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Sample records for scc initiation times

  1. SCC Initiation Testing of Alloy 600 in High Temperature Water

    Science.gov (United States)

    Etien, Robert A.; Richey, Edward; Morton, David S.; Eager, Julie

    Stress corrosion cracking (SCC) initiation tests have been conducted on Alloy 600 at temperatures from 304 to 367°C. Tests were conducted with in-situ monitored smooth tensile specimens under a constant load in hydrogenated environments. A reversing direct current electric potential drop (EPD) system was used for all of the tests to detect SCC initiation. Tests were conducted to examine the effects of stress (and strain), coolant hydrogen, and temperature on SCC initiation time. The thermal activation energy of SCC initiation was measured as 103 ± 18 kJ/mol in hydrogenated water, which is similar to the thermal activation energy for SCC growth. Results suggest that the fundamental mechanical parameter which controls SCC initiation is plastic strain not stress. SCC initiation was shown to have a different sensitivity than SCC growth to dissolved hydrogen level. Specifically, SCC initiation time appears to be relatively insensitive to hydrogen level in the nickel stability region.

  2. Modeling of SCC initiation and propagation mechanisms in BWR environments

    Energy Technology Data Exchange (ETDEWEB)

    Hoffmeister, Hans, E-mail: Hans.Hoffmeister@hsu-hh.de [Institute for Failure Analysis and Failure Prevention ISSV e.V., c/o Helmut Schmidt University of the Federal Armed Forces, D-22039 Hamburg (Germany); Klein, Oliver [Institute for Failure Analysis and Failure Prevention ISSV e.V., c/o Helmut Schmidt University of the Federal Armed Forces, D-22039 Hamburg (Germany)

    2011-12-15

    Highlights: Black-Right-Pointing-Pointer We show that SSC in BWR environments includes anodic crack propagation and hydrogen assisted cracking. Black-Right-Pointing-Pointer Hydrogen cracking is triggered by crack tip acidification following local impurity accumulations and subsequent phase precipitations. Black-Right-Pointing-Pointer We calculate effects of pH, chlorides, potentials and stress on crack SCC growth rates at 288 Degree-Sign C. - Abstract: During operation of mainly BWRs' (Boiling Water Reactors) excursions from recommended water chemistries may provide favorite conditions for stress corrosion cracking (SCC). Maximum levels for chloride and sulfate ion contents for avoiding local corrosion are therefore given in respective water specifications. In a previously published deterministic 288 Degree-Sign C - corrosion model for Nickel as a main alloying element of BWR components it was demonstrated that, as a theoretically worst case, bulk water chloride levels as low as 30 ppb provide local chloride ion accumulation, dissolution of passivating nickel oxide and precipitation of nickel chlorides followed by subsequent local acidification. In an extension of the above model to SCC the following work shows that, in a first step, local anodic path corrosion with subsequent oxide breakdown, chloride salt formation and acidification at 288 Degree-Sign C would establish local cathodic reduction of accumulated hydrogen ions inside the crack tip fluid. In a second step, local hydrogen reduction charges and increasing local crack tip strains from increasing crack lengths at given global stresses are time stepwise calculated and related to experimentally determined crack critical cathodic hydrogen charges and fracture strains taken from small scale SSRT tensile tests pieces. As a result, at local hydrogen equilibrium potentials higher than those of nickel in the crack tip solution, hydrogen ion reduction initiates hydrogen crack propagation that is enhanced with

  3. Improvement of life time of SCC in type 304 stainless steel by ultrasound irradiation

    International Nuclear Information System (INIS)

    Tokiwai, Moriyasu; Kimura, Hideo

    1985-01-01

    It is well known that the susceptibility to stress corrosion cracking (SCC) is controled by compressive stress such as shot-peening treatment. In this study, the effects of ultrasound irradiation to type 304 stainless upon SCC were investigated. The main findings are as follows; (1) Ultrasound irradiation produces the high level compressive stress on the surface of metals. This compressive stress was induced by the cavitation phenomenon. (2) In U-bent specimen, the initial tensile stress was mitigated and converted to compressive stress by ultrasound irradiation. (3) Type 304 stainless steel was subjected to SCC test using sodium thyosulfate solution. It was definitely demonstrated that the ultrasound irradiation was effective for the mitigation of SCC life time. (4) Ultrasound irradiation time was one of the most important factors in irradiation conditions. (author)

  4. Analysis of SCC initiation/propagation behavior of stainless steels in LWR environments

    International Nuclear Information System (INIS)

    Saito, Koichi; Kuniya, Jiro

    1999-01-01

    This paper presents a method to analyze initiation and propagation behavior of stress corrosion cracking (SCC) of stainless steels on the basis of a new prediction algorithm in which the initiation period and propagation period of SCC under irradiation conditions are considered from a practical viewpoint. The prediction algorithm is based on three ideas: (1) threshold neutron fluence of radiation-enhanced SCC (RESCC), (2) equivalent critical crack depth, and (3) threshold stress intensity factor for SCC (K ISCC ). SCC initiation/propagation behavior in light water reactor (LWR) environments is analyzed by incorporating model equations on irradiation hardening, irradiation-enhanced electrochemical potentiokinetic reactivation (EPR) and irradiation stress relaxation that are phenomena peculiar to neutron irradiation. The analytical method is applied to predict crack growth behavior of a semi-elliptical surface crack in a flat plane that has an arbitrary residual stress profile; specimens are sensitized type 304 stainless steels which had been subjected to neutron irradiation in high temperature water. SCC growth behavior of a semi-elliptical surface crack was greatly dependent on the distribution of residual stress in a flat plane. When residual stress at the surface of the flat plane was relatively small, the method predicted SCC propagation did not take place. (author)

  5. EDF program on SCC initiation of cold-worked stainless steels in primary water

    Energy Technology Data Exchange (ETDEWEB)

    Huguenin, P.; Vaillant, F.; Couvant, T. [Electricite de France (EDF/RD), Site des Renardieres, 77 - Moret sur loing (France); Buisse, L. [EDF UTO, 93 - Noisy-Le-Grand (France); Huguenin, P.; Crepin, J.; Duhamel, C.; Proudhon, H. [MINES ParisTech, Centre des Materiaux, 91 - Evry (France); Ilevbare, G. [EPRI California (United States)

    2009-07-01

    A few cases of Intergranular Stress Corrosion Cracking (IGSCC) on cold-worked austenitic stainless steels in primary water have been detected in French Pressurized Water Reactors (PWRs). A previous program launched in the early 2000's identified the required conditions for SCC of cold-worked stainless steels. It was found that a high strain hardening coupled with cyclic loading favoured SCC, whereas cracking under static conditions appeared to be difficult. A propagation model was also proposed. The first available results of the present study demonstrate the strong influence of a trapezoidal cyclic loading on the creep of 304L austenitic stainless steel. While no creep was detected under a pure static loading, the creep rate was increased by a factor 102 under a trapezoidal cyclic loading. The first results of SCC initiation performed on notched specimens under a trapezoidal cyclic loading at low frequency are presented. The present study aims at developing an engineering model for IGSCC initiation of 304L, 316L and weld 308L stainless steels. The effect of the pre-straining on the SCC mechanisms is more specifically studied. Such a model will be based on (i) SCC initiation tests on notched and smooth specimens under 'trapezoidal' cyclic loading and, (ii) constant strain rate SCC initiation tests. The influence of stress level, cold-work level, strain path, surface roughness and temperature is particularly investigated. (authors)

  6. SCC of cold-worked austenitic stainless steels exposed to PWR primary water conditions: susceptibility to initiation

    International Nuclear Information System (INIS)

    Herms, E.; Raquet, O.; Sejourne, L.; Vaillant, F.

    2009-01-01

    Heavily cold-worked austenitic stainless steels (AISI 304L and 316L types) could be significantly susceptible to Stress Corrosion Cracking (SCC) when exposed to PWR nominal primary water conditions even in absence of any pollutants. Susceptibility to SCC was shown to be related with some conditions such as initial hardness, procedure of cold-work or dynamic straining. A dedicated program devoted to better understand the initiation stage on CW austenitic stainless steels in PWR water is presented. Initiation is studied thanks to SCC test conditions leading to an intergranular cracking propagation mode on a CW austenitic stainless steel which is the mode generally reported after field experience. SCC tests are carried out in typical primary water conditions (composition 1000 ppm B and 2 ppm Li) and for temperature in the range 290 - 340 C. Material selected is 316L cold-worked essentially by rolling (reduction in thickness of 40%). Initiation tests are carried out under various stress levels with the aim to investigate the evolution of the initiation period versus the value of applied stress. SCC tests are performed on cylindrical notched specimens in order to increase the applied stress and allow accelerated testing without modify the exposure conditions to strictly nominal hydrogenated PWR water. Respective influences of cyclic/dynamic conditions on SCC initiation are presented and discussed. Dedicated interrupted tests help to investigate the behaviour of the crack initiation process. These SCC tests have shown that crack initiation could be obtained after a very short time under dynamic loading conditions on heavily pre-strained austenitic stainless steels. Actual results show that the most limiting stage of the cracking process on CW 316L seems to be the transition from slow transgranular propagation of surface initiated cracks to intergranular fast propagation through the thickness of the sample. The duration of this stage during crack initiation tests is

  7. Environmental mitigation for SCC initiation of BWR core internals by hydrogen injection during start-up

    International Nuclear Information System (INIS)

    Dozaki, K.; Abe, A.; Nagata, N.; Takiguchi, H.

    2004-01-01

    Hydrogen injection into the reactor water has been applied to many BWR power stations. Since hydrogen injected accelerates recombination of oxidant generated by water radiolysis, oxidant concentration, such as dissolved oxygen concentration in reactor water can be reduced. As the result of the reduction of oxidant concentration, Electrochemical Corrosion Potential (ECP) at the surface of structural material can be lowered. Lowered ECP moderates Stress Corrosion Cracking (SCC) sensitivity of structural materials, such as stainless steels. As usual, hydrogen injection system begins to work after the plant start-up is finished, when the condition of normal operation is established. Accordingly, Hydrogen Water Chemistry (HWC) does not cover all the period of plant operation. As far as SCC crack growth is considered, loss of HWC during plant start-up does not result in significant crack growth, because of duration of plant start-up is much shorter than that of plant normal operation, when HWC condition is being satisfied. However, the reactor water environment and load conditions during a plant start-up may contribute to the initiation of SCC. It is estimated that the core internals are subjected to the strain rate that may cause susceptibility to SCC initiation during start-up. Dissolved oxygen (DO) and hydrogen peroxide (H 2 O 2 ) has a peak, and ECP is in high levels during start-up. Therefore it is beneficial to perform hydrogen injection during start-up as well in order to suppress SCC initiation. We call it HWC During Start-up (HDS) here. (orig.)

  8. SCC life estimation based on cracks initiated from the corrosion pits of bolting material SCM435 used in steam turbine

    International Nuclear Information System (INIS)

    Itoh, Hitomi; Ochi, Mayumi; Fujiwara, Isao; Momoo, Takashi

    2003-01-01

    Life estimation was performed for the stress corrosion cracking (SCC) that occurs in deaerated and wet hot pure steam at the bottoms of the threads of bolts made of SCM435 (equivalent to AISI 4137) used in steam turbine. SCC is believed to occur when corrosion pits are formed and grow to critical size, after which SCC is initiated and cracks propagate until the critical fracture toughness value is reached. Calculations were performed using laboratory and field data. The results showed that, for a 40mm diameter bolt with 0.2% offset strength of 820MPa, the critical crack depth for straight-front cracks was 5.4mm. The SCC life depends on the lubricant used; the SCC life estimated from this value is approximately 70,000 hours when graphite is used as a lubricant. (author)

  9. Precursor evolution and SCC initiation of cold-worked alloy 690 in simulated PWR primary water

    Energy Technology Data Exchange (ETDEWEB)

    Zhai, Ziqing; Kruska, Karen; Toloczko, Mychailo B.; Bruemmer, Stephen M.

    2017-03-27

    Stress corrosion crack initiation of two thermally-treated, cold-worked (CW) alloy 690 materials was investigated in 360oC simulated PWR primary water using constant load tensile (CLT) tests and blunt notch compact tension (BNCT) tests equipped with direct current potential drop (DCPD) for in-situ detection of cracking. SCC initiation was not detected by DCPD for the 21% and 31%CW CLT specimens loaded at their yield stress after ~9,220 h, however intergranular (IG) precursor damage and isolated surface cracks were observed on the specimens. The two 31%CW BNCT specimens loaded at moderate stress intensity after several cyclic loading ramps showed DCPD-indicated crack initiation after 10,400h exposure at constant stress intensity, which resulted from significant growth of IG cracks. The 21%CW BNCT specimens only exhibited isolated small IG surface cracks and showed no apparent DCPD change throughout the test. Interestingly, post-test cross-section examinations revealed many grain boundary (GB) nano-cavities in the bulk of all the CLT and BNCT specimens particularly for the 31%CW materials. Cavities were also found along GBs extending to the surface suggesting an important role in crack nucleation. This paper provides an overview of the evolution of GB cavities and will discuss their effects on crack initiation in CW alloy 690.

  10. Role of cavity formation in SCC of cold worked carbon steel in high-temperature water. Part 2. Study of crack initiation behavior

    International Nuclear Information System (INIS)

    Yamada, Takuyo; Aoki, Masanori; Miyamoto, Tomoki; Arioka, Koji

    2013-01-01

    To consider the role of cavity formation in stress corrosion cracking (SCC) of cold worked (CW) carbon steel in high-temperature water, SCC and creep growth (part 1) and initiation (part 2) tests were performed. The part 2 crack initiation tests used blunt notched compact tension (CT) type specimens of CW carbon steel exposed under the static load condition in hydrogenated pure water and in air in the range of temperatures between 360 and 450°C. Inter-granular (IG) crack initiation was observed both in water and in air even in static load condition when steel specimens had been cold worked. 1/T type temperature dependencies of initiation times were observed for CW carbon steel, and the crack initiation times in an operating pressurized heavy water reactor, PHWR (Pt Lepreau) seemed to lie on the extrapolated line of the experimental results. Cavities were identified at the grain boundaries near the bottom of a notch (highly stressed location) before cracks initiated both in water and air. The cavities were probably formed by the condensation of vacancies and they affected the bond strength of the grain boundaries. To assess the mechanism of IGSCC initiation in high temperature water, the diffusion of vacancies driven by stress gradients was studied using a specially designed CT specimen. As a model for IGSCC in CW carbon steel in high temperature water, it was concluded that the formation of cavities from the collapse of vacancies offers the best interpretation of the present data. (author)

  11. Stress corrosion cracking of Alloy 82 in hydrogenated steam at 400 C: influence of microstructural and mechanical parameters on initiation of SCC cracks

    International Nuclear Information System (INIS)

    Chaumun, Elizabeth

    2016-01-01

    In Pressurize Water Reactors (PWR), Stress Corrosion Cracking (SCC) is the mean degradation mode of components pieced together by welding. Nickel based alloys are, among others, used in dissimilar metal welding (DMW). International report showed only 3 cracking cases in Alloy 82 out of 300 cracking cases concerned on nickel based alloys DMW in primary water circuit. The aim of this study is to identify which microstructural and local mechanism parameters at microstructure scale provide the initiation of SCC cracks. Characterizations performed on specimen surface to identify those parameters are composed of chemical composition analysis and EBSD analysis (Electron Back-Scattered Diffraction) to know the morphology and the crystallography of grains for microstructure features on one hand, and experimental strain fields measured by Digital Imaging Correlation (DIC) of gold micro-grids deposed by electronic lithography on U-bend specimen surface and stress fields calculated along grains boundaries by finite element for local mechanical features on the other hand. The correlation between those characterizations and localization of initiation sites of SCC cracks, obtained on U-bend specimens tested in autoclave in hydrogen steam water at 400 C and 188 bar for 3500 hours, confirmed the susceptibility of the Alloy 82 in SCC conditions with intergranular SCC cracks. The perpendicular position to the loading direction (mode I) is the worst conditions for grains boundary in SCC. The others points concern the chemical composition (precipitation, impurities) around grain boundary and the grain boundary type which is more susceptible when it is a High Angle Grain Boundary. It is following by the mechanical characterization (stress and strain gradient) along grain boundary. This methodology can be used to other material and helped to define which microstructural and mechanical parameter can be define the initiation of SCC cracks. (author) [fr

  12. Constant Load SCC Initiation Response of Alloy 22 (UNS N06022), Titanium Grade 7 and Stainless Steels at 1050C

    International Nuclear Information System (INIS)

    Young, L.M.; Catlin, G.M.; Andresen, P.L.; Gordon, G.M.

    2002-01-01

    This paper provides an update on research addressing the effects of material condition and applied stress on stress corrosion cracking (SCC) in waste package and drip shield materials for the Yucca Mountain Project. Time-to-failure experiments are being performed on smooth bar tensile specimens in a hot, concentrated, mixed-salt solution chosen to simulate concentrated Yucca Mountain water. The effects of applied stress, welding, surface finish, shot peening, cold work, crevicing, and aging treatment are being investigated for Alloy 22 (UNS N06022). Aging treatments were designed to produce topologically close-packed phases (TCP) and long-range ordering (LRO) and are under investigation as worse-case scenarios for possible microstructures in Alloy 22 (UNS N06022). Titanium Grade 7 and 3 16NG stainless steel are included in the matrix, as they are identified for drip shield and waste package components, respectively. Sensitized 304SS specimens are included in the test matrix to provide benchmark data. This research complements high-resolution crack-growth-rate experiments currently being performed in a parallel research project

  13. Self-compacting concrete (SCC)

    DEFF Research Database (Denmark)

    Geiker, Mette Rica

    2008-01-01

    In many aspects Self-Compacting Concrete (SCC, “Self-Consolidating Concrete” in North America) can be considered the concrete of the future. SCC is a family of tailored concretes with special engineered properties in the fresh state. SCC flows into the formwork and around even complicated...... reinforcement arrangements under its own weight. Thus, SCC is not vibrated like conventional concrete. This drastically improves the working environment during construction, the productivity, and potentially improves the homogeneity and quality of the concrete. In addition SCC provides larger architectural...

  14. Computational modelling of SCC flow

    DEFF Research Database (Denmark)

    Geiker, Mette Rica; Thrane, Lars Nyholm; Szabo, Peter

    2005-01-01

    To benefit from the full potential of self-compacting concrete (SCC) prediction tools are needed for the form filling of SCC. Such tools should take into account the properties of the concrete, the shape and size of the structural element, the position of rebars, and the casting technique. Examples...

  15. SCC crack propagation behavior in 316L weld metal under high temperature water

    International Nuclear Information System (INIS)

    Nakade, Katsuyuki; Hirasaki, Toshifumi; Suzuki, Shunichi; Takamori, Kenro; Kumagai, Katsuhiko; Tanaka, Yoshihiko; Umeoka, Kuniyoshi

    2008-01-01

    Intergranular stress corrosion cracking (SCC) of 316L weld metal is of concern to the BWR plants. PLR pipes in commercial BWR plants have shown SCC in almost HAZ area in high temperature water, whereas, SCC has been arrested around fusion boundary for long time in the actual PLR pipe. The SCC behavior could be characterized in terms of dendrite direction, which was defined as the angle between dendrite growth direction and macro-SCC direction. In this study, the relationship between dendrite growth direction and macro-SCC direction was clearly showed on the fracture surface. The relative large difference of SCC susceptibility of 316L HAZ and weld metal was observed on the fracture surface. In the case of 0 degree, SCC has rapidly propagated into the weld metal parallel to the dendrite structure. In the case of more than 30 degree SCC direction, SCC was arrested around fusion area, and 60 degree SCC was drastically arrested around the fusion area. The large inclined dendrite structure for SCC is highly resistant to SCC. (author)

  16. Characteristics of SCC with Fly Ash and Manufactured Sand

    Science.gov (United States)

    Praveen Kumar, K.; Radhakrishna

    2016-09-01

    Self compacting concrete (SCC) of M40 grade was designed. The binder in SCC consists of OPC and fly ash in the ratio of 65:35. River sand was replaced by manufactured sand (M-sand) at replacement levels of 20,40,60,80 and 100%. An attempt was made to evaluate the workability and strength characteristics of self compacting concrete with river sand and manufactured sand as fine aggregates. For each replacement level, constant workability was maintained by varying the dosage of superplasticizer. T50 flow time, V Funnel time, V-funnel T5 time as well as compressive, split tensile and flexural strength of SCC were found at each replacement level of M-sand. They were compared to SCC with river sand. Results indicate favourable use of M-sand in preparation of Self Compacting Concrete.

  17. EFFECTS OF LASER SHOCK PEENING ON SCC BEHAVIOR OF ALLOY 600

    Energy Technology Data Exchange (ETDEWEB)

    Abhishek Telang; Amrinder Gill; S.R.Mannava; Vijay K. Vasudevan; Dong Qian; Sebastien P. Teysseyre

    2013-08-01

    In this study, the effects of laser shock peening (LSP) on stress corrosion cracking (SCC) behavior of Alloy 600 in tetrathionate solution were investigated. The degree of sensitization was quantified using double loop electrochemical potentiokinetic reactivation (DLEPR) tests. The sensitized Alloy 600 was demonstrated to be susceptible to intergranular SCC in tetrathionate solution. Following LSP, residual stresses and the amount of plastic strain introduced in Alloy 600 were characterized. The effects of LSP on SCC susceptibility of Alloy 600 in tetrathionate solution were evaluated by slow strain rate tests and constant load tests. Results indicate a significant increase in resistance to crack initiation and decreased susceptibility to SCC after LSP.

  18. Relating microstructures to SCC in Inconel 718

    International Nuclear Information System (INIS)

    Sheth, N.K.; Sanchez, J.M.; Hendrix, B.C.; Ide, H.; Miglin, M.T.

    1993-01-01

    Inconel 718, a nickel-iron-base superalloy, is used for stressed applications in the nuclear and oil industries. A major concern facing the continued and expanding use of Inconel 718 in these applications has been their susceptibility to Inter-Granular Stress Corrosion Cracking (IGSCC). Efforts to reduce stress corrosion cracking (SCC) have been aimed at reducing the susceptibility in this alloy to the formation of the deleterious delta (Ni 3 Nb) phase. Microstructural evaluation of SCC test specimens of different thermo-mechanical histories shows that inhomogeneities of all types, including carbides, nitrides, and different morphologies of δ phase, worsen the SCC resistance of IN718. Here the authors study five samples of IN718 with measured hardness and SCC growth rates. A preliminary ranking of the factors mentioned above on SCC resistance finds that precipitation of a fine δ phase, due to over-aging, has the most profound effect on SCC susceptibility of IN718

  19. Structural Studies Reveal the Functional Modularity of the Scc2-Scc4 Cohesin Loader

    Directory of Open Access Journals (Sweden)

    William C.H. Chao

    2015-08-01

    Full Text Available The remarkable accuracy of eukaryotic cell division is partly maintained by the cohesin complex acting as a molecular glue to prevent premature sister chromatid separation. The loading of cohesin onto chromosomes is catalyzed by the Scc2-Scc4 loader complex. Here, we report the crystal structure of Scc4 bound to the N terminus of Scc2 and show that Scc4 is a tetratricopeptide repeat (TPR superhelix. The Scc2 N terminus adopts an extended conformation and is entrapped by the core of the Scc4 superhelix. Electron microscopy (EM analysis reveals that the Scc2-Scc4 loader complex comprises three domains: a head, body, and hook. Deletion studies unambiguously assign the Scc2N-Scc4 as the globular head domain, whereas in vitro cohesin loading assays show that the central body and the hook domains are sufficient to catalyze cohesin loading onto circular DNA, but not chromatinized DNA in vivo, suggesting a possible role for Scc4 as a chromatin adaptor.

  20. SCC: Semantic Context Cascade for Efficient Action Detection

    KAUST Repository

    Heilbron, Fabian Caba

    2017-11-09

    Despite the recent advances in large-scale video analysis, action detection remains as one of the most challenging unsolved problems in computer vision. This snag is in part due to the large volume of data that needs to be analyzed to detect actions in videos. Existing approaches have mitigated the computational cost, but still, these methods lack rich high-level semantics that helps them to localize the actions quickly. In this paper, we introduce a Semantic Cascade Context (SCC) model that aims to detect action in long video sequences. By embracing semantic priors associated with human activities, SCC produces high-quality class-specific action proposals and prune unrelated activities in a cascade fashion. Experimental results in ActivityNet unveils that SCC achieves state-of-the-art performance for action detection while operating at real time.

  1. Comparison of ANN and RKS approaches to model SCC strength

    Science.gov (United States)

    Prakash, Aravind J.; Sathyan, Dhanya; Anand, K. B.; Aravind, N. R.

    2018-02-01

    Self compacting concrete (SCC) is a high performance concrete that has high flowability and can be used in heavily reinforced concrete members with minimal compaction segregation and bleeding. The mix proportioning of SCC is highly complex and large number of trials are required to get the mix with the desired properties resulting in the wastage of materials and time. The research on SCC has been highly empirical and no theoretical relationships have been developed between the mixture proportioning and engineering properties of SCC. In this work effectiveness of artificial neural network (ANN) and random kitchen sink algorithm(RKS) with regularized least square algorithm(RLS) in predicting the split tensile strength of the SCC is analysed. Random kitchen sink algorithm is used for mapping data to higher dimension and classification of this data is done using Regularized least square algorithm. The training and testing data for the algorithm was obtained experimentally using standard test procedures and materials available. Total of 40 trials were done which were used as the training and testing data. Trials were performed by varying the amount of fine aggregate, coarse aggregate, dosage and type of super plasticizer and water. Prediction accuracy of the ANN and RKS model is checked by comparing the RMSE value of both ANN and RKS. Analysis shows that eventhough the RKS model is good for large data set, its prediction accuracy is as good as conventional prediction method like ANN so the split tensile strength model developed by RKS can be used in industries for the proportioning of SCC with tailor made property.

  2. Performance characteristics of SCC radioimmunoassay and clinical significance serum SCC Ag assay in patients with malignancy

    International Nuclear Information System (INIS)

    Kim, Dong Youn

    1986-01-01

    To evaluate the performance characteristics of SCC RIV and the clinical significance of serum SCC Ag assay in patients with malignancy, serum SCC Ag levels were measured by SCC RIV kit in 40 normal controls and 35 percents with various untreated malignancy, who visited Chonju Presbyterian Medical Center. The results were as follows; 1. The SCC RIA was simple to perform and can be completed in two workday. And the standard curve and reproducibility were both good. 2. The mean serum SCC Ag level in normal controls was 1.64 ± 0.93 ng/mL and normal upper limit of serum SCC Ag was defined as 2.6 ng/mL. 3 out of 40 (7.5%) normal controls showed elevated SCC Ag levels above the normal upper limit. 3. In 35 patients with various untreated malignancy, 18 patients (51.4%) showed elevated serum SCC Ag levels, 59.1% of 22 patients with cervical cancer, 80% of 5 patients with lung cancer, 33% of 3 patients with esophageal cancer, 0% of 2 patients with rectal cancer and 0% of 3 patients with breast cancer showed elevated serum SCC Ag levels. Above results represent that SCC RIV is simple method to perform followed by good standard curve and reproducibility, and may be a useful indicator reflecting diagnostic data of patients with cervical cancer and lung cancer

  3. Polyhomogeneous expansions from time symmetric initial data

    Science.gov (United States)

    Gasperín, E.; Valiente Kroon, J. A.

    2017-10-01

    We make use of Friedrich’s construction of the cylinder at spatial infinity to relate the logarithmic terms appearing in asymptotic expansions of components of the Weyl tensor to the freely specifiable parts of time symmetric initial data sets for the Einstein field equations. Our analysis is based on the assumption that a particular type of formal expansions near the cylinder at spatial infinity corresponds to the leading terms of actual solutions to the Einstein field equations. In particular, we show that if the Bach tensor of the initial conformal metric does not vanish at the point at infinity then the most singular component of the Weyl tensor decays near null infinity as O(\\tilde{r}-3\\ln \\tilde{r}) so that spacetime will not peel. We also provide necessary conditions on the initial data which should lead to a peeling spacetime. Finally, we show how to construct global spacetimes which are candidates for non-peeling (polyhomogeneous) asymptotics.

  4. SCC in acidic, neutral, and alkaline environments

    International Nuclear Information System (INIS)

    Anon.

    1996-01-01

    This group considered the following: (1) What features characterized SCC in the different environments? (2) What are the phenomenological correlations that presently describe SCC and how good are these? (3) What modeling is now available for all or some part of the subject? (4) What are the elements and sub-elements for an ideal model which would adequately describe the subject? and (5) What work has yet to be done to organize an adequate model?

  5. Multiple nano elements of SCC--transition from phenomenology to predictive mechanistics

    International Nuclear Information System (INIS)

    Staehle, R.W.

    2009-01-01

    Full text of publication follows: Predicting the occurrence and rate of stress corrosion cracking in materials of construction is one of the most critical pathways for assuring the reliability of light water nuclear reactor plants. It is the general intention of operators of nuclear plants that they continue performing satisfactorily for times of 60 to 80 years at least. Such times are beyond existing experience, and there are no bases for choosing credible predictions. Present bases for predicting SCC rely on anecdotal experience for predicting what materials sustain SCC in specified environments and on phenomenological correlations using such parameters as K (stress intensity), 1/T (temperature), E(corr) (corrosion potential), pH, [x] a (concentration), other established quantities, and statistical correlations. While these phenomenological correlations have served the industry well in the past, they have also allowed grievous mistakes. Further, such correlations are flawed in their fundamental credibility. Predicting SCC in aqueous solutions means to predict its dependence upon the seven primary variables: potential, pH, species, alloy composition, alloy structure, stress and temperature. A serious prediction of SCC upon these seven primary variables can only be achieved by moving to fundamental nano elements. Unfortunately, useful predictability from the nano approach cannot be achieved quickly or easily; thus, it will continue to be necessary to rely on existing phenomenology. However, as the nano approach evolves, it can contribute increasingly to the quantitative capacity of the phenomenological approach. The nano approach will require quite different talents and thinking than are now applied to the prediction of SCC; while some of the boundary conditions of phenomenology must continue to be applied, elements of the nano approach will include accounting for at least, typically, the following multiple elements as they apply at the sites of initiation and at

  6. Optimal time for initiating extracorporeal membrane oxygenation.

    Science.gov (United States)

    Haile, Dawit T; Schears, Gregory J

    2009-09-01

    The technical evolution of extracorporeal membrane oxygenation (ECMO) coincides with the vast improvement in intensive care medicine of the past 4 decades. Extracorporeal circulatory technology substitutes for acutely failed cardiac or pulmonary function until these organs regain sustainable function through goal-oriented intensive care practice. The technology has been validated to improve survival in select patients who would otherwise have 100% mortality. This is by far the most complex life-sustaining technology employed and thus can contribute significant risks such that the decision to institute ECMO requires prompt risk and benefit analysis. Delaying the institution of ECMO may cause irreversible pulmonary and cardiac injuries in addition to other organs. Therefore, the optimal time of initiating ECMO support is crucial to the survival of a critically ill patient.

  7. Report E : self-consolidating concrete (SCC) for infrastructure elements - hardened mechanical properties and durability performance.

    Science.gov (United States)

    2012-08-01

    Concrete is one of the most produced and utilized materials in the world. Due to : the labor intensive and time consuming nature of concrete construction, new and : innovative concrete mixes are being explored. Self-consolidating concrete (SCC) is on...

  8. The clinical significance of follow up SCC levels in patients with recurrent squamous cell carcinoma of the cervix

    International Nuclear Information System (INIS)

    Choi, Young Min; Park, Sung Kwang; Cho, Heung Lae; Lee, Kyoung Bok; Kim, Ki Tae; Kim, Ju Ree; Sohn, Seung Chang

    2002-01-01

    To investigate the clinical usefulness of a follow-up examination using serum squamous cell carcinoma antigen (SCC) for the early detection of recurrence in patients treated for cervical squamous cell carcinoma. 20 patients who were treated for recurrent cervical squamous cell carcinoma between 1997 and 1998, who had experienced a complete remission after radiotherapy and who underwent an SCC test around the time when recurrence was detected, were included in this study. The levels of SCC were measured from the serum of the patients by immunoassay and values less than 2 ng/mL were regarded as normal. The sensitivity of the SCC test for use in the detection of recurrence, the association between the SCC values and the recurrence patterns and the tumor size and stage, and the temporal relation between the SCC increment and recurrence detection were evaluated. The SCC values were above normal in 17 out of 20 patients, so the sensitivity of the SCC test for the detection of recurrence was 85%, and the mean and median of the SCC values were 15.2 and 9.5 ng/mL, respectively. No differences were observed in the SCC values according to the recurrence sites. For 11 patients, the SCC values were measured over a pero id of 6 months before recurrence was detected, and the mean and median values were 13.6 and 3.6 ng/mL, respectively. The SCC values of 7 patients were higher than the normal range, and the SCC values of the other 4 patients were normal but 3 among them were above 1.5 ng/mL. At the time of diagnosis, the SCC valuess were measured for 16 of the 20 recurrent patients, and the SCC values of the patients with a bulky tumor (≥ 4 cm) or who were in stage IIb or III were higher than those of the patients with a non-bulky tumor or who were in stage Ib or IIa. The SCC test is thought to be useful for the early detection of recurrence during the follow up period in patients treated for cervical squamous cell carcinoma. When an effective salvage treatment is developed in

  9. Rehabilitation of the gas pipeline that had a rupture in service caused by SCC (Stress Corrosion C raking); Rehabilitacion al servicio de un gasoducto que ha sufrido una ruptura en servicio por SCC

    Energy Technology Data Exchange (ETDEWEB)

    Silva, Fernando; Carzoglio, Eduardo; Hryciuk, Pedro [TGN - Transportadora de Gas del Norte S.A. (Argentina). Depto. de Integridad

    2003-07-01

    TGN had a rupture in service on Gasoducto Troncal Norte. After initial evaluation of the causes of the rupture it was concluded that it had been caused by Stress Corrosion Cracking (SCC). Subsequent investigation in the area of the rupture revealed that colonies of cracks, typical of SCC were found in pipes located near the rupture. In order to put back in service the pipeline in a safety condition, SCC mitigation activities were performed. A decision was made to conduct a hydro test along approximately 30 kilometers of pipe. The stages of the works, the problems faced and the solutions found are dealt with, as well as the conclusions reached upon completion of the works which allowed a better understanding of SCC phenomenon. The methodology for the identification of those areas susceptible to SCC is also described. (author)

  10. Developments in SCC Mitigation by Electrocatalysis

    Science.gov (United States)

    Andresen, Peter L.; Kim, Young J.

    SCC is strongly influenced by water chemistry parameters, especially when crack chemistry can be concentrated from differential aeration or thermal gradients or boiling. Mitigation of the effects of the high corrosion potential associated with oxidants is markedly and efficiently accomplished by electrocatalysis, which requires that there be a stoichiometric excess of reductants over oxidants. Mechanisms and criteria for effective SCC mitigation are summarized, with particular focus on the critical location for the catalyst in a crack and experimental support for these concepts. Optimization of electrocatalysis by OnLine NobleChem- is described, for example where Pt is injected at levels of 0.002 to 0.05 ppb in the reactor water.

  11. Threshold values characterizing iodine-induced SCC of zircaloys

    International Nuclear Information System (INIS)

    Une, K.

    1984-01-01

    Threshold values of stress, stress intensity factor, strain, strain rate and iodine concentration for SCC of unirradiated and irradiated Zircaloys are reviewed. The ratio of σsub(th)/σsub(y) adequately represents the effects of cold work and irradiation damage on the SCC susceptibility, where threshold stress σsub(th) is defined as the minimum stress to cause SCC to failure after -6 and 10 -3 min -1 . A comparison of SCC data between constant strain rate and constant stress tests is presented in order to examine the validity of a cumulative-damage concept under SCC conditions. (author)

  12. Assessment of and proposal for a mechanistic interpretation of the SCC of high nickel alloys in lead-containing environments

    International Nuclear Information System (INIS)

    Staehle, R.W.

    2002-01-01

    The SCC of Alloys 600 and 690 in lead-containing solutions, 'lead stress corrosion cracking' (PbSCC) is quite aggressive on tubing in conditions of operation of steam generators (SG) in pressurized water reactors (PWR). Lead dissolved in water can produce PbSCC at concentrations of Pb as low as 0.1 ppm in these alloys. PbSCC is perhaps the most generally aggressive of the environmental species that occur in SGs. This discussion considers the occurrence of Pb in SGs and the PbSCC that can result. The dependencies of PbSCC on the variables of pH, potential, species, alloy composition, alloy structure, temperature and stress are reviewed. Also, important features of the mechanism of PbSCC are assessed. The most significant question related to PbSCC is why more is not occurring in view of the low thresholds for the PbSCC and the ubiquity of the Pb. While there are usually no common specific sources for Pb in most secondary systems, Pb concentrates on surfaces of tubing efficiently over long times. Regardless, it appears that extensive PbSCC does not occur because it is immobilized by forming stable compounds with other species such as sulfur, carbon, phosphorous and silica. Pb is also immobilized by forming stable adsorbed states with oxides such as magnetite and hematite. The possibility of releasing Pb to produce PbSCC increases as water chemistry produces more pure systems and as chemical cleaning is used. Contrary to the common assumption that PbSCC is TGSCC, that of Alloy 600MA is generally IGSCC; only the sensitized (SN), stress relieved (SR) and thermally treated (TT) conditions of Alloys 600 and 690 sustain TGSCC in Pb-containing solutions. In view of the prevailing IGSCC produced by Pb in MA materials, the possibility of all IGSCC in SGs being due to Pb should be considered where crevice environments are in the nominally neutral range. TGSCC that is observed in SGs can be produced by other, although not widely appreciated, environments. The mechanism of PbSCC

  13. Elucidating the iodine stress corrosion cracking (SCC) process for zircaloy tubing

    International Nuclear Information System (INIS)

    Nagai, M.; Shimada, S.; Nishimura, S.; Amano, K.

    1984-01-01

    Several experimental investigations were made to enhance understanding of the iodine stress corrosion cracking (SCC) process for Zircaloy: (1) oxide penetration process, (2) crack initiation process, and (3) crack propagation process. Concerning the effect of the oxide layer produced by conventional steam-autoclaving, no significant difference was found between results for autoclaved and as-pickled samples. Tests with 15 species of metal iodides revealed that only those metal iodides which react thermodynamically with zirconium to produce zirconium tetraiodide (ZrI 4 ) caused SCC of Zircaloy. Detailed SEM examinations were made on the SCC fracture surface of irradiated specimens. The crack propagation rate was expressed with a da/dt=C Ksup(n) type equation by combining results of tests and calculations with a finite element method. (author)

  14. SCC susceptibility of cold-worked stainless steel with minor element additions

    Energy Technology Data Exchange (ETDEWEB)

    Nakano, Junichi, E-mail: nakano.junnichi@jaea.go.jp [Japan Atomic Energy Agency, Shirakatashirane 2-4, Tokai-mura, Naka-gun, Ibaraki-ken 319-1195 (Japan); Nemoto, Yoshiyuki, E-mail: yoshiyuki.nemoto@oecd.org [OECD Nuclear Energy Agency, Le Seine St-Germain, 12, boulevard des Iles, F-92130 Issy-les-Moulineaux (France); Tsukada, Takashi, E-mail: tsukada.takashi@jaea.go.jp [Japan Atomic Energy Agency, Shirakatashirane 2-4, Tokai-mura, Naka-gun, Ibaraki-ken 319-1195 (Japan); Uchimoto, Tetsuya, E-mail: uchimoto@ifs.tohoku.ac.jp [Tohoku University, Aoba-ku, Sendai-shi, Miyagi-ken 980-8577 (Japan)

    2011-10-01

    To examine the effects of minor elements on stress corrosion cracking (SCC) susceptibility of low carbon stainless steels with a work hardened layer, a high purity type 304 stainless steel was fabricated and minor elements, Si, S, P, C or Ti, were added. A work hardened layer was introduced by shaving on the surface of stainless steels. The specimens were exposed to a boiling 42% MgCl{sub 2} solution for 20 h and the number and the length of initiated cracks were examined. SCC susceptibility of the specimen with P was the highest and that of the specimen with C was the lowest in all specimens. By magnetic force microscope examination, a magnetic phase expected to be a martensitic phase was detected near the surface. Since corrosion resistance of martensite is lower than that of austenite, the minor elements additions would affect SCC susceptibility through the amount of the transformed martensite.

  15. SCC susceptibility of cold-worked stainless steel with minor element additions

    International Nuclear Information System (INIS)

    Nakano, Junichi; Nemoto, Yoshiyuki; Tsukada, Takashi; Uchimoto, Tetsuya

    2011-01-01

    To examine the effects of minor elements on stress corrosion cracking (SCC) susceptibility of low carbon stainless steels with a work hardened layer, a high purity type 304 stainless steel was fabricated and minor elements, Si, S, P, C or Ti, were added. A work hardened layer was introduced by shaving on the surface of stainless steels. The specimens were exposed to a boiling 42% MgCl 2 solution for 20 h and the number and the length of initiated cracks were examined. SCC susceptibility of the specimen with P was the highest and that of the specimen with C was the lowest in all specimens. By magnetic force microscope examination, a magnetic phase expected to be a martensitic phase was detected near the surface. Since corrosion resistance of martensite is lower than that of austenite, the minor elements additions would affect SCC susceptibility through the amount of the transformed martensite.

