption (with characteristic time ∼ 120 ms) can be considered as disruption precursor and can be used in a feedback system. 'Possibility of an Internal Transport Barrier Producing under Dominating Electron Transport in the T-10 Tokamak' - The reversed shear experiments were carried out on T-10 at the HF power up to 1MW. The reversed shear in the core was produced by on-axis ECCD in direction opposite to the plasma current. There are no obvious signs of Internal Transport Barriers formation under condition when high-k turbulence determines the electron transport. (author)

The international dimensions of nuclear safety standards

International Nuclear Information System (INIS)

Reed, J.M.

1992-01-01

The paper reviews the activities of the major international organisations in the field of nuclear safety standards; the International Atomic Energy Agency (IAEA), the OECD's Nuclear Energy Agency (NEA) and the Commission of the European Communities. Each organisation encourages the concept of international nuclear safety standards. After Chernobyl, there were calls for some form of binding international nuclear safety standards. Many Member States of IAEA accepted these Codes as a suitable basis for formulating their national safety standards, but the prevailing view was that voluntary compliance with the Codes was the preferred path. With few reactor vendors in a limited international market, the time may be approaching when an internationally licensable nuclear reactor is needed. Commonly accepted safety standards would be a prerequisite. The paper discusses the issues involved and the complexities of standards making in the international arena. (author)

Recurrence rate and need for reoperation after surgery with or without internal limiting membrane removal for the treatment of the epiretinal membrane.

Science.gov (United States)

De Novelli, Fernando José; Goldbaum, Mauro; Monteiro, Mario Luiz Ribeiro; Aggio, Fabio Bom; Nóbrega, Mario Junqueira; Takahashi, Walter Yukihiko

2017-01-01

To compare the recurrence rate and need for reoperation after epiretinal membrane surgery with and without removal of the internal limiting membrane. In this retrospective study, 125 patients operated for epiretinal membrane removal were evaluated, with a minimum 6-month follow-up. Removal of the epiretinal membrane (ERM) was performed in 78 patients, while 47 had removal of the epiretinal membrane associated with internal limiting membrane peeling (ERM + ILM). The mean age in the ERM group was 65.8 years old, ranging from 41 to 80 years old. In the ERM + ILM group, the mean age was 67.2 years old, ranging from 52 to 82 years old. The mean preoperative visual acuity in the ERM group was 20/80p, and in the ERM + ILM group, it was 20/80. The mean postoperative visual acuity in both groups was 20/30. The mean preoperative macular thickness in the ERM group was 467 µm ranging from 281 to 663 µm; in the ERM + ILM group, the preoperative macular thickness was 497 µm, ranging from 172 to 798 µm. After surgery, a reduction in macular thickness was observed in both groups. In the ERM group, the mean macular thickness reduction was 361 ± 101. µm, whereas in the ERM + ILM group, it was 367 ± 75.2 µm. Twenty-two patients presented with a recurrence of epiretinal membrane, of which 16 (20.5%) were from the ERM group and 6 (12.8%) were from the ERM + ILM group (p = 0.39); one patient (2%) was retreated in the ERM + ILM group, whereas 5 patients (6%) where retreated in the ERM group. We postulate that ILM peeling for the treatment of epiretinal membrane is not a relevant factor either for visual recovery or macular thickness reduction, but it may reduce the recurrence and reoperation rate.

Plasma igniter for internal-combustion engines

Science.gov (United States)

Breshears, R. R.; Fitzgerald, D. J.

1978-01-01

Hot ionized gas (plasma) ignites air/fuel mixture in internal combustion engines more effectively than spark. Electromagnetic forces propel plasma into combustion zone. Combustion rate is not limited by flame-front speed.

Le tyrannicide en droit international

OpenAIRE

d' Aspremont, J.; Tomuschat, C.; Lagrange, E.; Oeter, S.

2010-01-01

Drawing on practice pertaining to the killing of Saddam Hussein, Hailé Sélassié, Nicolae Ceausescu etc., the paper explores various legal aspects of a tyrannicide in International Law. It expounds more particularly on the legal problems caused by the murder of a head of State from the standpoint of the right to life of the tyran and from the angle of democracy. It also provides some insights from the vantage point of international criminal law. The paper argues that very limited consequences ...

Microvascular changes after vitrectomy with internal limiting membrane peeling: an optical coherence tomography angiography study.

Science.gov (United States)

Mastropasqua, Leonardo; Borrelli, Enrico; Carpineto, Paolo; Toto, Lisa; Di Antonio, Luca; Mattei, Peter A; Mastropasqua, Rodolfo

2017-06-19

To evaluate superficial capillary plexus (SCP) changes occurring after internal limiting membrane (ILM) peeling for the treatment of idiopathic epiretinal membrane (ERM). A total of 15 eyes of 15 patients affected by idiopathic ERM (eight males and seven females; mean age 59.8 ± 9.6 years) were enrolled in the study. Patients were treated with pars plana vitrectomy followed by ERM and ILM peeling. Subjects were evaluated at baseline and at the week-1 and month-1 follow-up visits. At each visit, patients were evaluated with a complete ophthalmologic evaluation, which included imaging with optical coherence tomography angiography. Overall, the SCP vessel density was 43.0 ± 3.0% at baseline and was stable throughout the follow-up (40.0 ± 4.0% at week-1 and 41.0 ± 4.0% at month-1 follow-up visits; p = 0.087 and p = 0.426, respectively). Nevertheless, the SCP vessel density was reduced at week-1 visit in both the superior and inferior sectors. In these sectors, the superficial vessel density was still reduced at the month-1 follow-up visit. We observed a reduction in the SCP vessel density occurring after pars plana vitrectomy with ILM peeling. The reduction is referred to those areas where other changes (e.g., swelling of the arcuate nerve fiber layer) have been already described. In theory, superficial vessel density modifications may be due to the direct surgical trauma to the inner retina, where the superficial plexus is contained, during the ILM grasping.

78 FR 16915 - Internal Revenue Service

Science.gov (United States)

2013-03-19

... activities of certain taxpayers under the passive activity loss and credit limitations of Internal Revenue... request for OMB approval. All comments will become a matter of public record. Comments are invited on: (a...

Evaluation de Ia pratique transfusionnelle en urgence obstetricale et ...

African Journals Online (AJOL)

La collecte des donnees a ere faite par une technique d' observation directe et de revue documentaire. Sur cette periode, la frequence de la transfusion dans le service etait de 11,08 % par rapport a 1' ensemble des malades hospitalisees. Le delai moyen d' obtention des produits sanguins labiles etait de 2 h 46 minutes.

Author Details

African Journals Online (AJOL)

Valeurs de reference de la creatinine serique chez les donneurs de sang au Centre National De Transfusion Sanguine (CNTS) de Lome (Togo) Abstract · Vol 16, No 2 (2014) - Articles Profil de l'hemogramme au cours de l'acces palustre simple a Plasmodium falciparum chez les enfants de 6 mois a 5 ans au Togo.

Kinetic distribution of the radio-sodium among the rabbit in hypothermia; Cinetique de la distribution du radio-sodium chez le lapin en hypothermie

Energy Technology Data Exchange (ETDEWEB)

Morel, F; Combrisson, A [Commissariat a l' Energie Atomique, Saclay (France). Centre d' Etudes Nucleaires

1955-07-01

The experimental hypothermia, by the deep modifications of the circulatory hemodynamic, which it drags, and by the huge reduction of the oxidative processes that it characterizes, represent a particular physiological state that must permit to specify physico-chemical mechanisms which order the exchanges of the partition of the blood in capillaries and notably electrolytes exchanges. To do this study we followed the distribution kinetics of the sodium 24 in the blood system of 30 rabbits that was either in hypothermia, either to normal temperature. (M.B.) [French] L'hypothermie experimentale, par les modifications profondes de l'hemodynamique circulatoire qu'elle entraine, et par la diminution considerable des processus oxydatifs qui la caracterise, represente un etat physiologique particulier qui doit permettre de preciser experimentalement les mecanismes physico-chimiques qui commandent les echanges dont la paroi des capillaires sanguins est le siege, et notamment les echanges d'electrolytes. Pour cela on a suivi la cinetique de la distribution du sodium 24 dans le systeme sanguin de 30 lapins qui etaient soit en hypothermie, soit a temperature normale. (M.B.)

26 CFR 1.103(n)-4T - Elective carryforward of unused private activity bond limit (temporary).

Science.gov (United States)

2010-04-01

... bond limit (temporary). 1.103(n)-4T Section 1.103(n)-4T Internal Revenue INTERNAL REVENUE SERVICE... Excluded from Gross Income § 1.103(n)-4T Elective carryforward of unused private activity bond limit... carryforward for any one or more projects described in A-5 of this § 1.103(n)-4T (carryforward projects). Q-2...

International safeguards problem

International Nuclear Information System (INIS)

Scheinman, L.; Curtis, H.B.

1977-01-01

To recognize the limitations of safeguards as a barrier to nuclear proliferation is not to deny their essential role in the effort to contain that problem. Without a safeguards system, international nuclear commerce and development would not, indeed could not, be what they are today. The problems evoked in the discussion of the spread of sensitive nuclear technology underscore the importance of ensuring that activities do not outpace our ability to control them. To sustain a global nuclear economy requires a readiness to live within the constraints that such an economy requires. Enhanced safeguards and strengthened national commitments to facilitate their application are key elements of those constraints. So also may be a prepardness by many nations to forego explicitly national control over all facets of the nuclear fuel cycle while still sharing fully and equally in the benefits of the peaceful atom. The challenge of the coming years will be to craft mechanisms and institutions enabling the continued growth of peaceful nuclear activity without further impairing international security. The constraints that such an outcome entails are not limited to nations lacking sophisticated nuclear technology; they apply to the most advanced nuclear nations as well--partly through adherence to the safeguards system that these countries call upon others to adopt, and partly through greater willingness to entertain solutions that may involve greater international involvement in, and control over, their own peaceful nuclear productive activities. With time, the relative incompatibility of nuclear energy with full national sovereignty, and the far-sighted wisdom of the Baruch Plan, are becoming increasingly clear. 1 table, 10 references

Evaluation of concentration limits of radionuclides produced by accelerators

International Nuclear Information System (INIS)

Shibata, Tokushi; Ohkubo, Tohru; Uwamino, Yoshitomo; Iwai, Satoshi; Satoh, Osamu; Rintsu, Yukoh; Fukumoto, Toshiharu.

1992-01-01

This report describes the evaluation of concentration limits of 78 radionuclides typically produced by accelerator facilities and not listed in ICRP Pub. 30. The evaluation method and system have been developed in the present study. The evaluated values were compared with tremendously severe concentration limits given in the Annex Table 2 of the Science and Technology Agency Notification No. 15 which describes the concentration limits of the nuclides of which concentration limits are not given in the Annex Table 1 of the Agency Notification No. 15. The results show that two to nine order larger limits should be used. The new limits rationalize greatly the internal exposure control and the design of accelerator facilities. Simple and convenient techniques are also discussed for finding concentration limits of very-short-lived nuclides without knowing detail information about the nuclides such as decay scheme and metabolic data. (author)

76 FR 53056 - Outbound International Mailings of Lithium Batteries

Science.gov (United States)

2011-08-25

... POSTAL SERVICE 39 CFR Part 20 Outbound International Mailings of Lithium Batteries AGENCY: Postal... incorporate new maximum limits for the outbound mailing of lithium batteries. This is consistent with [email protected] , with a subject line of ``International Lithium Batteries.'' Faxed comments are not...

Arab International Students' Experiences in a U.S. University

Science.gov (United States)

Abo Rabia, Hazza M.

2015-01-01

This qualitative, exploratory study described the experiences of Arab international students in a U.S. postsecondary institution. This research identified those factors that Arab international students reported as facilitating or obstructing their academic success, promoting or limiting their socialization within the context of their postsecondary…

PENGARUH FAKTOR INTERN DAN FAKTOR EKSTERN TERHADAP PRESTASI BELAJAR EKONOMI

Directory of Open Access Journals (Sweden)

- Marimin

2011-05-01

Full Text Available Students’ achievement is one of success indicator in learning process. One of parameters used to measure succes level is minimal limit over learning target. But, there were a lot of 11th grade social class students in SMA N 1 Pegandon had low score below the minimal limit over learning target. The statements of problems are to know the condition of external and internal factors, to know the influence of external and internal factors toward learning achievement. The number of population was 126 students. The variables were internal factor, external factor and student learning achievement. Data was taken by using observation method, documentation and multiple regressions. The result study showed that internal factors was in good level (54.8%, external factor was in good level (80.16%. It can be concluded that internal factor and external factor gave influences toward student achievement. Thus; it is suggested that students should adapt in daily life with assessement exercise to improve students’ understanding toward subject material. Key words: Internal Factor, External Factor, students’ achievement.

EFFECT OF INTERNAL LIMITING MEMBRANE PEELING DURING VITRECTOMY FOR DIABETIC MACULAR EDEMA: Systematic Review and Meta-analysis.

Science.gov (United States)

Nakajima, Takuya; Roggia, Murilo F; Noda, Yasuo; Ueta, Takashi

2015-09-01

To evaluate the effect of internal limiting membrane (ILM) peeling during vitrectomy for diabetic macular edema. MEDLINE, EMBASE, and CENTRAL were systematically reviewed. Eligible studies included randomized or nonrandomized studies that compared surgical outcomes of vitrectomy with or without ILM peeling for diabetic macular edema. The primary and secondary outcome measures were postoperative best-corrected visual acuity and central macular thickness. Meta-analysis on mean differences between vitrectomy with and without ILM peeling was performed using inverse variance method in random effects. Five studies (7 articles) with 741 patients were eligible for analysis. Superiority (95% confidence interval) in postoperative best-corrected visual acuity in ILM peeling group compared with nonpeeling group was 0.04 (-0.05 to 0.13) logMAR (equivalent to 2.0 ETDRS letters, P = 0.37), and superiority in best-corrected visual acuity change in ILM peeling group was 0.04 (-0.02 to 0.09) logMAR (equivalent to 2.0 ETDRS letters, P = 0.16). There was no significant difference in postoperative central macular thickness and central macular thickness reduction between the two groups. The visual acuity outcomes using pars plana vitrectomy with ILM peeling versus no ILM peeling were not significantly different. A larger randomized prospective study would be necessary to adequately address the effectiveness of ILM peeling on visual acuity outcomes.

International Nuclear Security

Energy Technology Data Exchange (ETDEWEB)

Doyle, James E. [Los Alamos National Laboratory

2012-08-14

This presentation discusses: (1) Definitions of international nuclear security; (2) What degree of security do we have now; (3) Limitations of a nuclear security strategy focused on national lock-downs of fissile materials and weapons; (4) What do current trends say about the future; and (5) How can nuclear security be strengthened? Nuclear security can be strengthened by: (1) More accurate baseline inventories; (2) Better physical protection, control and accounting; (3) Effective personnel reliability programs; (4) Minimize weapons-usable materials and consolidate to fewer locations; (5) Consider local threat environment when siting facilities; (6) Implement pledges made in the NSS process; and (7) More robust interdiction, emergency response and special operations capabilities. International cooperation is desirable, but not always possible.

Limiting beta of stellarators with no net current

International Nuclear Information System (INIS)

Strauss, H.R.; Monticello, D.A.

1981-01-01

Using reduced nonlinear MHD equations, we find finite beta, resistive, l = 2 stellarator equilibria with no net current. We then investigate stability to low mode number internal MHD modes, and find beta limits comparable to tokamaks. Low shear equilibria appear to be substantially more stable than high shear

NEW INTERNATIONAL FINANCIAL REGULATION: NECESSITY OR REQUIRED BY CRISIS

Directory of Open Access Journals (Sweden)

Cojocari Anatol

2010-07-01

Full Text Available The global economic and financial crisis showed the limits faced by the international financial system. International financial regulations in general, and especially the banking sector regulations, should be refined and adapted to build a stronger and stable international financial system. We analyze the main trends in international regulations: the proposed amendments on capital requirements, the introduction of a global standard for liquidity and indebtedness, the winding-up directive, as well as their impact on the Romanian financial system.

76 FR 55799 - Outbound International Mailings of Lithium Batteries

Science.gov (United States)

2011-09-09

... POSTAL SERVICE 39 CFR Part 20 Outbound International Mailings of Lithium Batteries AGENCY: Postal... would incorporate new maximum limits for the outbound mailing of lithium batteries to international, or... equipment with lithium metal or lithium-ion batteries that were to be effective October 3, 2011. These...

Global Harmonization of Maximum Residue Limits for Pesticides.

Science.gov (United States)

Ambrus, Árpád; Yang, Yong Zhen

2016-01-13

International trade plays an important role in national economics. The Codex Alimentarius Commission develops harmonized international food standards, guidelines, and codes of practice to protect the health of consumers and to ensure fair practices in the food trade. The Codex maximum residue limits (MRLs) elaborated by the Codex Committee on Pesticide Residues are based on the recommendations of the FAO/WHO Joint Meeting on Pesticides (JMPR). The basic principles applied currently by the JMPR for the evaluation of experimental data and related information are described together with some of the areas in which further developments are needed.

The Ultimate Challenge: Prove B. F. Skinner Wrong

Science.gov (United States)

Chance, Paul

2007-01-01

For much of his career, B. F. Skinner displayed the optimism that is often attributed to behaviorists. With time, however, he became less and less sanguine about the power of behavior science to solve the major problems facing humanity. Near the end of his life he concluded that a fair consideration of principles revealed by the scientific…

Statut immunitaire, profil nutritionnel et evolution de la morbidite du ...

African Journals Online (AJOL)

En phase prospective les prélèvements sanguins ont été effectués et les profils immunologiques ont été établit. Les facteurs de ... During the retrospective step, data were collected using a questionnaire, and blood samples were collected and immunological profiles established during the prospective step. The factors of ...

Le surpoids, l'obésité et le contrôle glycémique chez les diabétiques ...

African Journals Online (AJOL)

utilisation et du stockage des sucres apportés par l'alimentation, sa prise en charge est ... l'organisation mondiale de santé (OMS), Le contrôle glycémique a été effectué par l'analyse sanguine de l'Hémoglobine glycosylée et de la Glycémie à jeun.

coloproctectomie avec anastomose colo-sus-anale pour tumeur ...

African Journals Online (AJOL)

Une coloproctectomie fut réalisée le 30/06/2014 avec anastomose colo-anale, colostomie de protection sous-couvert d'une transfusion sanguine. L'examen histologique du segment colorectal prélevé objectiva une rectocolite granulomateuse autour de nombreux oeufs de schistosomes. En effet, le patient a vécu à Pahou, ...

Safety Network to Detect Performance Degradation and Pilot Incapacitation (Reseau de securite pour detecter la degradation des performances et la defaillance du pilote)

Science.gov (United States)

1990-09-01

ddtocteurd ’o xyg~ne inwnaceIlularc In viva en utfisane 4 onursdone’ a.I mh infaug (MNI-4) Ce appaeI est capable de mosume au niveata du cerveau . Its...CIRCULATION SANGUINE AU NIVEAl) W) CERVEAU * Deux raisons sont en favour do cette solution a Lora du combat aftien, lea accdl6rationa do niveau dlovd at

Creating the optimized international marketing mix

Directory of Open Access Journals (Sweden)

Grubor Aleksandar

2005-01-01

Full Text Available In the international practice of Serbian companies still dominant approach is based on traditional foreign trade approach, which in the significant dimension ballast effective inclusion of domestic companies in the contemporary business. Such practice is a result of the modality of international trading evolved and stimulated recently including long lasting period of self managing socialism-business as well international orientation in trading was originated by the state support, which procured in the edification of so-called national corporations as a chief exporter. Long-time existing of that modality of the international trading procured in the shrinking and limitation possibilities for comprehensive development of the international orientation of domestic i.e local companies, which is an argument of objectively difficult international position of Serbian firms in the moment. Paper discuss different issues including assessment that incoming presence of regional or international investors on the domestic market will proffer possibilities for enhancement a domestic management and marketing know - how among others. So, this is a way how local management circles could make substantial progress in creating the optimized international marketing mix within domestic companies following on-going business experience.

Temperature Limit of the Deep Subseafloor Biosphere in the Nankai Trough Subduction Zone off Cape Muroto (IODP T-Limit Expedition 370)

Science.gov (United States)

Morono, Y.; Hauer, V. B.; Inagaki, F.; Kubo, Y.; Maeda, L.; Scientists, E.

2017-12-01

Expedition 370 of the International Ocean Discovery Program (IODP) aimed to explore the limits of life in the deep subseafloor biosphere at a location where elevated heat flow lets temperature increase with sediment depth beyond the known maximum of microbial life ( 120°C) at 1.2 km below the seafloor. Such conditions are met in the protothrust zone of the Nankai Trough off Cape Muroto, Japan, where Site C0023 was established in the vicinity of ODP Sites 808 and 1174 at a water depth of 4776 m using the drilling vessel DV Chikyu. Hole C0023A was cored down to a total depth of 1180 meters below seafloor, offshore sampling and research was combined with simultaneous shore-based investigations at the Kochi Core Center (KCC), and long-term temperature observations were started (Heuer et al., 2017). The primary scientific objectives of Expedition 370 are (a) to detect and investigate the presence or absence of life and biological processes at the biotic-abiotic transition of the deep subseafloor with unprecedented analytical sensitivity and precision; (b) to comprehensively study the factors that control biomass, activity, and diversity of microbial communities; and (c) to elucidate if continuous or episodic flow of fluids containing thermogenic and/or geogenic nutrients and energy substrates support subseafloor microbial communities in the Nankai Trough accretionary complex (Hinrichs et al., 2016). This contribution will highlight the scientific approach of our field-work and preliminary expedition results by shipboard and shorebased activities. Hinrichs K-U, Inagaki F, Heuer VB, Kinoshita M, Morono Y, Kubo Y (2016) Expedition 370 Scientific Prospectus: T-Limit of the Deep Biosphere off Muroto (T-Limit). International Ocean Discovery Program. http://dx.doi.org/10.14379/iodp.sp.370.2016 Heuer VB, Inagaki F, Morono Y, Kubo Y, Maeda L, the Expedition 370 Scientists (2017) Expedition 370 Preliminary Report: Temperature Limit of the Deep Biosphere off Muroto. International

76 FR 70225 - Advisory Council to the Internal Revenue Service; Meeting

Science.gov (United States)

2011-11-10

... discussed include, but not limited to: Remote Work, Commercial Awareness, Schedule UTP, Distance Learning... people, IRSAC members and Internal Revenue Service officials inclusive. Due to limited seating, please...

26 CFR 1.422-4 - $100,000 limitation for incentive stock options.

Science.gov (United States)

2010-04-01

... pursuant to the exercise of an incentive stock option by issuing a separate certificate (or certificates... 26 Internal Revenue 5 2010-04-01 2010-04-01 false $100,000 limitation for incentive stock options... (CONTINUED) INCOME TAX (CONTINUED) INCOME TAXES Certain Stock Options § 1.422-4 $100,000 limitation for...

International cooperation on breeder reactors

International Nuclear Information System (INIS)

Gray, J.E.; Kratzer, M.B.; Leslie, K.E.; Paige, H.W.; Shantzis, S.B.

1978-01-01

In March 1977, as the result of discussions which began in the fall of 1976, the Rockefeller Foundation requested International Energy Associates Limited (IEAL) to undertake a study of the role of international cooperation in the development and application of the breeder reactor. While there had been considerable international exchange in the development of breeder technology, the existence of at least seven major national breeder development programs raised a prima facie issue of the adequacy of international cooperation. The final product of the study was to be the identification of options for international cooperation which merited further consideration and which might become the subject of subsequent, more detailed analysis. During the course of the study, modifications in U.S. breeder policy led to an expansion of the analysis to embrace the pros and cons of the major breeder-related policy issues, as well as the respective views of national governments on those issues. The resulting examination of views and patterns of international collaboration emphasizes what was implicit from the outset: Options for international cooperation cannot be fashioned independently of national objectives, policies and programs. Moreover, while similarity of views can stimulate cooperation, this cannot of itself provide compelling justification for cooperative undertakings. Such undertakings are influenced by an array of other national factors, including technological development, industrial infrastructure, economic strength, existing international ties, and historic experience

Internalization and Participation as Metaphors of Strategic Reading Development

Science.gov (United States)

Davis, Dennis S.

2011-01-01

Many studies of comprehension strategies instruction rely on an internalization metaphor of strategy learning. In this view, strategies eventually enter students' heads after repeated interactions with teachers who introduce strategies and control how they are used. In this article, the author discusses the limitations of the internalization view…

Dose limits to the eye lens

International Nuclear Information System (INIS)

Sion, N.

2016-01-01

Protecting the human body from the effects of ionizing radiation is essential to forestall stochastic effects and require placing limits on the effective dose. Dose limits on specific organs are also necessary to reduce the deterministic effects and tissue reactions. The standard for radiation protection was ISO 15382 (2002) which mainly dealt with beta radiation for nuclear power plant workers. Clearly an update is required to allow for new technology and the proliferative use of radiation in medical practices. There is a need for more explicit radiation monitoring to operators and staff. ICRP118 (International Commission on Radiological Protection), Ref. 1, evolved their recommendations to include eye lens doses as a follow on to their publication 103 and to focus on radiation exposures. It provides updated estimates of 'practical' threshold doses for tissue injury at the level of 1% incidence. This paper discusses the current status and the recommendation for a drastic reduction of the dose limit to the eye lens. (author)

Dose limits to the eye lens

Energy Technology Data Exchange (ETDEWEB)

Sion, N.