  16. Estimation of radiative forcing and chore length of shallow convective clouds (SCC) based on broadband pyranometer measurement network

    Science.gov (United States)

    Shi, H.

    2017-12-01

    We presented a method to identify and calculate cloud radiative forcing (CRF) and horizontal chore length (L) of shallow convective clouds (SCC) using a network of 9 broadband pyranometers. The analyzing data was collected from the SCC campaign during two years summers (2015 2016) at Baiqi site over Inner Mongolia grassland. The network of pyranometers was operated across a spatial domain covering 42.16-42.30° N and 114.83-114.98° E. The SCC detection method was verified by observer reports and cameras, which showed that the detection method and human observations were in agreement about 75 %. The differences between the SCC detection method and human observations can be responsible for following factors: 1) small or dissipating clouds can be neglected for the value of 1 min of temporal resolution of pyranometer; 2) human observation recorded weather conditions four times every day; 3) SCC was indistinguishable from coexistence of SCC and Cirrus (Ci); 4) the SCC detection method is weighted toward clouds crossing the sun's path, while the human observer can view clouds over the entire sky. The deviation of L can be attributed to two factors: 1) the accuracy of wind speed at height of SCC and the ratio of horizontal and vertical length play a key role in determine values of L; 2) the effect of variance of solar zenith angle can be negligible. The downwelling shortwave CRF of SCC was -134.1 Wm-2. The average value of L of SCC was 1129 m. Besides, the distribution of normalized cloud chore length agreed well with power-law fit.

  17. SCC of Alloy 600 components in PWR primary loop

    International Nuclear Information System (INIS)

    Gomez-Briceno, Dolores; Lapena, Jesus; Castano, M. Luisa; Blazquez, Fernando

    2002-01-01

    initiation time has been determined. A detailed fractographic study of the fracture surface points out that the appearance of the fracture, intergranular in all the cases, is related to the susceptibility of the material. For the crack growth rate test, CT specimens tested under constant load were used. Specimens were fabricated from five Alloy 600 heats (two forged bars, cold work and hot work tubes, and a plate) with yield strength ranging from 280 to 413 MPa. Crack growth rate data were obtained at temperatures between 290 and 330 deg. C. Activation energy for both processes, crack initiation and propagation has been determined. On the other hand, in January 1994, during a refueling outage, an ID axial throughwall crack was detected in one of the RVH nozzle of Jose Cabrera Nuclear Plant in Spain. Extensive NDE examination of all the vessel head penetrations confirmed ID axially oriented indications in several of the nozzles. The cause of the extensive cracking detected was identified as an IGA/SCC process in primary water contaminated with sulphur species due to a cation resin ingress in the primary loop during the early 1980s. In order to confirm the postulated degradation process and to assess its relevance for other alloy 600 components in the reactor primary loop, an experimental program was performed. The scope of this program included to study the behaviour of sensitised alloy 600 in the water conditions postulated as the cause of the cracking and to obtain crack growth rate data in similar conditions, at 285 and 325 deg. C. In addition, the behaviour of the sensitised alloy 600 in shutdown conditions was also studied. In this paper the main results of these experimental programs, including no published data, will be presented and discussed in the light of the available results from other laboratories. (author)

  18. LAFD: TA-3 NISC & SCC Facility Familiarization Tour, OJT #53356

    Energy Technology Data Exchange (ETDEWEB)

    Rutherford, Victor Stephen [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Norman, Rich [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Montoya, Gene [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Blumberg, Paul A. [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); McCurdy, Patrick B. [Los Alamos National Lab. (LANL), Los Alamos, NM (United States)

    2017-10-24

    Los Alamos National Laboratory (LANL, the Laboratory, or the Lab) conducts familiarization tours for Los Alamos County Fire Department (LAFD) personnel at the Strategic Computing Complex (SCC), TA-03-2327, and the Nonproliferation & International Security Complex (NISC), TA-03-2322. These tours are official LANL business; their purpose is to orient the firefighters to the SCC and the NISC so that they can respond efficiently and quickly to a variety of emergency situations. The tour includes ingress and egress of the buildings, layout and organization of the buildings, evacuation procedures, and areas of concern to emergency responders within these buildings. LAFD firefighters have the training, skills, and abilities to perform these emergency responder tasks; other LANL personnel who have the required clearance level cannot perform these tasks. This handout provides details of the information, along with maps and diagrams, to be presented during the familiarization tours. The report will be distributed to the trainees at the time of the tour. A corresponding checklist will also be used as guidance during the familiarization tours to ensure that all required information is presented to the LAFD personnel.

  19. Statistical distribution of time to crack initiation and initial crack size using service data

    Science.gov (United States)

    Heller, R. A.; Yang, J. N.

    1977-01-01

    Crack growth inspection data gathered during the service life of the C-130 Hercules airplane were used in conjunction with a crack propagation rule to estimate the distribution of crack initiation times and of initial crack sizes. A Bayesian statistical approach was used to calculate the fraction of undetected initiation times as a function of the inspection time and the reliability of the inspection procedure used.

  20. Comparison of ultrasound-assisted and traditional caustic leaching of spent cathode carbon (SCC) from aluminum electrolysis.

    Science.gov (United States)

    Xiao, Jin; Yuan, Jie; Tian, Zhongliang; Yang, Kai; Yao, Zhen; Yu, Bailie; Zhang, Liuyun

    2018-01-01

    The spent cathode carbon (SCC) from aluminum electrolysis was subjected to caustic leaching to investigate the different effects of ultrasound-assisted and traditional methods on element fluorine (F) leaching rate and leaching residue carbon content. Sodium hydroxide (NaOH) dissolved in deionized water was used as the reaction system. Through single-factor experiments and a comparison of two leaching techniques, the optimum F leaching rate and residue carbon content for ultrasound-assisted leaching process were obtained at a temperature of 70°C, residue time of 40min, initial mass ratio of alkali to SCC (initial alkali-to-material ratio) of 0.6, liquid-to-solid ratio of 10mL/g, and ultrasonic power of 400W, respectively. Under the optimal conditions, the leaching residue carbon content was 94.72%, 2.19% larger than the carbon content of traditional leaching residue. Leaching wastewater was treated with calcium chloride (CaCl 2 ) and bleaching powder and the treated wastewater was recycled caustic solution. All in all, benefiting from advantage of the ultrasonication effects, ultrasound-assisted caustic leaching on spent cathode carbon had 55.6% shorter residue time than the traditional process with a higher impurity removal rate. Copyright © 2017 Elsevier B.V. All rights reserved.

  1. Selection of the initial conditions in the tunneling time definition

    International Nuclear Information System (INIS)

    Zajchenko, A.K.

    2004-01-01

    The necessity of changing of the initial conditions in the Olkhovsky - Recami definition of the tunneling time is justified. The new initial conditions are proposed which adequately taking into account the irreversibility of the wave packets spreading. The expression for the tunneling time with the new initial conditions is reduced to the form which is convenient for the performing and controlling the accuracy of calculations

  2. Influence of startup oxidizing transients of IGA/SCC in PWR steam generators

    International Nuclear Information System (INIS)

    Gorman, J.A.; McIlree, A.R.; Gaudreau, T.; Bjornkvist, L.; Andersson, P.-O.

    1998-01-01

    There is a considerable amount of evidence oxidizing conditions during and following startups are an important factor in the intergranular corrosion/stress corrosion cracking (IGA/SCC) of mill annealed alloy 600 steam generator tubes. This evidence includes plant data that indicate that the growth of IGA/SCC correlates better in some cases with numbers of startups than with time at power, laboratory tests in several plausible crevice environments that show that small amounts of copper oxides accelerate the rate of IGA/SCC, laboratory tests that show that elevating the electrochemical potential (ECP) increases the rates of IGA/SCC in many chemical environments, and laboratory tests that show that copper oxides, hematite, and other oxidized corrosion products can raise the ECP of several solution chemistries into aggressive ranges. Some preliminary data also exist that show that some amounts of oxidized species are produced during typical layup and startup conditions, but data for the subsequent reduction of these oxides are largely lacking. The purpose of this paper is to review the available evidence, to arrive at conclusions regarding the probable importance of oxidizing conditions during startup on occurrence of IGA/SCC, and to identify needed research to better quantify the situation. (author)

  3. Effect of surface grinding on chloride induced SCC of 304L

    Energy Technology Data Exchange (ETDEWEB)

    Zhou, Nian, E-mail: nzh@du.se [Department of Material Science, Dalarna University, SE-79188 Falun (Sweden); KTH, SE-10044 Stockholm (Sweden); Pettersson, Rachel [KTH, SE-10044 Stockholm (Sweden); Jernkontoret, SE-11187 Stockholm (Sweden); Lin Peng, Ru [Department of Management and Engineering, Linköping University, SE-58183 Linköping (Sweden); Schönning, Mikael [Corrosion Department, Avesta Research Centre – Outokumpu Stainless AB, SE-774 22 Avesta (Sweden)

    2016-03-21

    The effect of surface grinding on the stress corrosion cracking (SCC) behavior of 304L austenitic stainless steel in boiling magnesium chloride has been investigated. SCC tests were conducted both without external loading and with varied levels of four-point bend loading for as-delivered material and for specimens which had been ground parallel or perpendicular to the loading direction. Residual stresses due to the grinding operation were measured using the X-ray diffraction technique. In addition, surface stress measurements under applied load were performed before exposure to evaluate the deviation between actual applied loading and calculated values according to ASTM G39. Micro-cracks initiated by a high level of tensile residual stress in the surface layer were observed for all the ground specimens but not those in the as-delivered condition. Grinding along the loading direction increased the susceptibility to chloride induced SCC; while grinding perpendicular to the loading direction improved SCC resistance. Surface tensile residual stresses were largely relieved after the initiation of cracks.

  4. Effect of surface grinding on chloride induced SCC of 304L

    International Nuclear Information System (INIS)

    Zhou, Nian; Pettersson, Rachel; Lin Peng, Ru; Schönning, Mikael

    2016-01-01

    The effect of surface grinding on the stress corrosion cracking (SCC) behavior of 304L austenitic stainless steel in boiling magnesium chloride has been investigated. SCC tests were conducted both without external loading and with varied levels of four-point bend loading for as-delivered material and for specimens which had been ground parallel or perpendicular to the loading direction. Residual stresses due to the grinding operation were measured using the X-ray diffraction technique. In addition, surface stress measurements under applied load were performed before exposure to evaluate the deviation between actual applied loading and calculated values according to ASTM G39. Micro-cracks initiated by a high level of tensile residual stress in the surface layer were observed for all the ground specimens but not those in the as-delivered condition. Grinding along the loading direction increased the susceptibility to chloride induced SCC; while grinding perpendicular to the loading direction improved SCC resistance. Surface tensile residual stresses were largely relieved after the initiation of cracks.

  5. Eco-SCC: From Theory to Practical Application

    NARCIS (Netherlands)

    Hüsken, G.; Brouwers, H.J.H.; Shui, Z.; Wu, S.; Yu, J.

    2010-01-01

    This paper presents the results of an experimental investigation on the application of self-compacting concrete (SCC) with reduced cement content and fine stone waste materials. Two SCC mixes containing stone waste material were designed for the application in a new formwork system developed for

  6. Maintenance technologies for SCC of PWR

    International Nuclear Information System (INIS)

    Okimura, Koji; Hori, Nobuyuki; Kanzaki, Hiroshi; Tokuhisa, Kiichi; Kamo, Kazuhiko; Kurokawa, Masaaki

    2007-01-01

    The recent technologies of test, relaxation of deterioration, repairing and change of materials are explained for safe and stable operation of pressurized water reactor (PWR). Stress corrosion cracking (SCC) is originated by three factors such as materials, stress and environment. The eddy current test (ECT) method for the stream generator pipe and the ultrasonic test method for welding part of pipe were developed as the test technologies. Primary water stress corrosion cracking (PWSCC) of Inconel 600 in the welding part is explained. The shot peening of instrument in the gas, the water jet peening of it in water, and laser irradiation on the surface are illustrated as some examples of improvement technology of stress. The cladding of Inconel 690 on Inconel 600 is carried out under the condition of environmental cut. Total or some parts of the upper part of reactor, stream generator and structure in the reactor are changed by the improvement technologies. Changing Inconel 600 joint in the exit pipe of reactor with Inconel 690 is illustrated. (S.Y.)

  7. Determinants of timely initiation of complementary feeding among ...

    African Journals Online (AJOL)

    2014-05-26

    May 26, 2014 ... care, exclusive breastfeeding and no siblings as independent predictors of timely initiation of ... studies[7‑9] conducted in different parts of the developing ..... services provides further benefits of counseling on issues relevant ...

  8. APPROXIMATION OF THE TIME TO INITIATE THE EVACUATION

    Directory of Open Access Journals (Sweden)

    Jiří POKORNÝ

    2016-06-01

    Full Text Available One of the basic prerequisites for securing the safety of people at large group events is to ensure their evacuation in case of emergencies. This article deals with the approximations of time to initiate the evacuation of persons in case of a fire at large group events organized in outdoor spaces. The solution is based on the principles of determining the period to initiate the evacuation of persons in terms of international ISO standards. Considering the specificities of the given outdoor space and possible related security measures, the article recommends the relevant sufficient amount of time to initiate an evacuation.

  9. Inducement of IGA/SCC in Inconel 600 steam generator tubing during unit outages

    Energy Technology Data Exchange (ETDEWEB)

    Durance, D.; Sedman, K. [Bruce Power, Tiverton, Ontario (Canada); Roberts, J. [CANTECH Associates Ltd., Burlington, Ontario (Canada); King, P. [Babcock and Wilcox Canada, Cambridge, Ontario (Canada); Gorman, J. [Dominion Engineering, Reston, VA (United States); Allen, R. [Kinectrics, Inc., Toronto, Ontario (Canada)

    2008-07-01

    The degradation of Unit 4 SG tubing by IGA/SCC has limited both the operating period and end of life predictions for Unit 4 since restart in late 2003. The circumferential IGA/SCC has been most significant in SG4 with substantial increases in both initiation and growth rates from 2005 through the spring of 2007. A detailed review of the occurrence of circumferential OD IGA/SCC at the RTZ in the HL TTS region of Bruce 4 steam generator tubes has led a conclusion that it is probable that the IGA/SCC has been the result of attack by partially reduced sulfur species such as tetrathionates and thiosulfates during periods of low temperature exposure. It is believed that attack of this type has mostly likely occurred during startup evolutions following outages as the result the development of aggressive reduced sulfur species in the TTS region during periods when the boilers were fully drained for maintenance activities. The modification of outage practices to limit secondary side oxygen ingress in the spring of 2007 has apparently arrested the degradation and has had significant affects on the allowable operating interval and end of life predictions for the entire unit. (author)

  10. Inducement of IGA/SCC in Inconel 600 steam generator tubing during unit outages

    International Nuclear Information System (INIS)

    Durance, D.; Sedman, K.; Roberts, J.; King, P.; Gorman, J.; Allen, R.

    2008-01-01

    The degradation of Unit 4 SG tubing by IGA/SCC has limited both the operating period and end of life predictions for Unit 4 since restart in late 2003. The circumferential IGA/SCC has been most significant in SG4 with substantial increases in both initiation and growth rates from 2005 through the spring of 2007. A detailed review of the occurrence of circumferential OD IGA/SCC at the RTZ in the HL TTS region of Bruce 4 steam generator tubes has led a conclusion that it is probable that the IGA/SCC has been the result of attack by partially reduced sulfur species such as tetrathionates and thiosulfates during periods of low temperature exposure. It is believed that attack of this type has mostly likely occurred during startup evolutions following outages as the result the development of aggressive reduced sulfur species in the TTS region during periods when the boilers were fully drained for maintenance activities. The modification of outage practices to limit secondary side oxygen ingress in the spring of 2007 has apparently arrested the degradation and has had significant affects on the allowable operating interval and end of life predictions for the entire unit. (author)

  11. Investigation on potential SCC in gas transmission pipeline in China

    Energy Technology Data Exchange (ETDEWEB)

    Jian, S. [Petroleum Univ., Beijing (China); Zupei, Y.; Yunxin, M. [China Petroleum Pipeline Corp., Beijing (China). Science and Technology Center

    2004-07-01

    Stress corrosion cracking (SCC) is a common phenomenon that occurs on the outer surfaces of buried pipelines. This paper investigated aspects of SCC on 3 transmission pipelines on the West-East Gas Pipeline Project in China. The study was comprised of 3 different investigations: (1) an investigation of SCC cases on constructed pipelines; (2) an evaluation of SCC sensitivity of pipeline steels in typical soil environments; and (3) an analysis of soil environments and operation conditions of western pipelines. The study included a review of pipeline corrosion investigations, as well as an examination of pipeline failure cases. Investigative digs were conducted at 21 sites to test soil chemistries. Slow strain rate stress were conducted to evaluate SCC sensitivity of steel pipelines used in China. Potentiodynamic polarization tests were conducted to characterize the electrochemical behaviour of the X70 line pipe steel in different soil environments. Results of the study showed that the environmental conditions in many locations in China contributed to SCC in pipelines. SCC was observed on the surface of X70 steel pipe specimens in both marsh and saline environments. Seasonal temperature changes also contributed additional stress on pipelines. The movement of soil bodies in mountainous areas also contributed to stress and coating damage. It was concluded that proper cathodic protection can alleviate concentrations of local solutions under disbanded coatings. Overprotection of SCC will accelerate the growth of cracks and the degradation of coatings. Samples gathered from the solutions found under the disbanded coatings of pipelines will be used to form part of a reference database for predicting SCC in oil and gas pipelines in the future. 2 refs., 4 tabs., 5 figs.

  12. Evaluation of the Frequencies for Canister Inspections for SCC

    Energy Technology Data Exchange (ETDEWEB)

    Stockman, Christine [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Bryan, Charles R. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States)

    2016-02-02

    This report fulfills the M3 milestone M3FT-15SN0802042, “Evaluate the Frequencies for Canister Inspections for SCC” under Work Package FT-15SN080204, “ST Field Demonstration Support – SNL”. It reviews the current state of knowledge on the potential for stress corrosion cracking (SCC) of dry storage canisters and evaluates the implications of this state of knowledge on the establishment of an SCC inspection frequency. Models for the prediction of SCC by the Japanese Central Research Institute of Electric Power Industry (CRIEPI), the United States (U.S.) Electric Power Research Institute (EPRI), and Sandia National Laboratories (SNL) are summarized, and their limitations discussed.

  13. Glass fiber effect on mechanical properties of Eco-SCC

    Science.gov (United States)

    Prasad M. L., V.; Loksesh, G.; Ramanjaneyulu, B.; Venkatesh, S.; Mousumi, K.

    2017-07-01

    Sustainable Construction encouraging the use of recycled materials and implies adoption of fewer natural resources in buildings and other infrastructure. In this paper Quarry Dust (QD) is used as partial replacement for River Sand (RS) to make Self Compacting Concrete (SCC) of grade M40. Glass fiber is used as strengthening material to the developed concrete. The present study mainly focused to develop Eco-SCC using QD. In this study it was found that, for developing Eco-SCC, what is the optimum dosage of replacement of QD in RS. Fresh properties of SCC are satisfying the EFNARC specifications and also target strength is achieved. Further it is concluded that, with the glass fiber addition there is an improvement in the split and flexural strength values.

  14. SCC: Semantic Context Cascade for Efficient Action Detection

    KAUST Repository

    Heilbron, Fabian Caba; Barrios, Wayner; Escorcia, Victor; Ghanem, Bernard

    2017-01-01

    in videos. Existing approaches have mitigated the computational cost, but still, these methods lack rich high-level semantics that helps them to localize the actions quickly. In this paper, we introduce a Semantic Cascade Context (SCC) model that aims

  15. Probe initial parton density and formation time via jet quenching

    International Nuclear Information System (INIS)

    Wang, Xin-Nian

    2002-01-01

    Medium modification of jet fragmentation function due to multiple scattering and induced gluon radiation leads directly to jet quenching or suppression of leading particle distribution from jet fragmentation. One can extract an effective total parton energy loss which can be related to the total transverse momentum broadening. For an expanding medium, both are shown to be sensitive to the initial parton density and formation time. Therefore, one can extract the initial parton density and formation time from simultaneous measurements of parton energy loss and transverse momentum broadening. Implication of the recent experimental data on effects of detailed balance in parton energy loss is also discussed

  16. Effects of temperature on SCC propagation in high temperature water injected with hydrogen peroxide

    International Nuclear Information System (INIS)

    Nakano, Junichi; Sato, Tomonori; Kato, Chiaki; Yoshiyuki, Kaji; Yamamoto, Masahiro; Tsukada, Takashi

    2012-09-01

    To understand the stress corrosion cracking (SCC) behaviour of austenitic stainless steels (SSs) in the boiling water reactor (BWR) coolant environment, it is significant to investigate the effect of hydrogen peroxide (H 2 O 2 ) produced by the radiolysis of water on SCC under the various water chemistry and operational conditions. At the start-up or shut-down periods, for example, the conditions of radiation and temperature on the structural materials are different from those during the plant normal operation, and may be influencing on SCC behaviour. Therefore, the effect of temperature on SCC in high temperature water injected with H 2 O 2 was evaluated by SCC propagation test at the present study. Oxide films on the metal surface in crack were examined and the thermal equilibrium diagram was calculated to estimate the environmental situation in the crack. On the thermally sensitized type 304 SS, crack growth tests were conducted in high temperature water injected with H 2 O 2 to simulate water radiolysis in the core. Small CT type specimens with a width of 15.5 mm and thickness of 6.2 mm were machined from the sensitized SS. SCC growth tests were conducted in high temperature water injected with 100 ppb H 2 O 2 at 453 and 561 K. To minimize H 2 O 2 decomposition by a contact with metal surface of autoclave, the CT specimen was isolated from inner surface of the autoclave by the inner modules made of polytetrafluoroethylene (PTFE), and PTFE lining was also used for the inner surface of inlet and sampling tubes. Base on the measurement of sampled water, it was confirmed that 80-90 % of injected H 2 O 2 remained around the CT specimen in autoclave. Constant load at initial K levels of 11-20 MPam 1/2 was applied to the CT specimens during crack growth tests. After crack growth tests, CT specimens were split into two pieces on the plane of crack propagation. Scanning electron microscope (SEM) examination and laser Raman spectroscopy for outer oxide layer of oxide

  17. SCC susceptibility evaluation of plastic deformed austenitic stainless steels

    Energy Technology Data Exchange (ETDEWEB)

    Kaneshima, Yoshiari; Totsuka, Nobuo; Arioka, Koji [Inst. of Nuclear Safety System Inc., Mihama, Fukui (Japan)

    2002-09-01

    Slow strain rate temperature (SSRT) tests were carried out to evaluate the SCC susceptibility of deformed SUS316 stainless steel in simulated primary water of pressurized water reactor (PWR). The influence of material hardness and temperature on SCC susceptibility was studied. From these tests following results were obtained. (1) Both of the total SCC and IGSCC susceptibilities increased as the hardness of deformed specimens increased. Especially over 250{approx}300HV area, this tendency remarkably increased. (2) The reduction ratio showed a plateau under 300HV area. However, over 300HV area, it decreased remarkably as the hardness increased, that is, the SCC susceptibility remarkably increased. (3) Based on the SSRT test results conducted at 320, 340 and 360degC, the total SCC susceptibility dependence on temperature was small and the IGSCC susceptibility was dependent on the temperature. From these results, the TGSCC susceptibility dependence on temperature was also small. The activation energy of total SCC and IGSCC susceptibility were calculated. (author)

  18. Dedicated Beamline Facilities for Catalytic Research. Synchrotron Catalysis Consortium (SCC)

    Energy Technology Data Exchange (ETDEWEB)

    Chen, Jingguang [Columbia Univ., New York, NY; Frenkel, Anatoly [Yeshiva Univ., New York, NY (United States); Rodriguez, Jose [Brookhaven National Lab. (BNL), Upton, NY (United States); Adzic, Radoslav [Brookhaven National Lab. (BNL), Upton, NY (United States); Bare, Simon R. [UOP LLC, Des Plaines, IL (United States); Hulbert, Steve L. [Brookhaven National Lab. (BNL), Upton, NY (United States); Karim, Ayman [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Mullins, David R. [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Overbury, Steve [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States)

    2015-03-04

    Synchrotron spectroscopies offer unique advantages over conventional techniques, including higher detection sensitivity and molecular specificity, faster detection rate, and more in-depth information regarding the structural, electronic and catalytic properties under in-situ reaction conditions. Despite these advantages, synchrotron techniques are often underutilized or unexplored by the catalysis community due to various perceived and real barriers, which will be addressed in the current proposal. Since its establishment in 2005, the Synchrotron Catalysis Consortium (SCC) has coordinated significant efforts to promote the utilization of cutting-edge catalytic research under in-situ conditions. The purpose of the current renewal proposal is aimed to provide assistance, and to develop new sciences/techniques, for the catalysis community through the following concerted efforts: Coordinating the implementation of a suite of beamlines for catalysis studies at the new NSLS-II synchrotron source; Providing assistance and coordination for catalysis users at an SSRL catalysis beamline during the initial period of NSLS to NSLS II transition; Designing in-situ reactors for a variety of catalytic and electrocatalytic studies; Assisting experimental set-up and data analysis by a dedicated research scientist; Offering training courses and help sessions by the PIs and co-PIs.

  19. Using TANF to Finance Out-of-School Time Initiatives

    Science.gov (United States)

    Relave, Nanette; Flynn-Khan, Margaret

    2007-01-01

    This report addresses how the Temporary Assistance for Needy Families (TANF) program can be an important source of funding for maintaining, improving, and expanding out-of-school time initiatives. The report is designed to help policymakers and program developers understand the opportunities and challenges of effectively using TANF funding to…

  20. Timing of antiretroviral therapy initiation in adults with HIV ...

    African Journals Online (AJOL)

    Timing of antiretroviral therapy initiation in adults with HIV-associated tuberculosis: Outcomes of therapy in an urban hospital in KwaZulu-Natal. ... We aimed to compare clinical outcomes of patients with HIV-associated TB who commenced ART at different stages of TB therapy. Methods. A retrospective chart review was ...

  1. Effect of corrosion product layer on SCC susceptibility of copper containing type 304 stainless steel in 1 M H2SO4

    International Nuclear Information System (INIS)

    Asawa, M.; Devasenapathi, A.; Fujisawa, M.

    2004-01-01

    The effect of surface corrosion product layer on the stress corrosion cracking (SCC) susceptibility of type 304 stainless steel with Cu was studied in 1 kmol/m 3 (1 M) sulfuric acid at 353 K temperature. Studies based on the intermittent removal of surface corrosion product layer indicated that the surface film governs the SCC behavior of the alloy by accelerating both the crack initiation and propagation stages. The electrochemical impedance and polarization studies showed the surface layer to be promoting SCC initiation by lowering the uniform corrosion rate and the propagation by shifting the surface corrosion potential to a more noble direction. The elemental analysis of the corrosion product both by the energy dispersive X-ray (EDX) spectroscopy and by X-ray diffraction (XRD) analysis along with the thermodynamic calculations showed the layer to be constituted mainly of metallic copper (Cu) and the mono-hydrated iron sulfate which acts as cathode promoting SCC

  2. Metazoan Scc4 homologs link sister chromatid cohesion to cell and axon migration guidance

    NARCIS (Netherlands)

    V.C. Seitan (Vlad); P.A. Banks (Peter); S. Laval (Steve); N.A. Majid (Nazia); D. Dorsett (Dale); A. Rana (Amer); J. Smith (Jeremy); A. Bateman (Alex); S. Krpic (Sanja); A. Hostert (Arnd); S.M. Rollins; H. Erdjument-Bromage (Hediye); P. Tempst (Paul); C.Y. Benard (Claire); S. Hekimi (Siegfried); S.F. Newbury (Sarah); T. Strachan (Tom)

    2006-01-01

    textabstractSaccharomyces cerevisiae Scc2 binds Scc4 to form an essential complex that loads cohesin onto chromosomes. The prevalence of Scc2 orthologs in eukaryotes emphasizes a conserved role in regulating sister chromatid cohesion, but homologs of Scc4 have not hitherto been identified outside

  3. Evaluating the SCC resistance of underwater welds in sodium tetrathionate

    International Nuclear Information System (INIS)

    White, R.A.; Angeliu, T.M.

    1997-01-01

    The susceptibility of welds to stress corrosion cracking (SCC) is enhanced by the surface residual tensile stresses generated by the typical welding process. However, underwater plasma transferred arc (PTA) welding has been shown to produce compressive surface residual stresses, an encouraging result if repairs of cracked boiling water reactor (BWR) components are to be made without further endangering them to SCC. This program was designed to verify that underwater PTA welds are resistant to SCC and to determine if underwater PTA welding could mitigate SCC in potentially susceptible welds. This was achieved by exposing various welds on solution annealed (SA) and SA + thermally sensitized 304 stainless steel at 25 C in a solution of 1.5 gm/liter of sodium sulfide added to 0.05M sodium tetrathionate, titrated to a pH of 1.25 with H 2 SO 4 . The autogeneous welds were produced using gas tungsten arc (GTA) and plasma transferred arc (PTA) welding under atmospheric conditions, and PTA welding underwater. After 1 hour of sodium tetrathionate exposure, GTA and air PTA welds exhibited SCC while the underwater PTA weld heat affected zones were more resistant. Underwater PTA welds bisecting a GTA weld eliminated the cracking in the GTA weld heat affected zone under certain conditions. The lack of IG cracking in the region influenced by the underwater PTA weld is consistent with the measurement of compressive surface residual stresses inherent to the underwater welding process

  4. SCC with high volume of fly ash content

    Directory of Open Access Journals (Sweden)

    Bakhrakh Anton

    2017-01-01

    Full Text Available Self-compacting concrete is a very perspective building material. It provides great benefits during the construction of heavily reinforced buildings. SCC has outstanding properties such as high flowability, dense structure and high strength due to specific quality of aggregates, fillers, their proportion in mix, use of polycarboxylate-based superplasticizers. Main disadvantages of SCC are high price and the difficulty of obtaining a proper mix. Use of fillers, such as fly ash type F, is a way to make SCC cheaper by replacing part of cement. Fly ash also provides some technological and operating advantages. In this paper the influence of high volume (60% from cement fly ash type F on the properties of concrete mixture and hardened concrete is investigated. The result of the work shows the possibility of reduction the cost of SCC using ordinary fillers and high amount of fly ash. The investigated SCC has low speed of hardening (7-day compressive strength at the range of 41.8 MPa and high volume of entrained air content (3.5%.

  5. Threshold values characterizing iodine-induced SCC of zircaloys

    International Nuclear Information System (INIS)

    Une, K.

    1981-01-01

    In this paper, threshold values of stress, stress intensity factor, strain, strain rate and iodine concentration for SCC of unirradiated and irradiated Zircaloys are reviewed. The ratio of σ sub(th)/σ sub(y) adequately represents the effects of cold-work and irradiation on the SCC susceptibility, where threshold stress σ sub(th) is defined as the minimum stress to cause SCC to failure after 10-20 hours and σ sub(y), the yield stress obtained in an inert atmosphere. The ratio becomes gradually smaller with larger σ sub(y) and is less than 1 for materials with yield strengths above about 350MPa. Plastic strain appears to be necessary for SCC; plastic strains to failure range from 0.1 to 1% for high strength materials, even when data for irradiated materials are included. Strain rate significantly affects the susceptibility. A comparison of SCC data between constant strain rate and constant stress tests is presented. (author)

  6. Evaluation of neutron irradiation effect on SCC crack growth behaviour of austenitic stainless steel

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2012-08-15

    Austenitic stainless steels are widely used as structural materials alloy in reactor pressure vessel internal components because of their high strength, ductility and fracture toughness. However, exposure due to neutron irradiation results in changes in microstructure, mechanical properties and microchemistry of the material. Irradiation assisted stress corrosion cracking (IASCC) caused by the effect of neutron irradiation during long term operation in high temperature water environments in nuclear power plants is considered to take the form of intergranular stress corrosion cracking (IGSCC) and the critical fluence level has been reported to be about 5x10{sup 24}n/m{sup 2} (E>1MeV) for Type 304 SS in BWR environment. JNES had been conducting IASCC project during from JFY 2000 to JFY 2008, and prepared an engineering database on IASCC. However, the data of crack growth rate (CGR) below the critical fluence level are not sufficient. Therefore, evaluation of neutron irradiation effect project (ENI) was initiated to obtain the CGR data below the critical fluence level, and prepare the SCC growth rate diagram for life time evaluation of core shroud. Test specimens have been irradiated in the OECD/Halden reactor, and the post irradiation experiments (PIE) have been conducting during from JFY 2011 to JFY 2013, finally the modified IASCC guide will be prepared in JFY 2013. (author)

  7. SCC testing of steam generator tubes repaired by welded sleeves

    International Nuclear Information System (INIS)

    Pierson, E.; Stubbe, J.

    1993-01-01

    One way to repair steam generator tubing is to introduce a sleeve inside the tube so that it spans the corroded area and to seal it at both ends. This technique has been studied at Laborelec with a particular attention paid to the occurrence of new SCC cracks at the upper joint. Tube segments coming from the same lot of mill annealed alloy 600 were sent to six manufacturers to be sleeved by their own procedure (including TIG, laser or kinetic welding, followed or not by a stress relief heat treatment), and then tested at Laborelecin 10% NaOH at 350 degrees C. The tests were performed with and without differential pressure i.e. in capsules (Δ = 9 and 19 MPa) and in autoclave (Δp = 0). Nearly all the not stress relieved mock-ups developed through cracks in several hundred hours in auto-clave. The cracks were circumferential and situated near the weld. At 9 and 19 MPa, the time to failure decreased and longitudinal cracks appeared near the weld and at the transition zone of expanded areas. Cracks were never observed in the alloy 690 sleeve, except in the weld bead. Reference capsules (roll expaned tubes) made of the same lot of alloy 600 were tested in the same environment

  8. Effect of dissolved oxygen on SCC of LP turbine steel

    International Nuclear Information System (INIS)

    Maeng, W. Y.; Lee, J. H.; Kim, W. C.

    2002-01-01

    Slow Strain Rate Tests (SSRT) were carried out to investigate the effect of dissolved oxygen on Stress Corrosion Cracking (SCC) susceptibility of 3.5NiCrMoV steels used in discs of Low-Pressure (LP) steam turbines in electric power generating plants. The influence of dissolved oxygen on cracking in water was studied; for this purpose, specimens were strained to fracture at 150 .deg. C in water environments with various amounts of dissolved oxygen. The maximum elongation of the turbine steel decreased with increasing dissolved oxygen. Dissolved oxygen significantly affected the SCC susceptibility of turbine steel in water. The increase of the SCC susceptibility of the turbine steel in a higher dissolved oxygen environment is due to the non protectiveness of the oxide layer of the turbine steel surface and the increase of corrosion current

  9. Study of the SCC Behavior of 7075 Aluminum Alloy After One-Step Aging at 163 °C

    Science.gov (United States)

    Silva, G.; Rivolta, B.; Gerosa, R.; Derudi, U.

    2013-01-01

    For the past many years, 7075 aluminum alloys have been widely used especially in those applications for which high mechanical performances are required. It is well known that the alloy in the T6 condition is characterized by the highest ultimate and yield strengths, but, at the same time, by poor stress corrosion cracking (SCC) resistance. For this reason, in the aeronautic applications, new heat treatments have been introduced to produce T7X conditions, which are characterized by lower mechanical strength, but very good SCC behavior, when compared with the T6 condition. The aim of this study is to study the tensile properties and the SCC behavior of 7075 thick plates when submitted to a single-step aging by varying the aging times. The tests were carried out according to the standards and the data obtained from the SCC tests were analyzed quantitatively using an image analysis software. The results show that, when compared with the T7X conditions, the single-step aging performed in the laboratory can produce acceptable tensile and SCC properties.

  10. SCC of 2304 Duplex Stainless Steel-Microstructure, Residual Stress and Surface Grinding Effects.

    Science.gov (United States)

    Zhou, Nian; Peng, Ru Lin; Schönning, Mikael; Pettersson, Rachel

    2017-02-23

    The influence of surface grinding and microstructure on chloride induced stress corrosion cracking (SCC) behavior of 2304 duplex stainless steel has been investigated. Grinding operations were performed both parallel and perpendicular to the rolling direction of the material. SCC tests were conducted in boiling magnesium chloride according to ASTM G36; specimens were exposed both without external loading and with varied levels of four-point bend loading. Residual stresses were measured on selected specimens before and after exposure using the X-ray diffraction technique. In addition, in-situ surface stress measurements subjected to four-point bend loading were performed to evaluate the deviation between the actual applied loading and the calculated values according to ASTM G39. Micro-cracks, initiated by grinding induced surface tensile residual stresses, were observed for all the ground specimens but not on the as-delivered surfaces. Loading transverse to the rolling direction of the material increased the susceptibility to chloride induced SCC. Grinding induced tensile residual stresses and micro-notches in the as-ground surface topography were also detrimental.

  11. SCC of 2304 Duplex Stainless Steel—Microstructure, Residual Stress and Surface Grinding Effects

    Directory of Open Access Journals (Sweden)

    Nian Zhou

    2017-02-01

    Full Text Available The influence of surface grinding and microstructure on chloride induced stress corrosion cracking (SCC behavior of 2304 duplex stainless steel has been investigated. Grinding operations were performed both parallel and perpendicular to the rolling direction of the material. SCC tests were conducted in boiling magnesium chloride according to ASTM G36; specimens were exposed both without external loading and with varied levels of four-point bend loading. Residual stresses were measured on selected specimens before and after exposure using the X-ray diffraction technique. In addition, in-situ surface stress measurements subjected to four-point bend loading were performed to evaluate the deviation between the actual applied loading and the calculated values according to ASTM G39. Micro-cracks, initiated by grinding induced surface tensile residual stresses, were observed for all the ground specimens but not on the as-delivered surfaces. Loading transverse to the rolling direction of the material increased the susceptibility to chloride induced SCC. Grinding induced tensile residual stresses and micro-notches in the as-ground surface topography were also detrimental.

  12. SCC of 2304 Duplex Stainless Steel—Microstructure, Residual Stress and Surface Grinding Effects

    Science.gov (United States)

    Zhou, Nian; Peng, Ru Lin; Schönning, Mikael; Pettersson, Rachel

    2017-01-01

    The influence of surface grinding and microstructure on chloride induced stress corrosion cracking (SCC) behavior of 2304 duplex stainless steel has been investigated. Grinding operations were performed both parallel and perpendicular to the rolling direction of the material. SCC tests were conducted in boiling magnesium chloride according to ASTM G36; specimens were exposed both without external loading and with varied levels of four-point bend loading. Residual stresses were measured on selected specimens before and after exposure using the X-ray diffraction technique. In addition, in-situ surface stress measurements subjected to four-point bend loading were performed to evaluate the deviation between the actual applied loading and the calculated values according to ASTM G39. Micro-cracks, initiated by grinding induced surface tensile residual stresses, were observed for all the ground specimens but not on the as-delivered surfaces. Loading transverse to the rolling direction of the material increased the susceptibility to chloride induced SCC. Grinding induced tensile residual stresses and micro-notches in the as-ground surface topography were also detrimental. PMID:28772582

  13. SCC500: next-generation infrared imaging camera core products with highly flexible architecture for unique camera designs

    Science.gov (United States)

    Rumbaugh, Roy N.; Grealish, Kevin; Kacir, Tom; Arsenault, Barry; Murphy, Robert H.; Miller, Scott

    2003-09-01

    A new 4th generation MicroIR architecture is introduced as the latest in the highly successful Standard Camera Core (SCC) series by BAE SYSTEMS to offer an infrared imaging engine with greatly reduced size, weight, power, and cost. The advanced SCC500 architecture provides great flexibility in configuration to include multiple resolutions, an industry standard Real Time Operating System (RTOS) for customer specific software application plug-ins, and a highly modular construction for unique physical and interface options. These microbolometer based camera cores offer outstanding and reliable performance over an extended operating temperature range to meet the demanding requirements of real-world environments. A highly integrated lens and shutter is included in the new SCC500 product enabling easy, drop-in camera designs for quick time-to-market product introductions.

  14. Form Filling with SCC in a Vertical Form

    DEFF Research Database (Denmark)

    Thrane, Lars Nyholm

    2004-01-01

    This paper presents the results obtained from two different vertical form filling experiments with SCC that have been completed as part of the experimental work in an ongoing Ph.D project. The project is carried out at the Danish Technological Institute in collaboration with the Technical...

  15. SCC modification by use of amorphous nano-silica

    NARCIS (Netherlands)

    Quercia Bianchi, G.; Spiesz, P.R.; Hüsken, G.; Brouwers, H.J.H.

    2014-01-01

    In this study two different types of nano-silica (nS) were applied in self-compacting concrete (SCC), both having similar particle size distributions (PSD), but produced through two different processes: fumed powder silica and precipitated silica in colloidal suspension. The influence of nano-silica

  16. Time correlation between mononucleosis and initial symptoms of MS

    Science.gov (United States)

    Endriz, John; Ho, Peggy P.

    2017-01-01

    Objective: To determine the average age of MS onset vs the age at which Epstein-Barr infection has previously occurred and stratify this analysis by sex and the blood level of Epstein-Barr nuclear antigen 1 (EBNA1) antibody. Methods: Using infectious mononucleosis (IM) as a temporal marker in data from the Swedish epidemiologic investigation of MS, 259 adult IM/MS cases were identified and then augmented to account for “missing” childhood data so that the average age of MS onset could be determined for cases binned by age of IM (as stratified by sex and EBNA1 titer level). Results: Mean age of IM vs mean age of MS reveals a positive time correlation for all IM ages (from ∼5 to ∼30 years), with IM-to-MS delay decreasing with increased age. When bifurcated by sex or EBNA1 blood titer levels, males and high-titer subpopulations show even stronger positive time correlation, while females and low-titer populations show negative time correlation in early childhood (long IM/MS delay). The correlation becomes positive in females beyond puberty. Conclusions: IM/MS time correlation implies causality if IM is time random. Alternative confounding models seem implausible, in light of constraints imposed by time-invariant delay observed here. Childhood infection with Epstein-Barr virus (EBV) in females and/or those genetically prone to low EBNA1 blood titers will develop MS slowly. Males and/or high EBNA1-prone develop MS more rapidly following IM infection at all ages. For all, postpubescent EBV infection is critical for the initiation and rapid development of MS. PMID:28271078

  17. [Just-in-time initiation of optimal dialysis].

    Science.gov (United States)

    Cornelis, Tom; Kooman, Jeroen P; van der Sande, Frank M

    2010-01-01

    The IDEAL trial shows that the decision to start renal replacement treatment should not depend on GFR alone, but should be taken on the basis of clinical parameters. Quality of Life (QoL) questionnaires and bio-impedance analysis are potential tools for detecting subtle changes in the predialysis clinic. Too early an initiation of dialysis may be deleterious for the patient and the healthcare system. We are convinced that ESRD patients should be informed about intensive haemodialysis (HD), especially nocturnal (home) HD, as the best available dialysis modality. There is substantial evidence which shows that intensive HD improves clinical, biochemical and biological parameters, and may even prolong survival. We believe that 'just-in-time delivery of intensive haemodialysis' may result in optimised QoL and reduced economic burden.

  18. The Scc2/Scc4 complex acts in sister chromatid cohesion and transcriptional regulation by maintaining nucleosome-free regions

    Science.gov (United States)

    Lopez-Serra, Lidia; Kelly, Gavin; Patel, Harshil; Stewart, Aengus; Uhlmann, Frank

    2014-01-01

    The cohesin complex is at the heart of many chromosomal activities, including sister chromatid cohesion and transcriptional regulation1-3. Cohesin loading onto chromosomes depends on the Scc2/Scc4 cohesin loader complex4-6, but the chromatin features that form cohesin loading sites remain poorly understood. Here, we show that the RSC chromatin remodeling complex recruits budding yeast Scc2/Scc4 to broad nucleosome-free regions, that the cohesin loader itself helps to maintain. Consequently, inactivation of the cohesin loader or RSC complex have similar effects on nucleosome positioning, gene expression and sister chromatid cohesion. These results reveal an intimate link between local chromatin structure and higher order chromosome architecture. Our findings pertain to the similarities between two severe human disorders, Cornelia de Lange syndrome, caused by mutations in the human cohesin loader, and Coffin-Siris syndrome, resulting from mutations in human RSC complex components7-9. Both could arise from gene misregulation due to related changes in the nucleosome landscape. PMID:25173104

  19. ATLAS Level-1 Calorimeter Trigger: Initial Timing and Energy Calibration

    CERN Document Server

    Childers, J T; The ATLAS collaboration

    2010-01-01

    The ATLAS Level-1 Calorimeter Trigger identifies high-pT objects in the Liquid Argon and Tile Calorimeters with a fixed latency of ~2.0 µs using a hardware-based, pipelined system built with custom electronics. The Preprocessor Module conditions and digitizes about 7200 pre-summed analogue signals from the calorimeters at the LHC bunch-crossing frequency of 40 MHz, and performs bunch-crossing identification (BCID) and deposited energy measurement for each input signal. This information is passed to further processors for object classification and total energy calculation, and the results used to make the Level-1 trigger decision for the ATLAS detector. The BCID and energy measurement in the trigger depend on precise timing adjustment to achieve correct sampling of the input signal peak. Test pulses from the calorimeters were analysed to derive the initial timing and energy calibration, and first data from the LHC restart in autumn 2009 and early 2010 were used for validation and further optimization. The res...

  20. Time-dependent importance sampling in semiclassical initial value representation calculations for time correlation functions.

    Science.gov (United States)

    Tao, Guohua; Miller, William H

    2011-07-14

    An efficient time-dependent importance sampling method is developed for the Monte Carlo calculation of time correlation functions via the initial value representation (IVR) of semiclassical (SC) theory. A prefactor-free time-dependent sampling function weights the importance of a trajectory based on the magnitude of its contribution to the time correlation function, and global trial moves are used to facilitate the efficient sampling the phase space of initial conditions. The method can be generally applied to sampling rare events efficiently while avoiding being trapped in a local region of the phase space. Results presented in the paper for two system-bath models demonstrate the efficiency of this new importance sampling method for full SC-IVR calculations.

  1. Initial results from the NSTX Real-Time Velocity diagnostic

    Science.gov (United States)

    Podesta, M.; Bell, R. E.

    2011-10-01

    A new diagnostic for fast measurements of plasma rotation through active charge-exchange recombination spectroscopy (CHERS) was installed on NSTX. The diagnostic infers toroidal rotation from carbon ions undergoing charge-exchange with neutrals from a heating Neutral Beam (NB). Each of the 4 channels, distributed along the outer major radius, includes active views intercepting the NB and background views missing the beam. Estimated uncertainties in the measured velocity are system. Signals are acquired on 2 CCD detectors, each controlled by a dedicated PC. Spectra are fitted in real-time through a C++ processing code and velocities are made available to the Plasma Control System for future implementation of feedback on velocity. Results from the initial operation during the 2011 run are discussed, emphasizing the fast dynamics of toroidal rotation, e . g . during L-H mode transition and breaking caused by instabilities and by externally-imposed magnetic perturbations. Work supported by USDOE Contract No. DE-AC02-09CH11466.

  2. Barriers to timely initiation of breastfeeding among mothers of ...

    African Journals Online (AJOL)

    Routine labour ward and delivery table, specific assignment to the staff in the delivery/ labour rooms help newly delivered mothers initiate breastfeeding early, and empowering the to request for babies are recommended. Keywords: breastfeeding, initiation, barriers. Nigerian Journal of Clinical Practice Vol. 9(1) 2006: 57-64 ...

  3. Evaluation of SCC test methods for Inconel 600 in low temperature aqueous solutions

    International Nuclear Information System (INIS)

    Newman, R.C.; Roberge, R.; Bandy, R.

    1982-04-01

    In late 1981, widespread leakage was encountered in Alloy 600 steam-generator tubing at the Three Mile Island Unit 1 nuclear power plant. The phenomenon was identified as low-temperature intergranular stress-corrosion cracking (SCC) initiated from the inner surfaces of the tubes exposed to the primary coolant. A testing program was initiated to examine the material and environmental factors relevant to these failures, which were found to be associated with sensitization of the material and contamination of the coolant by air and sodium thiosulfate. The test solutions contained 1.3% boric acid with various additions of sulfur compounds and lithium hydroxide. Constant extension rate testing was used as the primary tool to examine environmental effects such as the inhibition of cracking by lithium hydroxide. Important effects of crack-initiation frequency on the specimen potential (and therefore crack velocity) are demonstrated

  4. Pre-radiotherapy and post-radiotherapy serial serum Squamous Cell Carcinoma antigen (SCC) and CarcinoEmbryonic Antigen (CEA) in the monitoring of squamous cell carcinoma of uterine cervix

    International Nuclear Information System (INIS)

    Yun, Hyong Geun; Park, Choong Hak

    1999-01-01

    To evaluate the significance of squamous cell carcinoma antigen (SCC) and carcinoembryonic antigen (CEA) as tumor markers in uterine cervix carcinoma. In 22 patients with histologically proven primary squamous cell carcinoma of uterine cervix, tumor volume was checked either by using MRI (in 20 patients) or ultrasound (in 2 patients). Pre-treatment serum SCC levels were checked in 22 patients and CEA levels in 21 patients. After curative radiotherapy, post-treatment SCC and CEA were checked regularly. SCC was raised in 68.2% and CEA was raised in 19.0% before treatment. The coefficient of correlation between tumor volume and pre-reatment SCC was 0.59382 when one extremely deviated case was excluded. And there was no correlation between tumor volume and CEA. After the treatment, SCC was raised in 9.1% and CEA was raised in 4.8%. In further follow up measurement, raise of SCC was associated with clinical relapse or persistence of disease. The specificity of raised SCC level in association with recurrent or persistent disease was 93.8%. The sensitivity in association with recurrent or persistent disease was 100%. The positive predictive values was 85.7%. The median lead time for recurrence was 1.2 months. Both SCC and CEA were good tumor markers for monitoring treatment effect in patients with raised pre-treatment levels. But the sensitivity of pretreatment CEA was low, while that of pretreatment SCC was high. And there was no additional gain by adding CEA measurements to SCC measurements

  5. Pre-radiotherapy and post-radiotherapy serial serum Squamous Cell Carcinoma antigen (SCC) and CarcinoEmbryonic Antigen (CEA) in the monitoring of squamous cell carcinoma of uterine cervix

    Energy Technology Data Exchange (ETDEWEB)

    Yun, Hyong Geun; Park, Choong Hak [College of Medicine, Dankook Univ., Chunan (Korea, Republic of)

    1999-03-01

    To evaluate the significance of squamous cell carcinoma antigen (SCC) and carcinoembryonic antigen (CEA) as tumor markers in uterine cervix carcinoma. In 22 patients with histologically proven primary squamous cell carcinoma of uterine cervix, tumor volume was checked either by using MRI (in 20 patients) or ultrasound (in 2 patients). Pre-treatment serum SCC levels were checked in 22 patients and CEA levels in 21 patients. After curative radiotherapy, post-treatment SCC and CEA were checked regularly. SCC was raised in 68.2% and CEA was raised in 19.0% before treatment. The coefficient of correlation between tumor volume and pre-reatment SCC was 0.59382 when one extremely deviated case was excluded. And there was no correlation between tumor volume and CEA. After the treatment, SCC was raised in 9.1% and CEA was raised in 4.8%. In further follow up measurement, raise of SCC was associated with clinical relapse or persistence of disease. The specificity of raised SCC level in association with recurrent or persistent disease was 93.8%. The sensitivity in association with recurrent or persistent disease was 100%. The positive predictive values was 85.7%. The median lead time for recurrence was 1.2 months. Both SCC and CEA were good tumor markers for monitoring treatment effect in patients with raised pre-treatment levels. But the sensitivity of pretreatment CEA was low, while that of pretreatment SCC was high. And there was no additional gain by adding CEA measurements to SCC measurements.

  6. The effect of molybdenum addition on SCC susceptibility of stainless steels in oxygenated high temperature water

    International Nuclear Information System (INIS)

    Akashi, Masatsune; Kawamoto, Teruaki

    1978-01-01

    The effect of molybdenum addition on the SCC susceptibility of sensitized stainless steel in oxygenated high temperature water has been studied through the creviced bent beam SCC test (CBB test) and A262E intergranular corrosion test. The molybdenum addition improved the SCC susceptibility of sensitized stainless steels in oxygenated high temperature water not only by delaying the sensitization at lower temperatures but also by increasing the material resistance to the SCC under a given degree of sensitization. These laboratory test results reveal that the molybdenum addition is quite beneficial for improving the SCC susceptibility of stainless steel pipe weld joints in boiling water reactor environment. (auth.)

  7. Time Interval to Initiation of Contraceptive Methods Following ...

    African Journals Online (AJOL)

    2018-01-30

    Jan 30, 2018 ... interval between a woman's last childbirth and the initiation of contraception. Materials and ..... DF=Degree of freedom; χ2=Chi‑square test ..... practice of modern contraception among single women in a rural and urban ...

  8. Open Source Initiative Powers Real-Time Data Streams

    Science.gov (United States)

    2014-01-01

    Under an SBIR contract with Dryden Flight Research Center, Creare Inc. developed a data collection tool called the Ring Buffered Network Bus. The technology has now been released under an open source license and is hosted by the Open Source DataTurbine Initiative. DataTurbine allows anyone to stream live data from sensors, labs, cameras, ocean buoys, cell phones, and more.

  9. Time Interval to Initiation of Contraceptive Methods Following ...

    African Journals Online (AJOL)

    Objectives: The objectives of the study were to determine factors affecting the interval between a woman's last childbirth and the initiation of contraception. Materials and Methods: This was a retrospective study. Family planning clinic records of the Barau Dikko Teaching Hospital Kaduna from January 2000 to March 2014 ...

  10. Initial time singularities and admissible initial states for a system of coupled scalar fields

    Energy Technology Data Exchange (ETDEWEB)

    Baacke, Juergen [Technische Univ. Dortmund (Germany). Fakultaet Physik; Kevlishvili, Nina [Deutsches Elektronen-Synchrotron (DESY), Hamburg (Germany); GAS, Tbilisi (Georgia). Andronikashvili Inst. of Physics

    2009-10-15

    We discuss the problem of initial states for a system of coupled scalar fields out of equilibrium in the one-loop approximation. The fields consist of classical background fields, taken constant in space, and quantum fluctuations. If the initial state is the adiabatic vacuum, i.e., the ground state of a Fock space of particle excitations that diagonalize the mass matrix, the energy-momentum tensor is infinite at t=0, its most singular part behaves as 1/t. When the system is coupled to gravity this presents a problem that we solve by a Bogoliubov transformation of the naive initial state. As a side result we also discuss the canonical formalism and the adiabatic particle number for such a system. Most of the formalism is presented for Minkowksi space. Embedding the system and its dynamics into a flat FRW universe is straightforward and we briefly address the essential modifications. (orig.)

  11. Initial time singularities and admissible initial states for a system of coupled scalar fields

    International Nuclear Information System (INIS)

    Baacke, Juergen; Kevlishvili, Nina; GAS, Tbilisi

    2009-10-01

    We discuss the problem of initial states for a system of coupled scalar fields out of equilibrium in the one-loop approximation. The fields consist of classical background fields, taken constant in space, and quantum fluctuations. If the initial state is the adiabatic vacuum, i.e., the ground state of a Fock space of particle excitations that diagonalize the mass matrix, the energy-momentum tensor is infinite at t=0, its most singular part behaves as 1/t. When the system is coupled to gravity this presents a problem that we solve by a Bogoliubov transformation of the naive initial state. As a side result we also discuss the canonical formalism and the adiabatic particle number for such a system. Most of the formalism is presented for Minkowksi space. Embedding the system and its dynamics into a flat FRW universe is straightforward and we briefly address the essential modifications. (orig.)

  12. Calibration Device Designed for proof ring used in SCC Experiment

    Science.gov (United States)

    Hu, X. Y.; Kang, Z. Y.; Yu, Y. L.

    2017-11-01

    In this paper, a calibration device for proof ring used in SCC (Stress Corrosion Cracking) experiment was designed. A compact size loading device was developed to replace traditional force standard machine or a long screw nut. The deformation of the proof ring was measured by a CCD (Charge-Coupled Device) during the calibration instead of digital caliper or a dial gauge. The calibration device was verified at laboratory that the precision of force loading is ±0.1% and the precision of deformation measurement is ±0.002mm.

  13. Modeling the initiation of Primary Water Stress Corrosion Cracking in nickel base alloys 182 and 82 of Pressurized Water Reactors

    International Nuclear Information System (INIS)

    Wehbi, Mickael

    2014-01-01

    Nickel base welds are widely used to assemble components of the primary circuit of Pressurized Water Reactors (PWR) plants. International experience shows an increasing number of Stress Corrosion Cracks (SCC) in nickel base welds 182 and 82 which motivates the development of models predicting the time to SCC initiation for these materials. SCC involves several parameters such as materials, mechanics or environment interacting together. The goal of this study is to have a better understanding of the physical mechanisms occurring at grains boundaries involved in SCC. In-situ tensile test carried out on oxidized alloy 182 evidenced dispersion in the susceptibility to corrosion of grain boundaries. Moreover, the correlation between oxidation and cracking coupled with micro-mechanical simulations on synthetic polycrystalline aggregate, allowed to propose a cracking criterion of oxidized grain boundaries which is defined by both critical oxidation depth and local stress level. Due to the key role of intergranular oxidation in SCC and since significant dispersion is observed between grain boundaries, oxidation tests were performed on alloys 182 and 82 in order to model the intergranular oxidation kinetics as a function of chromium carbides precipitation, temperature and dissolved hydrogen content. The model allows statistical analyses and is embedded in a local initiation model. In this model, SCC initiation is defined by the cracking of the intergranular oxide and is followed by slow and fast crack growth until the crack depth reaches a given value. Simplifying assumptions were necessary to identify laws used in the SCC model. However, these laws will be useful to determine experimental conditions of future investigations carried out to improve the calibration used parameters. (author)

  14. Correlated initial condition for an embedded process by time partitioning

    Czech Academy of Sciences Publication Activity Database

    Velický, Bedřich; Kalvová, Anděla; Špička, Václav

    2010-01-01

    Roč. 81, č. 23 (2010), 235116/1-235116/12 ISSN 1098-0121 R&D Projects: GA ČR GA202/08/0361 Institutional research plan: CEZ:AV0Z10100520; CEZ:AV0Z10100521 Keywords : non-equilibrium * Initial conditions * decay of correlations * Green's functions * quantum transport equations Subject RIV: BM - Solid Matter Physics ; Magnetism Impact factor: 3.772, year: 2010

  15. Initial Report of the Fast Timing Working Group

    CERN Document Server

    CMS Collaboration

    2016-01-01

    A preliminary set of results highlighting the unique capabilities of fast-timing for resolving information from individual collisions at the High-Luminosity LHC (HL- LHC) is presented. These results explore the possibilities made available by using fast timing to enhance the reconstruction and physics capabilities of the CMS detector in terms of pileup mitigation and searches for new physics. Fast timing applications in calorimetry, for electromagnetic showers, and for MIPs, to time-tag tracks, are demonstrated as are first examples of what is possible with their combination.

  16. Self-compacting concretes (SCC: comparison of methods of dosage

    Directory of Open Access Journals (Sweden)

    B. F. Tutikian

    Full Text Available The composition of a self-compacting concrete (SCC should be defined to fulfills a number of requirements, such as self-compactibility, strength and durability. This study aims to compare three methods of dosage for SCC with local materials, so as to determine which one is the most economical and rational, thus assisting the executor in making a decision and enabling economic and technical feasibility for its application. The methods used in the experimental program were: Nan Su et al., which was developed in 2001 [1]; Repette-Melo, which was proposed in 2005 [2]; and Tutikian & Dal Molin, which was developed in 2007 [3]. From the results obtained in the experimental program, it was observed that the method which presented the lowest cost and highest compressive strength at the ages of 7, 28 and 91 days was Tutikian & Dal Molin, while the one which reached the lowest chloride ion penetration, best compactness and highest elasticity modulus was Repette-Melo. In tests carried out in the fresh state, all tested methods yielded mixtures which comply with the self-compactibility levels required by ABNT NBR 15823:2010 [4].

  17. Effect of sulfur on the SCC and corrosion fatigue performance of stainless steel

    International Nuclear Information System (INIS)

    West, E.; Nolan, T.; Lucente, A.; Morton, D.; Lewis, N.; Morris, R.; Mullen, J.; Newsome, G.

    2015-01-01

    Stress corrosion cracking and corrosion fatigue experiments were conducted on model heats of 304/304L stainless steel with systematically controlled sulfur content to isolate the influence of sulfur on crack growth behavior. The results of the SCC experiments conducted in 338 C. degrees deaerated water on 20% cold worked model heats with 0.006 and 0.012 wt% sulfur showed an order of magnitude or more reduction in the crack growth rate relative to a model heat with <0.001 wt% sulfur. Corrosion fatigue crack growth rates revealed a reduction in the crack growth rates of the elevated sulfur heats relative to model predicted steady state crack growth rates with increasing rise time for nominal loading conditions of a stress ratio of 0.7 and a stress intensity factor range of 6.6 MPa√m. At the longest rise time of 5.330 sec, the corrosion fatigue crack growth rate of the 0.006 wt% sulfur model heat was only 13% of model predictions and the crack growth of the 0.012 wt% sulfur heat completely stalled. Experiments conducted in anion faulted aerated water on stainless steel heats with moderate to high sulfur and variable carbon and boron contents showed that any detrimental effect of sulfur in this environment was secondary to the effect of sensitization in promoting SCC growth. (authors)

  18. Influence of deformation on SCC susceptibility of austenitic stainless steel in PWR primary water

    Energy Technology Data Exchange (ETDEWEB)

    Kaneshima, Yoshiari; Totsuka, Nobuo; Nakajima, Nobuo [Institute of Nuclear Safety System Inc., Mihama, Fukui (Japan)

    2001-09-01

    Slow strain rate tests (SSRT) were carried out to evaluate the SCC susceptibility of four types of austenitic stainless steels (SUS304, SUS316, SUS304L and SUS316L) in PWR primary water. The influence of deformation on SCC susceptibility of SUS316 was studied. All types of stainless steel were susceptible to SCC, and the SCC susceptibility varied depending on the steel type. The comparison of the SSRT results and tensile test in air based on the reduction of area measurement showed that the SCC susceptibility increased with increasing the degree of deformation. For explaining the influence of deformation on SCC susceptibility, it is necessary to evaluate both intergranular and transgranular fractures. (author)

  19. Effects of microstructure and mechanical properties of alloys 600 an 690 on secondary side SCC

    International Nuclear Information System (INIS)

    Vaillant, F.; Buisine, D.; Prieux, B.; Fournel, J.C.; Gelpi, A.

    1996-03-01

    Modeling for secondary side cracking is needed to understand the behaviour of alloy 600 in plants. They require a comprehensive understanding of the various influences of the material properties on Stress Corrosion Cracking (SCC), based on field experience and laboratory data. In an attempt to predict the materials effects on SCC behaviour of new steam generators, laboratory corrosion data of alloy 690 were overviewed. French field experience with steam generators equipped with drilled tube support plates (TSPs) has demonstrated that the lower the yield stress (YS) and the carbon content, the higher the susceptibility t secondary side cracking of mill-annealed (MA) alloy 600. Also heat treated (700 deg. C x 16 h) tubing has been shown to have a much better resistance, but this excellent resistance could not be attributed only to the material properties. In laboratory environments, particularly in caustics, results have confirmed several of the above mentioned key findings on alloy 600: in caustic environments and under constant loading, tubes fabricated from MA alloy 600 with low YS have exhibited the worst resistance to initiation; YS was found to be the most accurate parameter to account for the behaviour of MA alloy 600. A heat treatment at 700 deg. C appeared to reduce the propagation rates of cracks in alloy 600. The best IGSCC resistance of alloy 690 was obtained for tubes with intergranular precipitation of carbides. TT (700 deg. C) significantly improved the propagation resistance of alloy 690; in acidic and neutral sulfate environments, IGSCC of alloy 600 was not strongly dependent on the microstructure in the MA condition, but sensitization was detrimental. When alloy 600 and particularly alloy 690 were thermally treated at 700 deg. C x 16 h, the resistance to IGSCC was significantly improved. Tests performed on alloy 690 have shown a better resistance to IGSCC initiation and propagation than alloy 600, in NaOH and acidic sulfate environments. (authors

  20. SCC of Alloy 600 in PWR steam generator tubes

    International Nuclear Information System (INIS)

    Pascali, R.; Buzzanca, G.; Quaglia, G.M.; Ronchetti, C.

    1986-01-01

    The studies reported in this paper concern the evaluation of Alloy 600 and 690 behaviour in chemical agressive conditions simulating the concentration film on heat exchanging tube. The corrosion tests have been performed to evidence the influence of metallurgical conditions and different heats. Various devices for reproducing dead areas and steam blanketing have been designed and tested, such as, umbrellas, rings, thin deposits, etc. A system to reproduce the S.G. areas with thick deposits has been designed successively and set up in a previous series of tests, in boiling water at 56 kg/cm/sup 2/, 270 0 C and heat flux 45 W/cm/sup 2/. Caustic SCC tests have been carried out in adiabatic conditions also using small autoclaves

  1. Crystal Structure of the Cohesin Gatekeeper Pds5 and in Complex with Kleisin Scc1

    Directory of Open Access Journals (Sweden)

    Byung-Gil Lee

    2016-03-01

    Full Text Available Sister chromatid cohesion is mediated by cohesin, whose Smc1, Smc3, and kleisin (Scc1 subunits form a ring structure that entraps sister DNAs. The ring is opened either by separase, which cleaves Scc1 during anaphase, or by a releasing activity involving Wapl, Scc3, and Pds5, which bind to Scc1 and open its interface with Smc3. We present crystal structures of Pds5 from the yeast L. thermotolerans in the presence and absence of the conserved Scc1 region that interacts with Pds5. Scc1 binds along the spine of the Pds5 HEAT repeat fold and is wedged between the spine and C-terminal hook of Pds5. We have isolated mutants that confirm the observed binding mode of Scc1 and verified their effect on cohesin by immunoprecipitation and calibrated ChIP-seq. The Pds5 structure also reveals architectural similarities to Scc3, the other large HEAT repeat protein of cohesin and, most likely, Scc2.

  2. Initial polishing time affects gloss retention in resin composites.

    Science.gov (United States)

    Waheeb, Nehal; Silikas, Nick; Watts, David

    2012-10-01

    To determine the effect of finishing and polishing time on the surface gloss of various resin-composites before and after simulated toothbrushing. Eight representative resin-composites (Ceram X mono, Ceram X duo, Tetric EvoCeram, Venus Diamond, EsteliteSigma Quick, Esthet.X HD, Filtek Supreme XT and Spectrum TPH) were used to prepare 80 disc-shaped (12 mm x 2 mm) specimens. The two step system Venus Supra was used for polishing the specimens for 3 minutes (Group A) and 10 minutes (Group B). All specimens were subjected to 16,000 cycles of simulated toothbrushing. The surface gloss was measured after polishing and after brushing using the gloss meter. Results were evaluated using one way ANOVA, two ways ANOVA and Dennett's post hoc test (P = 0.05). Group B (10-minute polishing) resulted in higher gloss values (GV) for all specimens compared to Group A (3 minutes). Also Group B showed better gloss retention compared to Group A after simulated toothbrushing. In each group, there was a significant difference between the polished composite resins (P gloss after the simulated toothbrushing.

  3. On the initial condition problem of the time domain PMCHWT surface integral equation

    KAUST Repository

    Uysal, Ismail Enes; Bagci, Hakan; Ergin, A. Arif; Ulku, H. Arda

    2017-01-01

    Non-physical, linearly increasing and constant current components are induced in marching on-in-time solution of time domain surface integral equations when initial conditions on time derivatives of (unknown) equivalent currents are not enforced

  4. SCC growth behavior of stainless steel weld heat-affected zone in hydrogenated high temperature water

    International Nuclear Information System (INIS)

    Yamada, Takuyo; Terachi, Takumi; Miyamoto, Tomoki; Arioka, Koji

    2010-01-01

    It is known that the SCC growth rate of stainless steels in high-temperature water is accelerated by cold-work (CW). The weld heat-affected-zone (HAZ) of stainless steels is also deformed by weld shrinkage. However, only little have been reported on the SCC growth of weld HAZ of SUS316 and SUS304 in hydrogenated high-temperature water. Thus, in this present study, SCC growth experiments were performed using weld HAZ of stainless steels, especially to obtain data on the dependence of SCC growth on (1) temperature and (2) hardness in hydrogenated water at temperatures from 250degC to 340degC. And then, the SCC growth behaviors were compared between weld HAZ and CW stainless steels. The following results have been obtained. Significant SCC growth were observed in weld HAZ (SUS316 and SUS304) in hydrogenated water at 320degC. The SCC growth rates of the HAZ are similar to that of 10% CW non-sensitized SUS316, in accordance with that the hardness of weld HAZ is also similar to that of 10% CW SUS316. Temperature dependency of SCC growth of weld HAZ (SUS316 and SUS304) is also similar to that of 10% CW non-sensitized SUS316. That is, no significant SCC were observed in the weld HAZ (SUS316 and SUS304) in hydrogenated water at 340degC. This suggests that SCC growth behaviors of weld HAZ and CW stainless steels are similar and correlated with the hardness or yield strength of the materials, at least in non-sensitized regions. And the similar temperature dependence between the HAZ and CW stainless steels suggests that the SCC growth behaviors are also attributed to the common mechanism. (author)

  5. Prediction of the impact of flow induced inhomogeneities in Self Compacting Concrete (SCC)

    DEFF Research Database (Denmark)

    Spangenberg, Jon; Roussel, N.; Hattel, Jesper Henri

    2010-01-01

    SCC is nowadays a worldwide used construction material. However, heterogeneities induced by casting may lead to variations of local properties and hence to a potential decrease of the structure’s load carrying capacity. The heterogeneities in SCC are primarily caused by static and dynamic segrega...

  6. Fractional Differential Equations in Terms of Comparison Results and Lyapunov Stability with Initial Time Difference

    Directory of Open Access Journals (Sweden)

    Coşkun Yakar

    2010-01-01

    Full Text Available The qualitative behavior of a perturbed fractional-order differential equation with Caputo's derivative that differs in initial position and initial time with respect to the unperturbed fractional-order differential equation with Caputo's derivative has been investigated. We compare the classical notion of stability to the notion of initial time difference stability for fractional-order differential equations in Caputo's sense. We present a comparison result which again gives the null solution a central role in the comparison fractional-order differential equation when establishing initial time difference stability of the perturbed fractional-order differential equation with respect to the unperturbed fractional-order differential equation.

  7. The behavior of self-compacting concrete (SCC) with bagasse ash

    Science.gov (United States)

    Hanafiah, Saloma, Whardani, Putri Nurul Kusuma

    2017-11-01

    Self-Compacting Concrete (SCC) has the ability to flow and self-compacting. One of the benefit of SCC can reduced the construction time and labor cost. The materials to be used for see slightly different with the conventional concrete. Less coarse aggregate to be used up to 50%. The maximum size of coarse aggregate was also limited e.g. 10 mm. Other material was quartz sand with grain size of 50-650 µm. For reducing the around of cement, bagasse ash was used as partial replacement of cement. In this research, the variations of w/c to be used, e.g. 0.275, 0.300, 0.325 and the percentage of bagasse ash substitution were 10%, 15%, and 20%. EFNARC standard was conducted for slump flow test following the V-funnel test and L-box shape test. The maximum value of slump flow test was 75.75 cm, V-funnel test was 4.95 second, and L-box test was 1.000 yielded by mixture with w/c = 0.325 and 0% of bagasse ash. The minimum value of slump flow test was 61.50 cm, V-funnel test is 21.05 second, and L-box test was 0.743 yielded by mixture with w/c = 0.275 and 20% of bagasse ash. The maximum value of compressive strength was 67.239 MPa yielded by mixture with w/c = 0.275 and 15% of bagasse ash. And the minimum value of compressive strength was 41.813 MPa yielded by mixture with w/c = 0.325 and 20% bagasse ash.

  8. SCC tests of AISI 304 and 316L type stainless steels in SCW conditions

    International Nuclear Information System (INIS)

    Novotny, R.; Prchal, D.; Debarberis, L.; Haehner, P.; Degmova, J.

    2008-01-01

    Full text of publication follows. Super Critical Water Reactors (SCWR) have been pre-selected as a one of the candidate concepts for the new generation of nuclear reactors in frame of Generation IV. Beside the design concept choice of construction materials is the most important question. Despite extensive research due to using various materials either in the conventional supercritical coal power plants or SCWO systems there is still missing knowledge about the properties of the materials in operational conditions of SCWR. That includes influence of irradiation and environment composition on chemistry of water especially process of radiolysis, mechanical properties of the materials and oxide films properties. The process of choice and testing of possible construction and fuel cladding materials are still under R and D (e.g. EU HPLWR project). Two types of tests were undertaken in SCW environment conditions (t = 600 deg C, p = 250 bar): U-bend specimens for constant displacement SCC tests and tensile specimens for SSRT tests. SSRT tests were carried out in SCW environment with different concentration of dissolved O 2 : 1, 10, 100, 20 ppb (±5 ppb) and with different displacement rates: 0.1, 1, 10 μm/min. In SCC test with LI-bend specimens different time expositions were carried out in two concentrations of dissolved O 2 : 0 and 200 ppb. Water chemistry was continually monitored by means of pH, conductivity and dissolved O 2 sensors. After the test the specimens were analysed by optical microscopy, SEM and XRD. (authors)

  9. Inkjet Printed Fully-Passive Body-Worn Wireless Sensors for Smart and Connected Community (SCC

    Directory of Open Access Journals (Sweden)

    Bashir I. Morshed

    2017-11-01

    Full Text Available Future Smart and Connected Communities (SCC will utilize distributed sensors and embedded computing to seamlessly generate meaningful data that can assist individuals, communities, and society with interlocking physical, social, behavioral, economic, and infrastructural interaction. SCC will require newer technologies for seamless and unobtrusive sensing and computation in natural settings. This work presents a new technology for health monitoring with low-cost body-worn disposable fully passive electronic sensors, along with a scanner, smartphone app, and web-server for a complete smart sensor system framework. The novel wireless resistive analog passive (WRAP sensors are printed using an inkjet printing (IJP technique on paper with silver inks (Novacentrix Ag B40, sheet resistance of 21 mΩ/sq and incorporate a few discrete surface mounted electronic components (overall thickness of <1 mm. These zero-power flexible sensors are powered through a wireless inductive link from a low-power scanner (500 mW during scanning burst of 100 ms by amplitude modulation at the carrier signal of 13.56 MHz. While development of various WRAP sensors is ongoing, this paper describes development of a WRAP temperature sensor in detail as an illustration. The prototypes were functionally verified at various temperatures with energy consumption of as low as 50 mJ per scan. The data is analyzed with a smartphone app that computes severity (Events-of-Interest, or EoI using a real-time algorithm. The severity can then be anonymously shared with a custom web-server, and visualized either in temporal or spatial domains. This research aims to reduce ER visits of patients by enabling self-monitoring, thereby improving community health for SSC.

  10. Serviceability and Prestress Loss Behavior of SCC Prestressed Concrete Girders Subjected to Increased Compressive Stresses at Release

    Science.gov (United States)

    2009-08-01

    There are limited measurements documented in the literature related to long-term prestress losses in self-consolidated concrete (SCC) members. Recorded test data has shown variations in mechanical property behavior of SCC compared to conventional HSC...

  11. NDE to Manage Atmospheric SCC in Canisters for Dry Storage of Spent Fuel: An Assessment

    Energy Technology Data Exchange (ETDEWEB)

    Meyer, Ryan M. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Pardini, Allan F. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Cuta, Judith M. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Adkins, Harold E. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Casella, Andrew M. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Qiao, Hong [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Larche, Michael R. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Diaz, Aaron A. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Doctor, Steven R. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States)

    2013-09-01

    This report documents efforts to assess representative horizontal (Transuclear NUHOMS®) and vertical (Holtec HI-STORM) storage systems for the implementation of non-destructive examination (NDE) methods or techniques to manage atmospheric stress corrosion cracking (SCC) in canisters for dry storage of used nuclear fuel. The assessment is conducted by assessing accessibility and deployment, environmental compatibility, and applicability of NDE methods. A recommendation of this assessment is to focus on bulk ultrasonic and eddy current techniques for direct canister monitoring of atmospheric SCC. This assessment also highlights canister regions that may be most vulnerable to atmospheric SCC to guide the use of bulk ultrasonic and eddy current examinations. An assessment of accessibility also identifies canister regions that are easiest and more difficult to access through the ventilation paths of the concrete shielding modules. A conceivable sampling strategy for canister inspections is to sample only the easiest to access portions of vulnerable regions. There are aspects to performing an NDE inspection of dry canister storage system (DCSS) canisters for atmospheric SCC that have not been addressed in previous performance studies. These aspects provide the basis for recommendations of future efforts to determine the capability and performance of eddy current and bulk ultrasonic examinations for atmospheric SCC in DCSS canisters. Finally, other important areas of investigation are identified including the development of instrumented surveillance specimens to identify when conditions are conducive for atmospheric SCC, characterization of atmospheric SCC morphology, and an assessment of air flow patterns over canister surfaces and their influence on chloride deposition.

  12. The manufacturing of Stress Corrosion Crack (SCC) on Inconel 600 tube

    International Nuclear Information System (INIS)

    Bae, Seunggi; Bak, Jaewoong; Kim, Seongcheol; Lee, Sangyul; Lee, Boyoung

    2014-01-01

    The Stress Corrosion Crack (SCC), taken a center stage in recently accidents about nuclear power plants, is one of the environmentally induced cracking occurred when a metallic structure under tensile stress is exposed to corrosive environment. In this study, the SCC was manufactured in the simulated corrosive environmental conditions on Inconel 600 tube that widely applied in the nuclear power plants. The tensile stress which is one of the main factors to induce SCC was given by GTAW welding in the inner surface of the specimen. The corrosive environment was simulated by using the sodium hydroxide (NaOH) and sodium sulfide (Na 2 S). In this study, SCC was manufactured in the simulated corrosive environmental conditions with Inconel 600 tube that widely applied in the nuclear power plants. 1) The SCC was manufactured on Inconel 600 tube in simulated operational environments of nuclear power plants. In the experiment, the welding heat input which is enough to induce the cracking generated the SCC near the welding bead. So, in order to prevent the SCC, the residual stress on structure should be relaxed. 2) The branch-type cracking was detected

  13. Stochastic model of texture dependence of iodine SCC susceptibility of a zircaloy-2 alloy

    International Nuclear Information System (INIS)

    Hirao, Keiichi; Yamane, Toshimi; Nakajima, Shinichi; Node, Shunsaku; Fujisawa, Takashi; Minamino, Yoritoshi

    1991-01-01

    Effects of textures on statistical parameters of tensile elongations in stress corrosion cracking (SCC) of zircaloy-2 using a slow strain rate test (SSRT) method have been investigated by Weibull distribution method based on stochastic process theory. The SCC is analyzed by assuming a probabilistic state transition model. Tensile directions of test pieces were prepared parallel, 45deg and perpendicular to rolling direction of the sheet. The test pieces in evacuated silica tubes were annealed at 1073K for 7.2x10 3 s, and then quenched into ice water. The annealed pieces with tilt angle α between tensile direction and a basal plane {0001} were 0, 18 and 25deg respectively. The tensile elongations of zircaloy-2 in SCC using the SSRT method are found to obey the single Weibull distribution with location parameters, and the SCC phenomena can be described by the Weibull distribution based on the stochastic process. The values of scale parameter η decrease with the tilt angle α, and the SCC susceptibility can be indicated by the values of scale parameter η. The texture dependence of the values of shape parameters m shows the changes of corrosion process in iodine solution and deformation system in air which are observed in the SSRT. The mechanism of decrement in the SCC susceptibility changes with the tilt angle α. The SCC under SSRT method is found to obey the model of probabilistic state transition. The constant load SCC process which obey the model of probabilistic state transition, is found to be effective for estimation of accelerated SCC condition. (author)

  14. Effect of overload on SCC growth in stainless steels in high temperature water

    International Nuclear Information System (INIS)

    Xue, He; Peng, Qunjia; Shoji, Tetsuo

    2009-01-01

    By incorporating the film slip-dissolution/oxidation model and the elastic-plastic finite element method (EPFEM), the effect of the overload on stress corrosion cracking (SCC) growth rate of stainless steel in high temperature water is discussed in this paper. Results show that SCC growth rate of a 20% cold worked 316L stainless steel in high temperature water decrease in the overload affected zone ahead of the growing crack tip. Therefore, a reasonable overload could availably reduce the SCC growth rate during a certain in-service period. (author)

  15. Multi-scale analysis of deformation behavior at SCC crack tip (3) (Contract research)

    International Nuclear Information System (INIS)

    Kaji, Yoshiyuki; Miwa, Yukio; Tsukada, Takashi; Hayakawa, Masao; Nagashima, Nobuo

    2008-08-01

    In recent years, incidents of the stress corrosion cracking (SCC) were frequently reported that occurred to the various components of domestic boiling water reactors (BWR), and the cause investigation and measure become the present important issue. By the Japan nuclear energy safety organization (JNES), a research project on the intergranular SCC (IGSCC) in nuclear grade stainless steels (henceforth, IGSCC project) is under enforcement from a point of view to secure safety and reliability of BWR, and SCC growth data of low carbon stainless steels are being accumulated for the weld part or the work-hardened region adjacent to the weld metal. In the project, it has been an important subject to guarantee the validity of accumulated SCC data. At a crack tip of SCC in compact tension (CT) type specimen used for the SCC propagation test, a macroscopic plastic region is formed where heterogeneity of microstructure developed by microscopic sliding and dislocations is observed. However, there is little quantitative information on the plastic region, and therefore, to assess the data of macroscopic SCC growth rate and the validity of propagation test method, it is essentially required to investigate the plastic region at the crack tip in detail from a microscopic viewpoint. This report describes a result of the research conducted by the Japan Atomic Energy Agency and the National Institute for Materials Science under contract with JNES that was concerned with a multi-scale analysis of plastic deformation behavior at the crack tip of SCC. The research was carried out to evaluate the validity of the SCC growth data acquired in the IGSCC project based on a mechanistic understanding of SCC. For the purpose, in this research, analyses of the plastic deformation behavior and microstructure around the crack tip were performed in a nano-order scale. The hardness measured in nano, meso and macro scales was employed as a common index of the strength, and the essential data necessary

  16. Vaginal and Oral Sex Initiation Timing: A Focus on Gender and Race/Ethnicity.

    Science.gov (United States)

    Holway, Giuseppina Valle

    2015-07-01

    Most previous studies on sexual initiation timing have examined its effects on a variety of subsequent outcomes without first examining the correlates and predictors of these timing categories. Studies that do exist often do not utilize samples through young adulthood, leading to a misclassified set of sexual timing categories. In addition, the literature does not adequately address the issues of oral sex timing. Therefore, the objectives of this study were 1) to explore age-cutoffs that mark the "normative" and "non-normative" entry into vaginal and oral sex among young women and men in the U.S., creating sexual four sexual initiation timing categories - "early," "normative," "late," and "inexperienced," and; 2) to examine the association between race/ethnicity and sexual initiation timing by gender. The National Longitudinal Study of Adolescent to Adult Health (Add Health) was used in both descriptive and multivariate contexts to determine the net association of gender and race/ethnicity with vaginal and oral sex initiation timing. Age-cutoffs for vaginal sex timing were similar for women and men, yet differed by gender for oral sex timing. Women were more likely than men to initiate vaginal sex (20% vs. 18%) and oral sex (19% vs. 16%) at an early age and less likely than men to initiate these behaviors at a late age (18% vs. 19% for vaginal sex, and 15% vs. 16% for oral sex). Although most respondents initiated these two behaviors by young adulthood, a considerable proportion remained inexperienced, with men more likely than women to report inexperience with vaginal sex (7% vs. 5%), and women more likely than men to report abstaining from oral sex (8% vs. 6%). Race/ethnic differences in sexual initiation timing remained robust in the face of controls for both women and men. Understanding the timing at which adolescents and young adults transition to first vaginal and first oral sex is critical for sex education curriculum and policy makers.