2016-09-15

Protecting the human body from the effects of ionizing radiation is essential to forestall stochastic effects and require placing limits on the effective dose. Dose limits on specific organs are also necessary to reduce the deterministic effects and tissue reactions. The standard for radiation protection was ISO 15382 (2002) which mainly dealt with beta radiation for nuclear power plant workers. Clearly an update is required to allow for new technology and the proliferative use of radiation in medical practices. There is a need for more explicit radiation monitoring to operators and staff. ICRP118 (International Commission on Radiological Protection), Ref. 1, evolved their recommendations to include eye lens doses as a follow on to their publication 103 and to focus on radiation exposures. It provides updated estimates of 'practical' threshold doses for tissue injury at the level of 1% incidence. This paper discusses the current status and the recommendation for a drastic reduction of the dose limit to the eye lens. (author)

Vitrectomy with internal limiting membrane peeling vs no peeling for Macular Hole-induced Retinal Detachment (MHRD): a meta-analysis.

Science.gov (United States)

Su, Jing; Liu, Xinquan; Zheng, Lijun; Cui, Hongping

2015-06-20

we conducted our meta-analysis of published studies to assess existing evidence about the efficacy and safety of vitrectomy with ILM peeling vs. that of vitrectomy with no ILM peeling for Macular hole-induced retinal detachment. Databases, including Pubmed, Cochrane Library, Ovid, Web of Science, Wanfang and CNKI, were searched to identify studies comparing outcomes following vitrectomy with ILM peeling and that with no ILM peeling for macular hole-induced retinal detachment. The meta-analysis was performed by RevMan 5.1. Six comparative studies comprising 180 eyes were identified. It was indicated that the rate of retinal reattachment (Odds ratio (OR) = 3.03, 95 % Confidence interval (CI):1.35 to 6.78; P = 0.007) and macular hole closure (OR = 6.74, 95 % CI:3.26 to 13.93; P peeling than that in the group of vitrectomy with no ILM peeling. However, the improved BCVA (Weighted mean difference (WMD) = 0.14, 95 % CI: -0.20 to 0.47; P = 0.42) and the rate of postoperative complications were similar between the two groups. Vitrectomy with internal limiting membrane peeling is an efficient and safe procedure for macular hole-induced retinal detachment.

[Effect of internal limiting membrane peeling on morpho-functional state of the retina in patients with proliferative diabetic retinopathy (preliminary report)].

Science.gov (United States)

Bikbov, M M; Fayzrakhmanov, R R; Kalanov, M R

2018-01-01

To compare morpho-functional parameters of retina during vitrectomy with and without internal limiting membrane (ILM) peeling in patients with proliferative diabetic retinopathy. The study included 55 patients (55 eyes) that had underwent vitreoretinal surgery in the setting of antivasoproliferative therapy for proliferative diabetic retinopathy. Patients of the 1 st group (n=27) underwent vitrectomy with silicone tamponade, 2 nd group (n=28) received similar treatment with the addition of ILM peeling. Three months after the treatment, all patients had silicone oil removed. Best Corrected Visual Acuity before treatment was 0.06±0.02 in both groups; after the treatment it improved to 0.1±0.05 (ppeeling during vitrectomy with following silicone oil tamponade eliminates the risk of ERM formation in patients with proliferative diabetic retinopathy in the follow-up period of up to 6-month and results in better morpho-functional parameters in comparison with patients who received similar treatment but without peeling.

26 CFR 301.6872-1 - Suspension of running of period of limitations on assessment.

Science.gov (United States)

2010-04-01

... 26 Internal Revenue 18 2010-04-01 2010-04-01 false Suspension of running of period of limitations..., Bankruptcy, and Receiverships Jeopardy § 301.6872-1 Suspension of running of period of limitations on... as such, then the running of the period of limitations on assessment shall be suspended from the date...

The zero mass limit in Yang-Mills theory

International Nuclear Information System (INIS)

Dombey, N.

1976-01-01

The zero mass limit of massive Yang-Mills theory is investigated and it is shown that there is a conflict between Lorentz invariance and the internal symmetry group in the theory. A necessary but not sufficient condition for the resolution of this conflict is the introduction of zero mass scalar fields. (author)

Correlation of Normal Gravity Mixed Convection Blowoff Limits with Microgravity Forced Flow Blowoff Limits

Science.gov (United States)

Marcum, Jeremy W.; Olson, Sandra L.; Ferkul, Paul V.

2016-01-01

The axisymmetric rod geometry in upward axial stagnation flow provides a simple way to measure normal gravity blowoff limits to compare with microgravity Burning and Suppression of Solids - II (BASS-II) results recently obtained aboard the International Space Station. This testing utilized the same BASS-II concurrent rod geometry, but with the addition of normal gravity buoyant flow. Cast polymethylmethacrylate (PMMA) rods of diameters ranging from 0.635 cm to 3.81 cm were burned at oxygen concentrations ranging from 14 to 18% by volume. The forced flow velocity where blowoff occurred was determined for each rod size and oxygen concentration. These blowoff limits compare favorably with the BASS-II results when the buoyant stretch is included and the flow is corrected by considering the blockage factor of the fuel. From these results, the normal gravity blowoff boundary for this axisymmetric rod geometry is determined to be linear, with oxygen concentration directly proportional to flow speed. We describe a new normal gravity 'upward flame spread test' method which extrapolates the linear blowoff boundary to the zero stretch limit in order to resolve microgravity flammability limits-something current methods cannot do. This new test method can improve spacecraft fire safety for future exploration missions by providing a tractable way to obtain good estimates of material flammability in low gravity.

The Implementation of IAS 16 and IAS 41 at Andrew Peller Limited

Science.gov (United States)

Lapointe-Antunes, Pascale; Moore, James

2013-01-01

This case asks students to play the role of Doug Grodeckie, Manager of Financial Reporting at Andrew Peller Limited (APL). Doug was asked to prepare a report analyzing Andrew Peller Limited's current tangible long-lived assets disclosures and making recommendations on how best to comply with International Accounting Standard (IAS) 16 Property,…

Benefits of International Collaboration on the International Space Station

Science.gov (United States)

Hasbrook, Pete; Robinson, Julie A.; Brown Tate, Judy; Thumm, Tracy; Cohen, Luchino; Marcil, Isabelle; De Parolis, Lina; Hatton, Jason; Umezawa, Kazuo; Shirakawa, Masaki;

Tokamak advanced pump limiter experiments and analysis

International Nuclear Information System (INIS)

Conn, R.W.

1983-06-01

Experiments with pump limiter modules on several operating tokamaks establish such limiters as efficient collectors of particles and has demonstrated the importance of ballistic scattering as predicted theoretically. Plasma interaction with recycling neutral gas appears to become important as the plasma density increases and the effective ionization mean free path within the module decreases. In limiters with particle collection but without active internal pumping, the neutral gas pressure is found to vary nonlinearly with the edge plasma density at the highest densities studies. Both experiments and theory indicate that the energy spectrum of gas atoms in the pump ducting is non-thermal, consistent with the results of Monte Carlo neutral atom transport calculations. The distribution of plasma power over the front surface of such modules has been measured and appears to be consistent with the predictions of simple theory. Initial results from the latest experiment on the ISX-B tokamak with an actively pumped limiter module demonstrates that the core plasma density can be controlled with a pump limiter and that the scrape-off layer plasma can partially screen the core plasma from gas injection. The results from module pump limiter experiments and from the theory and design analysis of advanced pump limiters for reactors are used to suggest the major features of a definitive, axisymmetric, toroidal belt pump limiter experiment

Internal education

Directory of Open Access Journals (Sweden)

Anita Zagorc

2016-09-01

Full Text Available Research Question (RQ: The importance of internal trainings in an organization. Purpose: The purpose of research is to examine and present internal trainings in an organization and their contribution to greater success of an organization. The paper studies employee training in a company, how the organization itself looks after its employees during training, how trainings contribute to further development of organization and the advancement of knowledge for successful operation of organization. Method: How to achieve the purpose of research, used methods and theoretical approach. Results: Specific examples and opinions of employees. Results show the importance of trainings for an organization. We can see that all employees are fairly motivated and ready to participate in trainings and can adapt to changing business environment very well. The results demonstrate that all trainings in the organization are very important and welcome. Only with continuous learning, the organization can be successful and survive in the market despite strong competition. Organization: Trainings are designed for all employees inside an organization. Different employees participate in trainings in a different way as all trainings are divided into certain work and fields that are important for each individual or department in an organization. Society: Trainings have an impact on the whole organization by contributing to its development. Originality: The originality of study is what was new in the research, what is the value and originality of research. Limitations/Future Research: Research was limited to a small number of sources.

International arrangements against nuclear terrorism

International Nuclear Information System (INIS)

Bunn, G.

1987-01-01

International efforts to show the spread of nuclear weapons have created an international norm of nonproliferation, backed by a variety of enforcement mechanisms. Together they are often referred to as the nonproliferation regime. This regime is reviewed, starting with the 1963 Limited Test Ban Treaty. The centerpiece of the regime, the Non-Proliferation Treaty (NPT), signed in 1968, now has 135 parties, including most of the advanced industrial nuclear countries. Results of the 1985 NPT Review Conference are briefly discussed; the 86 NPT parties that attended reaffirmed the treaty's value, pledged continued support for the IAEA safeguards system, and called upon nonsigners to renounce nuclear weapons and accept IAEA safeguards. A section is devoted to the physical protection of nuclear materials, facilities, and weapons. Finally, recommendations are presented to improve international arrangements against nuclear terrorists

The concept of physical limitations in knee osteoarthritis

DEFF Research Database (Denmark)

Klokker, Louise; Osborne, Richard; Wæhrens, Eva Elisabet Ejlersen

2015-01-01

OBJECTIVE: To comprehensively identify components of the physical limitation concept in knee osteoarthritis (OA) and to rate the clinical importance of these using perspectives of both patients and health professionals. DESIGN: Concept mapping, a structured group process, was used to identify...... and organize data in focus groups (patients) and via a global web-based survey (professionals). Ideas were elicited through a nominal group technique and then organized using multidimensional scaling, cluster analysis, participant validation, rating of clinical importance, and thematic analyses to generate...... a conceptual model of physical limitations in knee OA. RESULTS: Fifteen Danish patients and 200 international professionals contributed to generating the conceptual model. Five clusters emerged: 'Limitations/physical deficits'; 'Everyday hurdles'; 'You're not the person you used to be'; 'Need to adjust way...

Rôle inflammatoire des plaquettes sanguines : application en transfusion

OpenAIRE

Nguyen , Thi Kim Anh

2013-01-01

Blood platelets are non-nucleated cells and play a major role in primary hemostasis and a key role in inflammation, innate and adaptive immunity. They secrete a large variety of soluble factors including cytokines/chemokines (CK/CH) and immunomodulator factors. The emergence of their inflammatory role has raised numerous questions based on the ability of platelets to respond to complex stimuli. Our investigations to answer these questions were realized in the context of platelet component tra...

Dose limits cause unacceptable risk

International Nuclear Information System (INIS)

Collier, Sylvia.

1985-01-01

This paper on radiation dose limits for workers and the public discusses the following: Medical Research Council report; safety standards; risk assessment; deaths from cancers; biological radiation effects; UK legislation; low-level radiation; public concern; UKAEA staff survey; Ionising Radiations Regulations; United Nations Scientific Committee on Effects of Atomic Radiation; US studies on work force in nuclear establishments; problems of extrapolation; Japanese data from Hiroshima and Nagasaki; International Commission on Radiological Protection recommendations; studies on uranium miners; UK Health and Safety Executive; UK National Radiological Protection Board. (U.K.)

Overview of revised measures to prevent malaria transmission by blood transfusion in France.

Science.gov (United States)

Garraud, O; Assal, A; Pelletier, B; Danic, B; Kerleguer, A; David, B; Joussemet, M; de Micco, P

2008-10-01

Plasmodial transmission by blood donation is rare in non-endemic countries, but a very serious complication of blood transfusion. The French national blood service (Etablissement Français du Sang and Centre de Transfusion sanguine des Armees) intended to revise the measures to strengthen blood safety with regard to Plasmodiae as transmissible pathogens. To limit the risk of transmission during infusion, serious additive measures have been taken for more than a decade in France, which is the European country with the highest rate of exposure to imported plasmodial infections or malaria. These measures were revised and strengthened after the occurrence of a lethal transfusion-transmitted infection in 2002, but did not prevent another occurrence in 2006. This report examines the weaknesses of the systems and aims at emphasizing the safety measures already taken and addresses issues to best respond to that risk.

Technology and international climate policy

International Nuclear Information System (INIS)

Clarke, Leon; Calvin, Kate; Edmonds, James A.; Kyle, Page; Wise, Marshall

2009-01-01

Both the nature of international climate policy architectures and the development and diffusion of new energy technologies could dramatically influence future costs of reducing global emissions of greenhouse gases. This paper explores the implications of interactions between technology availability and performance and international policy architectures for technology choice and the social cost of limiting atmospheric CO2 concentrations to 500 ppm by the year 2095. Key issues explored in the paper include the role of bioenergy production with CO2 capture and storage (CCS), overshoot concentration pathways, and the sensitivity of mitigation costs to policy and technology.

Technology and international climate policy

Energy Technology Data Exchange (ETDEWEB)

Clarke, Leon; Calvin, Kate; Edmonds, James A.; Kyle, Page; Wise, Marshall

2009-05-01

Both the nature of international climate policy architectures and the development and diffusion of new energy technologies could dramatically influence future costs of reducing global emissions of greenhouse gases. This paper explores the implications of interactions between technology availability and performance and international policy architectures for technology choice and the social cost of limiting atmospheric CO2 concentrations to 500 ppm by the year 2095. Key issues explored in the paper include the role of bioenergy production with CO2 capture and storage (CCS), overshoot concentration pathways, and the sensitivity of mitigation costs to policy and technology.

The Role of International School Counselors in U.S. College Recruitment Strategy

Science.gov (United States)

Foley, Amy Greenwald

2013-01-01

The University of Delaware has embraced a global admissions initiative with minimal experience in international endeavors and a limited budget for international recruitment. This EPP serves as exploratory research for improving our understanding of the international student market in Latin America and working more effectively with international…

Internal and external use of performance information in public organisations: Results from an international executive survey

NARCIS (Netherlands)

G. Hammerschmid (Gerhard); S.G.J. Van de Walle (Steven); V. Štimac (Vid)

2013-01-01

textabstractAbstract. This paper analyses determinants of public managers´ internal and external use of performance information. Using a sample of over 3100 top public sector executives in six European countries, we find evidence for significant country variations, with a more limited use of

Fovea sparing internal limiting membrane peeling using multiple parafoveal curvilinear peels for myopic foveoschisis: technique and outcome.

Science.gov (United States)

Jin, Haiying; Zhang, Qi; Zhao, Peiquan

2016-10-18

To introduce a modified surgical technique, the "parafoveal multiple curvelinear internal limiting membrane (ILM) peeling", to preserve epi-foveal ILM in myopic foveoschisis surgery. Consecutive patients with myopic foveoschisis were enrolled in the present prospective interventional case series. The surgeries were performed using transconjunctival 23-gauge system. The macular area was divided into quadrants. ILM was peeled off in a curvilinear manner centered around the site that was away from the central fovea in each quadrant. Shearing forces were used to control the direction to keep the peeling away from central fovea. ILM at central fovea of about 500 to 1000 μm was preserved by this technique. This technique was performed in 20 eyes of 20 consecutive patients. Epi-foveal ILM was successfully preserved in all cases using the technique. Patients were followed up for more than 12 months. The mean postoperative logMAR visual acuity improved from 1.67 ± 0.65 preoperatively to 1.15 ± 0.49 (P = 0.015; paired t-test). Postoperative OCT examinations showed that full-thickness macular holes (MHs) did not developed in any case. Central fovea thickness decreased from 910 ± 261 μm preoperatively to 125 ± 85 postoperatively (P = 0.001; paired t-test). Fovea sparing ILM peeling using multiple parafoveal curvilinear peels prevents the development of postoperative full-thickness MHs in eyes with myopic foveoschisis.

Visual working memory as visual attention sustained internally over time.

Science.gov (United States)

Chun, Marvin M

2011-05-01

Visual working memory and visual attention are intimately related, such that working memory encoding and maintenance reflects actively sustained attention to a limited number of visual objects and events important for ongoing cognition and action. Although attention is typically considered to operate over perceptual input, a recent taxonomy proposes to additionally consider how attention can be directed to internal perceptual representations in the absence of sensory input, as well as other internal memories, choices, and thoughts (Chun, Golomb, & Turk-Browne, 2011). Such internal attention enables prolonged binding of features into integrated objects, along with enhancement of relevant sensory mechanisms. These processes are all limited in capacity, although different types of working memory and attention, such as spatial vs. object processing, operate independently with separate capacity. Overall, the success of maintenance depends on the ability to inhibit both external (perceptual) and internal (cognitive) distraction. Working memory is the interface by which attentional mechanisms select and actively maintain relevant perceptual information from the external world as internal representations within the mind. Copyright © 2011. Published by Elsevier Ltd.

Magnetic- and material-limiter discharges in Tokapole II

International Nuclear Information System (INIS)

Moyer, R.A.

1988-01-01

Disruptive instabilities were studied in Tokapole II, a small poloidal-divertor tokamak, in magnetic- and material-limiter configurations. In the magnetic limiter configuration, the divertor separatrix defines the tokamak current channel boundary. Limiters or neutralizer plate are not used to remove plasma in the scrape-off region. The relatively hot, dense plasma in the scrape-off region carries 5-20% of the current. In the material-limiter configuration, limiter plates are inserted to the separatrix to remove plasma and current in the scrape-off region. The plates vary the tokamak current-channel boundary condition in a controlled manner, and provide a benchmark for comparison with other tokamaks. Internal and external disruptions have been studied, and several unique features in the magnetic-limiter configuration were identified. The magnetic-limiter configuration enables routine passing of the stability barriers at q(a) = 2 and q(a) = 1, where q(a) is the edge safety factor, without a close-fitting wall, external windings, or detailed profile control techniques. Passing the q(a) = 1 barrier permits operation in the q < 1 regime where total reconnection of the sawtooth does not occur

Patterned dye structures limit reabsorption in luminescent solar concentrators

NARCIS (Netherlands)

Tsoi, S.; Broer, D.J.; Bastiaansen, C.W.M.; Debije, M.G.

2010-01-01

This work describes a method for limiting internal losses of a luminescent solar concentrator (LSC) due to reabsorption through patterning the fluorescent dye doped coating of the LSC. By engineering the dye coating into regular line patterns with fill factors ranging from 20 - 80%, the surface

Investigation of internal feedback in hearing aids

DEFF Research Database (Denmark)

Friis, Lars

2009-01-01

with vibroacoustic transmission from the receiver to the microphones often occur during the use of hearing aids. This transmission causes feedback at certain critical gain levels where it produces a loud uncomfortable squealing. Consequently feedback often constitutes the limiting factor for the maximum obtainable...... gain in the hearing aid and it therefore represents a critical design problem. Feedback in hearing aids is usually divided into external and internal feedback. External feedback is caused by the leakage of sound from the ear canal whereas internal feedback is due to transmission of sound and vibrations...... internally in the hearing aid. As a result of reducing the size of hearing aids, manufacturers have experienced an increase in internal feedback problems. The main objective of the present thesis is therefore to examine the vibroacoustic mechanisms responsible for internal feedback in hearing aids...

Binary optics: Trends and limitations

Science.gov (United States)

Farn, Michael W.; Veldkamp, Wilfrid B.

1993-01-01

We describe the current state of binary optics, addressing both the technology and the industry (i.e., marketplace). With respect to the technology, the two dominant aspects are optical design methods and fabrication capabilities, with the optical design problem being limited by human innovation in the search for new applications and the fabrication issue being limited by the availability of resources required to improve fabrication capabilities. With respect to the industry, the current marketplace does not favor binary optics as a separate product line and so we expect that companies whose primary purpose is the production of binary optics will not represent the bulk of binary optics production. Rather, binary optics' more natural role is as an enabling technology - a technology which will directly result in a competitive advantage in a company's other business areas - and so we expect that the majority of binary optics will be produced for internal use.

IFRS IN ROMANIAN BANKING SYSTEM. LIMITS AND CHALLENGES

Directory of Open Access Journals (Sweden)

Inesa TOFANICA

2017-07-01

Full Text Available In our globalized world, accounting has followed the trend and it has imposed comparability norms in order to adjust to everyday economic transactions. The International Financial Reporting Standards are a set of accounting standards developed by a non-profit organization called IASB (International Accounting Standards Board. This set of standards is applied in many countries all over the world, and Romania is one of them. The advantages of IFRS are well known and recognized, but the path of IFRS adoption is not always smooth. This paper aims to present the limits and the challenges encountered by the companies which apply IFRS in their financial reports.

Linearized least-square imaging of internally scattered data

KAUST Repository

Aldawood, Ali; Hoteit, Ibrahim; Turkiyyah, George M.; Zuberi, M. A H; Alkhalifah, Tariq Ali

2014-01-01

Internal multiples deteriorate the quality of the migrated image obtained conventionally by imaging single scattering energy. However, imaging internal multiples properly has the potential to enhance the migrated image because they illuminate zones in the subsurface that are poorly illuminated by single-scattering energy such as nearly vertical faults. Standard migration of these multiples provide subsurface reflectivity distributions with low spatial resolution and migration artifacts due to the limited recording aperture, coarse sources and receivers sampling, and the band-limited nature of the source wavelet. Hence, we apply a linearized least-square inversion scheme to mitigate the effect of the migration artifacts, enhance the spatial resolution, and provide more accurate amplitude information when imaging internal multiples. Application to synthetic data demonstrated the effectiveness of the proposed inversion in imaging a reflector that is poorly illuminated by single-scattering energy. The least-square inversion of doublescattered data helped delineate that reflector with minimal acquisition fingerprint.

International New Venture Legitimation: An Exploratory Study

Directory of Open Access Journals (Sweden)

Romeo V. Turcan

2013-11-01

Full Text Available There is limited theoretical understanding and empirical evidence for how international new ventures legitimate. Drawing from legitimation theory, this study fills in this gap by exploring how international new ventures legitimate and strive for survival in the face of critical events during the process of their emergence. It is a longitudinal, multiple-case study research that employs critical incident technique for data collection, analysis, and interpretation. Following theory driven sampling, five international new ventures were selected that were operating in the software sector in the UK, and had internationalized and struggled for survival during the dotcom era. Grounded in data, this study corroborates a number of legitimation strategies yielded by prior research and refutes others. It further contributes to our understanding of international new venture legitimation by suggesting new types of legitimation strategies: technology, operating, and anchoring. Studying international new ventures through theoretical lenses of legitimation is a promising area of research that would contribute to the advancement of international entrepreneurship theory.

Jurisdiction in international law : United States and European perspectives

OpenAIRE

Ryngaert, Cedric

2007-01-01

This study starts with a quote by Professor Meessen: “The function of scholars of international law offers less opportunity for creative thinking [compared to scholars of conflict of laws]: they may compile and analyze state practice, but they cannot replace it with their own concepts.”[1] This study, which primarily looks at the phenomenon of jurisdiction through a (public) international law lens, rejects that limiting claim. While the current state of the international law of jurisdiction ...

Technical basis document for internal dosimetry

CERN Document Server

Hickman, D P

1991-01-01

This document provides the technical basis for the Chem-Nuclear Geotech (Geotech) internal dosimetry program. Geotech policy describes the intentions of the company in complying with radiation protection standards and the as low as reasonably achievable (ALARA) program. It uses this policy and applicable protection standards to derive acceptable methods and levels of bioassay to assure compliance. The models and computational methods used are described in detail within this document. FR-om these models, dose- conversion factors and derived limits are computed. These computations are then verified using existing documentation and verification information or by demonstration of the calculations used to obtain the dose-conversion factors and derived limits. Recommendations for methods of optimizing the internal dosimetry program to provide effective monitoring and dose assessment for workers are provided in the last section of this document. This document is intended to be used in establishing an accredited dosi...

SURGICAL OUTCOMES AFTER INVERTED INTERNAL LIMITING MEMBRANE FLAP VERSUS CONVENTIONAL PEELING FOR VERY LARGE MACULAR HOLES.

Science.gov (United States)

Narayanan, Raja; Singh, Sumit R; Taylor, Stanford; Berrocal, Maria H; Chhablani, Jay; Tyagi, Mudit; Ohno-Matsui, Kyoko; Pappuru, Rajeev R; Apte, Rajendra S

2018-04-23

To evaluate the anatomical and visual outcomes of inverted flap technique of peeling of internal limiting membrane (ILM) versus standard peeling of ILM for macular holes of basal diameter more than 800 μm. Patients with very large idiopathic macular holes more than 800 μm in basal diameter (ranging from 243 μm to 840 μm in minimum diameter) were retrospectively included in the study. In Group A, 18 eyes of 18 patients underwent ILM peeling using the inverted flap technique. In Group B, 18 eyes of 18 patients underwent conventional ILM peeling. The primary endpoint was the rate of hole closure at 6 months after surgery. The secondary outcome measure was the change in best-corrected visual acuity at 6 months after surgery. There were no significant differences in ocular characteristics of the study groups at baseline except for the age distribution. Mean macular hole diameter was 1,162.8 ± 206.0 μm and 1,229.6 ± 228.1 μm in Group A and Group B, respectively. The hole closure rate was 88.9% (16/18) in Group A and 77.8% (14/18) in Group B (P = 0.66). The mean gain in best-corrected visual acuity was higher in Group A than in Group B (P = 0.12) at 6 months, but this was not statistically significant. There were no severe ocular adverse events in either group. In this multicenter series, inverted ILM flap technique did not lead to significantly higher anatomical closure rates than conventional ILM peeling in large macular holes more than 800 μm in diameter.