  17. Analysis of compaction initiation in human embryos by using time-lapse cinematography.

    Science.gov (United States)

    Iwata, Kyoko; Yumoto, Keitaro; Sugishima, Minako; Mizoguchi, Chizuru; Kai, Yoshiteru; Iba, Yumiko; Mio, Yasuyuki

    2014-04-01

    To analyze the initiation of compaction in human embryos in vitro by using time-lapse cinematography (TLC), with the goal of determining the precise timing of compaction and clarifying the morphological changes underlying the compaction process. One hundred and fifteen embryos donated by couples with no further need for embryo-transfer were used in this study. Donated embryos were thawed and processed, and then their morphological behavior during the initiation of compaction was dynamically observed via time-lapse cinematography (TLC) for 5 days. Although the initiation of compaction occurred throughout the period from the 4-cell to 16-cell stage, 99 (86.1 %) embryos initiated compaction at the 8-cell stage or later, with initiation at the 8-cell stage being most frequent (22.6 %). Of these 99 embryos, 49.5 % developed into good-quality blastocysts. In contrast, of the 16 (13.9 %) embryos that initiated compaction prior to the 8-cell stage, only 18.8 % developed into good-quality blastocysts. Embryos that initiated compaction before the 8-cell stage showed significantly higher numbers of multinucleated blastomeres, due to asynchronism in nuclear division at the third mitotic division resulting from cytokinetic failure. The initiation of compaction primarily occurs at the third mitotic division or later in human embryos. Embryos that initiate compaction before the 8-cell stage are usually associated with aberrant embryonic development (i.e., cytokinetic failure accompanied by karyokinesis).

  18. Prehospital interventions: Time wasted or time saved? An observational cohort study management in initial trauma care

    NARCIS (Netherlands)

    M.W.A. van der Velden (M. W A); A.N. Ringburg (Akkie); E.A. Bergs (Engelbert); E.W. Steyerberg (Ewout); P. Patka (Peter); I.B. Schipper (Inger)

    2008-01-01

    textabstractObjective: Preclinical actions in the primary assessment of victims of blunt trauma may prolong the time to definitive clinical care. The aim of this study was to examine the duration of performed interventions and to study the effect of on-scene time (OST) and interventions performed

  19. Nonlinear Variation of Parameters Formula for Impulsive Differential Equations with Initial Time Difference and Application

    Directory of Open Access Journals (Sweden)

    Peiguang Wang

    2014-01-01

    Full Text Available This paper establishes variation of parameters formula for impulsive differential equations with initial time difference. As an application, one of the results is used to investigate stability properties of solutions.

  20. Stability with respect to initial time difference for generalized delay differential equations

    Directory of Open Access Journals (Sweden)

    Ravi Agarwal

    2015-02-01

    Full Text Available Stability with initial data difference for nonlinear delay differential equations is introduced. This type of stability generalizes the known concept of stability in the literature. It gives us the opportunity to compare the behavior of two nonzero solutions when both initial values and initial intervals are different. Several sufficient conditions for stability and for asymptotic stability with initial time difference are obtained. Lyapunov functions as well as comparison results for scalar ordinary differential equations are employed. Several examples are given to illustrate the theory.

  1. Parent-child communication and marijuana initiation: evidence using discrete-time survival analysis.

    Science.gov (United States)

    Nonnemaker, James M; Silber-Ashley, Olivia; Farrelly, Matthew C; Dench, Daniel

    2012-12-01

    This study supplements existing literature on the relationship between parent-child communication and adolescent drug use by exploring whether parental and/or adolescent recall of specific drug-related conversations differentially impact youth's likelihood of initiating marijuana use. Using discrete-time survival analysis, we estimated the hazard of marijuana initiation using a logit model to obtain an estimate of the relative risk of initiation. Our results suggest that parent-child communication about drug use is either not protective (no effect) or - in the case of youth reports of communication - potentially harmful (leading to increased likelihood of marijuana initiation). Copyright © 2012 Elsevier Ltd. All rights reserved.

  2. Investigation of plastic zones near SCC tips in a pipeline after hydrostatic testing

    International Nuclear Information System (INIS)

    Li Jian; Elboujdaini, M.; Gao, M.; Revie, R.W.

    2008-01-01

    Stress corrosion cracking (SCC) is an important failure mechanism for oil and gas pipelines. In the past, hydrostatic testing has been frequently used to assess and mitigate stress corrosion cracking. It is commonly agreed that an effective hydrostatic test not only eliminates critical crack-like flaws, but also blunts the sub-critical crack tip thereby suppressing further SCC propagation. However, little study has been done on the plastic deformation that results from the high stress intensity at the crack tip due to hydrostatic testing pressure and its possible role in subsequent SCC propagation. In this study, microstructural details were examined of an API 5L X52 SCC-containing pipe removed from field service. Plastic deformation generated by the hydrostatic testing pressure was revealed by using high-resolution imaging of a focused ion beam (FIB) microscope. The existence of the microscopic plastic zones around some crack tips suggests that caution should be taken when setting up pipeline hydrostatic tests

  3. Investigation of plastic zones near SCC tips in a pipeline after hydrostatic testing

    Energy Technology Data Exchange (ETDEWEB)

    Li Jian [Materials Technology Laboratory, Natural Resources Canada, 568 Booth Street, Ottawa, Ont., K1A 0G1 (Canada)], E-mail: jili@nrcan.gc.ca; Elboujdaini, M [Materials Technology Laboratory, Natural Resources Canada, 568 Booth Street, Ottawa, Ont., K1A 0G1 (Canada); Gao, M [Blade Energy Partners, 16225 Park Ten Place, Suite 450, Houston, TX 77084 (United States); Revie, R W [Materials Technology Laboratory, Natural Resources Canada, 568 Booth Street, Ottawa, Ont., K1A 0G1 (Canada)

    2008-07-15

    Stress corrosion cracking (SCC) is an important failure mechanism for oil and gas pipelines. In the past, hydrostatic testing has been frequently used to assess and mitigate stress corrosion cracking. It is commonly agreed that an effective hydrostatic test not only eliminates critical crack-like flaws, but also blunts the sub-critical crack tip thereby suppressing further SCC propagation. However, little study has been done on the plastic deformation that results from the high stress intensity at the crack tip due to hydrostatic testing pressure and its possible role in subsequent SCC propagation. In this study, microstructural details were examined of an API 5L X52 SCC-containing pipe removed from field service. Plastic deformation generated by the hydrostatic testing pressure was revealed by using high-resolution imaging of a focused ion beam (FIB) microscope. The existence of the microscopic plastic zones around some crack tips suggests that caution should be taken when setting up pipeline hydrostatic tests.

  4. Report D : self-consolidating concrete (SCC) for infrastructure elements - creep, shrinkage and abrasion resistance.

    Science.gov (United States)

    2012-08-01

    Concrete specimens were fabricated for shrinkage, creep, and abrasion resistance : testing. Variations of self-consolidating concrete (SCC) and conventional concrete were : all tested. The results were compared to previous similar testing programs an...

  5. Relation between the mechanical properties and SCC behavior of the alloys used in high temperature water

    International Nuclear Information System (INIS)

    Tsubota, M.; Katayama, Y.; Kanazawa, Y.

    2007-01-01

    It was shown in the previous reports that carbon and low alloy steels, martensitic stainless steels and cold worked austenitic stainless steels have shown high SCC susceptibility in the highly hardened condition. Those steels had similar critical hardness for SCC (HV300-340), over which the materials showed SCC susceptibility, even though the hardening process was different. Hardening processes applied for the alloys were as follows: (1) Martensitic transformation: Carbon and low alloy steels and martensitic stainless steels. (2) Alpha-prime decomposition (precipitation hardening): martensitic stainless steels. (3) Cold work: austenitic stainless steels. The relationship between the mechanical properties and SCC susceptibility of the alloys is discussed and summarized in the present paper. (author)

  6. Structure of the Pds5-Scc1 Complex and Implications for Cohesin Function

    Directory of Open Access Journals (Sweden)

    Kyle W. Muir

    2016-03-01

    Full Text Available Sister chromatid cohesion is a fundamental prerequisite to faithful genome segregation. Cohesion is precisely regulated by accessory factors that modulate the stability with which the cohesin complex embraces chromosomes. One of these factors, Pds5, engages cohesin through Scc1 and is both a facilitator of cohesion, and, conversely also mediates the release of cohesin from chromatin. We present here the crystal structure of a complex between budding yeast Pds5 and Scc1, thus elucidating the molecular basis of Pds5 function. Pds5 forms an elongated HEAT repeat that binds to Scc1 via a conserved surface patch. We demonstrate that the integrity of the Pds5-Scc1 interface is indispensable for the recruitment of Pds5 to cohesin, and that its abrogation results in loss of sister chromatid cohesion and cell viability.

  7. Effect of Cue Timing and Modality on Gait Initiation in Parkinson Disease With Freezing of Gait.

    Science.gov (United States)

    Lu, Chiahao; Amundsen Huffmaster, Sommer L; Tuite, Paul J; Vachon, Jacqueline M; MacKinnon, Colum D

    2017-07-01

    To examine the effects of cue timing, across 3 sensory modalities, on anticipatory postural adjustments (APAs) during gait initiation in people with Parkinson disease (PD). Observational study. Biomechanics research laboratory. Individuals with idiopathic PD (N=25; 11 with freezing of gait [FOG]) were studied in the off-medication state (12-h overnight withdrawal). Gait initiation was tested without cueing (self-initiated) and with 3 cue timing protocols: fixed delay (3s), random delay (4-12s), and countdown (3-2-1-go, 1-s intervals) across 3 sensory modalities (acoustic, visual, and vibrotactile). The incidence and spatiotemporal characteristics of APAs during gait initiation were analyzed, including vertical ground reaction forces and center of pressure. All cue timings and modalities increased the incidence and amplitude of APAs compared with self-initiated stepping. Acoustic and visual cues, but not vibrotactile stimulation, improved the timing of APAs. Fixed delay or countdown timing protocols were more effective at decreasing APA durations than random delay cues. Cue-evoked improvements in APA timing, but not amplitude, correlated with the level of impairment during self-initiated gait. Cues did not improve the late push-off phase in the FOG group. External cueing improves gait initiation in PD regardless of cue timing, modality, or clinical phenotype (with and without FOG). Acoustic or visual cueing with predictive timing provided the greatest improvements in gait initiation; therefore, these protocols may provide the best outcomes when applied by caregivers or devices. Copyright © 2016 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.

  8. SRNL SHELF LIFE STUDIES - SCC STUDIES AT ROOM TEMPERTURE [stress corrosion cracking

    Energy Technology Data Exchange (ETDEWEB)

    Mickalonis, J.; Duffey, J.

    2014-11-12

    Phase II, Series 2 corrosion testing performed by the Savannah River National Laboratory (SRNL) for the Department of Energy 3013 container has been completed. The corrosion tests are part of an integrated plan conducted jointly by Los Alamos National Laboratory and the Savannah River Site. SRNL was responsible for conducting corrosion studies in small-scale vessels to address the influence of salt composition, water loading, and type of oxide/salt contact on the relative humidity inside a 3013 container and on the resulting corrosion of Type 304L and 316L stainless steel (304L and 316L). This testing was conducted in two phases: Phase I evaluated a broad spectrum of salt compositions and initial water loadings on the salt mixtures exposed to 304L and 316L and the resulting corrosion; Phase II evaluated the corrosion of 304L at specific water loadings and a single salt composition. During Phase I testing at high initial moisture levels (0.35 to 1.24 wt%)a, the roomtemperature corrosion of 304L exposed to a series of plutonium oxide/chloride salt mixtures ranged from superficial staining to pitting and stress corrosion cracking (SCC). 304L teardrop coupons that exhibited SCC were directly exposed to a mixture composed of 98 wt % PuO2, 0.9 wt % NaCl, 0.9 wt % KCl, and 0.2 wt % CaCl2. Cracking was not observed in a 316L teardrop coupon. Pitting was also observed in this environment for both 304L and 316L with depths ranging from 20 to 100 μm. Neither pitting nor SCC was observed in mixtures with a greater chloride salt concentration (5 and 28 wt%). These results demonstrated that for a corrosive solution to form a balance existed between the water loading and the salt chloride concentration. This chloride solution results from the interaction of loaded water with the hydrating CaCl2 salt. In Phase II, Series 1 tests, the SCC results were shown to be reproducible with cracking occurring in as little as 85 days. The approximate 0.5 wt% moisture level was found to

  9. Chl1 DNA helicase regulates Scc2 deposition specifically during DNA-replication in Saccharomyces cerevisiae.

    Directory of Open Access Journals (Sweden)

    Soumya Rudra

    Full Text Available The conserved family of cohesin proteins that mediate sister chromatid cohesion requires Scc2, Scc4 for chromatin-association and Eco1/Ctf7 for conversion to a tethering competent state. A popular model, based on the notion that cohesins form huge ring-like structures, is that Scc2, Scc4 function is essential only during G1 such that sister chromatid cohesion results simply from DNA replisome passage through pre-loaded cohesin rings. In such a scenario, cohesin deposition during G1 is temporally uncoupled from Eco1-dependent establishment reactions that occur during S-phase. Chl1 DNA helicase (homolog of human ChlR1/DDX11 and BACH1/BRIP1/FANCJ helicases implicated in Fanconi anemia, breast and ovarian cancer and Warsaw Breakage Syndrome plays a critical role in sister chromatid cohesion, however, the mechanism through which Chl1 promotes cohesion remains poorly understood. Here, we report that Chl1 promotes Scc2 loading unto DNA such that both Scc2 and cohesin enrichment to chromatin are defective in chl1 mutant cells. The results further show that both Chl1 expression and chromatin-recruitment are tightly regulated through the cell cycle, peaking during S-phase. Importantly, kinetic ChIP studies reveals that Chl1 is required for Scc2 chromatin-association specifically during S-phase, but not during G1. Despite normal chromatin enrichment of both Scc2 and cohesin during G1, chl1 mutant cells exhibit severe chromosome segregation and cohesion defects--revealing that G1-loaded cohesins is insufficient to promote cohesion. Based on these findings, we propose a new model wherein S-phase cohesin loading occurs during DNA replication and in concert with both cohesion establishment and chromatin assembly reactions--challenging the notion that DNA replication fork navigates through or around pre-loaded cohesin rings.

  10. Errors in Postural Preparation Lead to Increased Choice Reaction Times for Step Initiation in Older Adults

    Science.gov (United States)

    Nutt, John G.; Horak, Fay B.

    2011-01-01

    Background. This study asked whether older adults were more likely than younger adults to err in the initial direction of their anticipatory postural adjustment (APA) prior to a step (indicating a motor program error), whether initial motor program errors accounted for reaction time differences for step initiation, and whether initial motor program errors were linked to inhibitory failure. Methods. In a stepping task with choice reaction time and simple reaction time conditions, we measured forces under the feet to quantify APA onset and step latency and we used body kinematics to quantify forward movement of center of mass and length of first step. Results. Trials with APA errors were almost three times as common for older adults as for younger adults, and they were nine times more likely in choice reaction time trials than in simple reaction time trials. In trials with APA errors, step latency was delayed, correlation between APA onset and step latency was diminished, and forward motion of the center of mass prior to the step was increased. Participants with more APA errors tended to have worse Stroop interference scores, regardless of age. Conclusions. The results support the hypothesis that findings of slow choice reaction time step initiation in older adults are attributable to inclusion of trials with incorrect initial motor preparation and that these errors are caused by deficits in response inhibition. By extension, the results also suggest that mixing of trials with correct and incorrect initial motor preparation might explain apparent choice reaction time slowing with age in upper limb tasks. PMID:21498431

  11. Initiation of stress corrosion cracking in pre-stained austenitic stainless steels exposed to primary water

    International Nuclear Information System (INIS)

    Huguenin, P.

    2012-01-01

    Austenitic stainless steels are widely used in primary circuits of Pressurized Water Reactors (PWR) plants. However, a limited number of cases of Intergranular Stress Corrosion Cracking (IGSCC) has been detected in cold-worked (CW) areas of non-sensitized austenitic stainless steel components in French PWRs. A previous program launched in the early 2000's identified the required conditions for SCC of cold-worked stainless steels. It was found that a high strain hardening coupled with a cyclic loading favoured SCC. The present study aims at better understanding the role of pre-straining on crack initiation and at developing an engineering model for IGSCC initiation of 304L and 316L stainless steels in primary water. Such model will be based on SCC initiation tests on notched (not pre-cracked) specimens under 'trapezoidal' cyclic loading. The effects of pre-straining (tensile versus cold rolling), cold-work level and strain path on the SCC mechanisms are investigated. Experimental results demonstrate the dominating effect of strain path on SCC susceptibility for all pre-straining levels. Initiation can be understood as crack density and crack depth. A global criterion has been proposed to integrate both aspects of initiation. Maps of SCC initiation susceptibility have been proposed. A critical crack depth between 10 and 20 μm has been demonstrated to define transition between slow propagation and fast propagation for rolled materials. For tensile pre-straining, the critical crack depth is in the range 20 - 50 μm. Experimental evidences support the notion of a KISCC threshold, whose value depends on materials, pre-straining ant load applied. The initiation time has been found to depend on the applied loading as a function of (σ max max/YV) 11,5 . The effect of both strain path and surface hardening is indirectly taken into account via the yield stress. In this study, material differences rely on strain path effect on mechanical properties. As a result, a stress

  12. Multi-scale analysis of deformation behavior at SCC crack tip (2). (Contract research)

    International Nuclear Information System (INIS)

    Kaji, Yoshiyuki; Miwa, Yukio; Tsukada, Takashi; Hayakawa, Masao; Nagashima, Nobuo

    2007-03-01

    This report describes a result of the research conducted by the Japan Atomic Energy Agency and the National Institute for Materials Science under contract with Japan Nuclear Energy Safety Organization (JNES) that was concerned with a multi-scale analysis of plastic deformation behavior at the crack tip of stress corrosion cracking (SCC). The research was carried out to evaluate the validity of the SCC growth data acquired in the intergranular SCC (IGSCC) project based on a mechanistic understanding of SCC. For the purpose, in this research, analyses of the plastic deformation behavior and microstructure around the crack tip were performed in a nano-order scale. The hardness measured in nano, meso and macro scales was employed as a common index of the strength, and the essential data necessary to understand the SCC propagation behavior were acquired and analyzed that are mainly a size of plastic deformation region and a microstructural information in the region, e.g. data of crystallografy, microscopic deformation and dislocations at the inside of grains and grain boundaries. In this year, we analyzed the state of plastic deformation region at the crack tip of IGSCC under various conditions and investigated relationship between crack growth behavior and stress intensity factor. Especially, we investigated in detail about two different hardened specimens used in the SCC growth tests in the IGSCC project. (J.P.N.)

  13. Fundamental and clinical evaluation of ''SCC RIABEAD'' kit for immunoradiometric assay of squamous cell carcinoma related antigen

    International Nuclear Information System (INIS)

    Koizumi, Mitsuru; Endo, Keigo; Nakajima, Kotoko

    1987-01-01

    A commercial ''SCC RIABEAD'' kit for immunoradiometric assay of squamous cell carcinoma related antigen (SCC antigen) was fundamentally and clinically evaluated. Laboratory performance was satisfactory for intra-assay and inter-assay reproducibility, recovery, and dilution, with rapid and simple measurement techniques. Seropositivity for SCC antigen was significantly higher for squamous cell carcinoma of the liver and uterine cervix than the other histology types. In the case of cervical squamous cell carcinoma, it increased with progressing disease. Post-treatment serum levels of SCC antigen returned to negative. SCC antigen is considered to be a useful tumor marker for these diseases. There was a good correlation between the measurement values obtained from the present and conventional (SCC RIAKIT) assays. The present assay remarkably decreased false-positive cases of pulmonary benign diseases. The results showed a ''SCC RIABEAD'' to be a favorable kit for immunoradiometric assay of SSC antigen, as compared with conventional assay kit. (Namekawa, K.)

  14. Iodine stress corrosion cracking (SCC) of unirradiated Zircaloy-4 tubing by means of internal gas pressurization, (1)

    International Nuclear Information System (INIS)

    Onchi, Takeo; Inoue, Tadashi

    1982-01-01

    The internal gas pressurization tests were conducted at 360 0 C, to examine the influence of iodine concentration on the iodine stress corrosion cracking (SCC) susceptibility of Zircaloy-4 tubing of 17 x 17 type PWR design. The iodine contents studied were ranging of 0.06 to 6 mg/cm 2 , corresponding to 30 from 0.3 mg/cm 3 . Applied hoop stress vs. time-to-failure relationships were obtained in argon gas with iodine, as well as without iodine, from the tests of maximum holding times up to 72 hrs. The relationships obtained were insensitive to iodine contents. The applied stress lowering in iodine atmosphere approached a threshold stress below which SCC failure did not occur within the holding time, but not in argon gas alone. The threshold stresses were approximately 25.5 kg/mm 2 (250 Mpa), independent on iodine concentrations. Based on fracture mechanics approach and fractographic analysis, an interpretation was made of those applied stress and time-to-failure relationships. (author)

  15. The Timing of Initiating Complementary Feeding in Preterm Infants and Its Effect on Overweight

    NARCIS (Netherlands)

    Vissers, K.M.; Feskens, E.J.M.; Goudoever, van J.B.; Janse, A.

    2018-01-01

    Background:
    What is the appropriate time to start complementary feeding for preterm infants? The answer to this question is yet under debate. The timing of initiating complementary feeding may be associated with overweight in
    term infants. This systematic review aimed to study the effect

  16. Irrigation initiation timing in soybean grown on sandy soils in Northeast Arkansas

    Science.gov (United States)

    Irrigation initiation timing was evaluated in furrow-irrigated soybean field with sandy soils in Mississippi County, AR. A major objective of this 2015 study was to validate and expand irrigation timing recommendations that pair plant growth measures with weather cues including use of local weather ...

  17. Regional changes over time in initial virological response rates to combination antiretroviral therapy across Europe

    DEFF Research Database (Denmark)

    Bannister, W; Kirk, O; Gatell, J

    2006-01-01

    BACKGROUND: Changes in virologic response to initial combination antiretroviral therapy (cART) over calendar time may indicate improvements in cART or emergence of primary resistance. Regional variations may identify differences in available antiretroviral drugs or patient management. METHODS.......026) and time (P changes were observed (south, P = 0.061; central west, P ....001; north: P = 0.070; east, P = 0.001). CONCLUSIONS: There was some evidence of regional differences in initial virologic response to cART. Improvements over time were observed, suggesting that so far, the effect of primary resistance has not been of sufficient magnitude to prevent increasing suppression...

  18. Incidence and timing of cancer in HIV-infected individuals following initiation of combination antiretroviral therapy.

    Science.gov (United States)

    Yanik, Elizabeth L; Napravnik, Sonia; Cole, Stephen R; Achenbach, Chad J; Gopal, Satish; Olshan, Andrew; Dittmer, Dirk P; Kitahata, Mari M; Mugavero, Michael J; Saag, Michael; Moore, Richard D; Mayer, Kenneth; Mathews, W Christopher; Hunt, Peter W; Rodriguez, Benigno; Eron, Joseph J

    2013-09-01

    Cancer is an important cause of morbidity and mortality in individuals infected with human immunodeficiency virus (HIV), but patterns of cancer incidence after combination antiretroviral therapy (ART) initiation remain poorly characterized. We evaluated the incidence and timing of cancer diagnoses among patients initiating ART between 1996 and 2011 in a collaboration of 8 US clinical HIV cohorts. Poisson regression was used to estimate incidence rates. Cox regression was used to identify demographic and clinical characteristics associated with cancer incidence after ART initiation. At initiation of first combination ART among 11 485 patients, median year was 2004 (interquartile range [IQR], 2000-2007) and median CD4 count was 202 cells/mm(3) (IQR, 61-338). Incidence rates for Kaposi sarcoma (KS) and lymphomas were highest in the first 6 months after ART initiation (P cancers combined increased from 416 to 615 cases per 100 000 person-years from 1 to 10 years after ART initiation (average 7% increase per year; 95% confidence interval, 2%-13%). Lower CD4 count at ART initiation was associated with greater risk of KS, lymphoma, and human papillomavirus-related cancer. Calendar year of ART initiation was not associated with cancer incidence. KS and lymphoma rates were highest immediately following ART initiation, particularly among patients with low CD4 cell counts, whereas other cancers increased with time on ART, likely reflecting increased cancer risk with aging. Our results underscore recommendations for earlier HIV diagnosis followed by prompt ART initiation along with ongoing aggressive cancer screening and prevention efforts throughout the course of HIV care.

  19. Timing of the initiation of parenteral nutrition in critically ill children.

    Science.gov (United States)

    Jimenez, Lissette; Mehta, Nilesh M; Duggan, Christopher P

    2017-05-01

    To review the current literature evaluating clinical outcomes of early and delayed parenteral nutrition initiation among critically ill children. Nutritional management remains an important aspect of care among the critically ill, with enteral nutrition generally preferred. However, inability to advance enteral feeds to caloric goals and contraindications to enteral nutrition often leads to reliance on parenteral nutrition. The timing of parenteral nutrition initiation is varied among critically ill children, and derives from an assessment of nutritional status, energy requirements, and physiologic differences between adults and children, including higher nutrient needs and lower body reserves. A recent randomized control study among critically ill children suggests improved clinical outcomes with avoiding initiation of parenteral nutrition on day 1 of admission to the pediatric ICU. Although there is no consensus on the optimal timing of parenteral nutrition initiation among critically ill children, recent literature does not support the immediate initiation of parenteral nutrition on pediatric ICU admission. A common theme in the reviewed literature highlights the importance of accurate assessment of nutritional status and energy expenditure in deciding when to initiate parenteral nutrition. As with all medical interventions, the initiation of parenteral nutrition should be considered in light of the known benefits of judiciously provided nutritional support with the known risks of artificial, parenteral feeding.

  20. Controlled time of arrival windows for already initiated energy-neutral continuous descent operations

    OpenAIRE

    Dalmau Codina, Ramon; Prats Menéndez, Xavier

    2017-01-01

    Continuous descent operations with controlled times of arrival at one or several metering fixes could enable environmentally friendly procedures without compromising terminal airspace capacity. This paper focuses on controlled time of arrival updates once the descent has been already initiated, assessing the feasible time window (and associated fuel consumption) of continuous descent operations requiring neither thrust nor speed-brake usage along the whole descent (i.e. only elevator control ...

  1. Time-dependent importance sampling in semiclassical initial value representation calculations for time correlation functions. II. A simplified implementation.

    Science.gov (United States)

    Tao, Guohua; Miller, William H

    2012-09-28

    An efficient time-dependent (TD) Monte Carlo (MC) importance sampling method has recently been developed [G. Tao and W. H. Miller, J. Chem. Phys. 135, 024104 (2011)] for the evaluation of time correlation functions using the semiclassical (SC) initial value representation (IVR) methodology. In this TD-SC-IVR method, the MC sampling uses information from both time-evolved phase points as well as their initial values, and only the "important" trajectories are sampled frequently. Even though the TD-SC-IVR was shown in some benchmark examples to be much more efficient than the traditional time-independent sampling method (which uses only initial conditions), the calculation of the SC prefactor-which is computationally expensive, especially for large systems-is still required for accepted trajectories. In the present work, we present an approximate implementation of the TD-SC-IVR method that is completely prefactor-free; it gives the time correlation function as a classical-like magnitude function multiplied by a phase function. Application of this approach to flux-flux correlation functions (which yield reaction rate constants) for the benchmark H + H(2) system shows very good agreement with exact quantum results. Limitations of the approximate approach are also discussed.

  2. The influence of environmental variables and irradiation on iodine stress corrosion crack initiation and growth in Zircaloy

    International Nuclear Information System (INIS)

    Lunde, L.; Videm, K.

    1980-01-01

    Variables in the SCC testing technique and the effect of the fast neutron dose appear to explain most of the controversy about the effect of irradiation damage on the SCC behaviour of Zircaloy. On the basis of extensive laboratory testing functions expressing the time for stress corrosion crack (SCC) initiation and the rate of crack propagation at different stresses and temperatures have been worked out. The environmental variables in the SCC test can have a much larger influence on the life-time for autoclaved material than for pickled and sandblasted metal. For irradiated (oxidized) material a ten times increase in the iodine concentration reduced the failure stress from 500 to 250 MPa. By comparing our results with published data it is concluded that the failure stress (after 1-3 hours) is very dependent upon the neutron dose. Neutron damage will raise the stress threshold for doses up to 10 20 n/cm 2 and thereafter the failure stress is gradually decreased to low values with increasing neutron doses up to 5.10 21 n/cm 2 . (author)

  3. An Assessment of Dialysis Provider's Attitudes towards Timing of Dialysis Initiation in Canada

    Directory of Open Access Journals (Sweden)

    Bikaramjit S Mann

    2014-04-01

    Full Text Available Background: Physicians' perceptions and opinions may influence when to initiate dialysis. Objective: To examine providers' perspectives and opinions regarding the timing of dialysis initiation. Design: Online survey. Setting: Community and academic dialysis practices in Canada. Participants: A nationally-representative sample of dialysis providers. Measurements and Methods: Dialysis providers opinions assessing reasons to initiate dialysis at low or high eGFR. Responses were obtained using a 9-point Likert scale. Early dialysis was defined as initiation of dialysis in an individual with an eGFR greater than or equal to 10.5 ml/min/m 2 . A detailed survey was emailed to all members of the Canadian Society of Nephrology (CSN in February 2013. The survey was designed and pre-tested to evaluate duration and ease of administration. Results: One hundred and forty one (25% response rate physicians participated in the survey. The majority were from urban, academic centres and practiced in regionally administered renal programs. Very few respondents had a formal policy regarding the timing of dialysis initiation or formally reviewed new dialysis starts (N = 4, 3.1%. The majority of respondents were either neutral or disagreed that late compared to early dialysis initiation improved outcomes (85–88%, had a negative impact on quality of life (89%, worsened AVF or PD use (84–90%, led to sicker patients (83% or was cost effective (61%. Fifty-seven percent of respondents felt uremic symptoms occurred earlier in patients with advancing age or co-morbid illness. Half (51.8% of the respondents felt there was an absolute eGFR at which they would initiate dialysis in an asymptomatic patient. The majority of respondents would initiate dialysis for classic indications for dialysis, such as volume overload (90.1% and cachexia (83.7% however a significant number chose other factors that may lead them to early dialysis initiation including avoiding an emergency (28

  4. Determination of I-SCC crack propagation rate of zircaloy-4

    International Nuclear Information System (INIS)

    Woo-Seog, Ryu

    2002-01-01

    Threshold stress intensity (K ISCC ) and propagation rate of iodine-induced SCC in recrystallized and stress-relieved Zircaloy-4 were determined using a DCPD method. Dynamic system flowing Ar gas through iodine chamber at 60 deg C provided a constant iodine pressure of 1000 Pa during test. The SCC curves of crack velocity vs. stress intensity showed the typical SCC curves that are composed of stages I, II and III. The threshold K ISCC at 350 deg C was about 9 and 9.5 MPa √m for the stress- relieved Zircaloy-4 and the recrystallized Zircaloy-4, respectively. The plateau velocity in the stage II at 350 deg C was 4-8x 10 -4 mm/sec in the range of 20-40 MPa√m. In comparison with recrystallized Zircaloy-4, stress-relieved Zircaloy-4 had a lower threshold stress intensity factor and a little higher SCC velocity, indicating that SRA Zircaloy-4 was more sensitive to SCC in respect of velocity. The fracture mode in recrystallized Zircaloy was mostly a transgranular fracture with river pattern. An intergranular mode and the flutting were scarcely observed. (author)

  5. Interdependence of initial cell density, drug concentration and exposure time revealed by real-time impedance spectroscopic cytotoxicity assay

    DEFF Research Database (Denmark)

    Caviglia, Claudia; Zor, Kinga; Canepa, Silvia

    2015-01-01

    We investigated the combined effect of the initial cell density (12 500, 35 000, 75 000, and 100 000 cells cm−2) and concentration of the anti-cancer drug doxorubicin on HeLa cells by performing timedependent cytotoxicity assays using real-time electrochemical impedance spectroscopy. A correlation...... between the rate of cell death and the initial cell seeding density was found at 2.5 μM doxorubicin concentration, whereas this was not observed at 5 or 100 μM. By sensing the changes in the cell–substrate interaction using impedance spectroscopy under static conditions, the onset of cytotoxicity...... was observed 5 h earlier than when using a standard colorimetric end-point assay (MTS) which measures changes in the mitochondrial metabolism. Furthermore, with the MTS assay no cytotoxicity was observed after 15 h of incubation with 2.5 μM doxorubicin, whereas the impedance showed at this time point cell...

  6. Mix and Inject: Reaction Initiation by Diffusion for Time-Resolved Macromolecular Crystallography

    Directory of Open Access Journals (Sweden)

    Marius Schmidt

    2013-01-01

    Full Text Available Time-resolved macromolecular crystallography unifies structure determination with chemical kinetics, since the structures of transient states and chemical and kinetic mechanisms can be determined simultaneously from the same data. To start a reaction in an enzyme, typically, an initially inactive substrate present in the crystal is activated. This has particular disadvantages that are circumvented when active substrate is directly provided by diffusion. However, then it is prohibitive to use macroscopic crystals because diffusion times become too long. With small micro- and nanocrystals diffusion times are adequately short for most enzymes and the reaction can be swiftly initiated. We demonstrate here that a time-resolved crystallographic experiment becomes feasible by mixing substrate with enzyme nanocrystals which are subsequently injected into the X-ray beam of a pulsed X-ray source.

  7. Timing of initiation of antiretroviral therapy in human immunodeficiency virus (HIV)--associated tuberculous meningitis

    NARCIS (Netherlands)

    Török, M. Estee; Yen, Nguyen Thi Bich; Chau, Tran Thi Hong; Mai, Nguyen Thi Hoang; Phu, Nguyen Hoan; Mai, Pham Phuong; Dung, Nguyen Thi; Chau, Nguyen Van Vinh; Bang, Nguyen Duc; Tien, Nguyen Anh; Minh, N. H.; Hien, Nguyen Quang; Thai, Phan Vuong Khac; Dong, Doan The; Anh, Do Thi Tuong; Thoa, Nguyen Thi Cam; Hai, Nguyen Ngoc; Lan, Nguyen Ngoc; Lan, Nguyen Thi Ngoc; Quy, Hoang Thi; Dung, Nguyen Huy; Hien, Tran Tinh; Chinh, Nguyen Tran; Simmons, Cameron Paul; de Jong, Menno; Wolbers, Marcel; Farrar, Jeremy James

    2011-01-01

    The optimal time to initiate antiretroviral therapy (ART) in human immunodeficiency virus (HIV)-associated tuberculous meningitis is unknown. We conducted a randomized, double-blind, placebo-controlled trial of immediate versus deferred ART in patients with HIV-associated tuberculous meningitis to

  8. Regional changes over time in initial virologic response rates to combination antiretroviral therapy across Europe

    DEFF Research Database (Denmark)

    Bannister, Wendy P; Kirk, Ole; Gatell, Jose M

    2006-01-01

    BACKGROUND: Changes in virologic response to initial combination antiretroviral therapy (cART) over calendar time may indicate improvements in cART or emergence of primary resistance. Regional variations may identify differences in available antiretroviral drugs or patient management. METHODS: Vi...... rates Udgivelsesdato: 2006/6...

  9. The initial time-course of headache in patients with spontaneous subarachnoid hemorrhage

    NARCIS (Netherlands)

    Čomić, Hata; Rinkel, Gabriel J.E.; Vergouwen, Mervyn D.I.

    2017-01-01

    Background If acute severe headache disappears early after its onset, the question arises whether subarachnoid hemorrhage (SAH) should still be ruled out. We studied the initial time-course and minimal duration of headache in a consecutive series of neurologically intact patients with spontaneous

  10. Married Thai Working Mothers: Coping with Initial Part-Time Doctoral Study

    Science.gov (United States)

    Thinnam, Thanit

    2011-01-01

    Advanced educational attainment can "grow" a career. But acquiring a doctoral qualification adds study to existing work and family responsibilities, especially for women. This phenomenological research explores the experiences of eight Thai working mothers enrolled in the initial stage of part-time doctoral programs in Thailand. A…

  11. The effect of form pressure on the air void structure of SCC

    DEFF Research Database (Denmark)

    Jensen, Mikkel Vibæk; Hasholt, Marianne Tange; Geiker, Mette Rica

    2005-01-01

    The high workability of self-compacting concrete (SCC) invites to high casting rates. However, casting walls at high rate may result in large pressure at the bottom of the form and subsequently compression of the air voids. This paper deals with the influence of hydrostatic pressure during setting...... on the air void structure of hardened, air entrained SCC. The subject was examined through laboratory investigations of SCC with two different amounts of air entrainment. The condition in the form was simulated by using containers making it possible to cure concrete under various pressures corresponding...... to the bottom of castings of 0, 2, 4, and 6 meters height. The laboratory investigations were supplemented with data from two full-scale wall castings. The air void structure of the hardened concretes was determined on plane sections. The results indicate that the pressure related changes of the air void...

  12. On the initial condition problem of the time domain PMCHWT surface integral equation

    KAUST Repository

    Uysal, Ismail Enes

    2017-05-13

    Non-physical, linearly increasing and constant current components are induced in marching on-in-time solution of time domain surface integral equations when initial conditions on time derivatives of (unknown) equivalent currents are not enforced properly. This problem can be remedied by solving the time integral of the surface integral for auxiliary currents that are defined to be the time derivatives of the equivalent currents. Then the equivalent currents are obtained by numerically differentiating the auxiliary ones. In this work, this approach is applied to the marching on-in-time solution of the time domain Poggio-Miller-Chan-Harrington-Wu-Tsai surface integral equation enforced on dispersive/plasmonic scatterers. Accuracy of the proposed method is demonstrated by a numerical example.

  13. dK/da effects on the SCC growth rates of nickel base alloys in high-temperature water

    Science.gov (United States)

    Chen, Kai; Wang, Jiamei; Du, Donghai; Andresen, Peter L.; Zhang, Lefu

    2018-05-01

    The effect of dK/da on crack growth behavior of nickel base alloys has been studied by conducting stress corrosion cracking tests under positive and negative dK/da loading conditions on Alloys 690, 600 and X-750 in high temperature water. Results indicate that positive dK/da accelerates the SCC growth rates, and the accelerating effect increases with dK/da and the initial CGR. The FRI model was found to underestimate the dK/da effect by ∼100X, especially for strain hardening materials, and this underscores the need for improved insight and models for crack tip strain rate. The effect of crack tip strain rate and dK/dt in particular can explain the dK/da accelerating effect.