26 CFR 5.1502-45 - Limitation on losses to amount at risk.

Science.gov (United States)

2010-04-01

... 26 Internal Revenue 14 2010-04-01 2010-04-01 false Limitation on losses to amount at risk. 5.1502... Limitation on losses to amount at risk. (a) In general—(1) Scope. This section applies to a loss of any subsidiary if the common parent's stock meets the stock ownership requirement described in section 465(a)(1...

LIMITS IN APPLICATION OF INTERNATIONAL STANDARDS TO INNOVATIVE CERAMIC SOLUTIONS

Directory of Open Access Journals (Sweden)

Cristiano Fragassa

2015-06-01

Full Text Available Gres Porcelain stoneware is a ceramic with a compact, hard, coloured and non-porous body. It is largely used as building materials, for a quality architecture, offering high resistance to impact, stress, wear, scratching, frost, chemical attach and stains. It is produced in flat tiles, billions of tons per year. A very prominent technology, based on a pyroclastic deformation, permits to obtain bended porcelain tiles as innovative solutions for a modern architecture. This technology is grounded on a proper combination of heavy machining by cutting tools and secondary firing in a kiln. This new element, the bended tile, can be used in several innovative applications (as steps, shelves, benches, radiators.... But, new functions require a better and in-depth knowledge of these materials, especially referring to the mechanical proprieties. This paper investigates the limits of applicability of ISO standards for the quality classification of ceramics and experimental measures of their mechanical proprieties.

Fundamental limitations of non-thermal plasma processing for internal combustion engine NOx control

International Nuclear Information System (INIS)

Penetrante, B.M.

1993-01-01

This paper discusses the physics and chemistry of non-thermal plasma processing for post-combustion NO x control in internal combustion engines. A comparison of electron beam and electrical discharge processing is made regarding their power consumption, radical production, NO x removal mechanisms, and by product formation. Can non-thermal deNO x operate efficiently without additives or catalysts? How much electrical power does it cost to operate? What are the by-products of the process? This paper addresses these fundamental issues based on an analysis of the electron-molecule processes and chemical kinetics

Salud pública global: un desafío a los límites de la salud internacional a propósito de la epidemia de influenza humana A Global public health: international health is tested to its limits by the human influenza A epidemic

Directory of Open Access Journals (Sweden)

Álvaro Franco-Giraldo

2009-06-01

Full Text Available This article comes from the intense international pressure that follows a near-catastrophy, such as the human influenza A H1N1 epidemic, and the limited resources for confronting such events. The analysis covers prevailing 20th century trends in the international public health arena and the change-induced challenges brought on by globalization, the transition set in motion by what has been deemed the "new" international public health and an ever-increasing focus on global health, in the context of an international scenario of shifting risks and opportunities and a growing number of multinational players. Global public health is defined as a public right, based on a new appreciation of the public, a new paradigm centered on human rights, and altruistic philosophy, politics, and ethics that undergird the changes in international public health on at least three fronts: redefining its theoretical foundation, improving world health, and renewing the international public health system, all of which is the byproduct of a new form of governance. A new world health system, directed by new global public institutions, would aim to make public health a global public right and face a variety of staggering challenges, such as working on public policy management on a global scale, renewing and democratizing the current global governing structure, and conquering the limits and weaknesses witnessed by international health.

Clinical and Molecular Consequences of NF1 Microdeletion

Science.gov (United States)

2009-08-01

intriguing possibility that MLH1 deficiency predisposes to NF1 and early onset extracolonic tumors.[120,121] Germline heterozygous inactivating mutations...in MLH1 cause inefficient DNA mismatch repair, with the consequent increase in mutation frequency and susceptibility to hereditary nonpolyposis...colorectal cancer (reviewed in Ref. [122]). Two rare and independent cases of con- sanguineous marriages between MLH1 heterozygous first cousins each

Evaluation de l'activite antifalcimiante de differents extraits des ...

African Journals Online (AJOL)

L'étude de l'activité antifalcimiante s'est faite sur les prélèvements sanguins de 32 drépanocytaires homozygotes SSFA2. Après induction de la falciformation des ... The study of antifalcimiante activity was done on the blood samples of 32 SSFA2 homozygous sickle cell patients. After induction of sickling of the red blood ...

2444-IJBCS-Article-Emma N'Draman Donou

African Journals Online (AJOL)

hp

faite sur les prélèvements sanguins de 30 drépanocytaires homozygotes SSFA2. Après induction de la ... The study was done on the blood samples of 30 SSFA2 homozygote patients with sickle cell anemia. After induction of the sickling of red blood cells, the addition of the aqueous extract of the plant allowed the ...

MAQUETTE ORL Décembre 2004

African Journals Online (AJOL)

Les prélèvements sanguins ont été effectués dans tous les cas dans les mêmes conditions, le matin à jeun. Le dosage du ... Conclusion: The decrease of magnesium in blood concerns the globular fraction more than plasmatic. The dosage of the magnesium is an element of decorate-clinic orientation in the diagnosis of the ...

26 CFR 301.6503(b)-1 - Suspension of running of period of limitation; assets of taxpayer in control or custody of court.

Science.gov (United States)

2010-04-01

... 26 Internal Revenue 18 2010-04-01 2010-04-01 false Suspension of running of period of limitation; assets of taxpayer in control or custody of court. 301.6503(b)-1 Section 301.6503(b)-1 Internal Revenue... ADMINISTRATION Limitations Limitations on Assessment and Collection § 301.6503(b)-1 Suspension of running of...

International safeguards 1979

International Nuclear Information System (INIS)

Fischer, D.

1979-01-01

First, the nature of the nuclear proliferation problem is reviewed. Afterward, the extent to which the risk of further horizontal proliferation of nuclear weapons is being contained by international agreements and by the application of the IAEA's safeguards under these agreements is investigated. The geographical scope of such safeguards, the gaps in safeguards coverage, and the political and technical effectiveness of such safeguards are examined. In conclusion, it is pointed out that IAEA safeguards are the cutting edge of almost every nonproliferation measure that has so far been applied or put forward. Safeguards would also play a part in any international scheme for limiting vertical proliferation. If the cutting edge of safeguards is blunted or if, for one reason or another, safeguards cannot be or are not being applied, the nonproliferation regime will suffer commensurate damage

Using spaced education to teach interns about teaching skills.

Science.gov (United States)

Pernar, Luise I M; Corso, Katherine; Lipsitz, Stuart R; Breen, Elizabeth

2013-07-01

Despite limited preparation and knowledge base, surgical interns have important teaching responsibilities. Nevertheless, few faculty development programs are aimed at interns. Succinct teaching skill content was electronically distributed over time (spaced education) to interns in academic year 2010/2011. The interns in the previous year served as historic controls. Electronic surveys were distributed for program evaluation. Fifteen of 24 (62.5%) interns and 35 of 49 (71.4%) students responded to the surveys in academic year 2009/2010 and 16 of 27 (59.3%) interns and 38 of 52 (73%) students responded in academic year 2010/2011. Surveys showed improved attitudes toward teaching by interns as well as a higher estimation of interns' teaching skills as rated by students for those interns who received the spaced education program. Using spaced education to improve interns' teaching skills is a potentially powerful intervention that improves interns' enthusiasm for teaching and teaching effectiveness. The changes are mirrored in students' ratings of interns' teaching skills and interns' attitudes toward teaching. Copyright © 2013 Elsevier Inc. All rights reserved.

26 CFR 1.147(b)-1 - Bond maturity limitation-treatment of working capital.

Science.gov (United States)

2010-04-01

... and Local Bonds § 1.147(b)-1 Bond maturity limitation-treatment of working capital. Section 147(b) does not apply to proceeds of a private activity bond issue used to finance working capital... 26 Internal Revenue 2 2010-04-01 2010-04-01 false Bond maturity limitation-treatment of working...

Editorial: Contemporary Issues in International Economics

Directory of Open Access Journals (Sweden)

Piotr STANEK

2013-09-01

Full Text Available International dimension is at the core of modern business activity and globalization processes tighten interconnectedness also at the macroeconomic level to unprecedented levels. This is clearly demonstrated by the first two issues of our review and expressed in editorial introductions (Wach, 2013; Klich, 2013. Thus, the third issue is explicitly devoted to contemporary issues in international economics. Obviously, tackling them in the way as complete as for example in Global Shift: Mapping the Changing Contours of the World Economy (Dicken, 2011 is impossible, taken into consideration limits of a journal issue.

Challenging the norm? International election accompaniment in Nicaragua and Venezuela

Directory of Open Access Journals (Sweden)

Shelley MCCONNEL

2015-08-01

Full Text Available International election monitoring has been touted as a regional norm in the Western hemisphere, but recent reforms in Venezuela and Nicaragua substituted a diminished international role of electoral accompaniment. This article traces the initial acceptance and later limitation of international election monitoring in those countries to explore whether the change constitutes norm localization or norm defection. It concludes that the norm is not as well institutionalized in the hemisphere as conventionally thought, and that models need to assess together national and international monitoring capacities.

Some aspects of the contractual application of the limited liability of suppliers convened by several international conventions

International Nuclear Information System (INIS)

Zaldivar, E.

1976-01-01

Civil liability for nuclear damage has been the subject of specific regulations by means of International Conventions and the laws of countries which may be qualified as suppliers of nuclear fuel, materials and installations. These regulations have been necessary to facilitate development of the peaceful uses of atomic energy. A second group of countries, namely those of Latin America, which are also purchasers, lack this specific legislation and have not ratified any International Convention on the subject. In those countries civil liability continues to be ruled by the classic norms of Roman Law. This difference in regimes has made for difficulties between suppliers and purchasers and could obstruct future exchanges in matters of nuclear energy between both groups of countries. It would be desirable for the competent authorities in purchasing countries to study the means of providing their countries with nuclear third party liability legislation based on the principles of the International Conventions. (N.E.A.) [fr

International space science

International Nuclear Information System (INIS)

Mark, H.

1988-01-01

The author begins his paper by noting the range of international cooperation which has occured in science since its earliest days. The brightest minds were allowed to cross international frontiers even in the face of major wars, to work on their interests and to interact with like minded scientists in other countries. There has of course been a political side to this movement at times. The author makes the point that doing science on an international basis is extemely important but it is not a way of conducting foreign policy. Even though governments may work together on scientific efforts, it is no glue which will bind them to work together on larger political or economic issues. The reason for doing science on an international basis is that it will lead to better science, not better international relations. There are a limited number of great scientists in the world, and they must be allowed to develop their talents. He then discusses two internationl space programs which have has such collaboration, the Soviet-American Space Biology Program, and the Infrared Astronomical Satellite (IRAS). He then touches on the NASA space exploration program, and the fact that its basic objectives were laid out in the 1940's and l950's. With this laid out he argues in favor of establishment of a lunar base, one of the key elements of NASA's plan, arguing for the value of this step based upon the infrared astronomical work which could be done from a stable lunar site, away from the earth's atmosphere

Improvements and artifact analysis in conductivity images using multiple internal electrodes

International Nuclear Information System (INIS)

Farooq, Adnan; McEwan, Alistair Lee; Woo, Eung Je; Oh, Tong In; Tehrani, Joubin Nasehi

2014-01-01

Electrical impedance tomography is an attractive functional imaging method. It is currently limited in resolution and sensitivity due to the complexity of the inverse problem and the safety limits of introducing current. Recently, internal electrodes have been proposed for some clinical situations such as intensive care or RF ablation. This paper addresses the research question related to the benefit of one or more internal electrodes usage since these are invasive. Internal electrodes would be able to reduce the effect of insulating boundaries such as fat and bone and provide improved internal sensitivity. We found there was a measurable benefit with increased numbers of internal electrodes in saline tanks of a cylindrical and complex shape with up to two insulating boundary gel layers modeling fat and muscle. The internal electrodes provide increased sensitivity to internal changes, thereby increasing the amplitude response and improving resolution. However, they also present an additional challenge of increasing sensitivity to position and modeling errors. In comparison with previous work that used point sources for the internal electrodes, we found that it is important to use a detailed mesh of the internal electrodes with these voxels assigned to the conductivity of the internal electrode and its associated holder. A study of different internal electrode materials found that it is optimal to use a conductivity similar to the background. In the tank with a complex shape, the additional internal electrodes provided more robustness in a ventilation model of the lungs via air filled balloons. (paper)

SURGICAL REMOVAL OF EPIRETINAL MEMBRANE WITH AND WITHOUT REMOVAL OF INTERNAL LIMITING MEMBRANE: Comparative Study of Visual Acuity, Features of Optical Coherence Tomography, and Recurrence Rate.

Science.gov (United States)

De Novelli, Fernando J; Goldbaum, Mauro; Monteiro, Mario L R; Bom Aggio, Fabio; Takahashi, Walter Y

2017-12-05

To study and compare visual acuity, foveal thickness, outer limiting layer, ellipsoid zone, and recurrence rate in patients undergoing removal of the epiretinal membrane with and without the removal of the internal limiting membrane (ILM). Sixty-three patients who had the epiretinal membrane removed by a single surgeon were randomly assigned into 2 groups: Group 1 without additional removal of the ILM and Group 2 with removal of the ILM. Patients were followed up and evaluated at the first month, third month, and sixth month, postoperatively. Patients from both groups had a gradual improvement in their vision over time. There was no significant difference in the improvement in visual acuity between the two groups. About tomographic assessment of alterations, no significant differences were found between the groups; however, Group 1 had a higher relapse rate (17%) compared with Group 2 (3.6%) (P = 0.09). Epiretinal membrane removal with and without ILM peeling shows similar functional and anatomical improvements, but the group in which the ILM was not removed seemed to have a higher recurrence rate.

Genotoxic effect of radio marked lymphocytes using Tc-99m complexes

International Nuclear Information System (INIS)

Pedraza L, M.; Ferro F, G.; Mendiola C, M.T.; Morales R, P.

1997-01-01

The genotoxic effect of radio marked lymphocytes was evaluated using 99m -Tc-HMPAO and 99m -Tc- gentisic acid complexes. With the results of this work it is pretended to contribute to the knowledge of genetic and structural damages that provokes the radiation in the marked lymphocytes. The d, 1-HMPAO was synthesized in laboratory with a yielding of 30 %. The radiochemical purity of the complexes was greater than 85%. Mouse lymphocytes obtained of sanguineous volumes 2 ml were used. The radio marked efficiency of cells was 19.6 ± 6.4% and 25.6 ± 5.8% for 99m Tc-HMPAO and 99m Tc gentisic acid respectively. The genotoxic effect was evaluated using the technique of Unicellular Electrophoresis in Micro gel (Comet assay). The results showed that both 99m Tc complexes produce genotoxicity due to their capacity to penetrate cells, therefore the Auger and M internal conversion electrons place all their energy obtaining doses of Gray order. (Author)

Genotoxic effect of radio marked lymphocytes using Tc-99m complexes; Efecto genotoxico del radiomarcado de linfocitos empleando complejos de Tc-99m

Energy Technology Data Exchange (ETDEWEB)

Pedraza L, M.; Ferro F, G.; Mendiola C, M.T.; Morales R, P. [Instituto nacional de Investigaciones Nucleares, A.P. 18-1027, 11801 Mexico D.F. (Mexico)

1997-07-01

The genotoxic effect of radio marked lymphocytes was evaluated using {sup 99m}-Tc-HMPAO and {sup 99m}-Tc- gentisic acid complexes. With the results of this work it is pretended to contribute to the knowledge of genetic and structural damages that provokes the radiation in the marked lymphocytes. The d, 1-HMPAO was synthesized in laboratory with a yielding of 30 %. The radiochemical purity of the complexes was greater than 85%. Mouse lymphocytes obtained of sanguineous volumes 2 ml were used. The radio marked efficiency of cells was 19.6 {+-} 6.4% and 25.6 {+-} 5.8% for {sup 99m}Tc-HMPAO and {sup 99m} Tc gentisic acid respectively. The genotoxic effect was evaluated using the technique of Unicellular Electrophoresis in Micro gel (Comet assay). The results showed that both {sup 99m} Tc complexes produce genotoxicity due to their capacity to penetrate cells, therefore the Auger and M internal conversion electrons place all their energy obtaining doses of Gray order. (Author)

Limited and unlimited liability in the German Atomic Energy Law

International Nuclear Information System (INIS)

Pelzer, N.

1982-01-01

The liability of operators of nuclear installations in the FRG is limited under current law to the sum of one thousand million DM (section 31 of the Atomic Energy law). Since about the autumn of 1979, the Federal Ministry of the Interior is making inquiries into the necessity and appropriateness of abandoning the provision on liability limitations, in order to improve the victims compensation. The legal problems involved in this decision are presented by the author, trying to answer the question of whether the current system of liability limitations should be maintained or abandoned by discussing this issue from the point of view of the legal functions ''justice'' and ''expedience'' of this provision. The manifold international interlacement of the atomic energy law does not allow this study to be restricted to the law of the FRG. A brief review of the development and current state of the international nuclear liability law is the basis of this study into the problems of a possible modification of the German nuclear liability provisions. The study is carried out with the purpose of elaborating model solutions. (orig./HP) [de

Retrievability: An international overview

International Nuclear Information System (INIS)

Richardson, P.J.

2000-01-01

Using available information from the published literature and material obtained from a network of contacts, a short introductory overview of international developments in the field of retrievability of emplaced nuclear waste was produced for the Swedish National Siting Coordinator for Nuclear Waste Disposal. This examined the issue in terms of a number of basic questions: Definition, Need, Design Implications, Safeguards for Fissile Material, Public Acceptability and Safety Assessment. The report was submitted in February 1999, and acted as a catalyst for the organisation of an international seminar by KASAM, the Swedish National Council for Nuclear Waste (these proceedings). This paper describes the report contents, and points to the invited papers at the seminar which expand on and update the limited descriptions in the original report. (author)

International energy financing

International Nuclear Information System (INIS)

Vedavalli, Rangaswamy

1994-01-01

Some of the innovative financing options being considered by developing countries and economies in transition as ways of mobilizing international energy financing are discussed. Build-Own-Operate (BOO) and Transfer (BOOT) is the most commonly adopted approach. This involves limited resource financing of a project on the basis of the associated cash flow and risks and not on the credit of the project owners. The World Bank has set up the Multilateral Investment Guarantee Agency to provide, on a fee basis, guarantees against certain non-commercial forms of risk in order to promote international capital flow to developing countries. In 1989, the World Bank introduced the Expanded Co-financing Operations (ECO) programme as an instrument to catalyze the flow of private finance into developing countries and to improve their access to international financial markets. Other financial instruments currently being established include: leasing of equipment or whole plants by foreign investors; private ownership or operation of generation and distribution facilities; exchange of specific export goods for energy imports; developing instruments to finance local costs; revenue bonds; tax-exempt bonds; sale of electricity futures to those seeking more stable, longer term electricity price contracts. (UK)

THE FUTURE OF INTERNAL AUDIT

Directory of Open Access Journals (Sweden)

COSMIN DUMITRU MATIȘ

2015-03-01

Full Text Available Over the years, the purpose of internal audit has continued to evolve and expand, managing to successfully transition from its traditional function of monitoring financial statements to the strategic and operational efforts of checking the organization’s compliance at all levels. Regarding the future, it is assumed that the internal audit will play an important advisory role, becoming an important catalyst of business development, focusing organizations on emerging risks. This transformation of the whole internal system, consisting in both control and audit, which seeks to promote a risk-centered organizational culture, is in the process of evolution, but it complexity, the conflicts of interest, the little understanding of most companies when it comes to implementing such a system as well as various issues of credibility, limit the pace of development for now. Our belief, however, is that this slow evolution is favorable for the alternative purpose of building the functions of the new internal control and audit on a more credible and relevant foundation for the organizational management.

An international overview on the development of radurization

International Nuclear Information System (INIS)

Farkas, Jozsef

1983-01-01

A brief summary on the characteristics, applicability and limiting factors of food preservation by irradiation is given. Economic, energy and hygienic aspects of the process are outlined and the legal procedures for food irradiation process and plant licensing are treated including international aspects. Finally, the international cooperation programs and projects in the hygienic investigations, technical execution and education issues and the main trends of future development are outlined. (author)

Plasma confinement in a magnetic field of the internal ring current

International Nuclear Information System (INIS)

Shafranov, Vitaly; Popovich, Paul; Samitov, Marat

2000-01-01

Plasma confinement in compact region surrounding an internal ring current is considered. As the limiting case of large aspect ratio system the cylindrical plasma is considered initially. Analysis of the cylindrical tubular plasma equilibrium and stability against the most dangerous flute (m=0) and kink (m=1) modes revealed the possibility of the MHD stable plasma confined by magnetic field of the internal rod current, with rather peaked plasma pressure and maximal local beta β(γ)=0.4. In case of the toroidal internal ring system an additional external magnetic field creates the boundary separatrix witch limits the plasma volume. The dependence of the plasma pressure profiles, marginally stable with respect to the flute modes, from the shape of the external plasma boundary (separatrix) in such kind closed toroidal systems is investigated. The internal ring system with circular poloidal magnetic mirror, where the ring supports could be placed, is proposed. (author)

76 FR 41760 - Chlorinated Isocyanurates From the People's Republic of China: Extension of Time Limit for...

Science.gov (United States)

2011-07-15

... Mark Hoadley, AD/CVD Operations, Office 6, Import Administration, International Trade Administration... DEPARTMENT OF COMMERCE International Trade Administration [A-570-898] Chlorinated Isocyanurates From the People's Republic of China: Extension of Time Limit for Preliminary Results of Antidumping...

76 FR 41761 - Chlorinated Isocyanurates From the People's Republic of China: Extension of Time Limit for...

Science.gov (United States)

2011-07-15

... Mark Hoadley, AD/CVD Operations, Office 6, Import Administration, International Trade Administration... DEPARTMENT OF COMMERCE International Trade Administration [A-570-898] Chlorinated Isocyanurates From the People's Republic of China: Extension of Time Limit for Preliminary Results of Antidumping...

A comparison of justice frameworks for international research.

Science.gov (United States)

Pratt, Bridget; Loff, Bebe

2015-07-01

Justice frameworks have been developed for international research that provide guidance on the selection of research targets, ancillary care, research capacity strengthening, and post-trial benefits. Yet there has been limited comparison of the different frameworks. This paper examines the underlying aims and theoretical bases of three such frameworks--the fair benefits framework, the human development approach and research for health justice--and considers how their aims impact their guidance on the aforementioned four ethical issues. It shows that the frameworks' underlying objectives vary across two dimensions. First, whether they seek to prevent harmful or exploitative international research or to promote international research with health benefits for low and middle-income countries. Second, whether they address justice at the micro level or the macro level. The fair benefits framework focuses on reforming contractual elements in individual international research collaborations to ensure fairness, whereas the other two frameworks aim to connect international research with the reduction of global health inequities. The paper then highlights where there is overlap between the frameworks' requirements and where differences in the strength and content of the obligations they identify arise as a result of their varying objectives and theoretical bases. In doing so, it does not offer a critical comparison of the frameworks but rather seeks to add clarity to current debates on justice and international research by showing how they are positioned relative to one another. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

Comparisons of foveal thickness and slope after macular hole surgery with and without internal limiting membrane peeling.

Science.gov (United States)

Ohta, Kouichi; Sato, Atsuko; Senda, Nami; Fukui, Emi

2018-01-01

We have shown that the foveal contour was asymmetrical after idiopathic macular hole (MH) closure by pars plana vitrectomy (PPV) with internal limiting membrane (ILM) peeling. The purpose of this study was to determine whether these morphological changes differ in eyes after PPV without ILM peeling. Ten eyes of 10 patients that underwent PPV without ILM peeling and 12 eyes of 11 patients with ILM peeling were studied. The MH in all eyes was 6 months after the surgery. The mean parafoveal retinal thickness in the non-peeled group was 367.1 µm in the nasal (N), 353.0 µm in the temporal (T), 366.9 µm in the superior (S), and 357.3 µm in the inferior (I) sectors. The T, S, and I sectors were significantly thicker than the corresponding sectors in the ILM peeled group ( p =0.0008, 0.003, and 0.03, respectively). The mean ganglion cell complex was thicker not only in the N sector but also in the T sector in the non-peeled group. The mean retinal slopes in the non-peeled group (N, 40.2°; T, 37.6°; S, 41.2°; I, 39.5°) were flatter than those in the peeled group (N, 52.3°; T, 43.6°; S, 50.8°; I, 51.9°; p =0.009, 0.09, 0.008, and 0.017, respectively). The symmetrical fovea after MH surgery in the non-ILM peeled eyes indicates that the asymmetrical fovea after ILM peeling was probably due to the ILM peeling.

Vascular Displacement in Idiopathic Macular Hole after Single-layered Inverted Internal Limiting Membrane Flap Surgery.