  14. Effect of closed-loop order processing on the time to initial antimicrobial therapy.

    Science.gov (United States)

    Panosh, Nicole; Rew, Richardd; Sharpe, Michelle

    2012-08-15

    The results of a study comparing the average time to initiation of i.v. antimicrobial therapy with closed-versus open-loop order entry and processing are reported. A retrospective cohort study was performed to compare order-to-administration times for initial doses of i.v. antimicrobials before and after a closed-loop order-processing system including computerized prescriber order entry (CPOE) was implemented at a large medical center. A total of 741 i.v. antimicrobial administrations to adult patients during designated five-month preimplementation and postimplementation study periods were assessed. Drug-use reports generated by the pharmacy database were used to identify order-entry times, and medication administration records were reviewed to determine times of i.v. antimicrobial administration. The mean ± S.D. order-to-administration times before and after the implementation of the CPOE system and closed-loop order processing were 3.18 ± 2.60 and 2.00 ± 1.89 hours, respectively, a reduction of 1.18 hours (p Closed-loop order processing was associated with significant reductions in the average time to initiation of i.v. therapy in all patient care areas evaluated (cardiology, general medicine, and oncology). The study results suggest that CPOE-based closed-loop order processing can play an important role in achieving compliance with current practice guidelines calling for increased efforts to ensure the prompt initiation of i.v. antimicrobials for severe infections (e.g., sepsis, meningitis). Implementation of a closed-loop order-processing system resulted in a significant decrease in order-to-administration times for i.v. antimicrobial therapy.

  15. Application of tumor markers SCC-Ag, CEA, and TPA in patients with cervical precancerous lesions.

    Science.gov (United States)

    Farzaneh, Farah; Shahghassempour, Shapour; Noshine, Bahram; Arab, Maliheh; Yaseri, Mehdi; Rafizadeh, Mitra; Alizadeh, Kamyab

    2014-01-01

    To determine the potential clinical utility of tumor markers CEA, TPA, and SCC-Ag for early detection of cervical precancerous lesions. A case-control study was carried out on 120 women (46 patients with histologically confirmed cervical precancerous lesions and 74 healthy controls). The significance of serum selected tumor markers in early detection of cervical intraepithelial neoplasia (CIN) were assessed. Of the case group, the rates of CIN I, II, III, was 69.6%, 23.9%, and 6.5%, respectively. According to the manufacturer's cut-off values of 2 ng/ml, 5 ng/ml, and 70 U/ml for SCC-Ag, CEA and TPA tests, in that order, SCC-Ag test had a sensitivity of 13%, but CEA and TPA tests could not distinguish between case and control groups. The diagnostic sensitivities were highest at cut-off values of 0.55 ng/ml for SCC-Ag, 2.6 ng/ ml for CEA, and 25.5 U/ml for TPA which were 93%, 61%, and 50%, respectively. However, the area under the receiver operating characteristic curve was the largest for SCC-Ag (0.95 vs. 0.61 and 0.60 for CEA and TPA, respectively). Moreover, there was a highly significant direct correlation between SCC-Ag concentration and the degree of cervical precancerous lesions (r=0.847, ptumor marker in Iranian patients with CIN and it needs to be more evaluated by studies with larger populationa.

  16. Analysis of the truth loading conditions of a austenitic CT specimen during a SCC experiment

    International Nuclear Information System (INIS)

    Marie, S.; Guerre, C.; Herms, E.

    2012-01-01

    With the aim to investigate the influence of strain hardening on the stainless steels susceptibility to stress corrosion cracking, tests were conducted in PWR environment on CT specimens, taken from a 316L stainless steel sheet cold rolled to 40% in thickness reduction. The initial cracks obtained by the fatigue pre-cracking have an atypical 'V' shape with smaller propagation in the center of the CT thickness compared to nominal propagation observed at both sides. The initial explanation was to consider a stress intensity factor derived from classical reference solution on the basis of a straight crack front, and considering the local value of the crack depth in the equation. This assumption raised several problems analyses in this paper. This particular shape of the initial defect may be related to several factors, and partly to the 40% cold rolling. It is likely that the hardening is not uniform, with a higher rate at the specimen sides than in the central area. In addition, significant residual stresses due to the gradient of mechanical properties are observed. Due to the high rate of work hardening by rolling of the sheet metal, a gradient of the mechanical properties through the thickness was determined, and the residual stresses profile induced by this process was measured. The variations obtained are consistent with each other: the material is more hardened in the vicinity of specimen surface and residual stresses are compressive in nature in the central part of the specimen and of tensile type on the flanks. All these data were firstly considered in order to assess their role regarding the particular form of the initial crack front obtained after fatigue: the 3D finite element calculations taking into account the true shape of the crack front demonstrate the relationship between the characteristics of the experimental crack front obtained after fatigue pre-cracking and the residual stresses. Moreover, from the residual stresses measured on the plate where

  17. Effects of hydrogen during SCC of Al-5Mg alloys in NaCl 30 g/l environment: experimental study and numerical simulations

    International Nuclear Information System (INIS)

    Tanguy, Dome

    2001-01-01

    After a presentation of the industrial context and of some knowledge about stress corrosion cracking (SCC) of 5xxx alloys (notably their sensitivity to intergranular dissolution in presence of the Al 3 Mg 2 phase in grain boundaries) and about other mechanisms intervening in SCC, this research thesis reports a characterization of intergranular precipitation in the alloys for which SCC and corrosion fatigue tests have been performed. Experimental results are reported and discussed (crack initiation and growth, growth rate, loading mode). The simulation of a model microstructure at the atomic scale is presented. It allows hydrogen trapping to be studied with respect to the presence of magnesium at the grain boundary. A numerical model of the Al-Mg system is developed to study the first stages of magnesium-rich intergranular precipitation. The next part reports the study of hydrogen intergranular trapping in Al-Mg by focusing on the Mg-H binding energy and on trapping occurring in the boundary. In conclusion, the author proposes a fracture mechanism at the atomic scale

  18. Time dependency of the prediction skill for the North Atlantic subpolar gyre in initialized decadal hindcasts

    Science.gov (United States)

    Brune, Sebastian; Düsterhus, André; Pohlmann, Holger; Müller, Wolfgang A.; Baehr, Johanna

    2017-11-01

    We analyze the time dependency of decadal hindcast skill in the North Atlantic subpolar gyre within the time period 1961-2013. We compare anomaly correlation coefficients and temporal interquartile ranges of total upper ocean heat content and sea surface temperature for three differently initialized sets of hindcast simulations with the global coupled model MPI-ESM. All initializations use weakly coupled assimilation with the same full value nudging in the atmospheric component and different assimilation techniques for oceanic temperature and salinity: (1) ensemble Kalman filter assimilating EN4 observations and HadISST data, (2) nudging of anomalies to ORAS4 reanalysis, (3) nudging of full values to ORAS4 reanalysis. We find that hindcast skill depends strongly on the evaluation time period, with higher hindcast skill during strong multiyear trends, especially during the warming in the 1990s and lower hindcast skill in the absence of such trends. Differences between the prediction systems are more pronounced when investigating any 20-year subperiod within the entire hindcast period. In the ensemble Kalman filter initialized hindcasts, we find significant correlation skill for up to 5-8 lead years, albeit along with an overestimation of the temporal interquartile range. In the hindcasts initialized by anomaly nudging, significant correlation skill for lead years greater than two is only found in the 1980s and 1990s. In the hindcasts initialized by full value nudging, correlation skill is consistently lower than in the hindcasts initialized by anomaly nudging in the first lead years with re-emerging skill thereafter. The Atlantic meridional overturning circulation reacts on the density changes introduced by oceanic nudging, this limits the predictability in the subpolar gyre in the first lead years. Overall, we find that a model-consistent assimilation technique can improve hindcast skill. Further, the evaluation of 20 year subperiods within the full hindcast period

  19. SCC analysis of Alloy 600 tubes from a retired steam generator

    Science.gov (United States)

    Hwang, Seong Sik; Kim, Hong Pyo

    2013-09-01

    tube specimens for subsequent destructive examinations.Metallography on a tube section was examined by standard metallographic techniques. The mounted specimens were ground and polished. For a chemical activation of the polished surface, the samples were soaked in hydrochloric acid for 20 s then followed by cleaning in methanol. Chemical etching in a bromine etchant (98% Methanol + 2% Bromine) was applied for 3 to 4 s in an ultrasound cleaner.Destructive examinations were carried out using the procedures in accordance with the Electric Power Research Institute (EPRI) tube examination guidelines [2]. The types of defects were characterized and their sizes were measured using a high magnification contact camera and a scanning electron microscope (SEM). The surface deposit compositions on the outer diameter of the tubes were also analyzed using energy dispersive X-ray spectroscopy (EDS). The relation among the SCC defect location, defect depth, and sludge height was explored. Denting, pitting, PWSCC and ODSCC were observed on the RSG tubes as time went on. The analyzed Alloy 600 tube showed a typical LTMA microstructure, and the severe SCC of the RSG was attributed to the microstructure and slightly alkaline crevice environment in some respects. Most axial cracks were observed inside the sludge pile up region, which suggests that sludge may have a role in accelerating the growth of the axial cracks. No correlation was seen in the circumferential cracks and sludge pile, and dents in the tube sheet and phosphate chemistry might cause OD circumferential cracks at the TTS region. The average depth of the axial cracks was higher than that of the circumferential cracks. Axial ID cracks 4 mm long or over at the TTS showed 90%-100% tube wall penetration. On the contrary, the length of the axial OD cracks was not closely related with the depth OD axial cracks around the TSP appeared to be much shallower than those of the TTS region. This implies that the same length of TSP region

  20. Communication: importance sampling including path correlation in semiclassical initial value representation calculations for time correlation functions.

    Science.gov (United States)

    Pan, Feng; Tao, Guohua

    2013-03-07

    Full semiclassical (SC) initial value representation (IVR) for time correlation functions involves a double phase space average over a set of two phase points, each of which evolves along a classical path. Conventionally, the two initial phase points are sampled independently for all degrees of freedom (DOF) in the Monte Carlo procedure. Here, we present an efficient importance sampling scheme by including the path correlation between the two initial phase points for the bath DOF, which greatly improves the performance of the SC-IVR calculations for large molecular systems. Satisfactory convergence in the study of quantum coherence in vibrational relaxation has been achieved for a benchmark system-bath model with up to 21 DOF.

  1. Public views on a wait time management initiative: a matter of communication.

    Science.gov (United States)

    Bruni, Rebecca A; Laupacis, Andreas; Levinson, Wendy; Martin, Douglas K

    2010-08-05

    Many countries have tried to reduce waiting times for health care through formal wait time reduction strategies. Our paper describes views of members of the public about a wait time management initiative--the Ontario Wait Time Strategy (OWTS) (Canada). Scholars and governmental reports have advocated for increased public involvement in wait time management. We provide empirically derived recommendations for public engagement in a wait time management initiative. Two qualitative studies: 1) an analysis of all emails sent by the public to the (OWTS) email address; and 2) in-depth interviews with members of the Ontario public. Email correspondents and interview participants supported the intent of the OWTS. However they wanted more information about the Strategy and its actions. Interview participants did not feel they were sufficiently made aware of the Strategy and email correspondents requested additional information beyond what was offered on the Strategy's website. Moreover, the email correspondents believed that some of the information that was provided on the Strategy's website and through the media was inaccurate, misleading, and even dishonest. Interview participants strongly supported public involvement in the OWTS priority setting. Findings suggest the public wanted increased communication from and with the OWTS. Effective communication can facilitate successful public engagement, and in turn fair and legitimate priority setting. Based on the study's findings we developed concrete recommendations for improving public involvement in wait time management.

  2. Public views on a wait time management initiative: a matter of communication

    Directory of Open Access Journals (Sweden)

    Laupacis Andreas

    2010-08-01

    Full Text Available Abstract Background Many countries have tried to reduce waiting times for health care through formal wait time reduction strategies. Our paper describes views of members of the public about a wait time management initiative - the Ontario Wait Time Strategy (OWTS (Canada. Scholars and governmental reports have advocated for increased public involvement in wait time management. We provide empirically derived recommendations for public engagement in a wait time management initiative. Methods Two qualitative studies: 1 an analysis of all emails sent by the public to the (OWTS email address; and 2 in-depth interviews with members of the Ontario public. Results Email correspondents and interview participants supported the intent of the OWTS. However they wanted more information about the Strategy and its actions. Interview participants did not feel they were sufficiently made aware of the Strategy and email correspondents requested additional information beyond what was offered on the Strategy's website. Moreover, the email correspondents believed that some of the information that was provided on the Strategy's website and through the media was inaccurate, misleading, and even dishonest. Interview participants strongly supported public involvement in the OWTS priority setting. Conclusions Findings suggest the public wanted increased communication from and with the OWTS. Effective communication can facilitate successful public engagement, and in turn fair and legitimate priority setting. Based on the study's findings we developed concrete recommendations for improving public involvement in wait time management.

  3. Age at the time of sulfonylurea initiation influences treatment outcomes in KCNJ11-related neonatal diabetes.

    Science.gov (United States)

    Thurber, Brian W; Carmody, David; Tadie, Elizabeth C; Pastore, Ashley N; Dickens, Jazzmyne T; Wroblewski, Kristen E; Naylor, Rochelle N; Philipson, Louis H; Greeley, Siri Atma W

    2015-07-01

    Individuals with heterozygous activating mutations of the KCNJ11 gene encoding a subunit of the ATP-sensitive potassium channel (KATP) can usually be treated with oral sulfonylurea (SU) pills in lieu of insulin injections. The aim of this study was to test our hypothesis that younger age at the time of initiation of SU therapy is correlated with lower required doses of SU therapy, shorter transition time and decreased likelihood of requiring additional diabetes medications. We performed a retrospective cohort study using data on 58 individuals with neonatal diabetes due to KCNJ11 mutations identified through the University of Chicago Monogenic Diabetes Registry ( http://monogenicdiabetes.uchicago.edu/registry ). We assessed the influence of age at initiation of SU therapy on treatment outcomes. HbA1c fell from an average of 8.5% (69 mmol/mol) before transition to 6.2% (44 mmol/mol) after SU therapy (p < 0.001). Age of initiation of SU correlated with the dose (mg kg(-1) day(-1)) of SU required at follow-up (r = 0.80, p < 0.001). Similar associations were observed across mutation subtypes. Ten participants required additional glucose-lowering medications and all had initiated SU at age 13 years or older. No serious adverse events were reported. Earlier age at initiation of SU treatment is associated with improved response to SU therapy. Declining sensitivity to SU may be due to loss of beta cell mass over time in those treated with insulin. Our data support the need for early genetic diagnosis and appropriate personalised treatment in all cases of neonatal diabetes.

  4. On the initial conditions of time-dependent mean-field equations of evolution. Pt. 2

    International Nuclear Information System (INIS)

    Troudet, T.; Paris-11 Univ., 91 - Orsay

    1986-01-01

    We analyze the problem so far untouched of determining the initial mean-field wavefunction in the context of zero-temperature mean-field descriptions of time-dependent expectation values and quantum fluctuations of nuclear observables. The nucleus, at zero temperature, is taken to be in a low-lying excited many-body eigenstate and is approximated by the corresponding RPA wavefunction as a continuous superposition of coherent states (i.e. Slater determinants). A generating function Gsub(A)(lambda) for time-dependent expectation values and quantum fluctuations is constructed within the formalism of functional integration. By applying the saddle-point method to the functional action of Gsub(A)(lambda) and then taking its lambda-derivatives, we recover the well-known TDHF theory and propose a simple determination of the initial Slater determinant for an appropriate mean-field description of time-dependent expectation values. The analog mean-field description of quadratic-quantum fluctuations proceeds similarly and in addition includes the contribution of the uncorrelated TDHF-RPA phonons coupled to collective excitations of the initial (static) mean-field configuration. When the collective TDHF-RPA excitations are solely taken into account, we obtain an improved version of the Balian-Veneroni dispersion formula by showing how to determine the initial mean-field wavefunction. By first taking the lambda-derivatives of Gsub(A)(lambda) before applying the saddle-point method, the initial mean-field wavefunction is found to be non-linearly coupled to the mean-field dynamics themselves. In return, and in contrast to the first quantization scheme, these both depend non-trivially upon the observable A being measured so that approximations must be proposed to simplify the resulting mean-field equations. (orig.)

  5. A simple method to calculate first-passage time densities with arbitrary initial conditions

    Science.gov (United States)

    Nyberg, Markus; Ambjörnsson, Tobias; Lizana, Ludvig

    2016-06-01

    Numerous applications all the way from biology and physics to economics depend on the density of first crossings over a boundary. Motivated by the lack of general purpose analytical tools for computing first-passage time densities (FPTDs) for complex problems, we propose a new simple method based on the independent interval approximation (IIA). We generalise previous formulations of the IIA to include arbitrary initial conditions as well as to deal with discrete time and non-smooth continuous time processes. We derive a closed form expression for the FPTD in z and Laplace-transform space to a boundary in one dimension. Two classes of problems are analysed in detail: discrete time symmetric random walks (Markovian) and continuous time Gaussian stationary processes (Markovian and non-Markovian). Our results are in good agreement with Langevin dynamics simulations.

  6. Pretreatment costs of care and time to initial treatment for patients with cancer of unknown primary.

    Science.gov (United States)

    Walker, Mark S; Weinstein, Laura; Luo, Roger; Marino, Ingrid

    2018-06-01

    Time to treatment and pretreatment costs may be affected by unknown primary tumor site. This retrospective study used electronic medical record data from patients in ten US community oncology practices. Eligible patients were ≥18 years, diagnosed with cancer of unknown primary (CUP) or known metastatic solid tumor, and presented between 1 January 2012 and 30 June 2014. Patients with CUP (n = 294) had a longer interval than non-CUP patients (n = 92) from presentation to treatment initiation (1.18 vs 0.49 months, p < 0.0001), and had higher pretreatment costs (US$27,882 vs US$20,449, p = 0.0075). When analyzed as monthly cost, the difference between groups in log-cost per month was nonsignificant. Higher pretreatment costs in CUP patients appeared attributable to significantly longer time to initiation of therapy.

  7. mRNA expression of the DNA replication-initiation proteins in epithelial dysplasia and squamous cell carcinoma of the tongue

    International Nuclear Information System (INIS)

    Li, Jian-na; Feng, Chong-jin; Lu, Yong-jun; Li, Hui-jun; Tu, Zheng; Liao, Gui-qing; Liang, Chun

    2008-01-01

    The tongue squamous cell carcinomas (SCCs) are characterized by high mitotic activity, and early detection is desirable. Overexpression of the DNA replication-initiation proteins has been associated with dysplasia and malignancy. Our aim was to determine whether these proteins are useful biomarkers for assessing the development of tongue SCC. We analyzed the mRNA expression of CDC6, CDT1, MCM2 and CDC45 in formalin-fixed, paraffin-embedded benign and malignant tongue tissues using quantitative real-time PCR followed by statistical analysis. We found that the expression levels are significantly higher in malignant SCC than mild precancerous epithelial dysplasia, and the expression levels in general increase with increasing grade of precancerous lesions from mild, moderate to severe epithelial dysplasia. CDC6 and CDC45 expression is dependent of the dysplasia grade and lymph node status. CDT1 expression is higher in severe dysplasia than in mild and moderate dysplasia. MCM2 expression is dependent of the dysplasia grade, lymph node status and clinical stage. The expression of the four genes is independent of tumor size or histological grade. A simple linear regression analysis revealed a linear increase in the mRNA levels of the four genes from the mild to severe dysplasia and SCC. A strong association was established between CDC6 and CDT1, and between MCM2 and CDC45 expression. The nonparametric receiver operating characteristic analysis suggested that MCM2 and CDC45 had a higher accuracy than CDC6 and CDT1 for distinguishing dysplasia from tongue SCC. These proteins can be used as biomarkers to distinguish precancerous dysplasia from SCC and are useful for early detection and diagnosis of SCC as an adjunct to clinicopathological parameters

  8. Perceptions of Pediatric Nephrologists regarding Timing of Dialysis Initiation in Children in Canada

    Directory of Open Access Journals (Sweden)

    Jeremy A. Saban

    2016-07-01

    Full Text Available Background: Significant practice variation exists in Canada with respect to timing of dialysis initiation in children. In the absence of evidence to guide practice, physicians' perceptions may significantly influence decision-making. Objective: The objectives of this study are to (1 evaluate Canadian pediatric nephrologists' perceptions regarding dialysis initiation in children with chronic kidney disease (CKD and (2 determine the factors guiding practice that may contribute to practice variation across Canada. Design: This study was a cross-sectional online survey. Setting: This study was done in academic pediatric nephrology centers in Canada. Participants: The participants of this study are pediatric nephrologists. Measurements and methods: An anonymous web-based survey was administered to pediatric nephrologists in Canada to evaluate perspectives and practice patterns regarding timing of dialysis initiation. We also explored the importance of estimated glomerular filtration rate (eGFR vs. symptoms and the role of patient and provider factors influencing decisions. Results: Thirty-five nephrologists (59 % completed the survey. Most respondents care for advanced CKD patients in a multidisciplinary clinic (86 % and no centers have a formal policy on timing of dialysis initiation. Seventy-five percent of centers follow 30 patients. Discussions about dialysis initiation are generally informal (75 % and the decision to start is made by the nephrologist (37 % or a team (57 %. Fifty percent agreed GFR was important when deciding when to initiate dialysis, 41 % were neutral, and 9 % disagreed. Variability exists in the threshold that nephrologists considered early (vs. late dialysis initiation: >20 (21 %, >15 (38 %, >12 (26 %, and >10 ml/min/1.73 m 2 (12 %. Practitioners however typically start dialysis in asymptomatic patients at eGFRs of 7–9 (9 %, 10–11 (41 %, 12–14 (38 %, and 15–19 (6 % ml/min/1.73 m 2 . Patient factors important in the

  9. Temporal predictive mechanisms modulate motor reaction time during initiation and inhibition of speech and hand movement.

    Science.gov (United States)

    Johari, Karim; Behroozmand, Roozbeh

    2017-08-01

    Skilled movement is mediated by motor commands executed with extremely fine temporal precision. The question of how the brain incorporates temporal information to perform motor actions has remained unanswered. This study investigated the effect of stimulus temporal predictability on response timing of speech and hand movement. Subjects performed a randomized vowel vocalization or button press task in two counterbalanced blocks in response to temporally-predictable and unpredictable visual cues. Results indicated that speech and hand reaction time was decreased for predictable compared with unpredictable stimuli. This finding suggests that a temporal predictive code is established to capture temporal dynamics of sensory cues in order to produce faster movements in responses to predictable stimuli. In addition, results revealed a main effect of modality, indicating faster hand movement compared with speech. We suggest that this effect is accounted for by the inherent complexity of speech production compared with hand movement. Lastly, we found that movement inhibition was faster than initiation for both hand and speech, suggesting that movement initiation requires a longer processing time to coordinate activities across multiple regions in the brain. These findings provide new insights into the mechanisms of temporal information processing during initiation and inhibition of speech and hand movement. Copyright © 2017 Elsevier B.V. All rights reserved.

  10. Time to insulin initiation can not be used in defining Latent Autoimmune Diabetes in Adults [LADA

    DEFF Research Database (Denmark)

    Brophy, S; Yderstræde, K; Mauricio, D

    2007-01-01

    and clinicians reported on criteria for initiating insulin. All patients were tested for glutamic acid decarboxylase autoantibodies (GADA) in a central laboratory. We examined time to insulin treatment for GADA positive patients in 6 participating centres. Results: There was inter-centre variation......Objective: Latent Autoimmune Diabetes in Adults [LADA] is type 1 diabetes presenting as non-insulin dependent diabetes. One feature of the selection criteria is time independent of insulin treatment. We examine the validity of this criterion. Methods: Patients were recruited in 9 European centres...

  11. SCC crack growth rate of cold worked 316L stainless steel in PWR environment

    Science.gov (United States)

    Du, Donghai; Chen, Kai; Yu, Lun; lu, Hui; Zhang, Lefu; Shi, Xiuqiang; Xu, Xuelian

    2015-01-01

    Many component failures in nuclear power plants were found to be caused by stress corrosion cracking (SCC) of cold worked austenitic steels. Some of the pressure boundary component materials are even cold worked up to 35% plastic deformation, leaving high residual stress and inducing high growth rate of corrosion crack. Controlling water chemistry is one of the best counter measure to mitigate this problem. In this work, the effects of temperature (200 up to 325 °C) and dissolved oxygen (0 up to 2000 μg/L) on SCC crack growth rates of cold worked austenitic stainless steel type 316L have been tested by using direct current potential drop (DCPD) method. The results showed that temperature affected SCC crack growth rates more significantly in oxygenated water than in deaerated water. In argon deaerated water, the crack growth rate exhibited a peak at about 250 °C, which needs further verification. At 325 °C, the SCC crack growth rate increased rapidly with the increase of dissolved oxygen concentration within the range from 0 up to 200 μg/L, while when dissolved oxygen was above 200 μg/L, the crack growth rate followed a shallower dependence on dissolved oxygen concentration.

  12. Durability Indicators Comparison for SCC and CC in Tropical Coastal Environments.

    Science.gov (United States)

    Calado, Carlos; Camões, Aires; Monteiro, Eliana; Helene, Paulo; Barkokébas, Béda

    2015-03-27

    Self-compacting concrete (SCC) demands more studies of durability at higher temperatures when subjected to more aggressive environments in comparison to the conventional vibrated concrete (CC). This work aims at presenting results of durability indicators of SCC and CC, having the same water/binder relations and constituents. The applied methodologies were electrical resistivity, diffusion of chloride ions and accelerated carbonation experiments, among others, such as microstructure study, scanning electron microscope and microtomography experiments. The tests were performed in a research laboratory and at a construction site of the Pernambuco Arena. The obtained results shows that the SCC presents an average electrical resistivity 11.4% higher than CC; the average chloride ions diffusion was 63.3% of the CC; the average accelerated carbonation penetration was 45.8% of the CC; and the average open porosity was 55.6% of the CC. As the results demonstrated, the SCC can be more durable than CC, which contributes to elucidate the aspects related to its durability and consequent prolonged life cycle.

  13. Durability Indicators Comparison for SCC and CC in Tropical Coastal Environments

    Directory of Open Access Journals (Sweden)

    Carlos Calado

    2015-03-01

    Full Text Available Self-compacting concrete (SCC demands more studies of durability at higher temperatures when subjected to more aggressive environments in comparison to the conventional vibrated concrete (CC. This work aims at presenting results of durability indicators of SCC and CC, having the same water/binder relations and constituents. The applied methodologies were electrical resistivity, diffusion of chloride ions and accelerated carbonation experiments, among others, such as microstructure study, scanning electron microscope and microtomography experiments. The tests were performed in a research laboratory and at a construction site of the Pernambuco Arena. The obtained results shows that the SCC presents an average electrical resistivity 11.4% higher than CC; the average chloride ions diffusion was 63.3% of the CC; the average accelerated carbonation penetration was 45.8% of the CC; and the average open porosity was 55.6% of the CC. As the results demonstrated, the SCC can be more durable than CC, which contributes to elucidate the aspects related to its durability and consequent prolonged life cycle.

  14. Effects of nano-silica (NS) additions on durability of SCC mixtures

    NARCIS (Netherlands)

    Quercia Bianchi, G.; Spiesz, P.R.; Brouwers, H.J.H.; Andrade, C; Gulikers, JJW; Polder, R

    2015-01-01

    In this study, three different types of nano-silica were applied in self-compacting concrete (SCC), one produced by the controlled dissolution of the olivine mineral and two having similar particle size distributions (PSD), but produced through two different processes: fumed powder nano-silica and

  15. Vibrational absorption spectra, DFT and SCC-DFTB conformational study and analysis of [Leu]enkephalin

    DEFF Research Database (Denmark)

    Abdali, Salim; Niehaus, T.A.; Jalkanen, Karl J.

    2003-01-01

    . Ab initio (DFT at the B3LYP/6-31G* level of theory) and semi-empirical (SCC-DFTB) with and without dispersion correction were applied to simulate the VA spectra of [Leu] enkephalin. In these calculations structures taken from X-ray measurements for different conformers of the molecule were used...

  16. Monitoring Conditions Leading to SCC/Corrosion of Carbon Steel in Fuel Grade Ethanol

    Science.gov (United States)

    2011-02-11

    This is the draft final report of the project on field monitoring of conditions that lead to SCC in ethanol tanks and piping. The other two aspects of the consolidated program, ethanol batching and blending effects (WP#325) and source effects (WP#323...

  17. Patterns and Timing of Initial Relapse in Patients Subsequently Undergoing Transplantation for Hodgkin's Lymphoma

    International Nuclear Information System (INIS)

    Dhakal, Sughosh; Biswas, Tithi; Liesveld, Jane L.; Friedberg, Jonathan W.; Phillips, Gordon L.; Constine, Louis S.

    2009-01-01

    Purpose: To evaluate the patterns and timing of initial recurrence in patients with Hodgkin's lymphoma (HL) who subsequently underwent high-dose chemotherapy with autologous stem cell transplantation to enhance our understanding of the natural history of this disease and its modern treatment strategies and to direct approaches to disease surveillance. Methods and Materials: The records of 69 patients with HL who had undergone high-dose chemotherapy with autologous stem cell transplantation in our center between May 1992 and June 2006 were analyzed. The initial diagnosis had been made between April 1982 and January 2005 at a median patient age of 33 years (range, 19-65). The patients were segregated according to the initial stage (Stage I-II vs. III-IV). Results: Early-stage HL patients developed a relapse at a median of 2.1 years (range, 0.5-10.3), with 91% of relapses at the initial disease site, 71% of which (65% overall) were only in previously involved sites. Advanced-stage HL patients developed a relapse at a median of 1.5 years (range, 0.6-10.5), with 97% at the initial site, 71% of which (69% overall) were only in previously involved sites. Single-site relapses occurred in 47% of early- vs. 26% of advanced-stage patients, and extranodal relapses occurred in 12% of early- vs. 31% of advanced-stage patients. Conclusions: Almost all patients with HL who develop relapse and subsequently undergo high-dose chemotherapy with autologous stem cell transplantation initially developed recurrence in previously involved disease sites. Early-stage HL relapses often occurred in single sites, and advanced-stage disease relapses were more likely in multiple and extranodal sites. The interval to recurrence was brief, suggesting that the frequency of screening should be the greatest in the early post-therapy years.

  18. Associations between timing of corticosteroid treatment initiation and clinical outcomes in Duchenne muscular dystrophy.

    Science.gov (United States)

    Kim, Sunkyung; Zhu, Yong; Romitti, Paul A; Fox, Deborah J; Sheehan, Daniel W; Valdez, Rodolfo; Matthews, Dennis; Barber, Brent J

    2017-08-01

    The long-term efficacy of corticosteroid treatment and timing of treatment initiation among Duchenne muscular dystrophy (DMD) patients is not well-understood. We used data from a longitudinal, population-based DMD surveillance program to examine associations between timing of treatment initiation (early childhood [before or at age 5 years], late childhood [after age 5 years], and naïve [not treated]) and five clinical outcomes (age at loss of ambulation; ages at onset of cardiomyopathy, scoliosis, and first fracture; and pulmonary function). Hazard ratios (HRs) and 95% confidence intervals (CIs) were estimated using survival analysis. DMD patients who initiated corticosteroid treatment in early childhood had a higher risk of earlier onset cardiomyopathy compared to cases who initiated treatment in late childhood (HR = 2.0, 95% CI = [1.2, 3.4]) or treatment naïve patients (HR = 1.9, 95% CI = [1.1, 3.2]), and higher risk of suffering a fracture (HR = 2.3, 95% CI = [1.4, 3.7] and HR = 2.6, 95% CI = [1.6, 4.2], respectively). Patients with early childhood treatment had slightly decreased respiratory function compared with those with late childhood treatment. Ages at loss of ambulation or scoliosis diagnosis did not differ statistically among treatment groups. We caution that the results from our study are subject to several limitations, as they were based on data abstracted from medical records. Further investigations using improved reporting of disease onset and outcomes are warranted to obtain a more definitive assessment of the association between the timing of corticosteroid treatment and disease severity. Published by Elsevier B.V.

  19. Absolute estimation of initial concentrations of amplicon in a real-time RT-PCR process

    Directory of Open Access Journals (Sweden)

    Kohn Michael

    2007-10-01

    Full Text Available Abstract Background Since real time PCR was first developed, several approaches to estimating the initial quantity of template in an RT-PCR reaction have been tried. While initially only the early thermal cycles corresponding to exponential duplication were used, lately there has been an effort to use all of the cycles in a PCR. The efforts have included both fitting empirical sigmoid curves and more elaborate mechanistic models that explore the chemical reactions taking place during each cycle. The more elaborate mechanistic models require many more parameters than can be fit from a single amplification, while the empirical models provide little insight and are difficult to tailor to specific reactants. Results We directly estimate the initial amount of amplicon using a simplified mechanistic model based on chemical reactions in the annealing step of the PCR. The basic model includes the duplication of DNA with the digestion of Taqman probe and the re-annealing between previously synthesized DNA strands of opposite orientation. By modelling the amount of Taqman probe digested and matching that with the observed fluorescence, the conversion factor between the number of fluorescing dye molecules and observed fluorescent emission can be estimated, along with the absolute initial amount of amplicon and the rate parameter for re-annealing. The model is applied to several PCR reactions with known amounts of amplicon and is shown to work reasonably well. An expanded version of the model allows duplication of amplicon without release of fluorescent dye, by adding 1 more parameter to the model. The additional process is helpful in most cases where the initial primer concentration exceeds the initial probe concentration. Software for applying the algorithm to data may be downloaded at http://www.niehs.nih.gov/research/resources/software/pcranalyzer/ Conclusion We present proof of the principle that a mechanistically based model can be fit to observations

  20. Time Delay for the Initiation of an Emergency Shutdown at the Peruvian Nuclear Reactor RP-10

    International Nuclear Information System (INIS)

    Ramon, A.; Ovalle, E.; Canaza, D.; Salazar, A.; Zapata, A.; Felix, J.; Arrieta, R.; Vela, M.

    2008-01-01

    In this paper we show the measurement of the time delay for the initiation of an emergency shutdown state at the RP-10 Reactor. This time delay is the one corresponding to the delay between the detection of a signal of any fixed limit and the start of a protective action to get the reactor in a safety state. The experimental method used is based on monitoring two signals in an oscilloscope, one signal is the elected initiate event and the other is the de-energizing of electromagnets of the security bars. The time delay for each safety and control rods, was measured for seven energizing current values in a range of 36 - 52 mA. The results showed that the minimum value is (84 ± 1.26) ms and the maximum is (108 ± 1.60) ms. In all cases it is noted that, the delay time is less than the limit values prefixed down in the reactor safety report. (authors)

  1. Timing of First Antenatal Care (ANC) and Inequalities in Early Initiation of ANC in Nepal.

    Science.gov (United States)

    Paudel, Yuba Raj; Jha, Trishna; Mehata, Suresh

    2017-01-01

    The provision and uptake of quality and timely antenatal care (ANC) is an essential element of efforts to improve health outcomes for women and newborn babies. Antenatal consultations assist in early identification and treatment of complications during pregnancy. This study aimed to provide an information on distribution and inequalities in early initiation of ANC in Nepal. The distribution and inequalities in the early initiation of ANC were examined using Nepal Demographic and Health Surveys 2011. Bivariate and multivariate logistic regression was used to assess inequalities. Overall, 70% of the women had started their first ANC at 4 month or earlier. Among participants who had never attended school, just more than half (52%) received first ANC at 4 months or earlier, while majority of participants (97%) who had received higher education received first ANC at recommended time. Similarly, 89% of those from richest quintile and 48% of those from poorest quintile received first ANC at recommended time. In adjusted analysis, women from richest wealth quintile were significantly more likely to initiate ANC early (AOR: 3.74, 95% CI: 2.31-6.05) compared to the poorest. Similarly, women with higher level education were significantly more likely (AOR: 11.40, 95% CI: 5.05-25.73) to initiate ANC early compared to women who had never attended school. A significantly lower odds of early ANC take up was observed among madhesi other caste (AOR: 0.56, 95% CI: 0.35-0.90) compared to brahmin/chhetri women. Women whose pregnancy was unwanted were significantly less likely to attend first ANC at 4 months or early (AOR: 0.73, 95% CI: 0.58-0.93) in comparison to women whose pregnancy was wanted. The differences in the recommended timing of initiation of ANC were evident among women with different educational, economic levels, and caste/ethnic groups. Rural women were less likely to have checkups as per guidelines. The findings suggest to a need of interventions to raise female

  2. Timing of First Antenatal Care (ANC and Inequalities in Early Initiation of ANC in Nepal

    Directory of Open Access Journals (Sweden)

    Yuba Raj Paudel

    2017-09-01

    Full Text Available BackgroundThe provision and uptake of quality and timely antenatal care (ANC is an essential element of efforts to improve health outcomes for women and newborn babies. Antenatal consultations assist in early identification and treatment of complications during pregnancy. This study aimed to provide an information on distribution and inequalities in early initiation of ANC in Nepal.MethodsThe distribution and inequalities in the early initiation of ANC were examined using Nepal Demographic and Health Surveys 2011. Bivariate and multivariate logistic regression was used to assess inequalities.FindingsOverall, 70% of the women had started their first ANC at 4 month or earlier. Among participants who had never attended school, just more than half (52% received first ANC at 4 months or earlier, while majority of participants (97% who had received higher education received first ANC at recommended time. Similarly, 89% of those from richest quintile and 48% of those from poorest quintile received first ANC at recommended time. In adjusted analysis, women from richest wealth quintile were significantly more likely to initiate ANC early (AOR: 3.74, 95% CI: 2.31–6.05 compared to the poorest. Similarly, women with higher level education were significantly more likely (AOR: 11.40, 95% CI: 5.05–25.73 to initiate ANC early compared to women who had never attended school. A significantly lower odds of early ANC take up was observed among madhesi other caste (AOR: 0.56, 95% CI: 0.35–0.90 compared to brahmin/chhetri women. Women whose pregnancy was unwanted were significantly less likely to attend first ANC at 4 months or early (AOR: 0.73, 95% CI: 0.58–0.93 in comparison to women whose pregnancy was wanted.ConclusionThe differences in the recommended timing of initiation of ANC were evident among women with different educational, economic levels, and caste/ethnic groups. Rural women were less likely to have checkups as per guidelines. The findings

  3. Data Mining Techniques to Estimate Plutonium, Initial Enrichment, Burnup, and Cooling Time in Spent Fuel Assemblies

    Energy Technology Data Exchange (ETDEWEB)

    Trellue, Holly Renee [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Fugate, Michael Lynn [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Tobin, Stephen Joesph [Los Alamos National Lab. (LANL), Los Alamos, NM (United States)

    2015-03-19

    The Next Generation Safeguards Initiative (NGSI), Office of Nonproliferation and Arms Control (NPAC), National Nuclear Security Administration (NNSA) of the U.S. Department of Energy (DOE) has sponsored a multi-laboratory, university, international partner collaboration to (1) detect replaced or missing pins from spent fuel assemblies (SFA) to confirm item integrity and deter diversion, (2) determine plutonium mass and related plutonium and uranium fissile mass parameters in SFAs, and (3) verify initial enrichment (IE), burnup (BU), and cooling time (CT) of facility declaration for SFAs. A wide variety of nondestructive assay (NDA) techniques were researched to achieve these goals [Veal, 2010 and Humphrey, 2012]. In addition, the project includes two related activities with facility-specific benefits: (1) determination of heat content and (2) determination of reactivity (multiplication). In this research, a subset of 11 integrated NDA techniques was researched using data mining solutions at Los Alamos National Laboratory (LANL) for their ability to achieve the above goals.

  4. Exacerbation of Brain Injury by Post-Stroke Exercise Is Contingent Upon Exercise Initiation Timing

    Directory of Open Access Journals (Sweden)

    Fengwu Li

    2017-10-01

    Full Text Available Accumulating evidence has demonstrated that post-stroke physical rehabilitation may reduce morbidity. The effectiveness of post-stroke exercise, however, appears to be contingent upon exercise initiation. This study assessed the hypothesis that very early exercise exacerbates brain injury, induces reactive oxygen species (ROS generation, and promotes energy failure. A total of 230 adult male Sprague-Dawley rats were subjected to middle cerebral artery (MCA occlusion for 2 h, and randomized into eight groups, including two sham injury control groups, three non-exercise and three exercise groups. Exercise was initiated after 6 h, 24 h and 3 days of reperfusion. Twenty-four hours after completion of exercise (and at corresponding time points in non-exercise controls, infarct volumes and apoptotic cell death were examined. Early brain oxidative metabolism was quantified by examining ROS, ATP and NADH levels 0.5 h after completion of exercise. Furthermore, protein expressions of angiogenic growth factors were measured in order to determine whether post-stroke angiogenesis played a role in rehabilitation. As expected, ischemic stroke resulted in brain infarction, apoptotic cell death and ROS generation, and diminished NADH and ATP production. Infarct volumes and apoptotic cell death were enhanced (p < 0.05 by exercise that was initiated after 6 h of reperfusion, but decreased by late exercise (24 h, 3 days. This exacerbated brain injury at 6 h was associated with increased ROS levels (p < 0.05, and decreased (p < 0.05 NADH and ATP levels. In conclusion, very early exercise aggravated brain damage, and early exercise-induced energy failure with ROS generation may underlie the exacerbation of brain injury. These results shed light on the manner in which exercise initiation timing may affect post-stroke rehabilitation.

  5. Implementing real-time GNSS monitoring to investigate continental rift initiation processes

    Science.gov (United States)

    Jones, J. R.; Stamps, D. S.; Wauthier, C.; Daniels, M. D.; Saria, E.; Ji, K. H.; Mencin, D.; Ntambila, D.