Science.gov (United States)

Lee, Jae Jung; Lee, In Ho; Park, Keun Heung; Pak, Kang Yeun; Park, Sung Who; Byon, Ik Soo; Lee, Ji Eun

2017-08-01

To compare vascular displacement in the macula after surgical closure of idiopathic macular hole (MH) after single-layered inverted internal limiting membrane (ILM) flap technique and conventional ILM removal. This retrospective study included patients who underwent either vitrectomy and ILM removal only or vitrectomy with single-layered inverted ILM flap for idiopathic MH larger than 400 μm from 2012 to 2015. A customized program compared the positions of the retinal vessels in the macula between preoperative and postoperative photographs. En face images of 6 × 6 mm optical coherence tomography volume scans were registered to calculate the scale. Retinal vessel displacement was measured as a vector value by comparing its location in 16 sectors of a grid partitioned into eight sectors in two rings (inner, 2 to 4 mm; outer, 4 to 6 mm). The distance and angle of displacement were calculated as an average vector and were compared between the two groups for whole sectors, inner ring, outer ring, and for each sector. Twenty patients were included in the ILM flap group and 22 in the ILM removal group. There were no statistical differences between the groups for baseline characteristics. The average displacement in the ILM flap group and the ILM removal group was 56.6 μm at -3.4° and 64.9 μm at -2.7°, respectively, for the whole sectors (p = 0.900), 76.1 μm at -1.1° and 87.3 μm at -0.9° for the inner ring (p = 0.980), and 37.4 μm at -8.2° and 42.7 μm at -6.3° for the outer ring (p = 0.314). There was no statistical difference in the displacement of each of the sectors. Postoperative topographic changes showed no significant differences between the ILM flap and the ILM removal group for idiopathic MH. The single-layered ILM flap technique did not appear to cause additional displacement of the retinal vessels in the macula. © 2017 The Korean Ophthalmological Society

Vitrectomy with internal limiting membrane peeling versus no peeling for idiopathic full-thickness macular hole.

Science.gov (United States)

Spiteri Cornish, Kurt; Lois, Noemi; Scott, Neil W; Burr, Jennifer; Cook, Jonathan; Boachie, Charles; Tadayoni, Ramin; la Cour, Morten; Christensen, Ulrik; Kwok, Alvin K H

2014-03-01

To determine whether internal limiting membrane (ILM) peeling improves anatomic and functional outcomes of full-thickness macular hole (FTMH) surgery when compared with the no-peeling technique. Systematic review and individual participant data (IPD) meta-analysis undertaken under the auspices of the Cochrane Eyes and Vision Group. Only randomized controlled trials (RCTs) were included. Patients with idiopathic stage 2, 3, and 4 FTMH undergoing vitrectomy with or without ILM peeling. Macular hole surgery, including vitrectomy and gas endotamponade with or without ILM peeling. Primary outcome was best-corrected distance visual acuity (BCdVA) at 6 months postoperatively. Secondary outcomes were BCdVA at 3 and 12 months; best-corrected near visual acuity (BCnVA) at 3, 6, and 12 months; primary (after a single surgery) and final (after >1 surgery) macular hole closure; need for additional surgical interventions; intraoperative and postoperative complications; patient-reported outcomes (PROs) (EuroQol-5D and Vision Function Questionnaire-25 scores at 6 months); and cost-effectiveness. Four RCTs were identified and included in the review. All RCTs were included in the meta-analysis; IPD were obtained from 3 of the 4 RCTs. No evidence of a difference in BCdVA at 6 months was detected (mean difference, -0.04; 95% confidence interval [CI], -0.12 to 0.03; P=0.27); however, there was evidence of a difference in BCdVA at 3 months favoring ILM peeling (mean difference, -0.09; 95% CI, -0.17 to-0.02; P=0.02). There was evidence of an effect favoring ILM peeling with regard to primary (odds ratio [OR], 9.27; 95% CI, 4.98-17.24; Ppeeling was found to be highly cost-effective. Available evidence supports ILM peeling as the treatment of choice for patients with idiopathic stage 2, 3, and 4 FTMH. Copyright © 2014 American Academy of Ophthalmology. Published by Elsevier Inc. All rights reserved.

Containment/surveillance concepts for international safeguards in reprocessing plants

International Nuclear Information System (INIS)

Bleck, M.E.; Cameron, C.P.; Camp, A.L.

1980-01-01

This paper examines the potential role of advanced containment/surveillance instrumentation systems for international safeguards in reprocessing plants. Several conceptual systems for the surveillance of containment boundary penetrations in a reference reprocessing plant are described and evaluated. The results of the evaluation aid in understanding the potential capabilities and limitations of containment/surveillance as an international safeguards concept in this type of facility

Internal dosimetry, past and future

International Nuclear Information System (INIS)

Johnson, J.R.

1989-03-01

This paper is a review of the progress in the dosimetry of internally deposited radionuclides (internal dosimetry) since World War II. Previous to that, only naturally occurring radionuclides were available and only a limited number of studies of biokinetics and dosimetry were done. The main radionuclides studied were 226 Ra, 228 Ra, and 224 Ra but natural uranium was also studied mainly because of its toxic effect as a heavy metal, and not because it was radioactive. The effects of 226 Ra in bone, mainly from the radium dial painters, also formed the only bases for the radiotoxicity of radionuclides in bone for many years, and it is still, along with 224 Ra, the main source of information on the effects of alpha emitters in bone. The publications of the International Commission on Radiological Protection that have an impact on internal dosimetry are used as mileposts for this review. These series of publications, more than any other, represent a broad consensus of opinion within the radiation protection community at the time of their publication, and have formed the bases for radiation protection practice throughout the world. This review is not meant to be exhaustive; it is meant to be a personnel view of the evolution of internal dosimetry, and to present the author's opinion of what the future directions in internal dosimetry will be. 39 refs., 2 tabs

26 CFR 301.6503(e)-1 - Suspension of running of period of limitation; certain powers of appointment.

Science.gov (United States)

2010-04-01

... 26 Internal Revenue 18 2010-04-01 2010-04-01 false Suspension of running of period of limitation... Limitations Limitations on Assessment and Collection § 301.6503(e)-1 Suspension of running of period of... complied with, the running of the period of limitation for assessment or collection of any estate tax...

Magnetic and material limiter discharges in Tokapole II

International Nuclear Information System (INIS)

Moyer, R.A.

1988-01-01

Disruptive instabilities have been studied in Tokapole II, a small poloidal divertor tokamak, in magnetic and material limiter configurations. In the magnetic limiter configuration, the divertor separatrix defines the tokamak current channel boundary. Limiters or neutralizer plates are not used to remove plasma in the scrape-off region. The relatively hot, dense plasma in the scrape-off region carries 5--20% of the current. In the material limiter configuration, limiter plates are inserted to the separatrix to remove plasma and current in the scrape-off region. The plates vary the tokamak current channel boundary condition in a controlled manner, and provide a benchmark for comparison with other tokamaks. Internal and external disruptions have been studied, and several unique features in the magnetic limiter configuration have been identified. The magnitic limiter configuration enables routine passing of the stability barriers at q(a) = 2 and q(a) = 1, where q(a) is the the edge safety factor, without a close fitting wall, external windings, or detailed profile control techniques. Passing the q(a) = 1 barrier permits operation in the q < 1 regime where total reconnection of the sawtooth does not occur. Discharges with q < 1 are also obtained in the material limiter configuration, suggesting that partial reconnection is characteristic of the sawteeth, and not the magnetic limiter configuration. The magnetic limiter configuration suppresses current termination in a major disruption. Current termination occurs in material limiter discharges due to enhanced interaction with the inboard limiter following the post-disruptive shift in major radius

Semi-automated quantification of living cells with internalized nanostructures

KAUST Repository

Margineanu, Michael B.

2016-01-15

Background Nanostructures fabricated by different methods have become increasingly important for various applications in biology and medicine, such as agents for medical imaging or cancer therapy. In order to understand their interaction with living cells and their internalization kinetics, several attempts have been made in tagging them. Although methods have been developed to measure the number of nanostructures internalized by the cells, there are only few approaches aimed to measure the number of cells that internalize the nanostructures, and they are usually limited to fixed-cell studies. Flow cytometry can be used for live-cell assays on large populations of cells, however it is a single time point measurement, and does not include any information about cell morphology. To date many of the observations made on internalization events are limited to few time points and cells. Results In this study, we present a method for quantifying cells with internalized magnetic nanowires (NWs). A machine learning-based computational framework, CellCognition, is adapted and used to classify cells with internalized and no internalized NWs, labeled with the fluorogenic pH-dependent dye pHrodo™ Red, and subsequently to determine the percentage of cells with internalized NWs at different time points. In a “proof-of-concept”, we performed a study on human colon carcinoma HCT 116 cells and human epithelial cervical cancer HeLa cells interacting with iron (Fe) and nickel (Ni) NWs. Conclusions This study reports a novel method for the quantification of cells that internalize a specific type of nanostructures. This approach is suitable for high-throughput and real-time data analysis and has the potential to be used to study the interaction of different types of nanostructures in live-cell assays.

The Effect of International Trade on Rule of Law

Directory of Open Access Journals (Sweden)

Junsok Yang

2013-03-01

Full Text Available In this paper, we look at the relationship between international trade and the rule of law, using the World Justice Project Rule of Law Index, which include index figures on human rights, limits on government powers, transparency and regulatory efficiency. Based on regression analyses using the rule of law index figures and international trade figures (merchandise trade, service trade, exports and importsIn this paper, we look at the relationship between international trade and the rule of law, using the World Justice Project Rule of Law Index, which include index figures on human rights, limits on government powers, transparency and regulatory efficiency. Based on regression analyses using the rule of law index figures and international trade figures (merchandise trade, service trade, exports and imports as percentage of GDP, international trade and basic human rights seem to have little relationship; but trade has a close positive relationship with strong order and security. Somewhat surprisingly, regulatory transparency and effective implementation seems to have little or no effect on international trade and vice versa. International trade shows a clear positive relationship with the country’s criminal justice system, but the relationship with the civil justice system is not as clear as such. For regulatory implementation and civil justice, services trade positively affect these institutions, but these institutions in turn affect exports more strongly than services trade. Finally, the effect of trade on rule of law is stronger on a medium to long term (10-20 year time horizon.

International Treaties Tax Law in Brazilian Law

Directory of Open Access Journals (Sweden)

Milena Zampieri Sellmann

2016-06-01

Full Text Available International agreements are the primary source of obligations internationally, whi- ch generate reflections in national law. They have been extremely used in tax harvest because they avoid double taxation and reduce tax burden in international trade. They are formal sources of tax law, which the legislature is expressly recognized in Article 96 of the National Tax Code to set the “tax legislation” expression. Article 98 of the Code determines the supremacy of international tax agreements over national law. Against the odds, international tax agreements do not revoke or modify the national legislation, just limit the effectiveness of national law incompatible with them, with supra-legal hierarchy and infra-constitution. They are above national law, either after or before it is created, and are below the Federal Constitution, so agreements incompatible with it should not be approved by Congress and, if so, they will be subject to declaration of unconstitutionality by the Supreme Court. It is a reporting case the international agreement’s unconstitutio- nality after it is celebrated.

Postgraduate education in internal medicine in Europe.

Science.gov (United States)

Cranston, Mark; Slee-Valentijn, Monique; Davidson, Christopher; Lindgren, Stefan; Semple, Colin; Palsson, Runolfur

2013-10-01

Limited information exists on the framework and content of postgraduate education in internal medicine in Europe. This report describes the results of a survey of postgraduate training in internal medicine in the European countries. Two online questionnaire-based surveys were carried out by the European Board of Internal Medicine, one on the practice of internists and the other on postgraduate training in internal medicine. The national internal medicine societies of all 30 member countries of the European Federation of Internal Medicine were invited to participate. The responses were reviewed by internal medicine residents from the respective countries and summaries of the data were sent to the national societies for approval. Descriptive analysis of the data on postgraduate training in internal medicine was performed. Twenty-seven countries (90%) completed the questionnaire and approved their datasets. The length of training ranged from four to six years and was commonly five years. The majority of countries offered training in internal medicine and a subspecialty. A common trunk of internal medicine was frequently a component of subspecialty training programmes. Hospital inpatient service was the predominant setting used for training. A final certifying examination was in place in 14 countries. Although some similarities exists, there appear to be significant differences in the organisation, content and governance of postgraduate training in internal medicine between the European countries. Our findings will prove invaluable for harmonisation of training and qualification in internal medicine in Europe. © 2013.

International recommendations

International Nuclear Information System (INIS)

Lindell, Bo

1986-01-01

Full text: This short presentation will indicate the general radiation protection background to protective measures against foodstuffs contaminated with radioactive substances. A number of international organizations are involved in various aspects of radiation protection, for example, the International Atomic Energy Agency (IAEA), the United Nations Food and Agriculture Organization (FAO), the United Nations Environment Programme (UNEP), and the World Health Organization (WHO). Two international organizations, however, provide the basic background. These are the International Commission on Radiological Protection (ICRP) and the United Nations Scientific Committee on the Effects of Atomic Radiation (UNSCEAR). UNSCEAR provides the scientific information on radiation levels and effects. It consists of 21 member countries, with truly international coverage. It issues reports to the UN General Assembly, including comprehensive scientific annexes. Its latest comprehensive report was issued in 1982, the next is expected to be published in 1988. That report will include an assessment of the radiological consequences of the Chernobyl accident. The ICRP is a non-governmental organization. It has issued recommendations on radiation protection since 1928. The postulated biological basis for radiation protection recommendations involves two types of biological effects. The so-called non-stochastic effects, mainly due to cell death, appear only when the radiation doses exceed a certain threshold value. These effects, therefore, can only appear after high accidental exposures. After the Chernobyl accident, they only affected about 200 individuals involved in fire extinction and rescue work at the damaged nuclear power plant. Stochastic effects, with some simplification, may be seen as the result of initial changes in the genetic code of some surviving cells. If these cells are germ cells, this may lead to hereditary harm. If they are somatic cells, the result could be cancer

Strategic arms limitation

Science.gov (United States)

Allen Greb, G.; Johnson, Gerald W.

1983-10-01

Following World War II, American scientists and politicians proposed in the Baruch plan a radical solution to the problem of nuclear weapons: to eliminate them forever under the auspices of an international nuclear development authority. The Soviets, who as yet did not possess the bomb, rejected this plan. Another approach suggested by Secretary of War Henry Stimson to negotiate directly with the Soviet Union was not accepted by the American leadership. These initial arms limitation failures both reflected and exacerbated the hostile political relationship of the superpowers in the 1950s and 1960s. Since 1969, the more modest focus of the Soviet-American arms control process has been on limiting the numbers and sizes of both defensive and offensive strategic systems. The format for this effort has been the Strategic Arms Limitatins Talks (Salt) and more recently the Strategic Arms Reduction Talks (START). Both sides came to these negotiations convinced that nuclear arsenals had grown so large that some for of mutual restraint was needed. Although the SALT/START process has been slow and ponderous, it has produced several concrete the agreements and collateral benefits. The 1972 ABM Treaty restricts the deployment of ballistic missile defense systems, the 1972 Interim Agreement places a quantitative freeze on each side's land based and sea based strategic launchers, and the as yet unratified 1979 SALT II Treaty sets numerical limits on all offensive strategic systems and sublimits on MIRVed systems. Collateral benefits include improved verification procedures, working definitions and counting rules, and permanent bureaucratic apparatus which enhance stability and increase the chances for achieving additional agreements.

Relevance of plastic limit loads to reference stress approach for surface cracked cylinder problems

International Nuclear Information System (INIS)

Kim, Yun-Jae; Shim, Do-Jun

2005-01-01

To investigate the relevance of the definition of the reference stress to estimate J and C* for surface crack problems, this paper compares finite element (FE) J and C* results for surface cracked pipes with those estimated according to the reference stress approach using various definitions of the reference stress. Pipes with part circumferential inner surface cracks and finite internal axial cracks are considered, subject to internal pressure and global bending. The crack depth and aspect ratio are systematically varied. The reference stress is defined in four different ways using (i) a local limit load (ii), a global limit load, (iii) a global limit load determined from the FE limit analysis, and (iv) the optimised reference load. It is found that the reference stress based on a local limit load gives overall excessively conservative estimates of J and C*. Use of a global limit load clearly reduces the conservatism, compared to that of a local limit load, although it can sometimes provide non-conservative estimates of J and C*. The use of the FE global limit load gives overall non-conservative estimates of J and C*. The reference stress based on the optimised reference load gives overall accurate estimates of J and C*, compared to other definitions of the reference stress. Based on the present findings, general guidance on the choice of the reference stress for surface crack problems is given

Clinical efficacy and safety of limited internal fixation combined with external fixation for Pilon fracture: A systematic review and meta-analysis.

Science.gov (United States)

Zhang, Shao-Bo; Zhang, Yi-Bao; Wang, Sheng-Hong; Zhang, Hua; Liu, Peng; Zhang, Wei; Ma, Jing-Lin; Wang, Jing

2017-04-01

To compare the clinical efficacy and complications of limited internal fixation combined with external fixation (LIFEF) and open reduction and internal fixation (ORIF) in the treatment of Pilon fracture. We searched databases including Pubmed, Embase, Web of science, Cochrane Library and China Biology Medicine disc for the studies comparing clinical efficacy and complications of LIFEF and ORIF in the treatment of Pilon fracture. The clinical efficacy was evaluated by the rate of nonunion, malunion/delayed union and the excellent/good rate assessed by Mazur ankle score. The complications including infections and arthritis symptoms after surgery were also investigated. Nine trials including 498 pilon fractures of 494 patients were identified. The meta-analysis found no significant differences in nonunion rate (RR = 1.60, 95% CI: 0.66 to 3.86, p = 0.30), and the excellent/good rate (RR = 0.95, 95% CI: 0.86 to 1.04, p = 0.28) between LIFEF group and ORIF group. For assessment of infections, there were significant differences in the rate of deep infection (RR = 2.18, 95% CI: 1.34 to 3.55, p = 0.002), and the rate of arthritis (RR = 1.26, 95% CI: 1.03 to 1.53, p = 0.02) between LIFEF group and ORIF group. LIFEF has similar effect as ORIF in the treatment of pilon fractures, however, LIFEF group has significantly higher risk of complications than ORIF group does. So LIFEF is not recommended in the treatment of pilon fracture. Copyright © 2017 Daping Hospital and the Research Institute of Surgery of the Third Military Medical University. Production and hosting by Elsevier B.V. All rights reserved.

Limitations in cooling electrons using normal-metal-superconductor tunnel junctions.

Science.gov (United States)

Pekola, J P; Heikkilä, T T; Savin, A M; Flyktman, J T; Giazotto, F; Hekking, F W J

2004-02-06

We demonstrate both theoretically and experimentally two limiting factors in cooling electrons using biased tunnel junctions to extract heat from a normal metal into a superconductor. First, when the injection rate of electrons exceeds the internal relaxation rate in the metal to be cooled, the electrons do not obey the Fermi-Dirac distribution, and the concept of temperature cannot be applied as such. Second, at low bath temperatures, states within the gap induce anomalous heating and yield a theoretical limit of the achievable minimum temperature.

The Voluntariat: A Freirean framework to understand the nature of undergraduate international (medical) experiences

OpenAIRE

Seemi Qaiser; Helen Dimaras; Paul Hamel

2016-01-01

Despite literature documenting limited and asymmetrical benefits along with ethical issues, short-term international volunteering is increasingly popular among North American university students as a perceived advantage when applying to professional healthcare schools or the job market. Academic institutions are also encouraging students to pursue international experiences in order to cultivate values as global citizens. These experiences are most typically limited to economically privileged ...

The Voluntariat: A Frieirean framework to understand the nature of undergraduate international (medical) experiences

OpenAIRE

Qaiser, Seemi; Dimaras, Helen; Hamel, Paul

2016-01-01

Despite literature documenting limited and asymmetrical benefits along with ethical issues, short-term international volunteering is increasingly popular among North American university students as a perceived advantage when applying to professional healthcare schools or the job market. Academic institutions are also encouraging students to pursue international experiences in order to cultivate values as global citizens. These experiences are most typically limited to economically privileged ...

Analysis of operational, institutional and international limitations for alternative fuel vehicles and technologies: Means/methods for implementing changes

Energy Technology Data Exchange (ETDEWEB)

1992-07-01

This project focused upon the development of an approach to assist public fleet managers in evaluating the characteristics and availability of alternative fuels (AF`s) and alternative fuel vehicles (AFV`s) that will serve as possible replacements for vehicles currently serving the needs of various public entities. Also of concern were the institutional/international limitations for alternative fuels and alternative fuel vehicles. The City of Detroit and other public agencies in the Detroit area were the particular focus for the activities. As the development and initial stages of use of alternative fuels and alternative fuel vehicles proceeds, there will be an increasing need to provide information and guidance to decision-makers regarding differences in requirements and features of these fuels and vehicles. There wig be true differences in requirements for servicing, managing, and regulating. There will also be misunderstanding and misperception. There have been volumes of data collected on AFV`S, and as technology is improved, new data is constantly added. There are not, however, condensed and effective sources of information for public vehicle fleet managers on vehicle and equipment sources, characteristics, performance, costs, and environmental benefits. While theoretical modeling of public fleet requirements has been done, there do not seem to be readily available ``practical``. There is a need to provide the best possible information and means to minimize the problems for introducing the effective use of alternative fuels and alternative fuel vehicles.

[Internal limiting membrane peeling as prophylaxis of epimacular membrane formation in eyes undergoing vitrectomy for rhegmatogenous retinal detachement].

Science.gov (United States)

Hejsek, L; Dusová, J; Stepanov, A; Rozsíval, P

2014-06-01

Rhegmatogenous retinal detachment is a serious condition that can significantly impair visual function, even after a successful surgery. One of the complications that can significantly impair visual acuity in the postoperative period is a development of the epimacular membrane (ERM). The aim of this work is to monitor the effect of peeling of the internal limiting membrane (ILM) in the macula at the anatomical and functional results in the postoperative period, especially with regard to the development of ERM. Prospective study of 21 eyes, which underwent peeling of ILM during pars plana vitrectomy for rhegmatogenous retinal detachment (on detached macula). The ILM peeling was done without using decalin during this procedure. We tested best corrected visual acuity (BCVA) and followed fundus biomicroscopic findings. Proliferative vitreoretinopathy (PVR) was evaluated according to the recommendations of the Retina Society Terminology Committee. To exclude the development of ERM in the macula optical coherence tomography (OCT) was performed at the end of the 18-month follow-up period. In total, the results of 21 eyes of 21 patients who underwent PPV for rhegmatogenous retinal detachment were evaluated. In all of them was during PPV performed ILM peeling on detached macula, these are followed prospectively. ILM peeling without using decalin was sufficient in all eyes. All eyes with ILM peeling did not develop ERM at the end of the follow-up period. ILM peeling during PPV for rhegmatogenous retinal detachment reduces the risk of developing secondary ERM.

Application of ICRP recommendations relevant to internal dose

International Nuclear Information System (INIS)

Cowser, K.E.; Snyder, W.S.; Struxness, E.G.

1969-01-01

The intent of this paper is to review several of the basic concepts of radiation protection (with emphasis on internal dose) currently recommended by the International Commission on radiological Protection (ICRP), to summarize the assumptions and methods used in the calculation of internal dose, and to illustrate by example the practical application of the pertinent guidelines. Two broad subject areas are considered: (1) standards of radiation protection and (2) bases of internal dose estimation. Topics discussed within the framework of radiation protection standards include maximum permissible dose, categories of radiation exposure, maximum permissible dose commitment, simultaneous internal and external exposure, multiple organ exposure, and size of the exposed group. Discussion of internal dose estimation is limited to selected items that include the body burden of radionuclides and the calculation of absorbed dose, the dose equivalent, the derivation of maximum permissible concentration (MPC), the relationship of stable element intake to the MPC, and short term and chronic exposure situations. (author)

Application of ICRP recommendations relevant to internal dose

Energy Technology Data Exchange (ETDEWEB)

Cowser, K E; Snyder, W S; Struxness, E G [Health Physics Division, Oak Ridge National Laboratory, Oak Ridge, TN (United States)

1969-07-01

The intent of this paper is to review several of the basic concepts of radiation protection (with emphasis on internal dose) currently recommended by the International Commission on radiological Protection (ICRP), to summarize the assumptions and methods used in the calculation of internal dose, and to illustrate by example the practical application of the pertinent guidelines. Two broad subject areas are considered: (1) standards of radiation protection and (2) bases of internal dose estimation. Topics discussed within the framework of radiation protection standards include maximum permissible dose, categories of radiation exposure, maximum permissible dose commitment, simultaneous internal and external exposure, multiple organ exposure, and size of the exposed group. Discussion of internal dose estimation is limited to selected items that include the body burden of radionuclides and the calculation of absorbed dose, the dose equivalent, the derivation of maximum permissible concentration (MPC), the relationship of stable element intake to the MPC, and short term and chronic exposure situations. (author)

Internal dosimetry hazard and risk assessments: methods and applications

International Nuclear Information System (INIS)

Roberts, G.A.

2006-01-01

Routine internal dose exposures are typically (in the UK nuclear industry) less than external dose exposures: however, the costs of internal dosimetry monitoring programmes can be significantly greater than those for external dosimetry. For this reason decisions on when to apply routine monitoring programmes, and the nature of these programmes, can be more critical than for external dosimetry programmes. This paper describes various methods for performing hazard and risk assessments which are being developed by RWE NUKEM Limited Approved Dosimetry Services to provide an indication when routine internal dosimetry monitoring should be considered. (author)

2069-IJBCS-Article-Melila Mamatchi

African Journals Online (AJOL)

hp

Prélèvement du sang. Les prélèvements sanguins ont été effectués sur tous les sujets à jeun, dans ... réactions après prélèvement et lors de la conservation, nous avons utilisé des tubes. EDTA (anticoagulant) et ensuite ..... Determination of blood glucose using 4-aminophenazone as oxygen acceptor. Annals of Clinical.

Anemie du Premature et Pratiques Transfusionnelles au Centre ...

African Journals Online (AJOL)

à la spoliation sanguine due aux prélèvements à visée diagnostique et les anémies secondaires précoces ... étaient d'au moins 2mL à chaque prélèvement. Les frais d'hospitalisation incluant les bilans et ..... [11] H. Hume, Red blood cell transfusions for preterm infants: the role of evidence-based medicine, Semin Perinatol, ...

niger

African Journals Online (AJOL)

three hundred and eighty four (384) blood samples have been collected in dried test tubes and anti- coagulant test tubes (EDTA). .... Dans les troupeaux, les individus ont été sélectionnés selon un sondage systé- matique. PRELEVEMENTS. Les prélèvements sanguins ont été réalisés au niveau de la veine jugulaire des ...

Case report

African Journals Online (AJOL)

abp

10 mars 2016 ... En plus des mesures précédentes nous avons commencé la transfusion sanguine par deux culots globulaires (CG) iso-groupe iso-rhésus et une poche de plasma frais congelé (PFC). Au troisième jour: malgré notre réanimation, la pression artérielle reste toujours basse (PA: 90/50mmHg ; FC : 96bpm).

Acceptance Rate of HIV Testing among Women Seeking Induced ...

African Journals Online (AJOL)

A l\\'aide d\\'un questionnaire semi-structuré et auto-administré, nous avons interviewé 1051 femmes qui recherchaient l\\'avortement provoqué dans quatre cliniques selectionnées au hazard à Benin City entre janvier et septembre 2002. Les échantillons sanguins de celles qui ont accepté le test du VIH ont été collectés et ont ...

Etude de la cinétique de l'hémolyse dans les poches de concentrés ...

African Journals Online (AJOL)

Methodologie: Il s'agissait d'une étude prospective horizontale qui s'est déroulée au Centre National de Transfusion Sanguine (CNTS) à Abidjan-Treichville sur une durée de 02 mois d'octobre 2010 à novembre 2010. Nous avons sélectionné 11 donneurs AS dans une population de donneurs de sang réguliers et 11 ...

Research

African Journals Online (AJOL)

abp

22 avr. 2014 ... autres des Centres Provinciaux de Transfusion Sanguine (CPTS), promouvoir le don volontaire et non rémunéré de sang font partie des stratégies utilisées. Cependant, l'offre est encore loin de couvrir la demande en sang. A. Kisangani, ville du nord-est avec une population estimée à 900 000 habitants, le ...

Role of Scientific Societies in International Collaboration

Science.gov (United States)

Fucugauchi, J. U.

2007-12-01

Geophysical research increasingly requires global multidisciplinary approaches. Understanding how deeply interrelated are Earth components and processes, population growth, increased needs of mineral and energy resources, global impact of human activities, and view of our planet as an interconnected system emphasizes the need of international cooperation. International research collaboration has an immense potential and is needed for further development of Earth science research and education. The Union Session is planned to provide a forum for analysis and discussion of the status of research and education of geosciences in developing countries, international collaboration programs and new initiatives for promoting and strengthening scientific cooperation. A theme of particular relevance in the analyses and discussions is the role of scientific societies in international collaboration. Societies organize meetings, publish journals and books and promote cooperation through academic exchange activities. They may further assist communities in developing countries in providing and facilitating access to scientific literature, attendance to international meetings, short and long-term stays and student and young researcher mobility. What else can be done? This is a complex subject and scientific societies may not be seen independently from the many factors involved in research and education. Developing countries present additional challenges resulting from limited economic resources and social and political problems, while urgently requiring improved educational and research programs. Needed are in-depth analyses of infrastructure and human resources, and identification of major problems and needs. What are the major limitations and needs in research and postgraduate education in developing countries? What and how should international collaboration do? What are the roles of individuals, academic institutions, funding agencies, scientific societies? Here we attempt to

CHINA'S INTERNATIONAL TOURISM UNDER ECONOMIC TRANSITION: NATIONAL TRENDS AND REGIONAL DISPARITIES

OpenAIRE

Liang, Chyi-Lyi (Kathleen); Guo, Rong; Wang, Qingbin

2003-01-01

China's Tourism industry, especially international tourism, has expanded rapidly since its market-oriented economic reform started in 1978. There has been limited information regarding the trends and regional disparities. This paper examines the national trends of China's international tourism since 1982 and analyzes the changes in regional disparities since 1995. While the trend analysis suggests that China's international tourism is likely to keep growing at a significant rate, the analysis...

The Disabilities of the Arm, Shoulder and Hand Questionnaire (DASH can measure the impairment, activity limitations and participation restriction constructs from the International Classification of Functioning, Disability and Health (ICF

Directory of Open Access Journals (Sweden)

McQueen Margaret

2008-08-01

Full Text Available Abstract Background The International Classification of Functioning, Disability and Health (ICF model of the consequences of disease identifies three health outcomes, impairment, activity limitations and participation restrictions. However, few orthopaedic health outcome measures were developed with reference to the ICF. This study examined the ability of a valid and frequently used measure of upper limb function, namely the Disabilities of the Arm, Shoulder and Hand Questionnaire (DASH, to operationalise the ICF. Methods Twenty-four judges used the method of Discriminant Content Validation to allocate the 38 items of the DASH to the theoretical definition of one or more ICF outcome. One-sample t-tests classified each item as measuring, impairment, activity limitations, participation restrictions, or a combination thereof. Results The DASH contains items able to measure each of the three ICF outcomes with discriminant validity. The DASH contains five pure impairment items, 19 pure activity limitations items and three participation restriction items. In addition, seven items measured both activity limitations and participation restrictions. Conclusion The DASH can measure the three health outcomes identified by the ICF. Consequently the DASH could be used to examine the impact of trauma and subsequent interventions on each health outcome in the absence of measurement confound.

The International Branch Campus as Transnational Strategy in Higher Education

Science.gov (United States)

Wilkins, Stephen; Huisman, Jeroen

2012-01-01

The international branch campus is a phenomenon on the rise, but we still have limited knowledge of the strategic choices underlying the start of these ventures. The objective of this paper is to shed light on the motivations and decisions of universities to engage (or not) with the establishment of international branch campuses. As a point of…

Unit and internal chain profiles of maca amylopectin.

Science.gov (United States)

Zhang, Ling; Li, Guantian; Yao, Weirong; Zhu, Fan

2018-03-01

Unit chain length distributions of amylopectin and its φ, β-limit dextrins, which reflect amylopectin internal structure from three maca starches, were determined by high-performance anion-exchange chromatography with pulsed amperometric detection after debranching, and the samples were compared with maize starch. The amylopectins exhibited average chain lengths ranging from 16.72 to 17.16, with ranges of total internal chain length, external chain length, and internal chain length of the maca amylopectins at 12.49 to 13.68, 11.24 to 11.89, and 4.27 to 4.48. The average chain length, external chain length, internal chain length, and total internal chain length were comparable in three maca amylopectins. Amylopectins of the three maca genotypes studied here presented no significant differences in their unit chain length profiles, but did show significant differences in their internal chain profiles. Additional genetic variations between different maca genotypes need to be studied to provide unit- and internal chain profiles of maca amylopectin. Copyright © 2017. Published by Elsevier Ltd.

A simplified technique for shakedown limit load determination

International Nuclear Information System (INIS)

Abdalla, Hany F.; Megahed, Mohammad M.; Younan, Maher Y.A.

2007-01-01

In this paper, a simplified technique is presented to determine the shakedown limit load of a structure using the finite element method. The simplified technique determines the shakedown limit load without performing lengthy time consuming full elastic-plastic cyclic loading simulations or conventional iterative elastic techniques. Instead, the shakedown limit load is determined by performing two analyses namely: an elastic analysis and an elastic-plastic analysis. By extracting the results of the two analyses, the shakedown limit load is determined through the calculation of the residual stresses developed within the structure. The simplified technique is applied and verified using two bench mark shakedown problems namely: the two-bar structure subjected to constant axial force and cyclic thermal loading, and the Bree cylinder subjected to constant internal pressure and cyclic high temperature variation across its wall. The results of the simplified technique showed very good correlation with the, analytically determined, Bree diagrams of both structures. In order to gain confidence in the simplified technique, the shakedown limit loads output by the simplified technique are used to perform full elastic-plastic cyclic loading simulations to check for shakedown behavior of both structures

Defining the Limits of Endoscopic Access to Internal Auditory Canal.

Science.gov (United States)

Master, Adam; Hamiter, Mickie; Cosetti, Maura

2016-12-01

To quantify surgical access to the internal auditory canal (IAC) using an exclusively endoscopic transcanal approach (EETA) and investigate surgically relevant relationships with neurovascular and osseous landmarks of the temporal bone. Anatomical dissection of two paired temporal bones and 15 unpaired temporal bones was performed using an exclusively endoscopic approach to IAC. The dissection proceeded until the cerebellopontine angle (CPA) could be accessed. Following dissection, all the specimens were subjected to computed tomography (CT) imaging. Anatomage InVivo5 software was used to analyze the CT scans and record measurements. CPA access and visualization of the labyrinthine segment of the facial nerve were achieved in all specimens. The mean distances from the carotid artery, jugular bulb, and middle fossa to the surgical opening (or fundostomy) of IAC were 4.1±1.5, 6.4±2.5, and 5.5±1.9 mm, respectively. The mean cross-sectional areas of the fundostomy and tympanic ring were 30.8±10.4 and 67.7±11.3 mm2. The mean distances from the osteo-cartilaginous junction and tympanic ring to the porus acusticus were 29±2.6 and 21±2.3 mm, respectively. Transcanal access to the entire IAC can be safely achieved using an exclusively endoscopic approach. Generous removal of the cochlear promontory can be accomplished while a safe distance is maintained from key neurovascular structures. EETA to IAC offers a minimally invasive alternative to patients without serviceable hearing for intrameatal and medial IAC tumors. Increased knowledge of crucial anatomical relationships involved in this approach will facilitate acceptance and utilization.

Method to Solve the Problem of the Radioactivity Detection in Environmental Samples. Characteristic Limits; Metodos para la Resolucion del Problema de la Detecfcion de Radiactividad en Muestras Ambientales. Limites Caracteristicos

Energy Technology Data Exchange (ETDEWEB)

Gasco, C.; Martinez, M.; Heras, M.

2009-07-21

The problem of the detection or when the radioactivity can be considered as higher than the background using different measurement techniques has been the objective of several statistical studies and controversies. The detection limit and the critical limit were studied by Currie in year 1968 and used by radiochemistry laboratories considering different ways of calculation that introduced confusion and not correct implementations. In the last few years, and due to the increasing number of standardization processes on the field of radioactivity and accreditation, several international institutions have chosen to unify the criteria for using common determination of detection limits. The most used methods are those developed by MARLAP and International Standard Organization ISO (Standard-11929). In this report are summarised both standards doing a comparative study and giving some examples of how to apply these limits. In same cases, little differences in the uncertainty calculation have been observed but the final results have been concordant. A deeply study of these standards can be done consulting the web page of the American Labs that developed MARLAP or buying the original ISO standard ISO-11929 recently approved (2009). (Author) 17 refs.

Vitrectomy and internal limiting membrane peeling for macular folds secondary to hypotony in myopes

Directory of Open Access Journals (Sweden)

Nadal J

2015-05-01

Full Text Available Jeroni Nadal,1–3 Elisa Carreras,2,3 Maria Isabel Canut,1–3 Rafael I Barraquer1–3 1Centro de Oftalmologia Barraquer, 2Universitat Autònoma de Barcelona, 3Instituto Barraquer, Barcelona, Spain Background: Hypotony maculopathy (HM changes may persist, and visual acuity remains poor, despite normalization of intraocular pressure (IOP. The aim of this study was to evaluate the visual and anatomical results of pars plana vitrectomy (PPV, internal limiting membrane (ILM peeling, and 20% SF6 gas tamponade in five myopic patients with HM.Methods: This retrospective interventional study was conducted at the Barraquer Center of Ophthalmology, a tertiary care center in Barcelona, Spain, and included five eyes from five consecutive patients (aged 55.4±13.1 years with HM caused by different conditions. All the patients were treated with 23-gauge PPV, ILM peeling, and 20% SF6 gas tamponade. Preoperative and postoperative evaluation was performed using anterior and posterior biomicroscopy and best corrected visual acuity (BCVA by logMAR charts.Results: Before surgery, median spherical equivalent was -13.1 (range -7, -19 diopters of myopia. Preoperatively, four cases presented IOP <6.5 mmHg for 3 (range 2–8 weeks. In three of these four cases, IOP >6.5 mmHg was achieved over 16 (range 16–28 weeks, without resolution of HM; increased IOP was not achieved in the remaining case treated 2 weeks after diagnosis of HM. One case presented IOP >6.5 mmHg with HM for 28 weeks before surgery. Preoperative BCVA was 0.7 (range 0.26–2.3 logMAR, and 0.6 (range 0.3–0.7 logMAR and 0.5 (range 0.2–1 logMAR, respectively, at 4 and 12 months after surgery. There was no statistically significant difference between preoperative and postoperative BCVA. Hyperpigmentation lines in the macular area were observed in three cases with hypotony. These lines progressed after surgery despite resolution of the retinal folds in the three cases, and BCVA decreased in parallel

Influence of substitutional atoms on the solubility limit of carbon in bcc iron

International Nuclear Information System (INIS)

Saitoh, Hajime; Ushioda, Kohsaku; Yoshinaga, Naoki; Yamada, Wataru

2011-01-01

The influence of substitutional atoms (Mn, Cr, Si, P, and Al) on the solubility limit of C in body-centered cubic iron in equilibrium with cementite was investigated in low-carbon steels at a temperature of 700 o C. The C solubility limit was determined from internal friction measurements combined with infrared analysis of C using a high-frequency combustion technique. Experiments clarified that Mn, Cr and Al hardly change the C solubility limit, whereas P and Si increase it.

The changing face of international power generation

Energy Technology Data Exchange (ETDEWEB)

Lindsay, I. [World Energy Council, London (United Kingdom)

1997-12-31

The author limits his remarks to a discussion of the international generator`s marketplace, especially aimed at the developing countries. He discusses future global electricity demand, generating capacity build, its financing issues, and to the commercial generating opportunities which now abound outside the US.

78 FR 11109 - International Settlements Policy Reform

Science.gov (United States)

2013-02-15

... to foreign carriers' anticompetitive behavior in and timely and effective manner. Eliminating the ISP... routes giving U.S. consumers competitive pricing when they make international calls. The Commission also adopts certain limited measures to improve the Commission's ability to protect U.S. consumers from the...

Internal anal sphincter: Clinical perspective.

Science.gov (United States)

Kumar, Lalit; Emmanuel, Anton

2017-08-01

To summarise current knowledge of Internal anal sphincter. The internal anal sphincter (IAS) is the involuntary ring of smooth muscle in the anal canal and is the major contributor to the resting pressure in the anus. Structural injury or functional weakness of the muscle results in passive incontinence of faeces and flatus. With advent of new assessment and treatment modalities IAS has become an important topic for surgeons. This review was undertaken to summarise our current knowledge of internal anal sphincter and highlight the areas that need further research. The PubMed database was used to identify relevant studies relating to internal anal sphincter. The available evidence has been summarised and advantages and limitations highlighted for the different diagnostic and therapeutic techniques. Our understanding of the physiology and pharmacology of IAS has increased greatly in the last three decades. Additionally, there has been a rise in diagnostic and therapeutic techniques specifically targeting the IAS. Although these are promising, future research is required before these can be incorporated into the management algorithm. Copyright © 2016 Royal College of Surgeons of Edinburgh (Scottish charity number SC005317) and Royal College of Surgeons in Ireland. Published by Elsevier Ltd. All rights reserved.

Aspect Ratio Scaling of Ideal No-wall Stability Limits in High Bootstrap Fraction Tokamak Plasmas

International Nuclear Information System (INIS)

Menard, J.E.; Bell, M.G.; Bell, R.E.; Gates, D.A.; Kaye, S.M.; LeBlanc, B.P.; Maingi, R.; Sabbagh, S.A.; Soukhanovskii, V.; Stutman, D.

2003-01-01

Recent experiments in the low aspect ratio National Spherical Torus Experiment (NSTX) [M. Ono et al., Nucl. Fusion 40 (2000) 557] have achieved normalized beta values twice the conventional tokamak limit at low internal inductance and with significant bootstrap current. These experimental results have motivated a computational re-examination of the plasma aspect ratio dependence of ideal no-wall magnetohydrodynamic stability limits. These calculations find that the profile-optimized no-wall stability limit in high bootstrap fraction regimes is well described by a nearly aspect ratio invariant normalized beta parameter utilizing the total magnetic field energy density inside the plasma. However, the scaling of normalized beta with internal inductance is found to be strongly aspect ratio dependent at sufficiently low aspect ratio. These calculations and detailed stability analyses of experimental equilibria indicate that the nonrotating plasma no-wall stability limit has been exceeded by as much as 30% in NSTX in a high bootstrap fraction regime

Arms Limitation and Disarmament: Seventeenth Strategy for Peace Conference Report.

Science.gov (United States)

Stanley Foundation, Muscatine, IA.

The report discusses issues relating to arms limitation and disarmament. Leaders in U. S. government, professionals from a wide spectrum of disciplines, and other international statesmen participated in the conference in an attempt to define a more enlightened foreign policy. Six major topics were discussed. The first report considered five…

U.S. industry perception on international trade

International Nuclear Information System (INIS)

Miles, E.J.

1991-01-01

There is no doubt that the nuclear fuel market is a more international market today than 10 years. The author presents a US industry perception of international nuclear markets and discusses whether the markets are truly global. His opinion is that the nuclear market is global and international in some segments, in some countries, on certain occasions. This may sound somewhat facetious, but that is the way the nuclear markets work. If one looks at the type of markets in which the parties function as producers, vendors, brokers, agents and customers, it seems that the various segments of the markets range from global to partially protected to fully protected. The paper discusses differences by market type; international trade barriers, specifically, laws and regulators, treaties and agreements, and tariffs and duties and limits; entry or qualification cost barriers; nuclear waste disposal barriers; and a summary of global nuclear market considerations

Processes of international collaboration in management research

DEFF Research Database (Denmark)

Jonsen, Karsten; Butler, Christina; Mäkelä, Kristiina

2013-01-01

Scientists and academics increasingly work on collaborative projects and write papers in international research teams. This trend is driven by greater publishing demands in terms of the quality and breadth of data and analysis methods, which tend to be difficult to achieve without collaborating...... across institutional and national boundaries. Yet, our understanding of the collaborative processes in an academic setting and the potential tensions associated with them remains limited. We use a reflexive, autoethnographic approach to explicitly investigate our own experiences of international...... collaborative research. We offer systematic insights into the social and intellectual processes of academic collaborative writing, identifying six lessons and two key tensions that influence the success of international research teams. Our findings may benefit the formation of future coauthor teams...

National Laboratory Planning: Developing Sustainable Biocontainment Laboratories in Limited Resource Areas.

Science.gov (United States)

Yeh, Kenneth B; Adams, Martin; Stamper, Paul D; Dasgupta, Debanjana; Hewson, Roger; Buck, Charles D; Richards, Allen L; Hay, John

2016-01-01

Strategic laboratory planning in limited resource areas is essential for addressing global health security issues. Establishing a national reference laboratory, especially one with BSL-3 or -4 biocontainment facilities, requires a heavy investment of resources, a multisectoral approach, and commitments from multiple stakeholders. We make the case for donor organizations and recipient partners to develop a comprehensive laboratory operations roadmap that addresses factors such as mission and roles, engaging national and political support, securing financial support, defining stakeholder involvement, fostering partnerships, and building trust. Successful development occurred with projects in African countries and in Azerbaijan, where strong leadership and a clear management framework have been key to success. A clearly identified and agreed management framework facilitate identifying the responsibility for developing laboratory capabilities and support services, including biosafety and biosecurity, quality assurance, equipment maintenance, supply chain establishment, staff certification and training, retention of human resources, and sustainable operating revenue. These capabilities and support services pose rate-limiting yet necessary challenges. Laboratory capabilities depend on mission and role, as determined by all stakeholders, and demonstrate the need for relevant metrics to monitor the success of the laboratory, including support for internal and external audits. Our analysis concludes that alternative frameworks for success exist for developing and implementing capabilities at regional and national levels in limited resource areas. Thus, achieving a balance for standardizing practices between local procedures and accepted international standards is a prerequisite for integrating new facilities into a country's existing public health infrastructure and into the overall international scientific community.

Limitations in the use of low pH extraction to distinguish internalized from cell surface-bound radiolabeled antibody

International Nuclear Information System (INIS)

Ong, Gaik Lin; Mattes, M. Jules

2000-01-01

Internalization by cells of radiolabeled protein ligands bound to the cell surface is frequently analyzed by extraction of the cells with low pH buffers. This treatment supposedly strips the ligands from the cell surface, and remaining molecules are considered to be internalized. However, we show herein that: (1) low molecular weight catabolic products that are trapped within lysosomes (residualizing radiolabels) are efficiently extracted by low pH buffers, under the same conditions used to remove cell surface-bound material, and (2) low pH treatment lyses the majority of the cells, as shown with both a nonadherent and an adherent cell line, with the release of most of a 51 Cr label. Still, low pH extraction was effective at demonstrating Ab internalization, as has been demonstrated many times. These effects of low pH treatment may be attributed to the fixative properties of these buffers. Regardless of the mechanism, these data must be taken into consideration in interpreting the results of such experiments

Everyday legitimacy and international administration: global governance and local legitimacy in Kosovo

OpenAIRE

Lemay-Hebert, Nicolas

2012-01-01

International administrations are a very specific form of statebuilding. This paper examines the limits illustrated by the experience in Kosovo. Here, the international administration faced the same requirements of any legitimate, Liberal government, but without the checks and balances normally associated with Liberal governance. Thus, the international administration was granted full authority and the power thereby associated, but without the legitimacy upon which the Liberal social contract...

Analytical performance, reference values and decision limits. A need to differentiate between reference intervals and decision limits and to define analytical quality specifications

DEFF Research Database (Denmark)

Petersen, Per Hyltoft; Jensen, Esther A; Brandslund, Ivan

2012-01-01

of the values of analytical components measured on reference samples from reference individuals. Decision limits are based on guidelines from national and international expert groups defining specific concentrations of certain components as limits for decision about diagnosis or well-defined specific actions....... Analytical quality specifications for reference intervals have been defined for bias since the 1990s, but in the recommendations specified in the clinical guidelines analytical quality specifications are only scarcely defined. The demands for negligible biases are, however, even more essential for decision...... limits, as the choice is no longer left to the clinician, but emerge directly from the concentration. Even a small bias will change the number of diseased individuals, so the demands for negligible biases are obvious. A view over the analytical quality as published gives a variable picture of bias...

Architectures of intergenerational justice : Human dignity, international law, and duties to future generations

NARCIS (Netherlands)

Riley, Stephen

2016-01-01

This article draws attention to the constitutive requirements of intergenerational justice and exposes the limitations of regulative arguments based on international human rights law. Intergenerational justice demands constraining the regulative freedom of the international community, and it is

Investigation of the low flux servo-controlled limit of a co-phased interferometer

Science.gov (United States)

Damé, Luc; Derrien, Marc; Kozlowski, Mathias; Merdjane, Mohamed

2018-04-01

This paper, "Investigation of the low flux servo-controlled limit of a co-phased interferometer," was presented as part of International Conference on Space Optics—ICSO 1997, held in Toulouse, France.

Basis for limiting exposure to ionizing radiation

International Nuclear Information System (INIS)

Bush, W.R.

1979-07-01

In view of the uncertainty about the size of the risk from radiation, it is assumed that all doses are potentially harmful with the probability of harm proportional to the dose, without threshold. Canada participates in the work of UNSCEAR, and the Canadian Atomic Energy Control Board follows the recommendations of the International Commission on Radiological Protection in setting its dose limits, encouraging the application of the ALARA (as low as reasonably achievable) concept through its licensing and compliance activities

The historical development of radiation protection limits

International Nuclear Information System (INIS)

Schuettmann, W.