    2017-12-01

    Continental rift initiation remains an elusive, yet fundamental, process in the context of plate tectonic theory. Our early work in the Natron Rift, Tanzania, the Earth's archetype continental rift initiation setting, indicates feedback between volcanic deformation and fault slip play a key role in the rift initiation process. We found evidence that fault slip on the Natron border fault during active volcanism at Ol Doniyo Lengai in 2008 required only 0.01 MPa of Coulomb stress change. This previous study was limited by GPS constraints 18 km from the volcano, rather than immediately adjacent on the rift shoulder. We hypothesize that fault slip adjacent to the volcano creeps, and without the need for active eruption. We also hypothesize silent slip events may occur over time-scales less than 1 day. To test our hypotheses we designed a GNSS network with 4 sites on the flanks of Ol Doinyo Lengai and 1 site on the adjacent Natron border fault with the capability to calculate 1 second, 3-5 cm precision positions. Data is transmitted to UNAVCO in real-time with remote satellite internet, which we automatically import to the EarthCube building block CHORDS (Cloud Hosted Real-time Data Services for the Geosciences) using our newly developed method. We use CHORDS to monitor and evaluate the health of our network while visualizing the GNSS data in real-time. In addition to our import method we have also developed user-friendly capabilities to export GNSS positions (longitude, latitude, height) with CHORDS assuming the data are available at UNAVCO in NMEA standardized format through the Networked Transport of RTCM via Internet Protocol (NTRIP). The ability to access the GNSS data that continuously monitors volcanic deformation, tectonics, and their interactions on and around Ol Doinyo Lengai is a crucial component in our investigation of continental rift initiation in the Natron Rift, Tanzania. Our new user-friendly methods developed to access and post-process real-time GNSS

  6. Knowledge Translation Interventions to Improve the Timing of Dialysis Initiation: Protocol for a Cluster Randomized Trial.

    Science.gov (United States)

    Chau, Elaine M T; Manns, Braden J; Garg, Amit X; Sood, Manish M; Kim, S Joseph; Naimark, David; Nesrallah, Gihad E; Soroka, Steven D; Beaulieu, Monica; Dixon, Stephanie; Alam, Ahsan; Tangri, Navdeep

    2016-01-01

    Early initiation of chronic dialysis (starting dialysis with higher vs lower kidney function) has risen rapidly in the past 2 decades in Canada and internationally, despite absence of established health benefits and higher costs. In 2014, a Canadian guideline on the timing of dialysis initiation, recommending an intent-to-defer approach, was published. The objective of this study is to evaluate the efficacy and safety of a knowledge translation intervention to promote the intent-to-defer approach in clinical practice. This study is a multicenter, 2-arm parallel, cluster randomized trial. The study involves 55 advanced chronic kidney disease clinics across Canada. Patients older than 18 years who are managed by nephrologists for more than 3 months, and initiate dialysis in the follow-up period are included in the study. Outcomes will be measured at the patient-level and enumerated within a cluster. Data on characteristics of each dialysis start will be determined by linkages with the Canadian Organ Replacement Register. Primary outcomes include the proportion of patients who start dialysis early with an estimated glomerular filtration rate greater than 10.5 mL/min/1.73 m 2 and start dialysis in hospital as inpatients or in an emergency room setting. Secondary outcomes include the rate of change in early dialysis starts; rates of hospitalizations, deaths, and cost of predialysis care (wherever available); quarterly proportion of new starts; and acceptability of the knowledge translation materials. We randomized 55 multidisciplinary chronic disease clinics (clusters) in Canada to receive either an active knowledge translation intervention or no intervention for the uptake of the guideline on the timing of dialysis initiation. The active knowledge translation intervention consists of audit and feedback as well as patient- and provider-directed educational tools delivered at a comprehensive in-person medical detailing visit. Control clinics are only exposed to guideline

  7. Ontogenic timing mechanism initiates the expression of rat intestinal sucrase activity

    International Nuclear Information System (INIS)

    Yeh, K.Y.; Holt, P.R.

    1986-01-01

    Morphologic and enzymic differentiation occurs in rat small intestinal epithelium during 16-20 days of postnatal life. This change is considered to be initiated by an ontogenic timing mechanism and is modulated by extrinsic systemic and luminal factors. The importance of the ontogenic timing was tested directly using a transplantation technique in which jejunal isografts from newborn (day 0) and 5-day-old (day 5) rats were implanted under the skin of newborn (day 0) hosts. Isografts showing cryptvillus architecture were obtained in 44% and 21% of transplants, respectively. Day 0 isografts and host intestine expressed sucrase activity at about 16-18 days of age and showed similar crypt cell labeling and epithelial migration after [3H]thymidine injection. Day 5 isografts expressed sucrase activity when the hosts were 13 days of age, whereas host intestine showed no detectable sucrase activity. Isograft lactase activities in both experimental transplant models were significantly higher than host intestinal lactase up to 28 days of age, suggesting that luminal factors are important in modulating lactase activity during the first 4 wk of postnatal life. It is concluded that (a) no systemic factors at day 13 inhibit the expression of sucrase activity and (b) an ontogenic timing mechanism in the jejunum initiates the expression of sucrase activity

  8. Regulatory T cells predict the time to initial treatment in early stage chronic lymphocytic leukemia.

    Science.gov (United States)

    Weiss, Lukas; Melchardt, Thomas; Egle, Alexander; Grabmer, Christoph; Greil, Richard; Tinhofer, Inge

    2011-05-15

    Early stage chronic lymphocytic leukemia is characterized by a highly variable course of disease. Because it is believed that regulatory T cells (T(regs) ) are potent suppressors of antitumor immunity, the authors hypothesized that increased T(regs) may favor disease progression. T(reg) levels (cluster of differentiation 3 [CD3]-positive, [CD4]-positive, CD25-positive, and CD127-negative) in peripheral blood from 102 patients were analyzed by flow cytometry. Statistical analysis was used to evaluate correlations with clinical data. The relative T(reg) numbers in CD4-positive T cells were significantly greater in patients with chronic lymphocytic leukemia compared with the numbers in a control group of 170 healthy individuals (P = .001). Patients were divided into 2 groups using a median T(reg) value of 9.7% (the percentage of CD4-positive T cells). Patients with higher T(reg) levels had a significantly shorter time to initial treatment (median, 5.9 years) compared with patients who had lower T(reg) levels (median, 11.7 years; log-rank P = .019). Furthermore, T(reg) levels (the percentage of CD4-positive T cells) had significant prognostic power to predict the time to initial treatment in univariate analysis (P = .023) and in multivariate Cox regression analysis that included the variables Rai stage, immunoglobulin heavy-chain variable region gene mutational status, chromosomal aberrations, and CD38 expression (P = .028). Higher T(reg) levels had significant and independent prognostic power for predicting the time to initial treatment in patients with low to intermediate stage chronic lymphocytic leukemia. 2010 American Cancer Society.

  9. A Review of Root Causes of SCC Phenomena in BWR/RBMK: An Overview of Radiation-Induced Long Cell Action Relevant to SCC

    International Nuclear Information System (INIS)

    Genn Saji

    2004-01-01

    The author suggests a new hypothetical mechanism: radiation-induced 'long cell action' may cause electrolytic corrosion. In this mechanism, SCC (stress corrosion cracking) results from auto-catalytic growth of cracks in crevice water chemistry that is kept acidic by a combination of hydration of cations released from crack tips. The acidic chemistry is maintained by radiation-induced 'long cell action' in pits which are maintained by a trans-passive corrosion process under a stress field. The pivotal point of the thesis is 'long cell action' which appears not to have been investigated in the nuclear community. It is because the reactor water used in BWR/RBMK systems has a very low electrical conductivity. For 'long cell action' to take place, there must be an unknown ion transport mechanism. One potential mechanism can be the high flow rate of the reactor water, carrying ionic species from the anode to the cathode. The other is the effective removal of ferrous ions by deposition as crud, which enhanced by the decomposition of H 2 O 2 . There are also some surprising similarities between SCC in the reactor systems and the basic mechanism of underground corrosion by long cell action. In this mechanism, the 'long cell action' is induced by a difference in availability of oxygen inside the soil. Conduction of electrons through an electric conductor over a long distance plays a significant role as they are released by dissolution of metallic ions and sucked up from the metal surface. (author)

  10. Hearing preservation after low dose linac radiosurgery for acoustic neuroma depends on initial hearing and time

    International Nuclear Information System (INIS)

    Roos, Daniel E.; Potter, Andrew E.; Zacest, Andrew C.

    2011-01-01

    Purpose: To assess long term outcomes and factors determining hearing preservation after low dose linac stereotactic radiosurgery (SRS) for acoustic neuroma (AN) at the Royal Adelaide Hospital using prospectively collected data. Material and methods: Between 1994 and 2010, 102 patients had SRS for AN. Five patients had neurofibromatosis type 2, six sporadic cases had relapsed after surgery, and the remaining 91 sporadic cases had primary SRS. Dose was 12 or 14 Gy. Sustained changes ⩾ 2 mm in any diameter were deemed significant, and useful hearing was defined as inter-aural pure tone average (PTA) ⩽ 50 dB. Possible prognostic factors for hearing retention were tested by dividing the patients at pre-specified cutpoints: age (60 years), maximum tumour diameter (20 mm), initial PTA (20 dB) and dose (12 vs 14 Gy). Results: Eighty-four of the 91 sporadic primary SRS cases were evaluable for tumour control with at least one post-treatment MRI. Their median follow-up was 65 mo (range 10–184 mo). Eighty-two (97.6%) were controlled, the remaining two requiring salvage surgery for progression at 5.75 and 9.75 years. Also, one of the post-operative cases required surgery at 2.1 years after SRS. For the 50 sporadic primary SRS patients with initially useful hearing, median age was 56 (range 21–76), median initial PTA 16 dB (range −11 to +45 dB) and median tumour diameter 21 mm (range 10–33 mm). Four received 14 Gy, the rest 12 Gy. After SRS, 19 patients (38%) retained useful hearing. The Kaplan–Meier estimated preservation rate at 5 years was 50% (95% CI 36–64%) but by 10 years, this had fallen to 23% (95% CI 12–41%). On univariate analysis, the only significant factor was initial PTA (P < 0.0001). The estimated risk of hearing loss after SRS for patients with initial PTA ⩾ 20 dB was 5.0 (95% CI 2.2–11.2) times that with PTA < 20 dB. Conclusions: Tumour control was excellent (99/102 = 97% freedom from surgical salvage). Hearing preservation was strongly

  11. Upland cotton growth and yield response to timing the initial postplant irrigation

    International Nuclear Information System (INIS)

    Steger, A.J.; Silvertooth, J.C.; Brown, P.W.

    1998-01-01

    Cotton (Gossypium spp.) production in arid and semiarid regions depends on well-managed irrigation systems for optimum yield and production efficiency. Water deficit stress early in the growing season can affect the subsequent growth and development of short-season cotton. A 2-yr field study was conducted in southern Arizona to determine the optimum timing of the initial postplant irrigation for a short-season upland cotton variety based on midday leaf water potential (LWP) measurements, and to evaluate the season-long effects of delayed irrigation on subsequent plant growth patterns. In both years, the short-season upland variety, DPL 20, was planted into a Pima clay loam soil [fine-silty, mixed (calcareous), thermic Typic Torrifluvent] that had received a preplant irrigation of 152 (1993) or 254 mm (1994) approximately 3 wk prior to planting. Treatments, designated T1, T2, and T3, received the initial postplant irrigation when the average midday LWP of the uppermost, fully expanded leaf measured −1.5, −1.9, and −2.3 MPa, respectively. Daily midday LWP measurements were taken using the pressure chamber technique. Soil water was measured at 25-cm depth increments using neutron attenuation. Plant height, number of mainstem nodes, nodes above white flower (NAWF), and canopy closure were measured at weekly intervals. All treatments reached maturity, as measured by NAWF ≤ 5, at approximately the same time during the growing season. Complete canopy closure was delayed in the T3 plots resulting in reduced interception and utilization of available solar radiation early in the growing season. When treatments were initiated, approximately 84% (T1), 62% (T2), and 32% (T3) of the total plant-available water (field capacity less permanent wilting point) was present in the upper 1.5 of the soil profile. Yields were 1263, 1244, and 1110 kg lint ha−1 in 1993 and 1229, 1176, and 1095 kg lint ha −1 in 1994 for T1, T2, and T3, respectively. Lint yields were significantly

  12. Timing of Initiation of Antiretroviral Therapy in Human Immunodeficiency Virus (HIV)–Associated Tuberculous Meningitis

    Science.gov (United States)

    Török, M. Estee; Yen, Nguyen Thi Bich; Chau, Tran Thi Hong; Mai, Nguyen Thi Hoang; Phu, Nguyen Hoan; Mai, Pham Phuong; Dung, Nguyen Thi; Van Vinh Chau, Nguyen; Bang, Nguyen Duc; Tien, Nguyen Anh; Minh, N. H.; Hien, Nguyen Quang; Thai, Phan Vuong Khac; Dong, Doan The; Anh, Do Thi Tuong; Thoa, Nguyen Thi Cam; Hai, Nguyen Ngoc; Lan, Nguyen Ngoc; Lan, Nguyen Thi Ngoc; Quy, Hoang Thi; Dung, Nguyen Huy; Hien, Tran Tinh; Chinh, Nguyen Tran; Simmons, Cameron Paul; de Jong, Menno; Wolbers, Marcel; Farrar, Jeremy James

    2015-01-01

    Background The optimal time to initiate antiretroviral therapy (ART) in human immunodeficiency virus (HIV)–associated tuberculous meningitis is unknown. Methods We conducted a randomized, double-blind, placebo-controlled trial of immediate versus deferred ART in patients with HIV-associated tuberculous meningitis to determine whether immediate ART reduced the risk of death. Antiretroviral drugs (zidovudine, lamivudine, and efavirenz) were started either at study entry or 2 months after randomization. All patients were treated with standard antituberculosis treatment, adjunctive dexamethasone, and prophylactic co-trimoxazole and were followed up for 12 months. We conducted intention-to-treat, per-protocol, and prespecified subgroup analyses. Results A total of 253 patients were randomized, 127 in the immediate ART group and 126 in the deferred ART group; 76 and 70 patients died within 9 months in the immediate and deferred ART groups, respectively. Immediate ART was not significantly associated with 9-month mortality (hazard ratio [HR], 1.12; 95% confidence interval [CI], .81–1.55; P = .50) or the time to new AIDS events or death (HR, 1.16; 95% CI, .87–1.55; P = .31). The percentage of patients with severe (grade 3 or 4) adverse events was high in both arms (90% in the immediate ART group and 89% in the deferred ART group; P = .84), but there were significantly more grade 4 adverse events in the immediate ART arm (102 in the immediate ART group vs 87 in the deferred ART group; P = .04). Conclusions Immediate ART initiation does not improve outcome in patients presenting with HIV-associated tuberculous meningitis. There were significantly more grade 4 adverse events in the immediate ART arm, supporting delayed initiation of ART in HIV-associated tuberculous meningitis. Clinical Trials Registration ISRCTN63659091. PMID:21596680

  13. Prophylactic dissection of level V in primary mucosal SCC in the clinically N positive neck: A systematic review.

    Science.gov (United States)

    McLean, Timothy; Kerr, Stephen J; Giddings, Charles E B

    2017-09-01

    To review the evidence for level V dissection in the management of previously untreated mucosal squamous cell carcinoma (SCC) of the head and neck presenting with nodal metastasis when level V is clinically uninvolved. The Preferred Reporting Items for Systematic Review and Meta-Analyses (PRISMA) were used to conduct a systematic review of the current literature, including all English language articles published after 1990. A literature search was performed on November 29, 2015, of Medline, EMBASE, Cumulative Index to Nursing and Allied Health Literature (CINAHL), and the Cochrane Library. The search yielded a total of 270 papers. Strict inclusion and exclusion criteria were applied, leaving 20 eligible papers. Overall prevalence was calculated using random effect meta-analysis. The overall prevalence of level V occult disease in the node (N)-positive neck, irrespective of subsite, was 2.56% (95% confidence interval 1.29-3.84) (2,368 patients and 2,533 necks). The prevalence of occult level V metastasis was up to 7.7% for oral cavity and 8.3% for oropharyngeal tumors. Five studies reported regional recurrence rates over variable time periods. There is exceedingly limited data on outcomes, such as spinal accessory nerve function, quality of life, and perioperative complications. Mucosal head and neck SCC presenting with nodal metastasis but with level V clinically uninvolved has a low prevalence of occult level V disease. Routine dissection of level V does not appear to be warranted; however, a definitive conclusion is unable to be drawn due to limited data on morbidity and oncological outcomes. Laryngoscope, 127:2074-2080, 2017. © 2017 The American Laryngological, Rhinological and Otological Society, Inc.

  14. Stress corrosion cracks initiation of recrystallized Zircaloy-4 in iodine-methanol solutions

    International Nuclear Information System (INIS)

    Mozzani, N.

    2013-01-01

    During the pellet-cladding interaction, Zirconium-alloy fuel claddings might fail when subjected to incidental power transient in nuclear Pressurized Water Reactors, by Iodine-induced Stress Corrosion Cracking (I-SCC). This study deals with the intergranular initiation of I-SCC cracks in fully recrystallized Zircaloy-4, in methyl alcohol solution of iodine at room temperature, with the focus on critical mechanical parameters and iodine concentration. It was carried out with an approach mixing experiments and numerical simulations. An anisotropic and viscoplastic mechanical behavior model was established and validated over a wide range of loadings. With numerous constant elongation rate tensile tests and four points bending creep tests, the existence of a threshold iodine concentration I0 close to 10 -6 g.g -1 was highlighted, necessary to the occurrence of I-SCC damage, along with a transition concentration I1 close to 2.10 -4 g.g -1 . Above I1 the mechanism changes, leading to a sped up crack initiation and a loss of sensitivity towards mechanical parameters. The importance of concentration on parameters such as crack density, crack average length and intergranular and transgranular crack velocities was evidenced. Experimental results show that plastic strain is not required for I-SCC crack initiation, if the test time is long enough in the presence of stress. Its main influence is to rush the occurrence of cracking by creating initiation sites, by way of breaking the oxide layer and building up intergranular stress. Below I1, the critical strains at initiation show a substantial strain rate sensitivity. In this domain, a threshold stress of 100 MPa was found, well below the yield stress. Thanks to the combined use of notched specimens and numerical simulations, a strong protective effect of an increasing stress bi-axiality ratio was found, both in the elastic and plastic domains. Proton-irradiated samples, up to a dose of 2 dpa, were tested in the same conditions

  15. Study of initiation and growth of stress corrosion cracks. Quantitative characterization and modeling

    International Nuclear Information System (INIS)

    Peyrat, Christine

    1997-01-01

    A phenomenological study of Stress Corrosion Cracking (SCC) cracks initiation and growth was carried out on a Z 2 CN 18.10 stainless steel in a boiling aqueous magnesium chloride solution at 153 deg. C. The characterization method exploits the morphological information (cracks shape and size distribution) available on a specimen after SCC test. This method, independent of any mechanistic hypothesis, led to the analytical representation of the growth rate of a given crack as a function of its depth and of the density of deeper cracks. The presence of this last parameter could be the expression of a 'shielding effect' of mechanical origin, exerted by the cracks of large size. A 'true initiation' rate was calculated by an extrapolation based on the analytical expression of the growth rate. This analytical representation of cracks initiation and growth accounts for the saturation observed in the experimental determination of the 'apparent initiation'. As time goes, the number of cracks deeper than a given threshold depth tends towards a limit which depends very strongly on the chosen threshold. This saturation effect can be interpreted as exclusively due to the way the small cracks propagate, as the 'true initiation' rate can be expressed versus time by a simple power law. In the case of slow strain rate tests, it is shown that the kinetic parameters characteristic of initiation and growth depend on the applied elongation rate. In particular, the initial crack growth rate increases with elongation rate. The validity domains of the proposed expressions have been specified by means of SCC tests carried out under different types of mechanical loading. (author) [fr

  16. Latest SCC Issues of core shroud and recirculation piping in Japanese BWRs

    International Nuclear Information System (INIS)

    Okamura, Yuichi; Sakashita, Akihiro; Fukuda, Toshihiko; Yamashita, Hironobu; Futami, Tsuneo

    2003-01-01

    This paper reports that a high incidence of stress corrosion cracking (SCC) cracks have been found in the core Shroud and PLR piping of several Japanese BWR plants. The results of investigations show the cracks to be of SCC type in 316L stainless steel and with different characteristics from the type in 304 stainless steel. The cracks on the shroud surface were mainly verified near the shroud ring weld line and core region weld line, and the crack shape could be classified into two types: one type was circumferential cracking in the shroud ring, and the other was isolated occurrences of radial cracking in the core region. The structural integrity of those shrouds with cracks was evaluated under a conservative assumption and confirmed to be adequate. A relatively large error was identified in measuring the crack depth in the PLR piping. (author)

  17. Assessment and management of SCC in a liquid pipeline: case study

    Energy Technology Data Exchange (ETDEWEB)

    Cazenave, Pablo; Tandon, Samarth; Gao, Ming; Krishnamurthy, Ravi [Blade Energy Partners, Houston, Texas (United States); Peverelli, Romina (PIMS of London, London (United Kingdom)); Moreno Ochoa, Carlos (Pemex Refinacion, Cd de Mexico, (Mexico)); Diaz Solis, Esau (Pemex Refinacion, Cd de Mexico, (Mexico))

    2010-07-01

    A 30-inch crude oil pipeline system was built between Nuevo Teapa to Venta de Carpjo from 1978 to 1980. It is owned by Pemex; its total length is 570 km, and it has strategic importance in Mexico's refining capability. In this oil pipeline, various degrees of external and internal corrosion have been found, and recent incidents occurred as a result of stress corrosion cracking (SCC). This paper presents an approach for managing high pH SCC in such a pipeline: it includes a comprehensive verification excavation plan, a strict in-ditch NDT investigation protocol, statistical models to determine the probability of detection and identification, sizing tolerance analyses, and an assessment methodology that is backed up by the material testing program. All the results provided by the application of the approach lead to the development of integrity management strategies. An integrity management plan is established and refined before the next inspection.

  18. Characterization of SCC crack tips and surface oxide layers in alloy 600

    Energy Technology Data Exchange (ETDEWEB)

    Fujii, Katsuhiko; Fukuya, Koji [Inst. of Nuclear Safety System Inc., Mihama, Fukui (Japan)

    2002-09-01

    In order to investigate the mechanism of primary water stress corrosion cracking (SCC), direct observation of microstructures of SCC crack tips and surface oxide layers in alloy 600 were carried out. A focused-ion beam (FIB) micro-processing technique was applied to prepare electron transparent foils including the crack tip and the surface oxide layer without any damage to those microstructures. Transmission electron microscopy and analysis were used to characterize the crack tips and surface oxide layers. Cr-rich oxides and a metal-Ni phase were identified in the crack tips and grain boundaries ahead of the crack tips independent of dissolved hydrogen concentrations. >From the fact that the Cr-rich oxides and metal-Ni phase were observed in the inner surface oxide layer, the same oxidation mechanism as the surface is proposed for the crack tip region and internal oxidation accompanying selective Cr oxidation is suggested as the mechanism. (author)

  19. Characterization of SCC crack tip and hydrogen distribution in alloy 600

    Energy Technology Data Exchange (ETDEWEB)

    Fujii, Katsuhiko; Nakajima, Nobuo; Fukuya, Koji [Institute of Nuclear Safety System Inc., Mihama, Fukui (Japan); Hatano, Yuji [Toyama Univ. (Japan)

    2001-09-01

    In order to identify the mechanism of primary water stress corrosion cracking (SCC), direct observations of SCC crack tip microstructure and hydrogen distribution in alloy 600 were carried out. A new technique has been developed to prepare electron transparent foils including the crack tip using focused-ion beam (FIB) micro-processing technique. Cr-rich oxide and metal-Ni phase were identified in the crack tip and grain boundary ahead of the crack. >From the fact that similar microstructure was observed in the surface oxide layer, it is suggested that the oxidation mechanism is identical at the crack tip region and the surface. It became clear that the crack tip region and the oxidized grain boundary don't work as strong trapping sites of solute hydrogen under unloaded condition, because a homogeneous hydrogen distribution around the crack tip region was detected by tritium microautoradiography. (author)

  20. Assessing cardiac preload by the Initial Systolic Time Interval obtained from impedance cardiography

    Directory of Open Access Journals (Sweden)

    Jan H Meijer

    2010-01-01

    Full Text Available The Initial Systolic Time Interval (ISTI, obtained from the electrocardiogram (ECG and impedance cardiogram (ICG, is considered to be a measure for the time delay between the electrical and mechanical activity of the heart and reflects an early active period of the cardiac cycle. The clinical relevance of this time interval is subject of study. This paper presents preliminary results of a pilot study investigating the use of ISTI in evaluating and predicting the circulatory response to fluid administration in patients after coronary artery bypass graft surgery, by comparing ISTI with cardiac output (CO responsiveness. Also the use of the pulse transit time (PTT, earlier recommended for this purpose, is investigated. The results show an inverse relationship between ISTI and CO at all moments of fluid administration and also an inverse relationship between the changes ΔISTI and ΔCO before and after full fluid administration. No relationships between PTT and CO or ΔPTT and ΔCO were found. It is concluded that ISTI is dependent upon preload, and that ISTI has the potential to be used as a clinical parameter assessing preload.

  1. Development of a personal obligation to shift electricity use: Initial determinants and maintenance over time

    Energy Technology Data Exchange (ETDEWEB)

    Linz, D.; Heberlein, T.

    1984-03-01

    The present study is an attempt to determine if the beliefs which underly the formation of an obligation to shift electricity use among household consumers also contribute to maintenance of the obligation over time. Utility customer beliefs about and obligation toward shifting electricity use in their households from on-peak to off-peak times were examined in 1977, when the customers had no behavioral experience with electricity shifting. In 1979, after two years of experience with shifting appliance use from on-peak to off-peak times, customers were again surveyed and the same variables measured. The results indicated that the formation of a feeling of obligation to shift electricity in 1977 use was marginally dependent on other beliefs. By 1979, these variables were completely supplanted by the subjects' self-perception of their shifting behavior. While cognitive variables are important in the initial formation of a personal obligation to engage in shifting electricity use, the perpetuation of a feeling of obligation to shift over a period of years depends on perception of how often electricity shifting was undertaken and how much electricity had been shifted from on- to off-peak times.

  2. STEREO WAVES Capabilities for Studying Initiation and Early-time Dynamics of Solar Eruptions

    Science.gov (United States)

    Kaiser, M. L.

    2005-01-01

    In 2006, NASA will launch the twin STEREO spacecraft from Kennedy Space Center into a pair of heliocentric orbits near 1 AU such that the spacecraft will move away from Earth (ahead and behind) at about 22 degrees per year. The purposes of the STEREO Mission are to understand the causes and mechanisms of coronal mass ejection (CME) initiation and to follow the propagation of CMEs through the heliosphere. Additionally, STEREO will study the mechanisms and sites of solar energetic particle (SEP) acceleration and determine 3-D time-dependent traces of the magnetic topology, temperature, density and velocity of the solar wind between the sun and Earth. To accomplish these goals, each STEREO spacecraft will be equipped with set of optical and particles and fields instruments including the STEREO WAVES (SWAVES) instrument which will use radio waves to track the location of CME-driven shocks (via type I1 bursts) and the 3-D topology of open field lines along which energetic particles flow (via the ubiquitous type I11 bursts). Type 11 bursts very often commence with a series of special type 111 bursts (called SA or type 111-L bursts) that likely coincide with CME liftoff time, thus SWAVES should be able to determine this time to within 15 sec. It is also known that the occurrence of SEP events is usually accompanied by type I1 radio bursts at decametric wavelengths as well as strong type III bursts at all wavelengths. SWAVES will be able to determine the initiation of these bursts to within 15 sec, and from the simultaneous measurements from the two spacecraft, should be able to triangulate their source locations. The utility of radio observations and the capabilities of SWAVES will be illustrated by showing a number of examples using the similar Wind WAVES instrument in combination with SOH0 coronagraph and RHESSI high energy X-ray/gamma ray observations.

  3. Influence of Recycled Concrete Dust on the Properties of Self– Compacting Concrete (SCC)

    OpenAIRE

    Ivanauskas, Ernestas; Lazauskas, Mantas; Grigaliūnas, Paulius

    2017-01-01

    Concrete – composite material which economical effect mostly depends on the amount of binder material (usually cement), its type and fineness. Cement manufacturing generates great employment of energy resources. The demand for all kind of manufacturing natural resources are aimed to be reduced as much as possible. Alternative raw material resources are being introduced and tested together with increasing self-compacting concrete (SCC) popularity in Lithuania. Considering environmental require...

  4. PCI/SCC failure behavior of KWU/CE fuel rods

    International Nuclear Information System (INIS)

    Kikuchi, Akira

    1983-10-01

    The Over Ramp (Studsvik Over Ramp-STOR) project is an international power ramping irradiation program for studying PCI/SCC failure behavior of PWR-fuel rods. The project had its activities for about three years (Apr., 1977 - Dec., 1980) as the cooperation works of twelve participants composing nine countries. The present report introduces the irradiation data on the KWU/CE fuel rods in the project and discusses the failure behavior of PWR-fuel rods. (author)

  5. Initial Systolic Time Interval (ISTI) as a Predictor of Intradialytic Hypotension (IDH)

    International Nuclear Information System (INIS)

    Biesheuvel, J D; Verdaasdonk, R M; Meijer, JH; Vervloet, M G

    2013-01-01

    In haemodialysis treatment the clearance and volume control by the kidneys of a patient are partially replaced by intermittent haemodialysis. Because this artificial process is performed on a limited time scale, unphysiological imbalances in the fluid compartments of the body occur, that can lead to intradialytic hypotensions (IDH). An IDH endangers the efficacy of the haemodialysis session and is associated with dismal clinical endpoints, including mortality. A diagnostic method that predicts the occurrence of these drops in blood pressure could facilitate timely measures for the prevention of IDH. The present study investigates whether the Initial Systolic Time Interval (ISTI) can provide such a diagnostic method. The ISTI is defined as the time difference between the R-peak in the electrocardiogram (ECG) and the C-wave in the impedance cardiogram (ICG) and is considered to be a non-invasive assessment of the time delay between the electrical and mechanical activity of the heart. This time delay has previously been found to depend on autonomic nervous function as well as preload of the heart. Therefore, it can be expected that ISTI may predict an imminent IDH caused by a low circulating blood volume. This ongoing observational clinical study investigates the relationship between changes in ISTI and subsequent drops in blood pressure during haemodialysis. A registration of a complicated dialysis showed a significant correlation between a drop in blood pressure, a decrease in relative blood volume and a substantial increase in ISTI. An uncomplicated dialysis, in which also a considerable amount of fluid was removed, showed no correlations. Both, blood pressure and ISTI remained stable. In conclusion, the preliminary results of the present study show a substantial response of ISTI to haemodynamic instability, indicating an application in optimization and individualisation of the dialysis process.

  6. Porosity of Self-Compacting Concrete (SCC) incorporating high volume fly ash

    Science.gov (United States)

    Kristiawan, S. A.; Sunarmasto; Murti, G. Y.

    2017-02-01

    Degradation of concrete could be triggered by the presence of aggressive agents from the environment into the body of concrete. The penetration of these agents is influenced by the pore characteristics of the concrete. Incorporating a pozzolanic material such as fly ash could modify the pore characteristic of the concrete. This research aims to investigate the influence of incorporating fly ash at high volume level on the porosity of Self-Compacting Concrete (SCC). Laboratory investigations were carried out following the ASTM C642 for measuring density and volume of permeable pores (voids) of the SCC with varying fly ash contents (50-70% by weight of total binder). In addition, a measurement of permeable voids by saturation method was carried out to obtain an additional volume of voids that could not be measured by the immersion and boiling method of ASTM C642. The results show that the influence of fly ash content on the porosity appears to be dependent on age of SCC. At age less than 56 d, fly ash tends to cause an increase of voids but at 90 d of age it reduces the pores. The additional pores that can be penetrated by vacuum saturation method counts about 50% of the total voids.

  7. Asphalt dust waste material as a paste volume in developing sustainable self compacting concrete (SCC)

    Science.gov (United States)

    Ismail, Isham; Shahidan, Shahiron; Bahari, Nur Amira Afiza Saiful

    2017-12-01

    Self-compacting concrete (SCC) mixtures are usually designed to have high workability during the fresh state through the influence of higher volumes of paste in concrete mixtures. Asphalt dust waste (ADW) is one of disposed materials obtained during the production of asphalt premix. These fine powder wastes contribute to environmental problems today. However, these waste materials can be utilized in the development of sustainable and economical SCC. This paper focuses on the preliminary evaluations of the fresh properties and compressive strength of developed SCC for 7 and 28 days only. 144 cube samples from 24 mixtures with varying water binder ratios (0.2, 0.3 and 0.4) and ADW volume (0% to 100%) were prepared. MD940 and MD950 showed a satisfactory performance for the slump flow, J-Ring, L-Box and V-Funnel tests at fresh state. The compressive strength after 28 days for MD940 and MD950 was 36.9 MPa and 28.0 MPa respectively. In conclusion, the use of ADW as paste volume should be limited and a higher water binder ratio will significantly reduce the compressive strength.

  8. Human papillomavirus (HPV) and Oropharyngeal Squamous Cell Carcinoma (OP-SCC) of the Head and Neck: a Growing Epidemic

    Science.gov (United States)

    Bauman, Jessica; Wirth, Lori

    2015-01-01

    Human papillomavirus (HPV) is now considered a major causative agent in oropharyngeal squamous cell carcinoma (OP-SCC). The incidence of HPV+ OP-SCC is increasing dramatically, is higher in men, and is now more common than cervical cancer in the United States. HPV+ OPSCCs usually present as locally advanced, stage IV cancers, requiring intensive treatment with surgery, chemotherapy, and/or radiation that can cause tremendous morbidity. HPV vaccination is predicted to prevent HPV+ OP-SCC because over 90% are caused by vaccine-type HPV. However, current vaccination rates are not yet high enough to be effective at preventing HPV-associated malignancies at a population level. PMID:27132327

  9. Real-time observation of the initiation of RNA polymerase II transcription.

    Science.gov (United States)

    Fazal, Furqan M; Meng, Cong A; Murakami, Kenji; Kornberg, Roger D; Block, Steven M

    2015-09-10

    Biochemical and structural studies have shown that the initiation of RNA polymerase II transcription proceeds in the following stages: assembly of the polymerase with general transcription factors and promoter DNA in a 'closed' preinitiation complex (PIC); unwinding of about 15 base pairs of the promoter DNA to form an 'open' complex; scanning downstream to a transcription start site; synthesis of a short transcript, thought to be about 10 nucleotides long; and promoter escape. Here we have assembled a 32-protein, 1.5-megadalton PIC derived from Saccharomyces cerevisiae, and observe subsequent initiation processes in real time with optical tweezers. Contrary to expectation, scanning driven by the transcription factor IIH involved the rapid opening of an extended transcription bubble, averaging 85 base pairs, accompanied by the synthesis of a transcript up to the entire length of the extended bubble, followed by promoter escape. PICs that failed to achieve promoter escape nevertheless formed open complexes and extended bubbles, which collapsed back to closed or open complexes, resulting in repeated futile scanning.

  10. Linearized semiclassical initial value time correlation functions with maximum entropy analytic continuation.

    Science.gov (United States)

    Liu, Jian; Miller, William H

    2008-09-28

    The maximum entropy analytic continuation (MEAC) method is used to extend the range of accuracy of the linearized semiclassical initial value representation (LSC-IVR)/classical Wigner approximation for real time correlation functions. LSC-IVR provides a very effective "prior" for the MEAC procedure since it is very good for short times, exact for all time and temperature for harmonic potentials (even for correlation functions of nonlinear operators), and becomes exact in the classical high temperature limit. This combined MEAC+LSC/IVR approach is applied here to two highly nonlinear dynamical systems, a pure quartic potential in one dimensional and liquid para-hydrogen at two thermal state points (25 and 14 K under nearly zero external pressure). The former example shows the MEAC procedure to be a very significant enhancement of the LSC-IVR for correlation functions of both linear and nonlinear operators, and especially at low temperature where semiclassical approximations are least accurate. For liquid para-hydrogen, the LSC-IVR is seen already to be excellent at T=25 K, but the MEAC procedure produces a significant correction at the lower temperature (T=14 K). Comparisons are also made as to how the MEAC procedure is able to provide corrections for other trajectory-based dynamical approximations when used as priors.

  11. Factors influencing timely initiation and completion of gestational diabetes mellitus screening and diagnosis

    DEFF Research Database (Denmark)

    Nielsen, Karoline Kragelund; Rheinländer, Thilde; Kapur, Anil

    2017-01-01

    BACKGROUND: In 2007, universal screening for gestational diabetes mellitus (GDM) was introduced in Tamil Nadu, India. To identify factors hindering or facilitating timely initiation and completion of the GDM screening and diagnosis process, our study investigated how pregnant women in rural...... and urban Tamil Nadu access and navigate different GDM related health services. METHODS: The study was carried out in two settings: an urban private diabetes centre and a rural government primary health centre. Observations of the process of screening and diagnosis at the health centres as well as semi...... norms and cultural practices. CONCLUSIONS: Minimising and aligning complex stepwise processes of prenatal care and GDM screening delivery and attention to the factors influencing it are important for further improving and expanding GDM screening and related services, not only in Tamil Nadu but in other...

  12. Fabrication of thin SU-8 cantilevers: initial bending, release and time stability

    DEFF Research Database (Denmark)

    Keller, Stephan Urs; Haefliger, D.; Boisen, Anja

    2010-01-01

    SU-8 cantilevers with a thickness of 2 mu m were fabricated using a dry release method and two steps of SU-8 photolithography. The processing of the thin SU-8 film defining the cantilevers was experimentally optimized to achieve low initial bending due to residual stress gradients. In parallel......, the rotational deformation at the clamping point allowed a qualitative assessment of the device release from the fluorocarbon-coated substrate. The change of these parameters during several months of storage at ambient temperature was investigated in detail. The introduction of a long hard bake in an oven after...... development of the thin SU-8 film resulted in reduced cantilever bending due to removal of residual stress gradients. Further, improved time-stability of the devices was achieved due to the enhanced cross-linking of the polymer. A post-exposure bake at a temperature T-PEB = 50 degrees C followed by a hard...

  13. The two chromosomes of Vibrio cholerae are initiated at different time points in the cell cycle

    DEFF Research Database (Denmark)

    Rasmussen, Tue; Jensen, Rasmus Bugge; Skovgaard, Ole

    2007-01-01

    for analysing flow cytometry data and marker frequency analysis, we show that the small chromosome II is replicated late in the C period of the cell cycle, where most of chromosome I has been replicated. Owing to the delay in initiation of chromosome II, the two chromosomes terminate replication...... at approximately the same time and the average number of replication origins per cell is higher for chromosome I than for chromosome II. Analysis of cell-cycle parameters shows that chromosome replication and segregation is exceptionally fast in V. cholerae. The divided genome and delayed replication of chromosome...... II may reduce the metabolic burden and complexity of chromosome replication by postponing DNA synthesis to the last part of the cell cycle and reducing the need for overlapping replication cycles during rapid proliferation...

  14. Variational data assimilation for the optimized ozone initial state and the short-time forecasting

    Directory of Open Access Journals (Sweden)

    S.-Y. Park

    2016-03-01

    Full Text Available In this study, we apply the four-dimensional variational (4D-Var data assimilation to optimize initial ozone state and to improve the predictability of air quality. The numerical modeling systems used for simulations of atmospheric condition and chemical formation are the Weather Research and Forecasting (WRF model and the Community Multiscale Air Quality (CMAQ model. The study area covers the capital region of South Korea, where the surface measurement sites are relatively evenly distributed. The 4D-Var code previously developed for the CMAQ model is modified to consider background error in matrix form, and various numerical tests are conducted. The results are evaluated with an idealized covariance function for the appropriateness of the modified codes. The background error is then constructed using the NMC method with long-term modeling results, and the characteristics of the spatial correlation scale related to local circulation are analyzed. The background error is applied in the 4D-Var research, and a surface observational assimilation is conducted to optimize the initial concentration of ozone. The statistical results for the 12 h assimilation periods and the 120 observatory sites show a 49.4 % decrease in the root mean squared error (RMSE, and a 59.9 % increase in the index of agreement (IOA. The temporal variation of spatial distribution of the analysis increments indicates that the optimized initial state of ozone concentration is transported to inland areas by the clockwise-rotating local circulation during the assimilation windows. To investigate the predictability of ozone concentration after the assimilation window, a short-time forecasting is carried out. The ratios of the RMSE (root mean squared error with assimilation versus that without assimilation are 8 and 13 % for the +24 and +12 h, respectively. Such a significant improvement in the forecast accuracy is obtained solely by using the optimized initial state. The potential

  15. Fabrication of thin SU-8 cantilevers: initial bending, release and time stability

    International Nuclear Information System (INIS)

    Keller, Stephan; Boisen, Anja; Haefliger, Daniel

    2010-01-01

    SU-8 cantilevers with a thickness of 2 µm were fabricated using a dry release method and two steps of SU-8 photolithography. The processing of the thin SU-8 film defining the cantilevers was experimentally optimized to achieve low initial bending due to residual stress gradients. In parallel, the rotational deformation at the clamping point allowed a qualitative assessment of the device release from the fluorocarbon-coated substrate. The change of these parameters during several months of storage at ambient temperature was investigated in detail. The introduction of a long hard bake in an oven after development of the thin SU-8 film resulted in reduced cantilever bending due to removal of residual stress gradients. Further, improved time-stability of the devices was achieved due to the enhanced cross-linking of the polymer. A post-exposure bake at a temperature T PEB = 50 °C followed by a hard bake at T HB = 90 °C proved to be optimal to ensure low cantilever bending and low rotational deformation due to excellent device release and low change of these properties with time. With the optimized process, the reproducible fabrication of arrays with 2 µm thick cantilevers with a length of 500 µm and an initial bending of less than 20 µm was possible. The theoretical spring constant of these cantilevers is k = 4.8 ± 2.5 mN m −1 , which is comparable to the value for Si cantilevers with identical dimensions and a thickness of 500 nm.

  16. Effect of intervention initiation timing of pulsed electromagnetic field on ovariectomy-induced osteoporosis in rats.

    Science.gov (United States)

    Zhou, Jun; Liao, Yuan; Zeng, Yahua; Xie, Haitao; Fu, Chengxiao; Li, Neng

    2017-09-01

    The aim of this study is to explore the effect of timing of initiation of pulsed electromagnetic field (PEMF) therapy on bone mass, microarchitecture, and biomechanical properties, and to investigate receptor activator of NF-kB (RANK) expression in ovariectomized (OVX) rats. Sixty female Sprague-Dawley rats were randomly divided into two equal batches of three groups each (10 rats in each group). The first batch comprised of sham-operated (Sham-0 group), ovariectomized (OVX-0 group), and ovariectomized plus treated with PEMF starting from the day of OVX (Early PEMF group). The second batch comprised of sham-operated (Sham-12 group), ovariectomized (OVX-12 group), and ovariectomized plus treated with PEMF starting 12 weeks after OVX (Late PEMF group). Rats (whole body) in the early and late PEMF groups were exposed to PEMF (3.8 mT peak, 8 Hz pulse burst repetition rate). After 12 weeks of PEMF therapy, Early PEMF prevented OVX-induced deterioration in bone mineral density (BMD) and mechanical properties in lumbar vertebral body and femur, and deterioration in bone microarchitecture in lumbar vertebral body and proximal tibia. Late PEMF intervention only inhibited deterioration of BMD, bone microarchitecture, and mechanical properties in lumbar vertebral body. Both early and late PEMF therapy suppressed RANK protein expression in OVX rats without a concomitant effect on RANK mRNA expression. These results demonstrate that timing of initiation of PEMF therapy plays an important role in achieving optimal beneficial effects. The specific PEMF parameters may exert these favorable biological responses, at least partially, via inhibition of protein expression of RANK. Bioelectromagnetics. 38:456-465, 2017. © 2017 Wiley Periodicals, Inc. © 2017 Wiley Periodicals, Inc.

  17. APPLICATION OF SOFT COMPUTING TECHNIQUES FOR PREDICTING COOLING TIME REQUIRED DROPPING INITIAL TEMPERATURE OF MASS CONCRETE

    Directory of Open Access Journals (Sweden)

    Santosh Bhattarai

    2017-07-01

    Full Text Available Minimizing the thermal cracks in mass concrete at an early age can be achieved by removing the hydration heat as quickly as possible within initial cooling period before the next lift is placed. Recognizing the time needed to remove hydration heat within initial cooling period helps to take an effective and efficient decision on temperature control plan in advance. Thermal properties of concrete, water cooling parameters and construction parameter are the most influencing factors involved in the process and the relationship between these parameters are non-linear in a pattern, complicated and not understood well. Some attempts had been made to understand and formulate the relationship taking account of thermal properties of concrete and cooling water parameters. Thus, in this study, an effort have been made to formulate the relationship for the same taking account of thermal properties of concrete, water cooling parameters and construction parameter, with the help of two soft computing techniques namely: Genetic programming (GP software “Eureqa” and Artificial Neural Network (ANN. Relationships were developed from the data available from recently constructed high concrete double curvature arch dam. The value of R for the relationship between the predicted and real cooling time from GP and ANN model is 0.8822 and 0.9146 respectively. Relative impact on target parameter due to input parameters was evaluated through sensitivity analysis and the results reveal that, construction parameter influence the target parameter significantly. Furthermore, during the testing phase of proposed models with an independent set of data, the absolute and relative errors were significantly low, which indicates the prediction power of the employed soft computing techniques deemed satisfactory as compared to the measured data.

  18. Effect of controlled potential on SCC of nuclear waste package container materials

    International Nuclear Information System (INIS)

    Lum, B. Y.; Roy, A. K.; Spragge, M. K.

    1999-01-01

    The slow-strain-rate (SSR) test technique was used to evaluate the susceptibility of Titanium (Ti) Gr-7 (UNS R52400) and Ti Gr-12 (UNS R53400) to stress corrosion cracking (SCC). Ti Gr-7 and Ti Gr-12 are two candidate container materials for the multi-barrier package for nuclear waste. The tests were done in a deaerated 90 C acidic brine (pH ∼ 2.7) containing 5 weight percent (wt%) sodium chloride (NaCl) using a strain rate of 3.3 x 10 -6 sec -1 . Before being tested in the acidic brine, specimens of each alloy were pulled inside the test chamber in the dry condition at ambient temperature. Then while in the test solution, specimens were strained under different cathodic (negative) controlled electrochemical potentials. These controlled potentials were selected based on the corrosion potential measured in the test solution before the specimens were strained. Results indicate that the times to failure (TTF) for Ti Gr-12 were much shorter than those for Ti Gr-7. Furthermore, as the applied potential became more cathodic, Ti Gr-12 showed reduced ductility in terms of percent reduction in area (%RA) and true fracture stress (σ f ). In addition, TTF and percent elongation (%El) reached the minimum values when Ti Gr-12 was tested under an impressed potential of -1162 mV. However, for Ti Gr-7, all these ductility parameters were not significantly influenced by the changes in applied potential. In general, the results of hydrogen analysis by secondary ion mass spectrometry (SIMS) showed increased hydrogen concentration at more cathodic controlled potentials. Optical microscopy and scanning electron microscopy (SEM) were used to evaluate the morphology of cracking both at the primary fracture face and the secondary cracks along the gage section of the broken tensile specimen. Transgranular secondary cracks were observed in both alloys possibly resulting from the formation of brittle titanium hydrides due to cathodic charging. The primary fracture face was characterized

  19. Using the Initial Systolic Time Interval to assess cardiac autonomic function in Parkinson’s disease

    Directory of Open Access Journals (Sweden)

    Jan H. Meijer

    2011-12-01

    Full Text Available The Initial Systolic Time Interval (ISTI has been defined as the time difference between the peak electrical and peak mechanical activity of the heart. ISTI is obtained from the electro-cardiogram and the impedance cardiogram. The response of ISTI while breathing at rest and to a deep breathing stimulus was studied in a group of patients suffering from Parkinson's disease (PD and a group of healthy control subjects. ISTI showed substantial variability during these manoeuvres. The tests showed that the variability of RR and ISTI was substantially different between PD patients and controls. It is hypothesized that in PD patients the sympathetic system compensates for the loss of regulatory control function of the blood-pressure by the parasympathetic system. It is concluded that ISTI is a practical, additional and independent parameter that can be used to assist other tests in evaluating autonomic control of the heart in PD patients.doi:10.5617/jeb.216 J Electr Bioimp, vol. 2, pp. 98-101, 2011

  20. Initial Study of An Effective Fast-Time Simulation Platform for Unmanned Aircraft System Traffic Management

    Science.gov (United States)

    Xue, Min; Rios, Joseph

    2017-01-01

    Small Unmanned Aerial Vehicles (sUAVs), typically 55 lbs and below, are envisioned to play a major role in surveilling critical assets, collecting important information, and delivering goods. Large scale small UAV operations are expected to happen in low altitude airspace in the near future. Many static and dynamic constraints exist in low altitude airspace because of manned aircraft or helicopter activities, various wind conditions, restricted airspace, terrain and man-made buildings, and conflict-avoidance among sUAVs. High sensitivity and high maneuverability are unique characteristics of sUAVs that bring challenges to effective system evaluations and mandate such a simulation platform different from existing simulations that were built for manned air traffic system and large unmanned fixed aircraft. NASA's Unmanned aircraft system Traffic Management (UTM) research initiative focuses on enabling safe and efficient sUAV operations in the future. In order to help define requirements and policies for a safe and efficient UTM system to accommodate a large amount of sUAV operations, it is necessary to develop a fast-time simulation platform that can effectively evaluate requirements, policies, and concepts in a close-to-reality environment. This work analyzed the impacts of some key factors including aforementioned sUAV's characteristics and demonstrated the importance of these factors in a successful UTM fast-time simulation platform.

  1. ATLAS level-1 calorimeter trigger hardware: initial timing and energy calibration

    CERN Document Server

    Childers, JT; The ATLAS collaboration

    2010-01-01

    The ATLAS Level-1 Calorimeter Trigger identifies high-pT objects in the Liquid Argon and Tile Calorimeters with a fixed latency of up to 2.4 microseconds using a hardware-based, pipelined system built with custom electronics. The Preprocessor Module conditions and digitizes about 7200 pre-summed analogue signals from the calorimeters at the LHC bunch-crossing frequency of 40 MHz, and performs bunch-crossing identification (BCID) and deposited energy measurement for each input signal. This information is passed to further processors for object classification and total energy calculation, and the results are used to make the Level-1 trigger decision for the ATLAS detector. The BCID and energy measurement in the trigger depend on precise timing adjustments to achieve correct sampling of the input signal peak. Test pulses from the calorimeters were analysed to derive the initial timing and energy calibration, and first data from the LHC restart in autumn 2009 and early 2010 were used for validation and further op...

  2. ATLAS level-1 calorimeter trigger hardware: initial timing and energy calibration

    International Nuclear Information System (INIS)

    Childers, J T

    2011-01-01

    The ATLAS Level-1 Calorimeter Trigger identifies high-pT objects in the Liquid Argon and Tile Calorimeters with a fixed latency of up to 2.5μs using a hardware-based, pipelined system built with custom electronics. The Preprocessor Module conditions and digitizes about 7200 pre-summed analogue signals from the calorimeters at the LHC bunch-crossing frequency of 40 MHz, and performs bunch-crossing identification (BCID) and deposited energy measurement for each input signal. This information is passed to further processors for object classification and total energy calculation, and the results are used to make the Level-1 trigger decision for the ATLAS detector. The BCID and energy measurement in the trigger depend on precise timing adjustments to achieve correct sampling of the input signal peak. Test pulses from the calorimeters were analysed to derive the initial timing and energy calibration, and first data from the LHC restart in autumn 2009 and early 2010 were used for validation and further optimization. The results from these calibration measurements are presented.

  3. Characteristics of SCC crack propagation in 22Cr-5. 5Ni-3Mo duplex stainless steel weldment

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Choong Un; Kang, Choon Sik

    1988-02-01

    The characteristics of SCC crack propagation in duplex stainless steel weldment made by SMAW, GTAW and GMAW processes were investigated in 42% MgCl/sub 2/ 142 deg C boiling solution. From these experiments, it could be concluded that the structure anisotropy of ..gamma.. phase as well as the phase ratio played an important role in SCC resistance. GTA and GMA weld metal showed higher SCC resistance than base metal because of randomly distributed ..gamma.. phase. The crack in weld metal had same opportunity of receiving keying effect as that in base metal, but it had less possibility of intersecting ..gamma.. phase. The SCC resistance of the SMA weld metal and the HAZ was lower than that of the base metal because their phase ratio deviated from the proper phase ratio.

  4. IGA/SCC propagation rate measurements on alloy 600 steam generator tubing using a side stream model boiler

    International Nuclear Information System (INIS)

    Takamatsu, H.; Matsueda, K.; Matsunaga, T.; Kitera, T.; Arioka, K.; Tsuruta, T.; Okamoto, S.

    1993-01-01

    IGA/SCC crack propagation rate measurements using various types of IGA/SCC predefected ALloy 600 tubing were tested in model boilers, a side stream model boiler at Ohi Unit 1 and similar model boilers in the laboratory. Types of IGA/SCC predefects introduced from the outside of the tubing were as follows. (1) Actual IGA/SCC predefect introduced by high temperature caustic environments; (2) Longitudinal predefect by electrodischarge machining (EDM) method, and then crack tip fatigue was introduced to serve as the marker on the fractured surface (EDM slit + fatigue). IGA/SCC crack propagation rate was measured after the destructive examination by Cr concentration profile on fracture surface for (1), and observation of intergranular fractured surface propagated from the marked fatigue was employed for (2) and (3) after the model boiler tests. As for the water chemistry conditions, mainly AVT (high N 2 H 4 ) + boric acid (5-10ppm as B in SGs) treatment for both model boilers, and some of the tests for the model boiler in the laboratory employed AVT (high N 2 H 4 ) without boric acid. The results of IGA/SCC crack propagation rate measurements were compared with each other, and the three methods employed showed a good coincidence with the rate of ca. 1 x 10 -5 mm/Hr for AVT (high N 2 H 4 ) + boric acid treatment condition, in the case that crack tip boron intensity (B/O value by IMMA analysis) of more than 1 was observed

  5. Anticipatory Postural Control of Stability during Gait Initiation Over Obstacles of Different Height and Distance Made Under Reaction-Time and Self-Initiated Instructions.

    Science.gov (United States)

    Yiou, Eric; Artico, Romain; Teyssedre, Claudine A; Labaune, Ombeline; Fourcade, Paul

    2016-01-01

    Despite the abundant literature on obstacle crossing in humans, the question of how the central nervous system (CNS) controls postural stability during gait initiation with the goal to clear an obstacle remains unclear. Stabilizing features of gait initiation include anticipatory postural adjustments (APAs) and lateral swing foot placement. To answer the above question, 14 participants initiated gait as fast as possible in three conditions of obstacle height, three conditions of obstacle distance and one obstacle-free (control) condition. Each of these conditions was performed with two levels of temporal pressure: reaction-time (high-pressure) and self-initiated (low-pressure) movements. A mechanical model of the body falling laterally under the influence of gravity and submitted to an elastic restoring force is proposed to assess the effect of initial (foot-off) center-of-mass position and velocity (or "initial center-of-mass set") on the stability at foot-contact. Results showed that the anticipatory peak of mediolateral (ML) center-of-pressure shift, the initial ML center-of-mass velocity and the duration of the swing phase, of gait initiation increased with obstacle height, but not with obstacle distance. These results suggest that ML APAs are scaled with swing duration in order to maintain an equivalent stability across experimental conditions. This statement is strengthened by the results obtained with the mechanical model, which showed how stability would be degraded if there was no adaptation of the initial center-of-mass set to swing duration. The anteroposterior (AP) component of APAs varied also according to obstacle height and distance, but in an opposite way to the ML component. Indeed, results showed that the anticipatory peak of backward center-of-pressure shift and the initial forward center-of-mass set decreased with obstacle height, probably in order to limit the risk to trip over the obstacle, while the forward center-of-mass velocity at foot

  6. ANTICIPATORY POSTURAL CONTROL OF STABILITY DURING GAIT INITIATION OVER OBSTACLES OF DIFFERENT HEIGHT AND DISTANCE MADE UNDER REACTION-TIME AND SELF-INITIATED INSTRUCTIONS

    Directory of Open Access Journals (Sweden)

    Eric Yiou

    2016-09-01

    Full Text Available Despite the abundant literature on obstacle crossing in humans, the question of how the central nervous system (CNS controls postural stability during gait initiation with the goal to clear an obstacle remains unclear. Stabilizing features of gait initiation include anticipatory postural adjustments (APAs and lateral swing foot placement. To answer the above question, fourteen participants initiated gait as fast as possible in three conditions of obstacle height, three conditions of obstacle distance, and one obstacle-free (control condition. Each of these conditions was performed with two levels of temporal pressure: reaction-time (high-pressure and self-initiated (low-pressure movements. A mechanical model of the body falling laterally under the influence of gravity and submitted to an elastic restoring force is proposed to assess the effect of initial (foot-off center-of-mass position and velocity (or initial center-of-mass set on stability at foot-contact. Results showed that the anticipatory peak of mediolateral center-of-pressure shif, the initial mediolateral center-of-mass velocity and the duration of the swing phase of gait initiation increased with obstacle height, but not with obstacle distance. These results suggest that mediolateral APAs are scaled with swing duration in order to maintain an equivalent stability across experimental conditions. This statement is strengthened by the results obtained with the mechanical model, which showed how stability would be degraded if there was no adaptation of the initial center-of-mass set to swing duration. The anteroposterior component of APAs varied also according to obstacle height and distance, but in an opposite way to the mediolateral component. Indeed, results showed that the anticipatory peak of backward center-of-pressure shift and the initial forward center-of-mass set decreased with obstacle height, probably in order to limit the risk to trip over the obstacle, while the forward

  7. Determinants of timely initiation of breastfeeding among mothers in Goba Woreda, South East Ethiopia: A cross sectional study

    Directory of Open Access Journals (Sweden)

    Belachew Tefera

    2011-04-01

    Full Text Available Abstract Background Although breastfeeding is universal in Ethiopia, ranges of regional differences in timely initiation of breastfeeding have been documented. Initiation of breastfeeding is highly bound to cultural factors that may either enhance or inhibit the optimal practices. The government of Ethiopia developed National Infant and Young Child Feeding Guideline in 2004 and behavior change communications on breast feeding have been going on since then. However, there is a little information on the practice of timely initiation of breast feeding and factors that predict these practices after the implementation of the national guideline. The objective of this study is to determine the prevalence and determinant factors of timely initiation of breastfeeding among mothers in Bale Goba District, South East Ethiopia. Methods A community based cross sectional study was carried out from February to March 2010 using both quantitative and qualitative methods of data collection. A total of 608 mother infant pairs were selected using simple random sampling method and key informants for the in-depth interview were selected conveniently. Descriptive statistics, bivariate analysis and multivariable logistic regression analyses were employed to identify factors associated with timely initiation of breast feeding. Results The prevalence of timely initiation of breastfeeding was 52.4%. Bivariate analysis showed that attendance of formal education, being urban resident, institutional delivery and postnatal counseling on breast feeding were significantly associated with timely initiation of breastfeeding (P Conclusions The practice of timely initiation of breast feeding is low as nearly half the mothers did not start breastfeeding with one hour after delivery. The results suggest that breast feeding behavior change communication especially during the post natal period is critical in promoting optimal practice in the initiation of breast feeding. Rural mothers

  8. Enhanced evaluation data initiates a collaborative out-of-school time food sponsors work group.

    Science.gov (United States)

    Rifkin, Robin; Williams, Lauren A; Grode, Gabrielle M; Roberts-Johnson, Wendy-Anne

    2015-01-01

    Philadelphia's Healthy Kids, Healthy Communities Out-of-School Time (OST) Initiative led by the Health Promotion Council developed 10 Healthy Living Guidelines for Out-of-School Time Programs to support a healthy environment for Philadelphia youth in 200 OST programs. Health Promotion Council participated in an enhanced cross-site evaluation with the national Robert Wood Johnson Foundation evaluator during the final year of funding to learn more about food and nutrition in the OST setting, and to share data and engage the OST food providers. A plate waste study measured the quantity and nutrition composition of meals served to youth compared to food not eaten. Staff interviews measured program adherence to the Healthy Living Guidelines, along with other facets of the food environment in 7 Philadelphia OST programs. Online surveys were sent to OST programs. Food providers (sponsors) were interviewed using Appreciative Inquiry methodology to gain insight into systems, goals, and common interests. Aggregated plate waste data from 7 observations showed an average of 42% of the food uneaten after meal/snack consumption, and high sodium content of the meals. Twenty-nine staff at OST programs completed the online survey, and 3 food sponsors were interviewed. Recommendations to improve the food included increasing variety, offering more salads, fruits and vegetables, and culturally appropriate foods. Food sponsor interviews showed a variety of meal production, distribution, service and training systems, and an interest in working together. The food sponsors met to review the data and prioritized common goals. They continue to work together to improve systems and meals for food service. A food sponsors work group formed and continues as a result of sharing enhanced cross-site data about food in OST settings. Food sponsors continue to work together to improve systems and nutritional offerings for Philadelphia OST programs.

  9. Changes in physical activity, sedentary time, and risk of falling: The Women's Health Initiative Observational Study.

    Science.gov (United States)

    Bea, Jennifer W; Thomson, Cynthia A; Wallace, Robert B; Wu, Chunyuan; Seguin, Rebecca A; Going, Scott B; LaCroix, Andrea; Eaton, Charles; Ockene, Judith K; LaMonte, Michael J; Jackson, Rebecca; Jerry Mysiw, W; Wactawski-Wende, Jean

    2017-02-01

    Falling significantly affects quality of life, morbidity, and mortality among older adults. We sought to evaluate the prospective association between sedentary time, physical activity, and falling among post-menopausal women aged 50-79years recruited to the Women's Health Initiative Observational Study between 1993 and 1998 from 40 clinical centers across the United States. Baseline (B) and change in each of the following were evaluated at year 3 (Y3) and year 6 (Y6; baseline n=93,676; Y3 n=76,598; Y6 n=75,428): recreational physical activity (MET-h/wk), sitting, sleeping (min/day), and lean body mass by dual energy X-ray absorptiometry (subset N=6475). Falls per year (0, 1, 2, ≥3) were assessed annually by self-report questionnaire and then dichotomized as ≤1 and ≥2falls/year. Logistic regression models were adjusted for demographics, body mass index, fall history, tobacco and alcohol use, medical conditions, and medications. Higher baseline activity was associated with greater risk of falling at Y6 (18%; p for trend falling (1% Y3; 2% Y6; pfalling at Y3 and Y6 (p for trend falling among post-menopausal women. Additional fall prevention strategies, such as balance and resistance training, should be evaluated to assist post-menopausal women in reaching or maintaining levels of aerobic activity known to prevent and manage several chronic diseases. Copyright © 2016 Elsevier Inc. All rights reserved.

  10. Time-symmetric initial data for binary black holes in numerical relativity

    International Nuclear Information System (INIS)

    Blanchet, Luc

    2003-01-01

    We look for physically realistic initial data in numerical relativity which are in agreement with post-Newtonian approximations. We propose a particular solution of the time-symmetric constraint equation, appropriate to two momentarily static black holes, in the form of a conformal decomposition of the spatial metric. This solution is isometric to the post-Newtonian (PN) metric up to the 2PN order. It represents a nonlinear deformation of the solution of Brill and Lindquist, i.e. an asymptotically flat region is connected to two asymptotically flat (in a certain weak sense) sheets that are the images of the two singularities through appropriate inversion transformations. The total Arnowitt-Deser-Misner mass M as well as the individual masses m 1 and m 2 (when they exist) are computed by surface integrals performed at infinity. Using second order perturbation theory on the Brill-Lindquist background, we prove that the binary's interacting mass-energy M-m 1 -m 2 is well defined at the 2PN order and in agreement with the known post-Newtonian result

  11. Isoalantolactone inhibits UM-SCC-10A cell growth via cell cycle arrest and apoptosis induction.

    Directory of Open Access Journals (Sweden)

    Minjun Wu

    Full Text Available Isoalantolactone is a sesquiterpene lactone compound isolated from the roots of Inula helenium L. Previous studies have demonstrated that isoalantolactone possesses antifungal, anti-bacterial, anti-helminthic and anti-proliferative properties in a variety of cells, but there are no studies concerning its effects on head and neck squamous cell carcinoma (HNSCC. In the present study, an MTT assay demonstrated that isoalantolactone has anti-proliferative activity against the HNSCC cell line (UM-SCC-10A. Immunostaining identified that this compound induced UM-SCC-10A cell apoptosis but not necrosis. To explain the molecular mechanisms underlying its effects, flow cytometry and western blot analysis showed that the apoptosis was associated with cell cycle arrest during the G1 phase, up-regulation of p53 and p21, and down-regulation of cyclin D. Furthermore, our results revealed that induction of apoptosis through a mitochondrial pathway led to up-regulation of pro-apoptotic protein expression (Bax, down-regulation of anti-apoptotic protein expression (Bcl-2, mitochondrial release of cytochrome c (Cyto c, reduction of mitochondrial membrane potential (MMP and activation of caspase-3 (Casp-3. Involvement of the caspase apoptosis pathway was confirmed using caspase inhibitor Z-VAD-FMK pretreatment. Together, our findings suggest that isoalantolactone induced caspase-dependent apoptosis via a mitochondrial pathway and was associated with cell cycle arrest in the G1 phase in UM-SCC-10A cells. Therefore, isoalantolactone may become a potential drug for treating HNSCC.

  12. Effect of initialization time on application potentiality of a ZnO thin film based LPG sensor

    Directory of Open Access Journals (Sweden)

    Parta Mitra

    2009-09-01

    Full Text Available A prototype electronic LPG (Liquid Petroleum Gas sensor based on zinc oxide (ZnO film has been fabricated. The objective of the present work was to investigate the importance of initialization time (also called warm-up time on the application potentiality of the ZnO based alarm. The role of sensor geometry on initialization time is presented. The electronic circuitry of the prototype LPG device alarm is discussed. It is shown that that the initialization time depends on the switch off time (or the time for which the sensor was kept idle. The resistive mode sensors can be fixed at 40% LEL (Lower Explosive Limit of LPG for safe operation.

  13. Effects of overload on the threshold stress intensity factor for SCC

    International Nuclear Information System (INIS)

    Takahashi, Koji; Ando, Kotoji; Miyazaki, Yuji; Hashikura, Yasuaki

    2009-01-01

    The effects of overload on the threshold stress intensity factor for stress corrosion crack (K ISCC ) of stainless steel were studied. Tensile overload was applied to a wedge opening loaded (WOL) specimen of SUS316. Then, SCC tests were carried out to determine the resultant K ISCC . As a result, the apparent value of K ISCC increases as increasing a stress intensity factor by tensile overload (K OV ). The effects of tensile overload on K ISCC and the threshold stress intensity factor range for fatigue (ΔK th ) were compared. It was found that the effects of tensile overload on K ISCC were larger than that on ΔK th . (author)

  14. Initial and final estimates of the Bilinear seasonal time series model ...

    African Journals Online (AJOL)

    In getting the estimates of the parameters of this model special attention was paid to the problem of having good initial estimates as it is proposed that with good initial values of the parameters the estimates obtaining by the Newton-Raphson iterative technique usually not only converge but also are good estimates.

  15. The aims of initiation ceremonies at universities: Comparisons in time and space1

    Directory of Open Access Journals (Sweden)

    N. S. Jansen van Rensburg

    1990-03-01

    Full Text Available In this article initiation practices at South African universities are analysed and compared with initiation ceremonies described in anthropological literature. It is argued that any initiation ceremony has at least the partial aim of preparing initiates for the roles and functions in society or specific organizations. Naturally a reasonable degree of harmony between the intent of initiation on the one hand and the values of an institution on the other hand can be expected. The intention of initiation usually is to prepare one for a position or rote by means of the expression of certain values. On the question whether this harmony between ideas and actions is found in the case of existent initiation ceremonies at South African universities, the answer is negative. These ceremonies do not aim to convey and develop attitudes and values essential to a university and in fact do not prepare first-year students for their new environment and a community of scholars. The way in which universities transcend their authority by condoning and officially allowing the demeaning initiation practices is also questioned.

  16. Mud depocenters on continental shelves—appearance, initiation times, and growth dynamics

    Science.gov (United States)

    Hanebuth, Till J. J.; Lantzsch, Hendrik; Nizou, Jean

    2015-12-01

    Mud accumulates on continental shelves under a variety of environmental conditions and results in a diverse formation of mud depocenters (MDCs). Their three-dimensional architectures have been in the focus of several recent studies. Due to some terminological confusion concerning MDCs, the present study sets out to define eight individual MDC types in terms of surface sediment distribution and internal geometry. Under conditions of substantial sediment supply, prodeltas (distal zones off river deltas; triangular sheets), subaqueous deltas (disconnected from deltas by strong normal-to-shore currents; wedge-like clinoforms), and mud patches (scattered distribution) and mud blankets (widespread covers) are formed. Forced by hydrodynamic conditions, mud belts in the strict sense (detached from source; elongated bodies), and shallow-water contourite drifts (detached from source; growing normal to prevailing current direction; triangular clinoforms) develop. Controlled by local morphology, mud entrapments (in depressions, behind morphological steps) and mud wedges (triangular clinoforms growing in flow direction) are deposited. Shelf mud deposition took place (1) during early outer-shelf drowning (~14 ka), (2) after inner-shelf inundation to maximum flooding (9.5-6.5 ka), and (3) in sub-recent times (near the fluvial source, (2) uni-directional, extending along advective current transport paths, and (3) progradational, forming clinoforms that grow either parallel or normal to the bottom current direction. Classical mud belts may be initiated around defined nuclei, the remote sites of which are determined by seafloor morphology rather than the location of the source. From a stratigraphic perspective, mud depocenters coincide with sea-level highstand-related, shelf-wide condensed sections. They often show a conformable succession from transgressive to highstand systems tract stages.

  17. Bringing the beneficiary closer: Explanations for volunteering time in Dutch private development initiatives

    NARCIS (Netherlands)

    Kinsbergen, S.; Tolsma, J.; Ruiter, S.

    2013-01-01

    In the Netherlands, charitable behavior for international development purposes is subject to important changes. Whereas established development organizations suffer from a declining support base, private development initiatives (PDIs) that execute concrete, small-scale projects within direct

  18. Initial data for time-symmetric gravitational radiation using Regge calculus

    International Nuclear Information System (INIS)

    Dubal, M.R.

    1989-01-01

    We apply Regge calculus to the construction of initial data for Brill waves: axisymmetric non-rotating vacuum solutions of Einstein's equation. The Regge calculus solutions are compared with those of the continuum theory, with encouraging results. (author)

  19. SCC growth behaviors of austenitic stainless steels in simulated PWR primary water

    Science.gov (United States)

    Terachi, T.; Yamada, T.; Miyamoto, T.; Arioka, K.

    2012-07-01

    The rates of SCC growth were measured under simulated PWR primary water conditions (500 ppm B + 2 ppm Li + 30 cm3/kg-H2O-STP DH2) using cold worked 316SS and 304SS. The direct current potential drop method was applied to measure the crack growth rates for 53 specimens. Dependence of the major engineering factors, such as yield strength, temperature and stress intensity was systematically examined. The rates of crack growth were proportional to the 2.9 power of yield strength, and directly proportional to the apparent yield strength. The estimated apparent activation energy was 84 kJ/mol. No significant differences in the SCC growth rates and behaviors were identified between 316SS and 304SS. Based on the measured results, an empirical equation for crack growth rate was proposed for engineering applications. Although there were deviations, 92.8% of the measured crack growth rates did not exceed twice the value calculated by the empirical equation.

  20. Development of BWR components SCC mitigation method by the TiO{sub 2} treating technique

    Energy Technology Data Exchange (ETDEWEB)

    Takamori, K.; Suzuki, J.; Suzuki, S.; Miyazaki, A. [Tokyo Electric Power Co., Tokohama-city (Japan); Okamura, M.; Osato, T.; Ichikawa, N. [Toshiba Corp., Kawasaki-city (Japan); Urata, H.; Takagi, J. [Toshiba Corp., Yokohama-city (Japan)

    2007-07-01

    Stress Corrosion Cracking (SCC) susceptibility of Boiling Water Reactor (BWR) materials is mitigated by reduction of the electrochemical corrosion potential (ECP). In the reactor there is a photo-excitation reaction between TiO{sub 2} and ultraviolet Cherenkov radiation. The TiO{sub 2} treatment technique plans to mitigate SCC by reducing the ECP without hydrogen addition. We conducted the demonstration tests of the TiO{sub 2} treatment technique in a test reactor and in BWR plant piping systems. The test results showed that the ECP of TiO{sub 2} treated type 316L stainless steel and the Ni based alloy 600 were reduced to -350 mV vs. the standard hydrogen electrode (SHE) in the reactor system in normal water chemistry (NWC). In the no Cherenkov radiation area, the ECP of the TiO{sub 2} treated stainless steel still decreased as the dissolved hydrogen concentration in feed water up to 0.3 ppm. (a condition that will be referred as 'low HWC.') (author)

  1. Influence of surface oxide films on the SCC of stainless steel in high temperature water

    Energy Technology Data Exchange (ETDEWEB)

    Tani, Junichi; Kato, Shunji; Hirano, Hideo [Central Research Inst. of Electric Power Industry, Komae, Tokyo (Japan). Komae Research Lab; Kushida, H.

    2000-06-01

    Effect of pre-filming conditions on the SCC susceptibility of stainless steels (SS) was investigated by SSRT and electrochemical measurement in high temperature water. The IGSCC ratio of a specimen with the oxide film formed in hydrogen-saturated water (R film specimen) was higher than that of a specimen with the oxide film formed in air-saturated water (O film specimen). When the pre-filmed specimens were coupled with a Cr-depleted SS that simulated weld-heat-affected zones, the galvanic couple between the R film specimen and Cr-depleted SS showed higher corrosion current than the couple between the O film specimen and Cr-depleted SS. The film thickness of the Cr-depleted SS was thinner in the couple with the R film specimen after the test. These results clearly show that the SCC susceptibility of R film specimen was higher than that of the O film specimen, in accordance with the SSRT results. (author)

  2. Chemical inhomogeneity populations in various zircaloy claddings and their association with SCC and corrosion resistance

    International Nuclear Information System (INIS)

    Tasooji, A.; Miller, A.K.; Cheung, T.Y.; Brooks, M.; Santucci, J.

    1987-01-01

    A technique has been developed that permits detection and characterization of sparsely distributed chemical inhomogeneities in Zircaloy. These inhomogeneities have previously been observed at the origins of iodine stress-corrosion cracks but are not detectable by, for example, simple scanning electron microscopy (SEM) examination. The technique uses radioactive iodine to ''label'' the chemical inhomogeneities, autoradiography to detect their locations, and SEM and energy-dispersive X-ray analysis (EDAX) to further characterize them. Large areas of surface have been surveyed and statistically meaningful populations of chemical inhomogeneities measured for five different lots of Zircaloy cladding. Inner surfaces and cladding cross-sectional surfaces have been studied. There are clear differences in chemical inhomogeneity size distribution and composition between the various claddings. For three of the claddings characterized in this work, the previously measured stress-corrosion cracking (SCC) threshold stresses correlate well (inversely) with the new data on their average chemical inhomogeneity sizes. Of special interest is the fact that the most SCC-resistant cladding contains far fewer iron-bearing inhomogeneities than the other claddings

  3. The impact of ART initiation on household food security over time.

    Science.gov (United States)

    Patenaude, Bryan N; Chimbindi, Natsayi; Pillay, Deenan; Bärnighausen, Till

    2018-02-01

    While evidence suggests that adequate nutrition contributes to the efficacy of ART, the potential causal impact of ART initiation on household food security has not been thoroughly examined. In this study, we present some of the first causal evidence of the impact of ART initiation on household food security. We employ a quasi-experimental design, regression discontinuity, over 5540 individuals from an ongoing population cohort study in KwaZulu-Natal, South Africa, by utilizing the CD4 count-based ART eligibility threshold to examine the impact of ART initiation on household food security. We find that ART initiation causes a significant increase in the probability of food insecurity in the first year, which diminishes to zero within three years of initiation. Within the first year, ART initiation was found to significantly increase the probabilities that (1) the surveyed adult had missed any food in the past month by 10.2 percentage points (coefficient = 0.102, 95%CI = [0.039, 0.166]); (2) any adult in the household had missed a meal in the past month by 15.2 percentage points (coefficient = 0.152, 95%CI = [0.073, 0.231]); and (3) any child in the household had missed a meal in the past month by 8.9 percentage points (coefficient = 0.0898, 95%CI = [0.0317, 0.148]). While we cannot definitively isolate the mechanistic pathways from ART to household food security, our results are consistent with ART affecting food security through household resource strain and patient appetite recovery. Several policies could mitigate the negative impact of ART on food security, in particular food parcels or food vouchers for ART patients in the first two years after treatment initiation. Copyright © 2017 Elsevier Ltd. All rights reserved.

  4. Evaluation of initiation behavior of stress corrosion cracking for type 316L stainless steel in high temperature water. Behavior of crack initiation and effects of distribution of plastic strain on crack initiation

    International Nuclear Information System (INIS)

    Miura, Yasufumi; Miyahara, Yuichi; Kako, Kenji; Sato, Masaru

    2011-01-01

    It is known that the initiation of stress corrosion cracking (SCC) in components such as the reactor core shroud and primary loop re-circulation piping made of L-grade stainless steel is affected by the properties of surface work hardened layer. Therefore, it is important to clarify the effect of the hardened layer on SCC initiation behavior. In this study, creviced bent beam (CBB) test using specimens made of Type 316L stainless steel with controlled distribution of surface work hardened layer was conducted in a simulated BWR environment in order to evaluate the effect of the controlled layer on SCC initiation behavior. The results obtained are as follows; (1) Micro intergranular SCC of low carbon stainless steel was initiated in 50 hours. (2) In this SCC test, it was found that only micro cracks whose depths were smaller than 50 μm were observed until 250 hours and cracks whose depths were larger than 50 μm were observed after 500 hours. (3) SCC was initiated preferentially on the region with high plastic strain gradient in the specimen with controlled distribution of work hardened layer. (author)

  5. Single-molecule packaging initiation in real time by a viral DNA packaging machine from bacteriophage T4.

    Science.gov (United States)

    Vafabakhsh, Reza; Kondabagil, Kiran; Earnest, Tyler; Lee, Kyung Suk; Zhang, Zhihong; Dai, Li; Dahmen, Karin A; Rao, Venigalla B; Ha, Taekjip

    2014-10-21

    Viral DNA packaging motors are among the most powerful molecular motors known. A variety of structural, biochemical, and single-molecule biophysical approaches have been used to understand their mechanochemistry. However, packaging initiation has been difficult to analyze because of its transient and highly dynamic nature. Here, we developed a single-molecule fluorescence assay that allowed visualization of packaging initiation and reinitiation in real time and quantification of motor assembly and initiation kinetics. We observed that a single bacteriophage T4 packaging machine can package multiple DNA molecules in bursts of activity separated by long pauses, suggesting that it switches between active and quiescent states. Multiple initiation pathways were discovered including, unexpectedly, direct DNA binding to the capsid portal followed by recruitment of motor subunits. Rapid succession of ATP hydrolysis was essential for efficient initiation. These observations have implications for the evolution of icosahedral viruses and regulation of virus assembly.

  6. Time-of-flight mass spectrometry of laser exploding foil initiated PETN samples

    Science.gov (United States)

    Fajardo, Mario E.; Molek, Christopher D.; Fossum, Emily C.

    2017-01-01

    We report the results of time-of-flight mass spectrometry (TOFMS) measurements of the gaseous products of thin-film pentaerythritol tetranitrate [PETN, C(CH2NO3)4] samples reacting in vacuo. The PETN sample spots are produced by masked physical vapor deposition [A.S. Tappan, et al., AIP Conf. Proc. 1426, 677 (2012)] onto a first-surface aluminum mirror. A pulsed laser beam imaged through the soda lime glass mirror substrate converts the aluminum layer into a high-temperature high-pressure plasma which initiates chemical reactions in the overlying PETN sample. We had previously proposed [E.C. Fossum, et al., AIP Conf. Proc. 1426, 235 (2012)] to exploit differences in gaseous product chemical identities and molecular velocities to provide a chemically-based diagnostic for distinguishing between "detonation-like" and deflagration responses. Briefly: we expect in-vacuum detonations to produce hyperthermal (v˜10 km/s) thermodynamically-stable products such as N2, CO2, and H2O, and for deflagrations to produce mostly reaction intermediates, such as NO and NO2, with much slower molecular velocities - consistent with the expansion-quenched thermal decomposition of PETN. We observe primarily slow reaction intermediates (NO2, CH2NO3) at low laser pulse energies, the appearance of NO at intermediate laser pulse energies, and the appearance of hyperthemal CO/N2 at mass 28 amu at the highest laser pulse energies. However, these results are somewhat ambiguous, as the NO, NO2, and CH2NO3 intermediates persist and all species become hyperthermal at the higher laser pulse energies. Also, the purported CO/N2 signal at 28 amu may be contaminated by silicon ablated from the glass mirror substrate. We plan to mitigate these problems in future experiments by adopting the "Buelow" sample configuration which employs an intermediate foil barrier to shield the energetic material from the laser and the laser driven plasma [S.J. Buelow, et al., AIP Conf. Proc. 706, 1377 (2003)].

  7. Antiretroviral treatment initiation does not differentially alter neurocognitive functioning over time in youth with behaviorally acquired HIV.