1976-01-01

The present internationally largely corresponding radiation protection limits are based on recommendations given by the ICRP in 1965. In order to better understand the underlying concepts, a historical sketch of the development is presented including actual discussions of trends to be excepted. Although exposure of healthy individuals by man-made sources up to these maximum levels is legally permissible, it should be emphasized again and again that any unavoidable exposure must be justified by the need for its associated cause. (author)

Macular Hole Surgery with Internal Limiting Membrane Peeling Facilitated by Membrane-Blue® versus Membrane-Blue-Dual®: A Retrospective Comparative Study

Directory of Open Access Journals (Sweden)

Uri Soiberman

2016-01-01

Full Text Available Background. This study aims to compare the outcome of macular hole (MH surgery with internal limiting membrane (ILM peeling facilitated by two different vital dyes. Methods. This was a retrospective chart review. The group designated “group-MB” underwent pars plana vitrectomy with ILM peeling facilitated by Membrane-Blue (MB, whereas in “group-MBD,” the vital dye used was Membrane-Blue-Dual (MBD. Results. Seventy-four eyes comprised the study population: 53 in group-MB and 21 in group-MBD. There was no difference in the rate of macular hole closure in group-MB or group-MBD: 71.2% closed MHs compared to 66.7%, respectively (p=0.7. Postoperative visual improvement was of a higher magnitude in the MBD group compared to the MB group: −0.34±0.81 logMAR versus 0.01±0.06 logMAR, respectively (p=0.003. Conclusions. In this study, MBD led to better visual results that may be related to better staining characteristics or lesser toxicity compared to MB.

75 FR 75151 - International Service Changes-Israel

Science.gov (United States)

2010-12-02

... POSTAL SERVICE 39 CFR Part 20 International Service Changes--Israel AGENCY: Postal Service TM... Limits, and the Individual Country Listings to incorporate a change in Israel's First-Class Mail... proposed rule Federal Register notice (75 FR 39475-39477) that included a change to Israel's First-Class...

Influences on and Limitations of Classical Test Theory Reliability Estimates.

Science.gov (United States)

Arnold, Margery E.

It is incorrect to say "the test is reliable" because reliability is a function not only of the test itself, but of many factors. The present paper explains how different factors affect classical reliability estimates such as test-retest, interrater, internal consistency, and equivalent forms coefficients. Furthermore, the limits of classical test…

A review of the uncertainties in internal radiation dose assessment for inhaled thorium

International Nuclear Information System (INIS)

Hewson, G.S.

1989-01-01

Present assessments of internal radiation dose to designated radiation workers in the mineral sands industry, calculated using ICRP 26/30 methodology and data, indicate that some workers approach and exceed statutory radiation dose limits. Such exposures are indicative of the need for a critical assessment of work and operational procedures and also of metabolic and dosimetric models used to estimate internal dose. This paper reviews past occupational exposure experience with inhaled thorium compounds, examines uncertainties in the underlying radiation protection models, and indicates the effect of alternative assumptions on the calculation of committed effective dose equivalent. The extremely low recommended inhalation limits for thorium in air do not appear to be well supported by studies on the health status of former thorium refinery workers who were exposed to thorium well in excess of presently accepted limits. The effect of cautious model assumptions is shown to result in internal dose assessments that could be up to an order of magnitude too high. It is concluded that the effect of such uncertainty constrains the usefulness of internal dose estimates as a reliable indicator of actual health risk. 26 refs., 5 figs., 3 tabs

International nuclear markets: Problems and prospects

International Nuclear Information System (INIS)

Skjoeldebrand, R.

1984-01-01

International nuclear trade is now of considerable importance for the energy balances of a number of countries. From the start, it has been regulated by bilateral or multilateral agreements, ones that always included conditions to obtain non-proliferation assurances with verification requirements, now based on IAEA safeguards. Nuclear trade indeed would have been impossible without the non-proliferation regime that has been developed. Recently, non-proliferation objectives and conditions have come to dominate discussions about international nuclear trade through restrictions introduced in the 1970s as a result of developing national policies. The International Nuclear Fuel Cycle Evaluation (INFCE) 1977-1980, and most recently the Committee of Assurances of Supply (CAS) established by the IAEA Board of Governors in 1980, have studied these matters in detail. It sometimes seems, however, that other and possibly more fundamental problems and limitations are given secondary importance. This article discusses some of these factors as regards international trade in nuclear plants and the fuel cycle, and looks at some prospects for the future

[What's new in internal medicine?

Science.gov (United States)

Fardet, L

2017-12-01

As it is practiced in France, internal medicine meets the Anglo-Saxon definition of the specialty, ie doctors "equipped to handle the broad and comprehensive spectrum of illnesses that affect adults, and are recognized as experts in diagnosis, in treatment of chronic illness, and in health promotion and disease prevention - they are not limited to one type of medical problem or organ system". This 2017 "What's new in internal medicine" will consist of 2 parts, a first part on significant publications in the field of systemic and autoimmune diseases and a second part on more diverse publications (HIV, cancer, pregnancy, well-being...) important for medicine in general and its different specialties. © 2017 Elsevier Masson SAS. Tous droits réservés.

Guarantee of Criminal Policy as Limited to Criminal Decisionism

Directory of Open Access Journals (Sweden)

María Belén Bonilla Albán

2016-06-01

Full Text Available The essay explains how the inclusion of the security of public policy in the 2008 Constitution of Ecuador as part of the constitutional state of law and justice or “guarantor state” can become a substantial limit for criminal decisionism, which is usually behind the penal policy in Latin America. Thus, the function of this collateral is to eliminate the huge space of discretion in the management of the most sensitive policy of modern state penal policy. However, the guarantee of public policy is not clear in determining the limits of punitive power; therefore, this paper seeks to explore some of the international human rights.

Vitrectomy with or without internal limiting membrane peeling for idiopathic epiretinal membrane: A meta-analysis.

Science.gov (United States)

Chang, Wei-Cheng; Lin, Chin; Lee, Cho-Hao; Sung, Tzu-Ling; Tung, Tao-Hsin; Liu, Jorn-Hon

2017-01-01

Studies on vitrectomy with and without internal limiting membrane (ILM) peeling for idiopathic epiretinal membrane (ERM) have yielded uncertain results regarding clinical outcomes and recurrence rates. To compare the clinical outcomes of vitrectomy with and without ILM peeling for idiopathic ERM. Databases, including PubMed, Embase, Cochrane, Web of Science, Google Scholar, CNKI databases, FDA.gov, and ClinicalTrials.gov, published until July 2016, were searched to identify studies comparing the clinical outcomes following vitrectomy with ERM and ILM peeling and with only ERM peeling, for treating idiopathic ERM. Studies with sufficient data were selected. Pooled results were expressed as mean differences (MDs) and risk ratios (RRs) with corresponding 95% confidence intervals (CI) for vitrectomy with and without ILM peeling with regard to postoperative best corrected visual acuity (BCVA), central retinal thickness (CRT), and ERM recurrence rate. Eleven retrospective studies and one randomized controlled trial involving 756 eyes were identified. This demonstrated that the postoperative BCVA within 12 months was significantly better in the non-ILM peeling group (MD = 0.04, 95% CI: 0.00 to 0.08; P = 0.0460), but that the patients in the ILM peeling group had significantly better postoperative BCVA after 18 months (MD = -0.13, 95% CI: -0.23 to -0.04; P = 0.0049) than did those in the non-ILM peeling group. The non-ILM peeling group exhibited a higher reduction in postoperative CRT (MD = 51.55, 95% CI:-84.23 to -18.88; P = 0.0020) and a higher recurrence rate of ERM (RR = 0.34, 95% CI:0.16 to 0.72; P = 0.0048) than did the ILM peeling group. However, the improvement rates of BCVA (RR = 1.03, 95% CI:0.72 to 1.47; P = 0.8802) and postoperative CRTs (MD = 18.15, 95% CI:-2.29 to 38.60; P = 0.0818) were similar between the two groups. Vitrectomy with ILM peeling results in better visual improvement in long-term follow-ups and lower ERM recurrence rates, and vitrectomy with

Retinal thickness after vitrectomy and internal limiting membrane peeling for macular hole and epiretinal membrane

Science.gov (United States)

Kumagai, Kazuyuki; Ogino, Nobuchika; Furukawa, Mariko; Hangai, Masanori; Kazama, Shigeyasu; Nishigaki, Shirou; Larson, Eric

2012-01-01

Purpose To determine the retinal thickness (RT), after vitrectomy with internal limiting membrane (ILM) peeling, for an idiopathic macular hole (MH) or an epiretinal membrane (ERM). Also, to investigate the effect of a dissociated optic nerve fiber layer (DONFL) appearance on RT. Methods A non-randomized, retrospective chart review was performed for 159 patients who had successful closure of a MH, with (n = 148), or without (n = 11), ILM peeling. Also studied were 117 patients who had successful removal of an ERM, with (n = 104), or without (n = 13), ILM peeling. The RT of the nine Early Treatment Diabetic Retinopathy Study areas was measured by spectral domain optical coherence tomography (SD-OCT). In the MH-with-ILM peeling and ERM-with-ILM peeling groups, the RT of the operated eyes was compared to the corresponding areas of normal fellow eyes. The inner temporal/inner nasal ratio (TNR) was used to assess the effect of ILM peeling on RT. The effects of DONFL appearance on RT were evaluated in only the MH-with-ILM peeling group. Results In the MH-with-ILM peeling group, the central, inner nasal, and outer nasal areas of the retina of operated eyes were significantly thicker than the corresponding areas of normal fellow eyes. In addition, the inner temporal, outer temporal, and inner superior retina was significantly thinner than in the corresponding areas of normal fellow eyes. Similar findings were observed regardless of the presence of a DONFL appearance. In the ERM-with-ILM peeling group, the retina of operated eyes was significantly thicker in all areas, except the inner and outer temporal areas. In the MH-with-ILM peeling group, the TNR was 0.86 in operated eyes, and 0.96 in fellow eyes (P peeling group, the TNR was 0.84 in operated eyes, and 0.95 in fellow eyes (P peeling group was 0.98, which was significantly greater than that of the MH-with-ILM peeling group (P peeling group was 0.98, which was significantly greater than that of ERM-with-ILM peeling

Working Memory as Internal Attention: Toward an Integrative Account of Internal and External Selection Processes

Science.gov (United States)

Kiyonaga, Anastasia; Egner, Tobias

2012-01-01

Working memory (WM) and attention have been studied as separate cognitive constructs, although it has long been acknowledged that attention plays an important role in controlling the activation, maintenance, and manipulation of representations in WM. WM has, conversely, been thought of as a means of maintaining representations to voluntarily guide perceptual selective attention. It has more recently been observed, however, that the contents of WM can capture visual attention, even when such internally maintained representations are irrelevant, and often disruptive, to the immediate external task. Thus the precise relationship between WM and attention remains unclear, but it appears that they may bi-directionally impact one another, whether or not internal representations are consistent with external perceptual goals. This reciprocal relationship seems, further, to be constrained by limited cognitive resources to handle demands in either maintenance or selection. We propose here that the close relationship between WM and attention may be best described as a give-and-take interdependence between attention directed toward actively maintained internal representations (traditionally considered WM) versus external perceptual stimuli (traditionally considered selective attention), underpinned by their shared reliance on a common cognitive resource. Put simply, we argue that WM and attention should no longer be considered as separate systems or concepts, but as competing and impacting one another because they rely on the same limited resource. This framework can offer an explanation for the capture of visual attention by irrelevant WM contents, as well as a straightforward account of the underspecified relationship between WM and attention. PMID:23233157

Working memory as internal attention: toward an integrative account of internal and external selection processes.

Science.gov (United States)

Kiyonaga, Anastasia; Egner, Tobias

2013-04-01

Working memory (WM) and attention have been studied as separate cognitive constructs, although it has long been acknowledged that attention plays an important role in controlling the activation, maintenance, and manipulation of representations in WM. WM has, conversely, been thought of as a means of maintaining representations to voluntarily guide perceptual selective attention. It has more recently been observed, however, that the contents of WM can capture visual attention, even when such internally maintained representations are irrelevant, and often disruptive, to the immediate external task. Thus, the precise relationship between WM and attention remains unclear, but it appears that they may bidirectionally impact one another, whether or not internal representations are consistent with the external perceptual goals. This reciprocal relationship seems, further, to be constrained by limited cognitive resources to handle demands in either maintenance or selection. We propose here that the close relationship between WM and attention may be best described as a give-and-take interdependence between attention directed toward either actively maintained internal representations (traditionally considered WM) or external perceptual stimuli (traditionally considered selective attention), underpinned by their shared reliance on a common cognitive resource. Put simply, we argue that WM and attention should no longer be considered as separate systems or concepts, but as competing and influencing one another because they rely on the same limited resource. This framework can offer an explanation for the capture of visual attention by irrelevant WM contents, as well as a straightforward account of the underspecified relationship between WM and attention.

[Anatomical and functional results of macular hole surgery with internal limiting membrane peeling after 10-year follow-up].

Science.gov (United States)

Foveau, P; Conart, J-B; Hubert, I; Selton, J; Berrod, J-P

2016-09-01

To evaluate the anatomical and functional results of macular hole surgery with internal limiting membrane (ILM) peeling after 10 years follow-up. Monocentric retrospective study of patients who had undergone macular hole surgery between 2003 and 2005 in the Nancy University Medical Center and still followed in the department in 2014. All patients underwent pars plana vitrectomy and ILM peeling without staining. Clinical examination at ten years including determination of best-corrected visual acuity (BCVA), evaluation of quality of life and spectral domain optical coherence tomography was performed. Four men and six women with mean age of 64±8 years were included. The mean diameter of the MH was 395±133μm. The mean best corrected visual acuity improved significantly from 0.90±0.22 logMAR to 0.14±0.14 logMAR after 10 years with a satisfactory quality of life in 90 % of patients. The integrity of the IS/OS layer was preserved in 9 eyes. Inner retinal dimples located in the temporal quadrant related to ILM peeling initiation were observed in 8 eyes. No significant RNFL or ganglion cell complex changes were found compared to the contralateral eye. Macular hole surgery with ILM peeling in this series resulted in a visual acuity gain of 8 ETDRS lines and persistent improvement in quality of life after a 10-year follow-up. Copyright © 2016 Elsevier Masson SAS. All rights reserved.

Civil Society Involvement in International Development Cooperation: In Search for Data

Science.gov (United States)

Peels, Rafael; Develtere, Patrick

2009-01-01

Participatory decision making seems to be the new development paradigm in international cooperation. It is still a long way, however, to achieve the objectives that are formulated by the international development actors. Non-state actors are only limitedly involved in the policy decision-making. In this paper, we argue that when these actors take…

78 FR 19949 - The $500,000 Deduction Limitation for Remuneration Provided by Certain Health Insurance Providers

Science.gov (United States)

2013-04-02

... 26 CFR Part 1 The $500,000 Deduction Limitation for Remuneration Provided by Certain Health Insurance... limitation for remuneration provided by certain health insurance providers under section 162(m)(6) of the Internal Revenue Code (Code). These regulations affect health insurance providers that pay such...

Modelling inter-supply chain competition with resource limitation and demand disruption

Science.gov (United States)

Chen, Zhaobo; Teng, Chunxian; Zhang, Ding; Sun, Jiayi

2016-05-01

This paper proposes a comprehensive model for studying supply chain versus supply chain competition with resource limitation and demand disruption. We assume that there are supply chains with heterogeneous supply network structures that compete at multiple demand markets. Each supply chain is comprised of internal and external firms. The internal firms are coordinated in production and distribution and share some common but limited resources within the supply chain, whereas the external firms are independent and do not share the internal resources. The supply chain managers strive to develop optimal strategies in terms of production level and resource allocation in maximising their profit while facing competition at the end market. The Cournot-Nash equilibrium of this inter-supply chain competition is formulated as a variational inequality problem. We further study the case when there is demand disruption in the plan-execution phase. In such a case, the managers need to revise their planned strategy in order to maximise their profit with the new demand under disruption and minimise the cost of change. We present a bi-criteria decision-making model for supply chain managers and develop the optimal conditions in equilibrium, which again can be formulated by another variational inequality problem. Numerical examples are presented for illustrative purpose.

7 CFR 1400.204 - Limited partnerships, limited liability partnerships, limited liability companies, corporations...

Science.gov (United States)

2010-01-01

... 7 Agriculture 10 2010-01-01 2010-01-01 false Limited partnerships, limited liability partnerships..., limited liability partnerships, limited liability companies, corporations, and other similar legal entities. (a) A limited partnership, limited liability partnership, limited liability company, corporation...

10 CFR 20.1202 - Compliance with requirements for summation of external and internal doses.

Science.gov (United States)

2010-01-01

... external and internal doses. (a) If the licensee is required to monitor under both §§ 20.1502 (a) and (b), the licensee shall demonstrate compliance with the dose limits by summing external and internal doses... compliance with the requirements for summation of external and internal doses by meeting one of the...

34 CFR 658.40 - What are the limitations on allowable costs?

Science.gov (United States)

2010-07-01

... 34 Education 3 2010-07-01 2010-07-01 false What are the limitations on allowable costs? 658.40 Section 658.40 Education Regulations of the Offices of the Department of Education (Continued) OFFICE OF POSTSECONDARY EDUCATION, DEPARTMENT OF EDUCATION UNDERGRADUATE INTERNATIONAL STUDIES AND FOREIGN LANGUAGE...

78 FR 28278 - Operating Limitations at New York LaGuardia Airport

Science.gov (United States)

2013-05-14

... between carriers under the same marketing control up to 5 business days after the actual operation. This... of Extension to Order. SUMMARY: This action amends the Order Limiting Operations at New York... Rule on Slot Management and Transparency for LaGuardia Airport, John F. Kennedy International Airport...

Competitive Internal Logistics Systems through Automation

OpenAIRE

Granlund, Anna

2011-01-01

The growing demand for products and services puts great pressure on logistics performance and enhances the role that logistics plays in determining a company’s competitiveness. This research focuses on internal logistics systems, which includes all logistics activities and processes within the physical limits of an isolated company. Internal logistics is vital for the overall function of many companies. However, despite its importance, this part of logistics has traditionally not been viewed ...

Testing the coherence between occupational exposure limits for inhalation and their biological limit values with a generalized PBPK-model: the case of 2-propanol and acetone.

Science.gov (United States)

Huizer, Daan; Huijbregts, Mark A J; van Rooij, Joost G M; Ragas, Ad M J

2014-08-01

The coherence between occupational exposure limits (OELs) and their corresponding biological limit values (BLVs) was evaluated for 2-propanol and acetone. A generic human PBPK model was used to predict internal concentrations after inhalation exposure at the level of the OEL. The fraction of workers with predicted internal concentrations lower than the BLV, i.e. the 'false negatives', was taken as a measure for incoherence. The impact of variability and uncertainty in input parameters was separated by means of nested Monte Carlo simulation. Depending on the exposure scenario considered, the median fraction of the population for which the limit values were incoherent ranged from 2% to 45%. Parameter importance analysis showed that body weight was the main factor contributing to interindividual variability in blood and urine concentrations and that the metabolic parameters Vmax and Km were the most important sources of uncertainty. This study demonstrates that the OELs and BLVs for 2-propanol and acetone are not fully coherent, i.e. enforcement of BLVs may result in OELs being violated. In order to assess the acceptability of this "incoherence", a maximum population fraction at risk of exceeding the OEL should be specified as well as a minimum level of certainty in predicting this fraction. Copyright © 2014 Elsevier Inc. All rights reserved.

Dynamics of Receptor-Mediated Nanoparticle Internalization into Endothelial Cells

Science.gov (United States)

Gonzalez-Rodriguez, David; Barakat, Abdul I.

2015-01-01

Nanoparticles offer a promising medical tool for targeted drug delivery, for example to treat inflamed endothelial cells during the development of atherosclerosis. To inform the design of such therapeutic strategies, we develop a computational model of nanoparticle internalization into endothelial cells, where internalization is driven by receptor-ligand binding and limited by the deformation of the cell membrane and cytoplasm. We specifically consider the case of nanoparticles targeted against ICAM-1 receptors, of relevance for treating atherosclerosis. The model computes the kinetics of the internalization process, the dynamics of binding, and the distribution of stresses exerted between the nanoparticle and the cell membrane. The model predicts the existence of an optimal nanoparticle size for fastest internalization, consistent with experimental observations, as well as the role of bond characteristics, local cell mechanical properties, and external forces in the nanoparticle internalization process. PMID:25901833

Profil Des Hormones Thyroidiennes Chez Les Femmes Enceintes ...

African Journals Online (AJOL)

Pour chaque patiente, selon un protocole préétabli, on recueillait les données cliniques et Gynéco-Obstétrique avec l\\'âge de la grossesse, et on faisait un prélèvement sanguin en vu du dosage des hormones thyroïdiennes (thyroïde T4 et triiodothyronine T3) et de la thyréostimuline hypophysaire (TSH). La lecture des ...

Regression of a vaginal leiomyoma after ovariohysterectomy in a dog: a case report.

Science.gov (United States)

Sathya, Suresh; Linn, Kathleen

2014-01-01

An 11 yr old female mixed-breed Siberian husky was presented with a history of sanguineous vaginal discharge, swelling of the perineal area, decreased appetite, and lethargy. A single, large vaginal leiomyoma and multiple mammary tumors were diagnosed. Mastectomy and ovariohysterectomy were performed. The vaginal leiomyoma regressed completely after ovariohysterectomy. This is the first reported case of spontaneous regression of a vaginal leiomyoma after ovariohysterectomy in a dog.

Séroprévalence du virus de l'immunodéficience humaine, des virus ...

African Journals Online (AJOL)

Objectifs: Les agents pathogènes transmissibles par transfusion sanguine constituent un problème de santé publique en Afrique subsaharienne. Le but de ... Un choix plus judicieux des ces tests rapides et le recrutement de donneurs de sang bénévoles non rémunérés et leur fidélisation pourraient améliorer la sécurité ...

Caractérisation biomoléculaire et structure de la population des ...

African Journals Online (AJOL)

En vue de caractériser la diversité génétique des populations de cobayes domestiques (Cavia porcellus) dans la région agro-écologique du Cameroun, un panel de16 marqueurs microsatellites ont été utilisés. L'ADN génomique provenait de 110 prélèvements sanguins obtenus chez des animaux non apparentés des ...

Research

African Journals Online (AJOL)

abp

28 avr. 2014 ... prévalence du portage asymptomatique du plasmodium chez les donneurs bénévoles de sang à Kisangani. Méthodes: Une étude transversale a été menée au Centre Provincial de Transfusion Sanguine à Kisangani du 1er Décembre 2012 au 31 Mars 2013 et a concerné 480 donneurs bénévoles de sang ...

Case report

African Journals Online (AJOL)

ebutamanya

26 janv. 2015 ... transfusion sanguine de 4 culots globulaires. Après restauration de l'état hémodynamique, un bilan comportant un angioscanner abdominal a mis en évidence un anévrisme de l'artère splénique. (AAS) mesurant 46 × 56 mm refoulant le corps du pancréas en arrière et la paroi postérieure de l'estomac en ...

The kidney allocation score: methodological problems, moral concerns and unintended consequences.

Science.gov (United States)

Hippen, B

2009-07-01

The growing disparity between the demand for and supply of kidneys for transplantation has generated interest in alternative systems of allocating kidneys from deceased donors. This personal viewpoint focuses attention on the Kidney Allocation Score (KAS) proposal promulgated by the UNOS/OPTN Kidney Committee. I identify several methodological and moral flaws in the proposed system, concluding that any iteration of the KAS proposal should be met with more skepticism than sanguinity.

Bunker door interlock limit issues of K-130 cyclotron, VECC

International Nuclear Information System (INIS)

Srihari, K.; Ravishankar, R.; Mitra, M.S.; Mishra, S.K.; Bandyopadhyay, T.; Sarkar, P.K.

2011-01-01

The K-130 cyclotron is in operation at VECC, Kolkata. Recently modernization of the cyclotron has taken place. Central region modification has increased reasonable internal beam current. During the tuning of the projectiles, loss of beam is unavoidable and projectiles hitting different parts of the machine inside the vacuum chamber . These interactions produce prompt radiation comprising neutron and gamma. However machine bunker is not accessible during the operation of the machine. The induced activity produced because of interactions of the primary and secondary radiation a radiation hazardous environment during the shut down for the related maintenance work. Area radiation monitors placed at machine bunker room have the interlock with massive shield door of the bunker. Area radiation monitors are set to specified limiting value, lower than that will allow to open the shield door in normal condition. As, the internal beam current being increased and the probability of beam spread being more. Consequently generation of induced activity is also high leading to delay in machine bunker door opening because of the interlock settings. Radiation dose mapping after a long operation of the machine was done for the different strategic points (The locations mainly people access immediate after shut down). Different consequences and remedial measures being presented in paper to raise the dose rate limit level for the interlocks between the area radiation monitors with machine bunker door, keeping in mind of the regulatory requirements. Raising the limit of dose rate limiting value will minimize the waiting time to access the machine bunker which will increase the duty factor of the machine. (author)

A New Method to Calculate Internal Rate of Return

Directory of Open Access Journals (Sweden)

azadeh zandi

2015-09-01

Full Text Available A number of methods have been developed to choose the best capital investment projects such as net present value, internal rate of return and etc. Internal rate of return method is probably the most popular method among managers and investors. But despite the popularity there are serious drawbacks and limitations in this method. After decades of efforts made by economists and experts to improve the method and its shortcomings, Magni in 2010 has revealed a new approach that can solves the most of internal rate of return method problems. This paper present a new method which is originated from Magni’s approach but has much more simple calculations and can resolve all the drawbacks of internal rate of return method.

Partial Internal Control Recovery on 1-D Klein-Gordon Systems

Directory of Open Access Journals (Sweden)

Iwan Pranoto

2010-03-01

Full Text Available In this exposition, a technique to recover internal control on a distributed parameter system is reported. The system is described by 1-D Klein-Gordon partial differential equation with a time-varying parameter. We would like to recover the internal control applied to the system if we know some limited information about the output. We use a method called sentinel method to recover the internal control. It involves some construction of a linear functional, and we show that this construction relates closely to the exact controllability problem.

Caring for the Patient With Limited Systemic Scleroderma.

Science.gov (United States)

Lachner, Kelly Denise

2016-01-01

Systemic scleroderma (systemic sclerosis) is a rare, autoimmune, collagen-vascular disease of unknown etiology that affects the connective tissues of the skin, internal organs, as well as the small blood vessels. There are 3 subclasses of systemic scleroderma: limited cutaneous, diffuse cutaneous, and sine scleroderma. Prognosis depends on the extent of organ involvement. Complications of systemic scleroderma can involve the cardiovascular, pulmonary, gastrointestinal, renal, integumentary, and the skeletal-muscular systems. Because systemic scleroderma is not common, many orthopaedic nurses may be unfamiliar with how to best provide care. This article provides information about the complexity of the different types of this disease and the basic nursing care of the patient with the most common subclass of systemic scleroderma, limited cutaneous systemic scleroderma.

Limiting overselling in international emissions trading 1: Costs and environmental impacts of alternative proposals

Energy Technology Data Exchange (ETDEWEB)

Haites, E.; Missfeldt, F.

2002-07-01

Emission trading allows a country with an emission limitation commitment, an Annex B Party, to sell parts of its assigned amount (AAUs) to other Annex B Parties. If the seller subsequently does not have sufficient AAUs to cover its actual emissions it will be subject to the penalties for non-compliance. The revenue from the sale of AAUs may exceed the sanctions for non-compliance if these penalties are weak or difficult to enforce. Under these circumstances emission trading enables a country to benefit financially through non-compliance. Liability proposals seek to ensure that non-compliance is not rewarded, by limiting sales of AAUs to amounts surplus to the seller's compliance needs. This study develops and applies a model to assess the performance of different liability proposals. A simple model based on the Emissions Projection and Policy Analysis (EPPA) model of the Massachusetts Institute of Technology is used for the analysis. (BA)

The limits of regulatory convergence: globalization and GMO politics in the south

NARCIS (Netherlands)

Falkner, R.; Gupta, A.

2009-01-01

Is globalization promoting regulatory convergence in agricultural biotechnology policies in the South? This article examines the nature and limits of regulatory convergence in the field of agri-biotechnology and investigates the effects that international forces have on biotechnology and biosafety

(Limiting the greenhouse effect)

Energy Technology Data Exchange (ETDEWEB)

Rayner, S.

1991-01-07

Traveler attended the Dahlem Research Conference organized by the Freien Universitat, Berlin. The subject of the conference was Limiting the Greenhouse Effect: Options for Controlling Atmospheric CO{sub 2} Accumulation. Like all Dahlem workshops, this was a meeting of scientific experts, although the disciplines represented were broader than usual, ranging across anthropology, economics, international relations, forestry, engineering, and atmospheric chemistry. Participation by scientists from developing countries was limited. The conference was divided into four multidisciplinary working groups. Traveler acted as moderator for Group 3 which examined the question What knowledge is required to tackle the principal social and institutional barriers to reducing CO{sub 2} emissions'' The working rapporteur was Jesse Ausubel of Rockefeller University. Other working groups examined the economic costs, benefits, and technical feasibility of options to reduce emissions per unit of energy service; the options for reducing energy use per unit of GNP; and the significant of linkage between strategies to reduce CO{sub 2} emissions and other goals. Draft reports of the working groups are appended. Overall, the conference identified a number of important research needs in all four areas. It may prove particularly important in bringing the social and institutional research needs relevant to climate change closer to the forefront of the scientific and policy communities than hitherto.

Clinical and histological evaluation of large macular hole surgery using the inverted internal limiting membrane flap technique

Directory of Open Access Journals (Sweden)

Kase S

2016-12-01

Full Text Available Satoru Kase, Wataru Saito, Shohei Mori, Michiyuki Saito, Ryo Ando, Zhenyu Dong, Tomohiro Suzuki, Kousuke Noda, Susumu Ishida Department of Ophthalmology, Hokkaido University Graduate School of Medicine, Sapporo, Japan Purpose: The aims of this study were to analyze optical coherence tomography (OCT imaging of large macular holes (MHs treated with inverted internal limiting membrane (ILM flap technique and to perform a histological examination of an ILM-like membrane tissue obtained during vitrectomy.Patients and methods: This is a retrospective observational case study. Nine patients, comprising of five males and four females, showing large and myopic MHs, underwent pars plana vitrectomy (PPV with inverted ILM flap technique assisted by brilliant blue G (BBG staining. Ophthalmological findings including visual acuity and OCT were investigated based on medical records. Formalin-fixed paraffin-embedded tissue section of an ILM-like membrane was submitted for immunohistochemistry with glial fibrillary acidic protein (GFAP.Results: ILM was clearly stained with BBG in eight patients, whereas the ILM in one case revealed no staining with BBG during PPV. Visual acuities improved to >0.2 LogMAR in six patients. The complete closure of MH following PPV with inverted ILM technique was eventually achieved in all patients determined by OCT imaging (100%. Only one patient showed recovery of ellipsoid zone and interdigitation zone following the surgery. Elongation of outer nuclear layer was noted in three eyes. The ILM-like membrane not stained with BBG histologically revealed an amorphous structure admixed with GFAP-positive mononuclear cell infiltration.Conclusion: PPV with inverted ILM flap technique achieved 100% closure rates with favorable configuration at an initial surgery in large MHs. Our histopathological data also suggest that even BBG staining-negative membrane may be a useful material for autologous transplantation to the hole. Keywords

The Third International Reference Preparation of Egg Lecithin

Science.gov (United States)

Krag, P.; Bentzon, M. Weis

1961-01-01

The Third International Reference Preparation of Egg Lecithin was produced (in a quantity of 5000 ml) at the WHO Serological Reference Centre, Copenhagen, and assayed in 1958 against the Second International Reference Preparation by four laboratories in three countries. Complement-fixation and slide-flocculation tests were used. The new preparation was found acceptable, and its establishment was authorized by the WHO Expert Committee on Biological Standardization. The average log10 titres and results of analyses of variances are shown. The variances were of the usual order of magnitude, and the differences in titre between antigens containing the Second and the Third International Reference Preparations varied from -0.011 to 0.116; only one of the differences exceeded the 5% limit of significance. The use of the Third International Reference Preparation in tests for the acceptability of lecithin preparations is described. PMID:13753864

Nuclear operator liability amounts and financial security limits as of June 2011

International Nuclear Information System (INIS)

2011-06-01

This table aims to gather information on the amounts available to compensate potential victims of a nuclear incident in countries and economies having nuclear power plants and/or having ratified at least one of the international conventions on nuclear third party liability. For each country listed in the table are indicated: the International Liability Convention (PC, BSC or VC, RVC and/or JP and/or CSC), the type of Installations / Activities, the Operator's Liability Amount (in National Currency or Special Drawing Rights (SDR) with USD/EUR Equivalent), the Financial Security Limit (in National Currency or Special Drawing Rights (SDR) with USD/EUR Equivalent), the Additional State Compensation if any, and the Additional Compensation (International Arrangements) if any

Effet du Pediococcus acidilactici sur le bilan lipidique sanguin du ...

African Journals Online (AJOL)

Les résultats relatifs aux performances zootechniques ont montré que l'addition du probiotique a amélioré significativement le gain de poids pendant la phase de croissance se traduisant par un indice de consommation meilleur. Les dosages du cholestérol total, des triglycérides, du HDL et du LDL ont été déterminés à la ...

The Uses and Limits of Small-Scale Military Interventions

Science.gov (United States)

2012-01-01

Reports & Bookstore Make a charitable contribution Limited Electronic Distribution Rights This document and trademark(s) contained herein are protected by...2002. 16 The first of the so-called Paris Principles, for instance, is to “[t]ake context as the start- ing point” ( Organisation for Economic Co...Revolutionary Warfare, Washington, D.C.: Brassey’s, 1990. Organisation for Economic Co-operation and Development, Principles for Good International

Problems is applying new internal dose coefficients to radiation control

Energy Technology Data Exchange (ETDEWEB)

Sato, Yuichi [Oarai Laboratory, Chiyoda Technol Corporation, Ibaraki (Japan)

1998-06-01

The author discussed problems concerning the conceivable influence in the radiation control and those newly developing when the new internal dose coefficients are applied in the law in the future. For the conceivable influence, the occupational and public exposure was discussed: In the former, the effective dose equivalent limit (at present, 50 mSv/y) was thought to be reduced and in the latter, the limit to be obscure although it might be more greatly influenced by the new coefficients. For newly developing problems, since the new biological model which is more realistic was introduced for calculation of the internal dose and made the calculation more complicated, use of computer is requisite. The effective dose of the internal exposure in the individual monitoring should be conveniently calculated as done at present even after application of the new coefficients. For calculation of the effective dose of the internal exposure, there are such problems as correction of the inhaled particle size and of the individual personal parameter. A model calculation of residual rate in the chest where the respiratory tract alone participated was presented as an example but for the whole body, more complicated functions were pointed out necessary. The concept was concluded to be incorporated in the law in a convenient and easy manner and a software for calculation of internal dose using the new coefficients was wanted. (K.H.)

34 CFR 660.40 - What are the limitations on allowable costs?

Science.gov (United States)

2010-07-01

... 34 Education 3 2010-07-01 2010-07-01 false What are the limitations on allowable costs? 660.40 Section 660.40 Education Regulations of the Offices of the Department of Education (Continued) OFFICE OF POSTSECONDARY EDUCATION, DEPARTMENT OF EDUCATION THE INTERNATIONAL RESEARCH AND STUDIES PROGRAM What Conditions...

Internal limiting membrane flap transposition for surgical repair of macular holes in primary surgery and in persistent macular holes.

Science.gov (United States)

Leisser, Christoph; Hirnschall, Nino; Döller, Birgit; Varsits, Ralph; Ullrich, Marlies; Kefer, Katharina; Findl, Oliver

2018-03-01

Classical or temporal internal limiting membrane (ILM) flap transposition with air or gas tamponade are current trends with the potential to improve surgical results, especially in cases with large macular holes. A prospective case series included patients with idiopathic macular holes or persistent macular holes after 23-G pars plana vitrectomy (PPV) and ILM peeling with gas tamponade. In all patients, 23-G PPV and ILM peeling with ILM flap transposition with gas tamponade and postoperative face-down position was performed. In 7 of 9 eyes, temporal ILM flap transposition combined with pedicle ILM flap could be successfully performed and macular holes were closed in all eyes after surgery. The remaining 2 eyes were converted to pedicle ILM flap transposition with macular hole closure after surgery. Three eyes were scheduled as pedicle ILM flap transposition due to previous ILM peeling. In 2 of these eyes, the macular hole could be closed with pedicle ILM flap transposition. In 3 eyes, free ILM flap transposition was performed and in 2 of these eyes macular hole could be closed after surgery, whereas in 1 eye a second surgery, performed as pedicle ILM flap transposition, was performed and led to successful macular hole closure. Use of ILM flaps in surgical repair of macular hole surgery is a new option of treatment with excellent results independent of the diameter of macular holes. For patients with persistent macular holes, pedicle ILM flap transposition or free ILM flap transposition are surgical options.

Low-frequency electrical dosimetry: research agenda of the IEEE International Committee on Electromagnetic Safety.

Science.gov (United States)

Reilly, J Patrick; Hirata, Akimasa

2016-06-21

This article treats unsettled issues in the use of numerical models of electrical dosimetry as applied to international limits on human exposure to low-frequency (typically  IEEE-ICES (International Committee on Electromagnetic Safety) Technical Committee 95. The paper discusses 25 issues needing attention, fitting into three general categories: induction models; electrostimulation models; and human exposure limits. Of these, 9 were voted as 'high priority' by members of Subcommittee 6. The list is presented as a research agenda for refinements in numerical modeling with applications to human exposure limits. It is likely that such issues are also important in medical and electrical product safety design applications.

Improvement of detection limits of PIXE by substrate signal reduction

International Nuclear Information System (INIS)

Beaulieu, S.; Nejedly, Z.; Campbell, J.L.; Edwards, G.C.; Dias, G.M.

2002-01-01

Limits of detection (LODs) for aerosol samples collected using PIXE International cascade impactors, were improved approximately 50% after reducing the cross-sectional area of the analytical beam based on results obtained from microscope photographs of aerosol deposits. Improvements in LODs were most noticeable for selected elements collected on the smaller stages of the impactor (stages 1-3)

Selection of exception limits for all actinide nuclides based on revised criteria for safe international transport

International Nuclear Information System (INIS)

Lavarenne, C.; Rouyer, V.; Sert, G.; Mennerdahl, D.; Dean, C.; Barton, N.; Jean, F.

2003-01-01

Since 1998, there have been some speculations about future transport of significant quantities and concentrations of other actinide nuclides than the four currently listed in the regulation for the safe transport of the radioactive material. Therefore, it raised a need to specify exception limits for such actinides. Additionally, the total fissile nuclide mass per consignment of excepted packages was limited in the 1996 edition of the regulations (a conveyance limit is preliminary supported in the 2003 revision). The proposed changes of the rules have to take this new control into account. The European Community (DGTREN) decided to fund a project related to this subject. In order to define credible exception limits, it was necessary to have reasonably accurate data for all actinide nuclides. Then the authors of the study decided to perform calculations with different codes (MONK, MCNP, CRISTAL, SCALE) and different cross-section libraries (JEF2.2, ENDFB, JENDL, etc.). This article presents the work achieved and gives propositions of modification for the IAEA requirements for the Safe Transport of Radioactive Material related to, firstly, the list of the fissile materials, and secondly, the rule to determine the quantities of actinide nuclides that can be excepted from the requirements for the packages containing fissile materials. The participants acknowledge the DGTREN who made this work possible due to its support. (author)

Procedures of ASME code case N-201 for KALIMER. Reactor internal structures

International Nuclear Information System (INIS)

Koo, Gyeong Hoi; Yoo, B.

2001-02-01

The main objective of this report is to describe the design procedure of ASME Boiler and Pressure Vessel Code, Code Case N-201-4, which is an elevated temperature structural design code of the Nuclear reactor internal structures, checking the criteria of stress limit, accumulated inelastic strain and deformation, creep-fatigue damage, and buckling limit. As one of examples, the creep-fatigue damage evaluations are carried out for the KALIMER reactor internal structures of baffle annulus. This report is expected to be very useful in evaluating the structural integrity of the liquid metal reactor operating under an elevated temperature

International harmonization of intervention levels

International Nuclear Information System (INIS)

Jensen, P.H.

1994-05-01

A summary is given on international guidance on intervention levels in circumstances in which remedial actions might be considered in nuclear accident situations. The nature and limitations of international work and their effect on the resulting guidance are discussed. The basic international principles recommended can be expressed in the following compressed form: (1) serious deterministic effects should be avoided by intervention, (2) each protective measure should be justified, i.e. do more good than harm, (3) the level at which the protective measures are to be introduced should be optimized, i.e. do most good, and (4) each protective measure should be optimized separately and independent of all other countermeasures. It is of great importance that decision makers inform the public of all aspects of their decisions in order to make the decisions transparent, especially when the interventions chosen are mainly for political or social reason rather than health protection grounds. Otherwise the public may be misled and the radiological protection community will be mistrusted. 17 refs., 6 tabs

The Dutch version of the self-report Child Activity and Limitations Interview in adolescents with chronic pain

NARCIS (Netherlands)

de Vries, Janneke E.; Dekker, Carolien; Bastiaenen, Carolien H. G.; Goossens, Mariëlle E. J. B.; Engelbert, Raoul H. H.; Verbunt, Jeanine A. M. C. F.

2017-01-01

To assess the factor structure, related constructs and internal consistency of the Child Activity Limitation Interview 21-Child version for use in Dutch-language countries. Cross-sectional validation study: After forward and back translation of the Dutch version of the Child Activity Limitation

Finite element-based limit load of piping branch junctions under combined loadings

International Nuclear Information System (INIS)

Xuan Fuzhen; Li Peining

2004-01-01

The limit load is an important input parameter in engineering defect-assessment procedures and strength design. In the present work, a total of 100 different piping branch junction models for the limit load calculation were performed under combined internal pressure and moments in use of non-linear finite element (FE) method. Three different existing accumulation rules for limit load, i.e., linear equation, parabolic equation and quadratic equation were discussed on the basis of FE results. A novel limit load solution was developed based on detailed three-dimensional FE limit analyses which accommodated the geometrical parameter influence, together with analytical solutions based on equilibrium stress fields. Finally, six experimental results were provided to justify the presented equation. According to the FE limit analysis, limit load interaction of the piping tees under combined pressure and moments has a relationship with the geometrical parameters, especially with the diameter ratio d/D. The predicted limit loads from the presented formula are very close to the experimental data. The resulting limit load solution is given in a closed form, and thus can be easily used in practice

Rethinking Ethnocentrism in International Business Research

DEFF Research Database (Denmark)

Michailova, Snejina; Piekkari, Rebecca; Storgaard, Marianne

2017-01-01

in other countries. In international business research, ethnocentrism is usually considered undesirable, something that should be eliminated. However, sociology, anthropology, and psychology, where the concept was originally established, have adopted a wider, far more nuanced and intellectually richer view......Research summary: For nearly five decades, international business (IB) research in general and the literature on organizational design and staffing of multinationals in particular have treated ethnocentrism mainly as an adverse attribute. Limited attention has been paid to the disciplines...... that originally established the concept—anthropology, sociology, and psychology. These disciplines have examined ethnocentrism as a positive, neutral, or negative phenomenon with a complex hierarchical structure. IB literature, in turn, has almost exclusively adopted a negative view, suggesting that ethnocentrism...

New Stochastic Annual Limits on Intake for Selected Radionuclides

International Nuclear Information System (INIS)

Carbaugh, Eugene H.

2009-01-01

Annual limits on intake (ALI) have historically been tabulated by the International Commission on Radiological Protection (e.g., ICRP 1979, 1961) and also by the Environmental Protection Agency (EPA 1988). These compilations have been rendered obsolete by more recent ICRP dosimetry methods, and, rather than provide new ALIs, the ICRP has opted instead to provide committed dose coefficients from which an ALI can be determined by a user for a specific set of conditions. The U.S. Department of Energy historically has referenced compilations of ALIs and has defined their method of calculation in its radiation protection regulation (10 CFDR 835), but has never provided a specific compilation. Under June 2007 amendments to 10 CFR 835, ALIs can be calculated by dividing an appropriate dose limit, either 5-rem (0.05 Sv) effective dose or 50 rem (0.5 Sv) equivalent dose to an individual organ or tissue, by an appropriate committed dose coefficient. When based on effective dose, the ALI is often referred to as a stochastic annual limit on intake (SALI), and when based on the individual organ or tissue equivalent limit, it has often been called a deterministic annual limit on intake (DALI).

Cloud computing challenges, limitations and R&D solutions

CERN Document Server

Mahmood, Zaigham

2014-01-01

This important text/reference reviews the challenging issues that present barriers to greater implementation of the cloud computing paradigm, together with the latest research into developing potential solutions. Exploring the strengths and vulnerabilities of cloud provision and cloud environments, Cloud Computing: Challenges, Limitations and R&D Solutions provides case studies from a diverse selection of researchers and practitioners of international repute. The implications of emerging cloud technologies are also analyzed from the perspective of consumers. Topics and features: presents

26 CFR 301.6503(j)-1 - Suspension of running of period of limitations; extension in case of designated and related...

Science.gov (United States)

2010-04-01

... 26 Internal Revenue 18 2010-04-01 2010-04-01 false Suspension of running of period of limitations... ADMINISTRATION Limitations Limitations on Assessment and Collection § 301.6503(j)-1 Suspension of running of... running of the applicable period of limitations on assessment provided for in section 6501 is suspended...

Method to Solve the Problem of the Radioactivity Detection in Environmental Samples. Characteristic Limits

International Nuclear Information System (INIS)

Gasco, C.; Martinez, M.; Heras, M.

2009-01-01

The problem of the detection or when the radioactivity can be considered as higher than the background using different measurement techniques has been the objective of several statistical studies and controversies. The detection limit and the critical limit were studied by Currie in year 1968 and used by radiochemistry laboratories considering different ways of calculation that introduced confusion and not correct implementations. In the last few years, and due to the increasing number of standardization processes on the field of radioactivity and accreditation, several international institutions have chosen to unify the criteria for using common determination of detection limits. The most used methods are those developed by MARLAP and International Standard Organization ISO (Standard-11929). In this report are summarised both standards doing a comparative study and giving some examples of how to apply these limits. In same cases, little differences in the uncertainty calculation have been observed but the final results have been concordant. A deeply study of these standards can be done consulting the web page of the American Labs that developed MARLAP or buying the original ISO standard ISO-11929 recently approved (2009). (Author) 17 refs

Search Results | Page 100 | IDRC - International Development ...

International Development Research Centre (IDRC) Digital Library (Canada)

Results 991 - 1000 of 9602 ... IDRC Bulletin — International Women's Day 2018 ... Enhancing opportunities for rural youth in post-conflict ... The lack of reliable data limits the ability of health providers, ... However, they can also be sources of inequality and social ... Copyright · Open access policy · Privacy policy · Research ...

The Voluntariat: A Frieirean framework to understand the nature of undergraduate international (medical) experiences.

Science.gov (United States)

Qaiser, Seemi; Dimaras, Helen; Hamel, Paul

2016-12-01

Despite literature documenting limited and asymmetrical benefits along with ethical issues, short-term international volunteering is increasingly popular among North American university students as a perceived advantage when applying to professional healthcare schools or the job market. Academic institutions are also encouraging students to pursue international experiences in order to cultivate values as global citizens. These experiences are most typically limited to economically privileged students. Furthermore, international activities in developing countries often lack a pedagogy of social justice and may confirm a simplistic understanding of development. Brazilian educator Paulo Freire's "liberation pedagogy" provides a framework for understanding the limitations of international volunteering, whereby the presence of privileged volunteers implementing Western models of development may hinder aspects of local movements. Regardless, university students face intense competition in accessing opportunities, such as medical school, and pay large sums to participate in volunteering to strengthen their academic credentials. We propose that these students form "the voluntariat." They simultaneously play two roles by, first, contributing to the conditions that oppress the very communities in which they volunteer and, second, by playing a role as objects of oppression by the liberal institutions of learning and employment to which they are attempting to gain access.

Building an International Financial Services Firm: How to design and execute cross-border strategies

OpenAIRE

Markus Venzin

2009-01-01

A new era of global banking and insurance is emerging, with leading banks eager to serve international markets. This book explores the issues that arise for banks in their strategic choices as they move into these new international markets. Building an International Financial Services Firm challenges conventional assumptions from the international management literature on topics such as the limits of globalization, the importance of cultural and institutional distance, the nature of economies...

The importance of international cooperation

CSIR Research Space (South Africa)

NASR, Jean-Marc

2017-01-01

Full Text Available Limited R&D budgets Marginal growth Increased R&T with international institutes & academia Intra-African market Center of gravity has changed Global supply sourcing Local Servicing of products Airbus Global Footprint May 2017 Airbus... 31% Europe 69% Non-Europe Other countries 11,575 (9%) Non-European Workforce 20% (in 2020) PHILOSOPHY OF INTERNATIONALIZATION Airbus Footprint in Africa May 2017 Airbus Corporate Presentation 4 Addis Ababa Nairobi Abuja Algiers Cairo...

Strengthening International Collaboration: Geosciences Research and Education in Developing Countries

Science.gov (United States)

Fucugauchi, J. U.

2009-05-01

Geophysical research increasingly requires global multidisciplinary approaches and global integration. Global warming, increasing CO2 levels and increased needs of mineral and energy resources emphasize impact of human activities. The planetary view of our Earth as a deeply complex interconnected system also emphasizes the need of international scientific cooperation. International collaboration presents an immense potential and is urgently needed for further development of geosciences research and education. In analyzing international collaboration a relevant aspect is the role of scientific societies. Societies organize meetings, publish journals and books and promote cooperation through academic exchange activities and can further assist communities in developing countries providing and facilitating access to scientific literature, attendance to international meetings, short and long-term stays and student and young researcher mobility. Developing countries present additional challenges resulting from limited economic resources and social and political problems. Most countries urgently require improved educational and research programs. Needed are in-depth analyses of infrastructure and human resources and identification of major problems and needs. Questions may include what are the major limitations and needs in research and postgraduate education in developing countries? what and how should international collaboration do? and what are the roles of individuals, academic institutions, funding agencies, scientific societies? Here we attempt to examine some of these questions with reference to case examples and AGU role. We focus on current situation, size and characteristics of research community, education programs, facilities, economic support, and then move to perspectives for potential development in an international context.

A Study of Retention Trends of International Students at a Southwestern Public University

Science.gov (United States)

Wong Davis, Kristina Marie

2012-01-01

Literature on factors contributing to the retention of international students remained limited. The purpose of this study was to examine the factors related to retention of international undergraduate degree seeking students through conducting pairwise correlational analysis to test the relationship between retention and age, gender, country of…

Challenges of International Higher Education Students in a Foreign Country: A Qualitative Study

Science.gov (United States)

Khodabandelou, Rouhollah; Karimi, Leila; Ehsani, Maryam

2015-01-01

Over the last several years, the number of international students attending colleges and universities in Malaysia has increased substantially. While the number of international students pursuing undergraduate and post graduate studies in Malaysian higher education institutions has increased, it is curious that some limitations and challenges exist…

NFC Internal: An Indoor Navigation System

Science.gov (United States)

Ozdenizci, Busra; Coskun, Vedat; Ok, Kerem

2015-01-01

Indoor navigation systems have recently become a popular research field due to the lack of GPS signals indoors. Several indoors navigation systems have already been proposed in order to eliminate deficiencies; however each of them has several technical and usability limitations. In this study, we propose NFC Internal, a Near Field Communication (NFC)-based indoor navigation system, which enables users to navigate through a building or a complex by enabling a simple location update, simply by touching NFC tags those are spread around and orient users to the destination. In this paper, we initially present the system requirements, give the design details and study the viability of NFC Internal with a prototype application and a case study. Moreover, we evaluate the performance of the system and compare it with existing indoor navigation systems. It is seen that NFC Internal has considerable advantages and significant contributions to existing indoor navigation systems in terms of security and privacy, cost, performance, robustness, complexity, user preference and commercial availability. PMID:25825976

Stakeholder involvement in international conventions governing civil nuclear activities

International Nuclear Information System (INIS)

Emmerechts, Sam

2017-01-01

Mr Emmerechts explained that international conventions have varying positions on stakeholders and their involvement depending upon the intent of the legislator and the field they cover, ranging from a narrow to a broad interpretation. He addressed stakeholder involvement in two other international conventions governing civil nuclear activities, namely the Convention on Nuclear Safety, and the Joint Convention on the Safety of Spent Fuel Management and on the Safety of Radioactive Waste Management (the Joint Convention), both concluded under the auspices of the International Atomic Energy Agency (IAEA). He noted that the Convention on Nuclear Safety remains a 'traditional' international legal instrument, focusing on governments and governmental bodies as the main stakeholders and limiting obligations regarding the involvement of the public and intergovernmental organisations to their receiving information and observing. Likewise, the Joint Convention limits obligations regarding public involvement to access to information, notably as to the siting of proposed facilities. However, he noted that in the European Union, the Directive on Nuclear Safety (2014/87/Euratom) and the Directive for the Safe Management of Spent Fuel and Radioactive Waste (2011/70/Euratom) have more advanced public participation requirements in nuclear decision making. Mr Emmerechts explained that the substantial differences between nuclear legislation and the Aarhus and Espoo Conventions with regards to public involvement requirements could partly be explained by the technicality of nuclear information and by issues related to nuclear security

Efficacy of vitrectomy with triamcinolone assistance versus internal limiting membrane peeling for highly myopic macular hole retinal detachment.

Science.gov (United States)

Wei, Yong; Wang, Ningli; Zu, Zhongqiao; Bi, Chuncao; Wang, Huaizhou; Chen, Fenghua; Yang, Xingguang

2013-06-01

To compare the outcomes of pars plana vitrectomy (PPV) with or without the adjuvant surgical procedures: triamcinolone acetonide (TA) assistance and/or internal limiting membrane (ILM) peeling for the treatment of highly myopic macular hole retinal detachment (MHRD). Case-control study. Pars plana vitrectomy combined with 2 kinds of adjuvant surgical procedures were used on 96 highly myopic eyes with MHRD. These eyes were assigned to 4 groups randomly: Group 1, non-TA-assisted PPV and without ILM peeling; Group 2, non-TA-assisted PPV with ILM peeling; Group 3, TA-assisted PPV and without ILM peeling; Group 4, TA-assisted PPV with ILM peeling. Anatomical reattachment of the retina, macular hole closure, and best-corrected visual acuity were measured. The rates of both retinal reattachment and macular hole closure were higher in Group 2 (84.0 and 44.0%) and Group 3 (80.8 and 46.2%) than Group 1 (73.9 and 17.4%); however, there were no differences between Group 2 and Group 3 (P > 0.05). The rates of macular hole closure were extremely low in Group 1 and also in eyes with extreme long axial lengths (≥29.0 mm), "severe" chorioretinal atrophy, and posterior staphyloma. Pars plana vitrectomy with either TA assistance or ILM peeling was effective for the treatment of highly myopic MHRD. If you peel the ILM, adding TA does not affect closure rates; and if TA is used to visualize the vitreous, ILM peeling may not be necessary in MHRD. There was a lower anatomical success rate in MHRD with extreme long axial lengths, severe chorioretinal atrophy, and posterior staphyloma.

26 CFR 1.103(n)-1T - Limitation on aggregrate amount of private activity bonds (temporary).

Science.gov (United States)

2010-04-01

... activity bonds (temporary). 1.103(n)-1T Section 1.103(n)-1T Internal Revenue INTERNAL REVENUE SERVICE... Excluded from Gross Income § 1.103(n)-1T Limitation on aggregrate amount of private activity bonds (temporary). Q-1: What does section 103(n) provide? A-1: Interest on an issue of private activity bonds will...

The Limited Test Ban Treaty

International Nuclear Information System (INIS)

Loeb, B.S.

1991-01-01

This paper discusses the Limited Test Ban Treaty which came at the end of nearly five years of frustrated efforts to obtain a comprehensive test ban. Negotiations toward that end had begun in October 1958. At the same time a voluntary, informal moratorium on tests was initiated. The negotiations soon stalled over the Soviet Union's resistance to internationally supervised inspections on its soil. In April 1959 a phased ban that was to be limited at first to atmospheric tests conducted below an altitude of 50 kilometers. Such tests were thought to be easily verifiable. The Soviets rejected this idea and continued to insist that a complete test ban need not require numerous inspections. The two sides nevertheless appeared to be nearing agreement on a treaty to ban all but relatively small underground tests when, in May 1960, an U.S. U-2 reconnaissance plane was shot down over Soviet territory. After a thorough review of the U.S. position, the Kennedy administration proposed in April 1961 a draft treaty that made several concessions toward the Soviet position. Nevertheless, the Soviets, still disagreeing with the provisions for verification and with the makeup of the control organization, rejected it

Ideal MHD stability of internal kinks in circular and shaped tokamaks

International Nuclear Information System (INIS)

Luetjens, H.; Bondeson, A.; Vlad, G.

1992-04-01

Stability limits for the internal kink mode in tokamaks are calculated for different current profiles and plasma cross sections using ideal magnetohydrodynamics (MHD). The maximum stable poloidal beta at the q = 1 surface (β p ) is sensitive to the current profile, but for circular cross sections, it is typically between 0.1 and 0.2. Large aspect ratio theory gives similar predictions when the appropriate boundary conditions are applied at the plasma-vacuum surface. The pressure driven internal kink is significantly destabilized by ellipticity. For JET geometry, the β p -limit is typically between 0.05 and 0.1, but arbitrarily low limits can result if the shear is reduced at the q=1 surface. A large aspect ratio expansion of the Mercier criterion retaining the effects of ellipticity and triangularity is given to illustrate the destabilizing influence of ellipticity. (author) 17 figs., 16 refs

Limitations in global information on species occurrences

Directory of Open Access Journals (Sweden)

Carsten Meyer

2016-07-01

Full Text Available Detailed information on species distributions is crucial for answering central questions in biogeography, ecology, evolutionary biology and conservation. Millions of species occurrence records have been mobilized via international data-sharing networks, but inherent biases, gaps and uncertainties hamper broader application. In my PhD thesis, I presented the first comprehensive analyses of global patterns and drivers of these limitations across different taxonomic groups and spatial scales. Integrating 300 million occurrence records for terrestrial vertebrates and plants with comprehensive taxonomic databases, expert range maps and regional checklists, I demonstrated extensive taxonomic, geographical and temporal biases, gaps and uncertainties. I identified key socio-economic drivers of data bias across different taxonomic groups and spatial scales. The results of my dissertation provide an empirical baseline for effectively accounting for data limitations in distribution models, as well as for prioritizing and monitoring efforts to collate additional occurrence information.

Beta-limiting MHD Instabilities in Improved-performance NSTX Spherical Torus Plasmas

International Nuclear Information System (INIS)

J.E. Menard; M.G. Bell; R.E. Bell; E.D. Fredrickson D.A. Gates: S.M. Kaye; B.P. LeBlanc; R. Maingi; D. Mueller; S.A. Sabbagh; D. Stutman; C.E. Bush; D.W. Johnson; R. Kaita; H.W. Kugel; R.J. Maqueda; F. Paoletti; S.F Paul; M. Ono; Y.-K.M. Peng; C.H. Skinner; E.J. Synakowski; the NSTX Research Team

2003-01-01

Global magnetohydrodynamic stability limits in the National Spherical Torus Experiment (NSTX) have increased significantly recently due to a combination of device and operational improvements. First, more routine H-mode operation with broadened pressure profiles allows access to higher normalized beta and lower internal inductance. Second, the correction of a poloidal field coil induced error-field has largely eliminated locked tearing modes during normal operation and increased the maximum achievable beta. As a result of these improvements, peak beta values have reached (not simultaneously) β t = 35%, β N = 6.4, N > = 4.5, β N /l i = 10, and β P = 1.4. High β P operation with reduced tearing activity has allowed a doubling of discharge pulse-length to just over 1 second with sustained periods of β N ∼ 6 above the ideal no-wall limit and near the with-wall limit. Details of the β limit scalings and β-limiting instabilities in various operating regimes are described

Outcomes of microscope-integrated intraoperative optical coherence tomography-guided center-sparing internal limiting membrane peeling for myopic traction maculopathy: a novel technique.

Science.gov (United States)

Kumar, Atul; Ravani, Raghav; Mehta, Aditi; Simakurthy, Sriram; Dhull, Chirakshi

2017-07-04

To evaluate the outcomes of pars plana vitrectomy (PPV) with microscope-integrated intraoperative optical coherence tomography (I-OCT)-guided traction removal and center-sparing internal limiting membrane (cs-ILM) peeling. Nine eyes with myopic traction maculopathy as diagnosed on SD-OCT underwent PPV with I-OCT-guided cs-ILM peeling and were evaluated prospectively for resolution of central macular thickness (CMT) and improvement in best-corrected visual acuity (BCVA), and complications, if any, were noted. All patients were followed up for more than 9 months. Resolution of the macular retinoschisis was seen in all nine eyes on SD-OCT. At 36 weeks, there was a significant improvement in mean BCVA from the preoperative BCVA (P = 0.0089) along with a reduction in the CMT from 569.77 ± 263.19 to 166.0 ± 43.91 um (P = 0.0039). None of the eyes showed worsening of BCVA or development of full-thickness macular hole in the intraoperative or follow-up period. PPV with I-OCT-guided cs-ILM peeling helps in complete removal of traction, resolution of retinoschisis and good functional recovery with low intraoperative and postoperative complications.

Successful closure of treatment-naïve, flat edge (Type II, full-thickness macular hole using inverted internal limiting membrane flap technique

Directory of Open Access Journals (Sweden)

Hussain N

2016-10-01

Full Text Available Nazimul Hussain,1 Anjli Hussain2 1Department of Ophthalmology, Al Zahra Hospital, 2Al Zahra Medical Center, Dubai, United Arab Emirates Objective: The objective of this study was to present the outcome of the internal limiting membrane (ILM peeling flap technique for a treatment-naïve, flat edge (Type II, full-thickness macular hole (MH. Methods: A 52-year-old man presented with complaints of decreased vision and seeing black spot. He was diagnosed to have a flat edge, full-thickness MH, which was confirmed by optical coherence tomography (OCT. He underwent 23G vitrectomy with brilliant blue G-assisted inverted ILM peeling with an inverted flap over the hole followed by fluid gas exchange. Results: Postoperative follow-up until 3 months showed successful closure of the MH, which was confirmed by OCT. The best-corrected visual acuity improved from baseline 6/60 to 6/12 at the final follow-up. Conclusion: Using the inverted ILM flap technique, a treatment-naïve, flat edge (Type II, full thickness MH achieved successful anatomical and functional outcomes. Keywords: macular hole, inverted ILM, optical coherence tomography

26 CFR 1.149(d)-1A - Limitations on advance refundings.

Science.gov (United States)

2010-04-01

... savings test. If any separate issue in a multipurpose issue increases the aggregate present value debt service savings on the entire multipurpose issue or reduces the present value debt service losses on that... 26 Internal Revenue 2 2010-04-01 2010-04-01 false Limitations on advance refundings. 1.149(d)-1A...

IAEA Assistance on Decommissioning of Small Facilities with Limited Resources

International Nuclear Information System (INIS)

Batandjieva, B.; Warnecke, E.

2008-01-01

The number of facilities reaching their lifetime is increasing and drawing the attention of operators, regulators, public and other interested parties (potential users of the site after decommissioning) on the importance of adequate planning, funding and implementation of decommissioning activities in compliance with regulatory requirements and criteria. Specific attention is required for small facilities that have been used for research purposes and in most cases state owned by and dependent on state funding. With the current tendency for expansion of the nuclear industry such small facilities could become less of importance for the operators which can increase the probability that these facilities become abandoned, hazardous and imposing undue burden to future generations. This concern is more related to countries with limited human and financial resources at the operating organizations and the regulatory body. The International Atomic Energy Agency (IAEA) has been working on the; (i) establishment of internationally recognized safety standards on decommissioning and (ii) providing Member States with assistance on the application of these standards. The recent international conference on Lessons Learned from the Decommissioning of Nuclear Facilities and the Safe Termination of Practices (Athens, Greece, 2006) has demonstrated that the set of IAEA standards is almost complete and that the International Action Plan on Decommissioning (2004), that is addressing decommissioning of small facilities, is being successfully implemented. However the need for further assistance on decommissioning of small facilities in countries with limited resources was also recognized and the Agency is planning its future work in this field. The IAEA also addresses the needs of small nuclear countries that have only a limited number of nuclear facilities, e.g. a research reactor, in its R esearch Reactor Decommissioning Demonstration Project (R 2 D 2 P. The Philippine Research Reactor

Breaking down the silos to decrease internal diversions and patient flow delays.

Science.gov (United States)

Driscoll, Molly; Tobis, Kristen; Gurka, David; Serafin, Frederick; Carlson, Elizabeth

2015-01-01

Hospitals strive to admit patients to the units where caregiver competencies align with the patient's condition. When the hospital's census peaks, internal diversions and the associated risks increase, which are intensified when silos exist, as segregated care negatively impacts collaboration and patient safety. In this study, a 600+-bed academic, tertiary care specialty hospital experienced an increase in internal diversions. Within the neuroscience service line, emergent neuroscience transfers from outside hospitals had been declined or internally diverted because of capacity limitations. Formalized processes for improving collaboration between health care providers related to capacity issues were required to decrease internal diversions and improve patient flow and patient safety. A pilot project was conducted on neuroscience units during a process improvement initiative. A hospital-wide internal diversion plan was developed, identifying primary and secondary placement options for all patients requiring hospitalization to support patient flow and patient safety. Forecasting tools were developed to provide units' leadership with current information on expected admissions. Daily capacity huddles were instituted to increase collaboration between patient care units. The interventions trialed during the pilot decreased internal diversions and improved patient flow. The improved collaboration resulted in an 80% decrease in declinations of emergent intensive care unit transfers from outside hospitals due to capacity limitations and a 50% decrease in the number of these patients being internally diverted to alternate intensive care units. The interventions implemented minimized internal diversions and improved patient flow. The transparency of the patient placement process led to an increased collaboration between all participants.

Finite element limit loads for non-idealized through-wall cracks in thick-walled pipe

International Nuclear Information System (INIS)

Shim, Do-Jun; Han, Tae-Song; Huh, Nam-Su

2013-01-01

Highlights: • The lower bound bulging factor of thin-walled pipe can be used for thick-walled pipe. • The limit loads are proposed for thick-walled, transition through-wall cracked pipe. • The correction factors are proposed for estimating limit loads of transition cracks. • The limit loads of short transition cracks are similar to those of idealized cracks. - Abstract: The present paper provides plastic limit loads for non-idealized through-wall cracks in thick-walled pipe. These solutions are based on detailed 3-dimensional finite element (FE) analyses which can be used for structural integrity assessment of nuclear piping. To cover a practical range of interest, the geometric variables and loading conditions affecting the plastic limit loads of thick-walled pipe with non-idealized through-wall cracks were systematically varied. In terms of crack orientation, both circumferential and axial through-wall cracks were considered. As for loading conditions, axial tension, global bending, and internal pressure were considered for circumferential cracks, whereas only internal pressure was considered for axial cracks. Furthermore, the values of geometric factor representing shape characteristics of non-idealized through-wall cracks were also systematically varied. In order to provide confidence in the present FE analyses results, plastic limit loads of un-cracked, thick-walled pipe resulting from the present FE analyses were compared with the theoretical solutions. Finally, correction factors to the idealized through-wall crack solutions were developed to determine the plastic limit loads of non-idealized through-wall cracks in thick-walled pipe

The Global Landscape of Occupational Exposure Limits--Implementation of Harmonization Principles to Guide Limit Selection.

Science.gov (United States)

Deveau, M; Chen, C-P; Johanson, G; Krewski, D; Maier, A; Niven, K J; Ripple, S; Schulte, P A; Silk, J; Urbanus, J H; Zalk, D M; Niemeier, R W

2015-01-01

Occupational exposure limits (OELs) serve as health-based benchmarks against which measured or estimated workplace exposures can be compared. In the years since the introduction of OELs to public health practice, both developed and developing countries have established processes for deriving, setting, and using OELs to protect workers exposed to hazardous chemicals. These processes vary widely, however, and have thus resulted in a confusing international landscape for identifying and applying such limits in workplaces. The occupational hygienist will encounter significant overlap in coverage among organizations for many chemicals, while other important chemicals have OELs developed by few, if any, organizations. Where multiple organizations have published an OEL, the derived value often varies considerably-reflecting differences in both risk policy and risk assessment methodology as well as access to available pertinent data. This article explores the underlying reasons for variability in OELs, and recommends the harmonization of risk-based methods used by OEL-deriving organizations. A framework is also proposed for the identification and systematic evaluation of OEL resources, which occupational hygienists can use to support risk characterization and risk management decisions in situations where multiple potentially relevant OELs exist.

Effects of structure and defect on fatigue limit in high strength ductile irons

International Nuclear Information System (INIS)

Kim, Jin Hak; Kim, Min Gun

2000-01-01

In this paper, the influence of several factors such as hardness, internal defect and non-propagating crack on fatigue limits was investigated with three kinds of ductile iron specimens. From the experimental results the fatigue limits were examined in relation with hardness and tensile strength in case of high strength specimens under austempering treatment; in consequence the marked improvement of fatigue limits were not showed. The maximum defect size was an important factor to predict and to evaluate the fatigue limits of ductile irons. And, the quantitative relationship between the fatigue limits(σ ω ) and the maximum defect size(√area max ) was expressed as σ ω n · √area max =C 2 . Also, it was possible to explain the difference for the fatigue limits in three ductile irons by introduction of the non-propagating crack rates

Eighth international congress on nitrogen fixation

Energy Technology Data Exchange (ETDEWEB)

1990-01-01

This volume contains the proceedings of the Eighth International Congress on Nitrogen Fixation held May 20--26, 1990 in Knoxville, Tennessee. The volume contains abstracts of individual presentations. Sessions were entitled Recent Advances in the Chemistry of Nitrogen Fixation, Plant-microbe Interactions, Limiting Factors of Nitrogen Fixation, Nitrogen Fixation and the Environment, Bacterial Systems, Nitrogen Fixation in Agriculture and Industry, Plant Function, and Nitrogen Fixation and Evolution.

81 GUIATEU TAMO IDA MARLENE 1, DJUIDJE NGOUNOUE ...

African Journals Online (AJOL)

2017-07-12

Jul 12, 2017 ... In HIV / HCV co-infected patients, the first blood sample showed a significant increase of γ-GT ... second prélèvement sanguin avait été fait chez les patients mono-infectés VIH et co-infectés par le ... analyses biochimiques du second prélèvement effectuées après trois mois du premier prélèvement ont.

Case report

African Journals Online (AJOL)

abp

20 janv. 2014 ... pré -opératoire réalisé en urgence était normal (hémogramme, groupages sanguins ABO et Rhésus, bilan d'hémostase). Faute de moyens financiers de la part de la patiente, l'intervention a eu lieu. 12 heures plus tard après le début dune supplémentation en progestérone. Les trouvailles étaient: annexe ...

Prise en charge du priapisme à bas débit vue tardivement : à propos ...

African Journals Online (AJOL)

K. Kamel

de ce travail est d'étudier les particularités cliniques, thérapeutiques et évolutives ... Patients et Méthodes : Etude rétrospective portant sur une série de 28 cas de priapisme à bas débit vus .... on complétait par un frotti sanguin à la recherche de drépanocyte et ... consultation un mois après pour évaluer la fonction érectile.

Canine Uterine Leiomyoma with Epithelial Tissue Foci, Adenomyosis, and Cystic Endometrial Hyperplasia

OpenAIRE

Karagiannis, George S.; Pelekanis, Mihalis; Loukopoulos, Panayiotis; Ververidis, Haris N.; Kaldrymidou, Eleni

2011-01-01

An 11-year-old Labrador Retriever bitch with a history of intermittent, sanguineous vaginal discharge of a six-month duration was presented. During exploratory laparotomy, two well-delineated, intramural masses were identified bilaterally in the uterine horns. Histopathologic examination of the mass on the left horn showed that it was a typical leiomyoma. However, the second mass appeared with an unusual coexistence of histological lesions, involving epithelial tissue foci, mild focal adenomy...

Prise en charge de l'hematurie au chu Sylvanus Olympio de Lome ...

African Journals Online (AJOL)

Une transfusion sanguine avait été réalisée dans 64,8% des cas et nous avions enregistré 4 cas de décès. Conclusion : Les hématuries sont relativement fréquentes au Togo et souvent de causes tumorales. Elles nécessitent une prise en charge précoce pour un meilleur pronostic. Mots clés : hématurie, épidémiologie, ...

Vitrectomy and internal limiting membrane peeling with different vitreous tamponade for idiopathic macular epiretinal membrane

Directory of Open Access Journals (Sweden)

Jie Dong

2013-06-01

Full Text Available AIM: To compare visual outcomes, central foveal thickness(CFT, and postoperative complications after vitrectomy and internal limiting membrane(ILMpeeling, with balanced salt solution(BSSor gas tamponade, for the treatment of idiopathic macular epiretinal membrane(IMEM. METHODS: Retrospective clinical study. 44 patients with IMEM were included in this study. All patients had undergone vitrectomy and ILM peeling. Eyes were divided into two groups: 20 eyes in group A with BSS tamponade. 24 patients in group B with gas tamponade(11 eyes were injected with filtered air and 13 eyes with perfluoropropane,100mL/L C3F8. The follow-up period was 12-16(mean 13months. The following parameters were collected and compared: best-corrected visual acuity(BCVAand CFT(at baseline and 1, 3, 6 and 12 months postoperatively, intraocular pressure(IOP(at baseline and on the 1th,7th day, 1, 3 months postoperatively. RESULTS: BCVA significantly improved, and 29 of 44 eyes(65.9%achieved visual recovery≥0.2 logMAR. There were no significant differences between group A and group B in mean baseline logMAR BCVA(0.53±0.18 vs 0.52±0.14; P>0.05and final logMAR BCVA(0.31±0.14 vs 0.28±0.09; P>0.05. With respect to OCT parameters, the mean CFT at 12 months(285.25±70.07μmwas significantly decreased from that of the baseline(407.82±97.00μm,(Z=4.29, Pvs 406.46±88.76μm; P>0.05and final CFT(287.60±66.94μm vs 283.29±73.95μm; P>0.05. With respect to IOP, there were no significant differences between group A and group B at mean baseline and on the 7th day, 1, 3 months postoperatively(P>0.05. The IOP in group A was significant lower at 1th postoperative day compared with group B(Z=3.12, PCONCLUSION: Vitrectomy and ILM peeling can significantly improve the visual acuity and decrease the CFT no matter with gas or with BSS tamponade, there were no significant differences in clinical outcomes, but it is neither necessary for patients with BSS tamponade to maintain a prone

77 FR 16537 - Ball Bearings and Parts Thereof from France, Germany, and Italy: Extension of Time Limit for...

Science.gov (United States)

2012-03-21

... DEPARTMENT OF COMMERCE International Trade Administration [A-427-801, A-428-801, A-475-801] Ball Bearings and Parts Thereof from France, Germany, and Italy: Extension of Time Limit for Preliminary Results of Antidumping Duty Administrative Reviews AGENCY: Import Administration, International Trade Administration, Department of Commerce. DATES:...

77 FR 2511 - Ball Bearings and Parts Thereof From France, Germany, and Italy: Extension of Time Limit for...

Science.gov (United States)

2012-01-18

... DEPARTMENT OF COMMERCE International Trade Administration [A-427-801, A-428-801, A-475-801] Ball Bearings and Parts Thereof From France, Germany, and Italy: Extension of Time Limit for Preliminary Results of Antidumping Duty Administrative Reviews AGENCY: Import Administration, International Trade Administration, Department of Commerce. DATES:...

Network ties in the international opportunity recognition of family SMEs

OpenAIRE

Kontinen, Tanja; Ojala, Arto

2011-01-01

The importance of network ties is emphasized in the current literature on opportunity recognition. However, it is unclear how firms with limited bridging networks, such as family SMEs, recognize international opportunities through their network ties. In this case study we found that in gaining foreign market entry, those family SMEs that lack existing network ties recognize opportunities through weak ties formed in international exhibitions. The findings also indicate that rather than being p...