    Science.gov (United States)

    Nichols, Sharon L; Bethel, James; Kapogiannis, Bill G; Li, Tiandong; Woods, Steven P; Patton, E Doyle; Ren, Weijia; Thornton, Sarah E; Major-Wilson, Hanna O; Puga, Ana M; Sleasman, John W; Rudy, Bret J; Wilson, Craig M; Garvie, Patricia A

    2016-04-01

    Although youth living with behaviorally acquired HIV (YLWH) are at risk for cognitive impairments, the relationship of impairments to HIV and potential to improve with antiretroviral therapy (ART) are unclear. This prospective observational study was designed to examine the impact of initiation and timing of ART on neurocognitive functioning in YLWH in the Adolescent Medicine Trials Network for HIV/AIDS Interventions. Treatment naïve YLWH age 18-24 completed baseline and four additional assessments of attention/working memory, complex executive, and motor functioning over 3 years. Group 1 co-enrolled in an early ART initiation study and initiated ART at enrollment CD4 >350 (n = 56); group 2 had CD4 >350 and were not initiating ART (n = 66); group 3 initiated ART with CD4 treatment guidelines at the time. Treatment was de-intensified to boosted protease inhibitor monotherapy at 48 weeks for those in group 1 with suppressed viral load. Covariates included demographic, behavioral, and medical history variables. Analyses used hierarchical linear modeling. All groups showed improved performance with peak at 96 weeks in all three functional domains. Trajectories of change were not significantly associated with treatment, timing of treatment initiation, or ART de-intensification. Demographic variables and comorbidities were associated with baseline functioning but did not directly interact with change over time. In conclusion, YLWH showed improvement in neurocognitive functioning over time that may be related to practice effects and nonspecific impact of study participation. Neither improvement nor decline in functioning was associated with timing of ART initiation or therapy de-intensification.

  8. Potential of utilizing asphalt dust waste as filler material in the production of sustainable self compacting concrete (SCC)

    Science.gov (United States)

    Ismail, Isham; Shahidan, Shahiron; Bahari, Nur Amira Afiza Saiful

    2017-12-01

    Waste materials from many industries are widely used in the production of sustainable green concrete. Utilizing asphalt dust waste (ADW) as a filler material in the development of self-compacting concrete (SCC) is one of the alternative solutions for reducing environmental waste. SCC is an innovative concrete that does not require vibration for placing and compaction. However, there is limited information on the effects of utilizing ADW in the development of SCC. Therefore, this research study examines the effects of various w/b ratios (0.2, 0.3 and 0.4) and differing amounts of ADW (0% to 50%) on the rheological properties of fresh state concrete. The compressive strength of the SCC was tested only for 7 and 28 days as preliminary studies. The results revealed that mixtures MD730, MD740 and MD750 showed satisfactory results for the slump flow, J-Ring, L-Box and V-Funnel test during the fresh state. The compressive strength values obtained after 28 days for MD730, MD740 and MD750 were 35.1 MPa, 36.8 MPa and 29.4 MPa respectively. In conclusion, the distribution of materials in mixtures has significant effect in achieving rheological properties and compressive strength of SCC.

  9. Casticin impairs cell growth and induces cell apoptosis via cell cycle arrest in human oral cancer SCC-4 cells.

    Science.gov (United States)

    Chou, Guan-Ling; Peng, Shu-Fen; Liao, Ching-Lung; Ho, Heng-Chien; Lu, Kung-Wen; Lien, Jin-Cherng; Fan, Ming-Jen; La, Kuang-Chi; Chung, Jing-Gung

    2018-02-01

    Casticin, a polymethoxyflavone, present in natural plants, has been shown to have biological activities including anti-cancer activities. Herein, we investigated the anti-oral cancer activity of casticin on SCC-4 cells in vitro. Viable cells, cell cycle distribution, apoptotic cell death, reactive oxygen species (ROS) production, and Ca 2+ production, levels of ΔΨ m and caspase activity were measured by flow cytometric assay. Cell apoptosis associated protein expressions were examined by Western blotting and confocal laser microscopy. Results indicated that casticin induced cell morphological changes, DNA condensation and damage, decreased the total viable cells, induced G 2 /M phase arrest in SCC-4 cells. Casticin promoted ROS and Ca 2+ productions, decreases the levels of ΔΨ m , promoted caspase-3, -8, and -9 activities in SCC-4 cells. Western blotting assay demonstrated that casticin affect protein level associated with G2/M phase arrest and apoptosis. Confocal laser microscopy also confirmed that casticin increased the translocation of AIF and cytochrome c in SCC-4 cells. In conclusion, casticin decreased cell number through G 2 /M phase arrest and the induction of cell apoptosis through caspase- and mitochondria-dependent pathways in SCC-4 cells. © 2017 Wiley Periodicals, Inc.

  10. Is the hypothesis about a low entropy initial state of the Universe necessary for explaining the arrow of time?

    Science.gov (United States)

    Goldstein, Sheldon; Tumulka, Roderich; Zanghı, Nino

    2016-07-01

    According to statistical mechanics, microstates of an isolated physical system (say, a gas in a box) at time t0 in a given macrostate of less-than-maximal entropy typically evolve in such a way that the entropy at time t increases with |t -t0| in both time directions. In order to account for the observed entropy increase in only one time direction, the thermodynamic arrow of time, one usually appeals to the hypothesis that the initial state of the Universe was one of very low entropy. In certain recent models of cosmology, however, no hypothesis about the initial state of the Universe is invoked. We discuss how the emergence of a thermodynamic arrow of time in such models can nevertheless be compatible with the above-mentioned consequence of statistical mechanics, appearances to the contrary notwithstanding.

  11. Time-dependent Taylor–Aris dispersion of an initial point concentration

    DEFF Research Database (Denmark)

    Vedel, Søren; Hovad, Emil; Bruus, Henrik

    2014-01-01

    -specific theoretical results, and furthermore predict new phenomena. In particular, for the transient phase before the well-described steady Taylor–Aris limit is reached, we find anomalous diffusion with a dependence of the temporal scaling exponent on the initial release point, generalizing this finding in specific...... cases. During this transient we furthermore identify maxima in the values of the dispersion coefficient which exceed the Taylor–Aris value by amounts that depend on channel geometry, initial point release position, velocity profile and Péclet number. We show that these effects are caused by a difference...

  12. The role of initial values in nonstationary fractional time series models

    DEFF Research Database (Denmark)

    Johansen, Søren; Nielsen, Morten Ørregaard

    We consider the nonstationary fractional model $\\Delta^{d}X_{t}=\\varepsilon _{t}$ with $\\varepsilon_{t}$ i.i.d.$(0,\\sigma^{2})$ and $d>1/2$. We derive an analytical expression for the main term of the asymptotic bias of the maximum likelihood estimator of $d$ conditional on initial values, and we...... discuss the role of the initial values for the bias. The results are partially extended to other fractional models, and three different applications of the theoretical results are given....

  13. Timing of HAART initiation and clinical outcomes in human immunodeficiency virus type 1 seroconverters

    NARCIS (Netherlands)

    Jonsson, Michele; Fusco, Jennifer S.; Cole, Stephen R.; Thomas, James C.; Porter, Kholoud; Kaufman, Jay S.; Davidian, Marie; White, Alice D.; Hartmann, Katherine E.; Eron, Joseph J.; del Amo, Julia; Meyer, Laurence; Bucher, Heiner C.; Chene, Geneviève; Pillay, Deenan; Prins, Maria; Rosinska, Magda; Sabin, Caroline; Touloumi, Giota; Lodi, Sara; Coughlin, Kate; Walker, Sarah; Babiker, Abdel; de Luca, Andrea; Fisher, Martin; Muga, Roberto; Kaldor, John; Kelleher, Tony; Ramacciotti, Tim; Gelgor, Linda; Cooper, David; Smith, Don; Gill, John; Jørgensen, Louise Bruun; Nielsen, Claus; Pedersen, Court; Lutsar, Irja; Dabis, Francois; Thiebaut, Rodolphe; Masquelier, Bernard; Costagliola, Dominique; Guiguet, Marguerite; Vanhems, Philippe; Chaix, Marie-Laure; Ghosn, Jade; Boufassa, Faroudy; Hamouda, Osamah; Geskus, Ronald; van der Helm, Jannie; Schuitemaker, Hanneke

    2011-01-01

    To estimate the clinical benefit of highly active antiretroviral therapy (HAART) initiation vs deferral in a given month in patients with CD4 cell counts less than 800/μL. In this observational cohort study of human immunodeficiency virus type 1 seroconverters from CASCADE (Concerted Action on

  14. Predictors of Timely Prenatal Care Initiation and Adequate Utilization in a Sample of Late Adolescent Texas Latinas.

    Science.gov (United States)

    Torres, Rosamar; Kehoe, Priscilla; Heilemann, MarySue V

    2018-03-01

    Little is known of late adolescent Texas Latinas' prenatal care perceptions or how these perceptions predict timely prenatal care initiation or adequate utilization. Hence, the purpose of this study is to describe and compare these perceptions between participants with timely versus late prenatal care initiation and adequate, intermediate, and inadequate prenatal care utilization; and to determine predictors of timely prenatal care initiation and adequate utilization. Fifty-four postpartum Latinas were recruited through social media. Eligibility criteria were 18 to 21 years old, Texas-born, primiparous, uncomplicated pregnancy/delivery, and English literate. Prenatal care perceptions were measured with the Revised Better Babies Survey and Access Barriers to Care Index. Participants had favorable views of prenatal care benefits; however, not living with the baby's father predicted inadequate prenatal care, Wald χ 2 (1) = 4.93, p = .026. Perceived benefits of timely and adequate prenatal care predicted timely prenatal care initiation, χ 2 (1) = 7.47, p = .006. Self-reported depression during pregnancy predicted timely entry into prenatal care, χ 2 (1) = 4.73, p = .03. Participants' positive prenatal care perceptions did not predict adequate prenatal care utilization, indicating that barriers serve as powerful obstacles in late adolescent Texas Latinas.

  15. Public involvement in the priority setting activities of a wait time management initiative: a qualitative case study.

    Science.gov (United States)

    Bruni, Rebecca A; Laupacis, Andreas; Levinson, Wendy; Martin, Douglas K

    2007-11-16

    As no health system can afford to provide all possible services and treatments for the people it serves, each system must set priorities. Priority setting decision makers are increasingly involving the public in policy making. This study focuses on public engagement in a key priority setting context that plagues every health system around the world: wait list management. The purpose of this study is to describe and evaluate priority setting for the Ontario Wait Time Strategy, with special attention to public engagement. This study was conducted at the Ontario Wait Time Strategy in Ontario, Canada which is part of a Federal-Territorial-Provincial initiative to improve access and reduce wait times in five areas: cancer, cardiac, sight restoration, joint replacements, and diagnostic imaging. There were two sources of data: (1) over 25 documents (e.g. strategic planning reports, public updates), and (2) 28 one-on-one interviews with informants (e.g. OWTS participants, MOHLTC representatives, clinicians, patient advocates). Analysis used a modified thematic technique in three phases: open coding, axial coding, and evaluation. The Ontario Wait Time Strategy partially meets the four conditions of 'accountability for reasonableness'. The public was not directly involved in the priority setting activities of the Ontario Wait Time Strategy. Study participants identified both benefits (supporting the initiative, experts of the lived experience, a publicly funded system and sustainability of the healthcare system) and concerns (personal biases, lack of interest to be involved, time constraints, and level of technicality) for public involvement in the Ontario Wait Time Strategy. Additionally, the participants identified concern for the consequences (sustainability, cannibalism, and a class system) resulting from the Ontario Wait Times Strategy. We described and evaluated a wait time management initiative (the Ontario Wait Time Strategy) with special attention to public

  16. Public involvement in the priority setting activities of a wait time management initiative: a qualitative case study

    Directory of Open Access Journals (Sweden)

    Laupacis Andreas

    2007-11-01

    Full Text Available Abstract Background As no health system can afford to provide all possible services and treatments for the people it serves, each system must set priorities. Priority setting decision makers are increasingly involving the public in policy making. This study focuses on public engagement in a key priority setting context that plagues every health system around the world: wait list management. The purpose of this study is to describe and evaluate priority setting for the Ontario Wait Time Strategy, with special attention to public engagement. Methods This study was conducted at the Ontario Wait Time Strategy in Ontario, Canada which is part of a Federal-Territorial-Provincial initiative to improve access and reduce wait times in five areas: cancer, cardiac, sight restoration, joint replacements, and diagnostic imaging. There were two sources of data: (1 over 25 documents (e.g. strategic planning reports, public updates, and (2 28 one-on-one interviews with informants (e.g. OWTS participants, MOHLTC representatives, clinicians, patient advocates. Analysis used a modified thematic technique in three phases: open coding, axial coding, and evaluation. Results The Ontario Wait Time Strategy partially meets the four conditions of 'accountability for reasonableness'. The public was not directly involved in the priority setting activities of the Ontario Wait Time Strategy. Study participants identified both benefits (supporting the initiative, experts of the lived experience, a publicly funded system and sustainability of the healthcare system and concerns (personal biases, lack of interest to be involved, time constraints, and level of technicality for public involvement in the Ontario Wait Time Strategy. Additionally, the participants identified concern for the consequences (sustainability, cannibalism, and a class system resulting from the Ontario Wait Times Strategy. Conclusion We described and evaluated a wait time management initiative (the Ontario

  17. Time evolution of one-dimensional gapless models from a domain wall initial state: stochastic Loewner evolution continued?

    International Nuclear Information System (INIS)

    Calabrese, Pasquale; Hagendorf, Christian; Doussal, Pierre Le

    2008-01-01

    We study the time evolution of quantum one-dimensional gapless systems evolving from initial states with a domain wall. We generalize the path integral imaginary time approach that together with boundary conformal field theory allows us to derive the time and space dependence of general correlation functions. The latter are explicitly obtained for the Ising universality class, and the typical behavior of one- and two-point functions is derived for the general case. Possible connections with the stochastic Loewner evolution are discussed and explicit results for one-point time dependent averages are obtained for generic κ for boundary conditions corresponding to stochastic Loewner evolution. We use this set of results to predict the time evolution of the entanglement entropy and obtain the universal constant shift due to the presence of a domain wall in the initial state

  18. Flourishing in the now : Initial validation of a present-eudaimonic time perspective scale

    NARCIS (Netherlands)

    Vowinckel, Jonte C.; Westerhof, Gerben J.; Bohlmeijer, Ernst T.; Webster, Jeffrey D.

    2017-01-01

    Introduction: A positive focus on the present, the only time zone which we experience directly and permanently, is at least as relevant as perspectives on the past and future in a balanced time perspective and its relation to wellbeing. Yet, few instruments examining a positive present time

  19. Curcumin inhibits oral squamous cell carcinoma SCC-9 cells proliferation by regulating miR-9 expression

    Energy Technology Data Exchange (ETDEWEB)

    Xiao, Can [Department of Occupational Medicine and Environmental Health, School of Public Health, Soochow University, Suzhou 215123 (China); Department of Stomatology, The First Affiliated Hospital of Soochow University, Suzhou 215006 (China); Wang, Lili; Zhu, Lifang [Department of Stomatology, The First Affiliated Hospital of Soochow University, Suzhou 215006 (China); Zhang, Chenping, E-mail: zhang_cping@163.com [Department of Head and Neck Tumors, Shanghai Ninth People’s Hospital Affiliated Shanghai JiaoTong University School of Medicine, Shanghai 200011 (China); Zhou, Jianhua [Department of Occupational Medicine and Environmental Health, School of Public Health, Soochow University, Suzhou 215123 (China)

    2014-11-28

    Highlights: • miR-9 expression level was significantly decreased in OSCC tissues. • Curcumin significantly inhibited SCC-9 cells proliferation. • miR-9 mediates the inhibition of SCC-9 proliferation by curcumin. • Curcumin suppresses Wnt/β-catenin signaling in SCC-9 cells. • miR-9 mediates the suppression of Wnt/β-catenin signaling by curcumin. - Abstract: Curcumin, a phytochemical derived from the rhizome of Curcuma longa, has shown anticancer effects against a variety of tumors. In the present study, we investigated the effects of curcumin on the miR-9 expression in oral squamous cell carcinoma (OSCC) and explored the potential relationships between miR-9 and Wnt/β-catenin pathway in curcumin-mediated OSCC inhibition in vitro. As the results shown, the expression levels of miR-9 were significantly lower in clinical OSCC specimens than those in the adjacent non-tumor tissues. Furthermore, our results indicated that curcumin inhibited OSCC cells (SCC-9 cells) proliferation through up-regulating miR-9 expression, and suppressing Wnt/β-catenin signaling by increasing the expression levels of the GSK-3β, phosphorylated GSK-3β and β-catenin, and decreasing the cyclin D1 level. Additionally, the up-regulation of miR-9 by curcumin in SCC-9 cells was significantly inhibited by delivering anti-miR-9 but not control oligonucleotides. Downregulation of miR-9 by anti-miR-9 not only attenuated the growth-suppressive effects of curcumin on SCC-9 cells, but also re-activated Wnt/β-catenin signaling that was inhibited by curcumin. Therefore, our findings would provide a new insight into the use of curcumin against OSCC in future.

  20. Curcumin inhibits oral squamous cell carcinoma SCC-9 cells proliferation by regulating miR-9 expression

    International Nuclear Information System (INIS)

    Xiao, Can; Wang, Lili; Zhu, Lifang; Zhang, Chenping; Zhou, Jianhua

    2014-01-01

    Highlights: • miR-9 expression level was significantly decreased in OSCC tissues. • Curcumin significantly inhibited SCC-9 cells proliferation. • miR-9 mediates the inhibition of SCC-9 proliferation by curcumin. • Curcumin suppresses Wnt/β-catenin signaling in SCC-9 cells. • miR-9 mediates the suppression of Wnt/β-catenin signaling by curcumin. - Abstract: Curcumin, a phytochemical derived from the rhizome of Curcuma longa, has shown anticancer effects against a variety of tumors. In the present study, we investigated the effects of curcumin on the miR-9 expression in oral squamous cell carcinoma (OSCC) and explored the potential relationships between miR-9 and Wnt/β-catenin pathway in curcumin-mediated OSCC inhibition in vitro. As the results shown, the expression levels of miR-9 were significantly lower in clinical OSCC specimens than those in the adjacent non-tumor tissues. Furthermore, our results indicated that curcumin inhibited OSCC cells (SCC-9 cells) proliferation through up-regulating miR-9 expression, and suppressing Wnt/β-catenin signaling by increasing the expression levels of the GSK-3β, phosphorylated GSK-3β and β-catenin, and decreasing the cyclin D1 level. Additionally, the up-regulation of miR-9 by curcumin in SCC-9 cells was significantly inhibited by delivering anti-miR-9 but not control oligonucleotides. Downregulation of miR-9 by anti-miR-9 not only attenuated the growth-suppressive effects of curcumin on SCC-9 cells, but also re-activated Wnt/β-catenin signaling that was inhibited by curcumin. Therefore, our findings would provide a new insight into the use of curcumin against OSCC in future

  1. Measuring the value of process improvement initiatives in a preoperative assessment center using time-driven activity-based costing.

    Science.gov (United States)

    French, Katy E; Albright, Heidi W; Frenzel, John C; Incalcaterra, James R; Rubio, Augustin C; Jones, Jessica F; Feeley, Thomas W

    2013-12-01

    The value and impact of process improvement initiatives are difficult to quantify. We describe the use of time-driven activity-based costing (TDABC) in a clinical setting to quantify the value of process improvements in terms of cost, time and personnel resources. Difficulty in identifying and measuring the cost savings of process improvement initiatives in a Preoperative Assessment Center (PAC). Use TDABC to measure the value of process improvement initiatives that reduce the costs of performing a preoperative assessment while maintaining the quality of the assessment. Apply the principles of TDABC in a PAC to measure the value, from baseline, of two phases of performance improvement initiatives and determine the impact of each implementation in terms of cost, time and efficiency. Through two rounds of performance improvements, we quantified an overall reduction in time spent by patient and personnel of 33% that resulted in a 46% reduction in the costs of providing care in the center. The performance improvements resulted in a 17% decrease in the total number of full time equivalents (FTE's) needed to staff the center and a 19% increase in the numbers of patients assessed in the center. Quality of care, as assessed by the rate of cancellations on the day of surgery, was not adversely impacted by the process improvements. © 2013 Published by Elsevier Inc.

  2. TRACnet Internet and Short Message Service Technology Improves Time to Antiretroviral Therapy Initiation Among HIV-infected Infants in Rwanda.

    Science.gov (United States)

    Kayumba, Kizito; Nsanzimana, Sabin; Binagwaho, Agnes; Mugwaneza, Placidie; Rusine, John; Remera, Eric; Koama, Jean Baptiste; Ndahindwa, Vedaste; Johnson, Pamela; Riedel, David J; Condo, Jeanine

    2016-07-01

    Delays in testing HIV-exposed infants and obtaining results in resource-limited settings contribute to delays for initiating antiretroviral therapy (ART) in infants. To overcome this challenge, Rwanda expanded its national mobile and Internet-based HIV/AIDS informatics system, called TRACnet, to include HIV polymerase chain reaction (PCR) results in 2010. This study was performed to evaluate the impact of TRACnet technology on the time to delivery of test results and the subsequent initiation of ART in HIV-infected infants. A retrospective cohort study was conducted on 380 infants who initiated ART in 190 health facilities in Rwanda from March 2010 to June 2013. Program data collected by the TRACnet system were extracted and analyzed. Since the introduction of TRACnet for processing PCR results, the time to receive results has significantly decreased from a median of 144 days [interquartile range (IQR): 121-197 days] to 23 days (IQR: 17-43 days). The number of days between PCR sampling and health facility receipt of results decreased substantially from a median of 90 days (IQR: 83-158 days) to 5 days (IQR: 2-8 days). After receiving PCR results at a health facility, it takes a median of 44 days (IQR: 32-77 days) before ART initiation. Result turnaround time was significantly associated with time to initiating ART (P technology for communication of HIV PCR results, coupled with well-trained and skilled personnel, can reduce delays in communicating results to providers. Such reductions may improve timely ART initiation in resource-limited settings.

  3. Evaluation of initial degradation in stress corrosion cracking by magnetic methods

    International Nuclear Information System (INIS)

    Takaya, Shigeru; Suzuki, Takayuki; Matsumoto, Yoshihiro; Demachi, Kazuyuki; Uesaka, Mitsuru

    2003-01-01

    Two magnetic methods are proposed for the evaluation of initial degradations of type 304 stainless steel in stress corrosion cracking (SCC). The first one is the measurement of the distribution of chromium depletion by means of a magnetic force microscope (MFM). MFM observations are performed for some samples sensitized in various conditions, and the obtained results coincide with the expected ones from the chromium behavior. Moreover, the phase distributions in the solution-annealed and sensitized states are observed by electron backscatter pattern technique. The observation results show that the phase transformation from the austenite phase to the martensite phase occurred along grain boundaries where the chromium was depleted. The second one is the detection of initial SCC cracks by measurement of magnetic flux densities. In-situ measurement of magnetic flux density during the SCC test and MFM observation reveal the relation of initial SCC cracks and magnetic properties. (author)

  4. Accelerated SCC Testing of Stainless Steels According to Corrosion Resistance Classes

    Energy Technology Data Exchange (ETDEWEB)

    Borchert, M.; Mori, G. [General Analytical and Physical Chemistry, Montanuniversitaet Leoben (Austria); Bischof, M.; Tomandl, A. [Hilti Corporation, Liechtenstein (Austria)

    2015-12-15

    The German Guidelines for stainless steel in buildings (Z.30.3-6) issued by the German Institute for Building Technology (DIBt) categorize various stainless steel grades into five corrosion resistance classes (CRCs). Only 21 frequently used grades are approved and assigned to these CRCs. To assign new or less commonly used materials, a large program of outdoor exposure tests and laboratory tests is required. The present paper shows the results of stress corrosion cracking (SCC) tests that can distinguish between different CRCs. Slow strain rate tests (SSRT) were performed in various media and at different temperatures. CRC IV could be distinguished from CRC II and CRC III with a 31.3 % Cl{sup -} as MgCl{sub 2} solution at 140 .deg. C. CRC II and CRC III could be differentiated by testing in a 30% Cl{sup -} as MgCl{sub 2} solution at 100 .deg. C.

  5. Mechanical and corrosion properties of Ni-Cr-Fe Alloy 600 related to primary side SCC

    International Nuclear Information System (INIS)

    Begley, J.A.; Jacko, R.J.; Gold, R.E.

    1987-01-01

    The two-fold objective of the program is to provide the mechanical property data required for the development of a strain rate damage model for environmentally assisted cracking of Inconel 600 and to evaluate critical damage model parameters in primary water environments by conducting a series of stress corrosion tests. The test program includes mechanical property tests at 20 0 C, 316 0 C and strain rate tests to determine critical strain rate SCC parameters in primary water environments. Data are presented from slow strain rate tensile tests, stress relaxation tests and creep tests. A short discussion of the Gerber-Garud Strain Rate Damage Model is included to provide the background rationale for the test program. Utilitarian aspects of the Strain Rate Damage Model and the test program data are presented. Analysis of accelerated stress corrosion testing at high temperatures, and the contribution of thermally activated inelastic deformation to apparent activation energies for stress corrosion cracking is emphasized

  6. An application of the recrystallization method for the observation of plastic strain distribution around SCC cracks in sensitized SUS 304 stainless steels

    International Nuclear Information System (INIS)

    Tokiwai, Moriyasu

    1981-01-01

    Various types of stress corrosion cracking (SCC) testing methods have been developed since the SCC was discovered in type 304 stainless steel of BWR cooling pipes. With regard to the countermeasures for SCC, it is essential to evaluate the SCC susceptibility under the simulated or accelerated testing conditions. Among various acceleration SCC tests, the slow strain rate technique (SSRT) test has been used most widely. The SCC susceptibility, in almost cases, has been evaluated not on the base of the crack behavior but of the reduction of stress or strain under the corrosive environment. It is well known that the intensively deformed zone (plastic zone) is formed at the crack tip in fatigue and creep phenomena, but such plastic zone related with the resistance of crack extention has not been studied in SCC phenomenon. The objective of this study is to confirm the existence of the plastic zone at tips of SCC cracks by the application of the recrystallization method. The shape and the distribution of the plastic zone was measured by use of optical and scanning electron microscope in sensitized specimens SSRT tested in high temperature water containing various concentrations of dissolved oxygen. Results obtained are discussed in relation to the susceptibility of SCC. (author)

  7. Time to HAART Initiation after Diagnosis and Treatment of Opportunistic Infections in Patients with AIDS in Latin America.

    Directory of Open Access Journals (Sweden)

    Brenda Crabtree-Ramírez

    Full Text Available Since 2009, earlier initiation of highly active antiretroviral therapy (HAART after an opportunistic infection (OI has been recommended based on lower risks of death and AIDS-related progression found in clinical trials. Delay in HAART initiation after OIs may be an important barrier for successful outcomes in patients with advanced disease. Timing of HAART initiation after an OI in "real life" settings in Latin America has not been evaluated.Patients in the Caribbean, Central and South America network for HIV Epidemiology (CCASAnet ≥18 years of age at enrolment, from 2001-2012 who had an OI before HAART initiation were included. Patients were divided in an early HAART (EH group (those initiating within 4 weeks of an OI and a delayed HAART (DH group (those initiating more than 4 weeks after an OI. All patients with an AIDS-defining OI were included. In patients with more than one OI the first event reported was considered. Calendar trends in the proportion of patients in the EH group (before and after 2009 were estimated by site and for the whole cohort. Factors associated with EH were estimated using multivariable logistic regression models.A total of 1457 patients had an OI before HAART initiation and were included in the analysis: 213 from Argentina, 686 from Brazil, 283 from Chile, 119 from Honduras and 156 from Mexico. Most prevalent OI were Tuberculosis (31%, followed by Pneumocystis pneumonia (24%, Invasive Candidiasis (16% and Toxoplasmosis (9%. Median time from OI to HAART initiation decreased significantly from 5.7 (interquartile range [IQR] 2.8-12.1 weeks before 2009 to 4.3 (IQR 2.0-7.1 after 2009 (p<0.01. Factors associated with starting HAART within 4 weeks of OI diagnosis were lower CD4 count at enrolment (p-<0.001, having a non-tuberculosis OI (p<0.001, study site (p<0.001, and more recent years of OI diagnosis (p<0.001.The time from diagnosis of an OI to HAART initiation has decreased in Latin America coinciding with the

  8. Effect of cold work and processing orientation on the SCC behavior of Alloy 600

    International Nuclear Information System (INIS)

    Moshier, W.C.; Brown, C.M.

    1999-01-01

    Cold work accelerates SCC growth rates in Alloy 600. However, the variation in crack growth rates generated from cold worker material has been significant, and the effect has been difficult to quantify. A study was performed in hydrogenated water adjusted to pH 10.2 to systematically evaluate the effect of cold work on Alloy 600 as a function of temperature, amount of cold work, stress intensity factor, and processing orientation. Cold work was introduced into the material by either tensile prestraining or cold rolling plate product. Crack growth rates were determined between 252 and 360 C, stress intensity factors between 21 and 55 MPa√m, and yield strengths between 201 and 827 MPa. The material with the highest yield strength was cold rolled and tested in the longitudinal-transverse (LT) and short-transverse (ST) orientations. Crack growth rates increased with increasing temperature, stress intensity factor, and yield strength. Furthermore, crack growth rates were a strong function of the processing orientation in the cold rolled plate, with growth rates being approximately an order of magnitude greater in the ST orientation compared to the LT orientation. Crack growth rates in the LT orientation were measured between 0.003 and 1.95 x 10 -9 m/s and between 0.066 and 6.3 x 10 -9 m/s in the ST orientation. Activation energies were slightly greater in the ST orientation, ranging from 154 to 191 kcal/mole, compared to activation energies between 126 and 157 kJ/mole in the LT orientation. The results of this study demonstrate that although cold work can be used to accelerate SCC, the orientation of crack growth can significantly affect the results, and must be taken into account when analyzing data from cold worked material

  9. Reducing the time until psychotherapy initiation reduces sick leave duration in participants diagnosed with anxiety and mood disorders.

    Science.gov (United States)

    Alonso, Sandra; Marco, José H; Andani, Joaquín

    2018-01-01

    Sick leave in patients with a mental disorder is characterized by having a long duration. Studies suggest that the time until a patient on sick leave for a common mental health disorder initiates evaluation and treatment by a healthcare professional is an important factor in the duration of the sick leave. However, in these studies, the intervention was not performed by a mental health specialist. The aim of this study was to find out whether the length of sick leave was associated with the time before initiating psychotherapy, age, time until returning to work after psychotherapy ends, and duration of psychotherapy. In a further analysis, we examined whether the model composed of age, duration of psychotherapy, and time before initiating psychotherapy predicted the length of sick leave. The sample consisted of 2,423 participants, 64.1% (n = 1,554) women and 35.9% (n = 869) men, who were on sick leave for anxiety disorders or depressive disorder. The total duration of the sick leave of participants diagnosed with depression and anxiety was positively associated with the time before beginning psychotherapy. Time before beginning psychotherapy predicted the length of sick leave when the variables age and duration of psychotherapy were controlled. It is necessary to reduce the time until beginning psychotherapy in people on sick leave for common mental disorders. Copyright © 2017 John Wiley & Sons, Ltd.

  10. Importance of the time of initiation of mineralocorticoid receptor antagonists on risk of mortality in patients with heart failure.

    Science.gov (United States)

    Rossi, Rosario; Crupi, Nicola; Coppi, Francesca; Monopoli, Daniel; Sgura, Fabio

    2015-03-01

    Several studies have definitively shown the benefit of mineralocorticoid receptor antagonists (MRAs) in patients with heart failure (HF). However, very few prior studies examined the relationship between the timing of initiation of MRAs and prognosis. In addition, on this topic, there is no information regarding the specific population of patients suffering a first episode of decompensated congestive HF. We studied a homogenous cohort of patients discharged alive from our hospital after a first episode of decompensated congestive HF, in order to clarify the association between time of aldosterone receptor antagonist (ARA) initiation (within the first 90 days after hospital discharge) and mortality. Our population was composed of a series of consecutive patients. All-cause mortality was compared between patients who initiated MRAs at discharge (early group) and those who initiated MRAs one month later and up to 90 days after discharge (delayed group). We used prescription time distribution matching to control for survival difference between groups. The early and delayed groups consisted of 365 and 320 patients, respectively. During the one-year follow-up, a significant difference in mortality was demonstrated between groups. Adjusted hazard ratios (HRs) for early versus delayed initiation were 1.72 (95% confidence interval (CI) 0.96 to 2.84) at six months, and 1.93 (95% CI 1.18 to 3.14) at one year. Delay of MRA initiation up to 30 to 90 days after discharge implies a significant increase in mortality compared with MRA initiation at discharge, after a first episode of decompensate congestive HF. © The Author(s) 2013.

  11. Reliability of video-based identification of footstrike pattern and video time frame at initial contact in recreational runners

    DEFF Research Database (Denmark)

    Damsted, Camma; Larsen, L H; Nielsen, R.O.

    2015-01-01

    and video time frame at initial contact during treadmill running using two-dimensional (2D) video recordings. METHODS: Thirty-one recreational runners were recorded twice, 1 week apart, with a high-speed video camera. Two blinded raters evaluated each video twice with an interval of at least 14 days....... RESULTS: Kappa values for within-day identification of footstrike pattern revealed intra-rater agreement of 0.83-0.88 and inter-rater agreement of 0.50-0.63. Corresponding figures for between-day identification of footstrike pattern were 0.63-0.69 and 0.41-0.53, respectively. Identification of video time...... in 36% of the identifications (kappa=0.41). The 95% limits of agreement for identification of video time frame at initial contact may, at times, allow for different identification of footstrike pattern. Clinicians should, therefore, be encouraged to continue using clinical 2D video setups for intra...

  12. What is optimal timing for trauma team alerts? A retrospective observational study of alert timing effects on the initial management of trauma patients

    Directory of Open Access Journals (Sweden)

    Lillebo B

    2012-08-01

    Full Text Available Borge Lillebo,1 Andreas Seim,2 Ole-Petter Vinjevoll,3 Oddvar Uleberg31Norwegian EHR Research Centre, Department of Neuroscience, Faculty of Medicine, Norwegian University of Science and Technology, Trondheim, Norway; 2Department of Computer and Information Science, Faculty of Information Technology, Mathematics and Electrical Engineering, NTNU, Trondheim, Norway; 3Department of Anaesthesia and Emergency Medicine, St Olav's University Hospital, Trondheim, NorwayBackground: Trauma teams improve the initial management of trauma patients. Optimal timing of trauma alerts could improve team preparedness and performance while also limiting adverse ripple effects throughout the hospital. The purpose of this study was to evaluate how timing of trauma team activation and notification affects initial in-hospital management of trauma patients.Methods: Data from a single hospital trauma care quality registry were matched with data from a trauma team alert log. The time from patient arrival to chest X-ray, and the emergency department length of stay were compared with the timing of trauma team activations and whether or not trauma team members received a preactivation notification.Results: In 2009, the trauma team was activated 352 times; 269 times met the inclusion criteria. There were statistically significant differences in time to chest X-ray for differently timed trauma team activations (P = 0.003. Median time to chest X-ray for teams activated 15–20 minutes prearrival was 5 minutes, and 8 minutes for teams activated <5 minutes before patient arrival. Timing had no effect on length of stay in the emergency department (P = 0.694. We found no effect of preactivation notification on time to chest X-ray (P = 0.474 or length of stay (P = 0.684.Conclusion: Proactive trauma team activation improved the initial management of trauma patients. Trauma teams should be activated prior to patient arrival.Keywords: emergency medical service communication systems

  13. Adjusting patients streaming initiated by a wait time threshold in emergency department for minimizing opportunity cost.

    Science.gov (United States)

    Kim, Byungjoon B J; Delbridge, Theodore R; Kendrick, Dawn B

    2017-07-10

    Purpose Two different systems for streaming patients were considered to improve efficiency measures such as waiting times (WTs) and length of stay (LOS) for a current emergency department (ED). A typical fast track area (FTA) and a fast track with a wait time threshold (FTW) were designed and compared effectiveness measures from the perspective of total opportunity cost of all patients' WTs in the ED. The paper aims to discuss these issues. Design/methodology/approach This retrospective case study used computerized ED patient arrival to discharge time logs (between July 1, 2009 and June 30, 2010) to build computer simulation models for the FTA and fast track with wait time threshold systems. Various wait time thresholds were applied to stream different acuity-level patients. National average wait time for each acuity level was considered as a threshold to stream patients. Findings The fast track with a wait time threshold (FTW) showed a statistically significant shorter total wait time than the current system or a typical FTA system. The patient streaming management would improve the service quality of the ED as well as patients' opportunity costs by reducing the total LOS in the ED. Research limitations/implications The results of this study were based on computer simulation models with some assumptions such as no transfer times between processes, an arrival distribution of patients, and no deviation of flow pattern. Practical implications When the streaming of patient flow can be managed based on the wait time before being seen by a physician, it is possible for patients to see a physician within a tolerable wait time, which would result in less crowded in the ED. Originality/value A new streaming scheme of patients' flow may improve the performance of fast track system.

  14. 77 FR 33007 - Submission for Review: Initial Certification of Full-Time School Attendance, RI 25-41

    Science.gov (United States)

    2012-06-04

    ..., electronic, mechanical, or other technological collection techniques or other forms of information technology... OFFICE OF PERSONNEL MANAGEMENT Submission for Review: Initial Certification of Full-Time School... and other federal agencies the opportunity to comment on a revised information collection request (ICR...

  15. 77 FR 71200 - Submission for Review: Initial Certification of Full-Time School Attendance, RI 25-41

    Science.gov (United States)

    2012-11-29

    ..., mechanical, or other technological collection techniques or other forms of information technology, e.g... OFFICE OF PERSONNEL MANAGEMENT Submission for Review: Initial Certification of Full-Time School... and other federal agencies the opportunity to comment on a revised information collection request (ICR...

  16. Characteristics and Mortality of Pneumocystis Pneumonia in Patients With Cushing’s Syndrome: A Plea for Timely Initiation of Chemoprophylaxis

    Science.gov (United States)

    van Halem, Karlijn; Vrolijk, Lucia; Pereira, Alberto Martin

    2017-01-01

    Abstract In patients with Cushing’s syndrome, development of Pneumocystis pneumonia (PCP) is associated with extreme cortisol production levels. In this setting, immune reconstitution after abrogation of cortisol excess appears to induce development of symptomatic PCP. The high mortality rate warrants timely initiation of chemoprophylaxis or even preemptive treatment of PCP. PMID:28480275

  17. Development of the teneral adult Anoplophora glabripennis (Coleoptera: Cerambycidae): time to initiate and completely bore out of maple wood

    Science.gov (United States)

    V. Sanchez; M.A. Keena

    2013-01-01

    Anoplophora glabripennis (Motschulsky) is an introduced invasive pest with the potential to devastate hardwood forests in North America. Using artificial pupal chambers, we documented the time required by teneral adults at three temperatures (20, 25, and 30°C), 60-80% RH, and a photoperiod of 16:8 (L:D) h to initiate boring after eclosion...

  18. Strain energy density-distance criterion for the initiation of stress corrosion cracking of alloy X-750

    Energy Technology Data Exchange (ETDEWEB)

    Hall, M.M. Jr.; Symons, D.M.

    1996-05-01

    A strain energy density-distance criterion was previously developed and used to correlate rising-load K{sub c} initiation data for notched and fatigue precracked specimens of hydrogen precharged Alloy X-750. This criterion, which was developed for hydrogen embrittlement (HE) cracking, is used here to correlate static-load stress corrosion cracking (SCC) initiation times obtained for smooth geometry, notched and fatigue precracked specimens. The onset of SCC crack growth is hypothesized to occur when a critical strain, which is due to environment-enhanced creep, is attained within the specimen interior. For notched and precracked specimens, initiation is shown by analysis to occur at a variable distance from notch and crack tips. The initiation site varies from very near the crack tip, for highly loaded sharp cracks, to a site that is one grain diameter from the notch, for lower loaded, blunt notches. The existence of hydrogen gradients, which are due to strain-induced hydrogen trapping in the strain fields of notch and crack tips, is argued to be controlling the site for initiation of cracking. By considering the sources of the hydrogen, these observations are shown to be consistent with those from the previous HE study, in which the characteristic distance for crack initiation was found to be one grain diameter from the notch tip, independent of notch radius, applied stress intensity factor and hydrogen level.

  19. Oregon's Coordinated Care Organizations Increased Timely Prenatal Care Initiation And Decreased Disparities.

    Science.gov (United States)

    Muoto, Ifeoma; Luck, Jeff; Yoon, Jangho; Bernell, Stephanie; Snowden, Jonathan M

    2016-09-01

    Policies at the state and federal levels affect access to health services, including prenatal care. In 2012 the State of Oregon implemented a major reform of its Medicaid program. The new model, called a coordinated care organization (CCO), is designed to improve the coordination of care for Medicaid beneficiaries. This reform effort provides an ideal opportunity to evaluate the impact of broad financing and delivery reforms on prenatal care use. Using birth certificate data from Oregon and Washington State, we evaluated the effect of CCO implementation on the probability of early prenatal care initiation, prenatal care adequacy, and disparities in prenatal care use by type of insurance. Following CCO implementation, we found significant increases in early prenatal care initiation and a reduction in disparities across insurance types but no difference in overall prenatal care adequacy. Oregon's reforms could serve as a model for other Medicaid and commercial health plans seeking to improve prenatal care quality and reduce disparities. Project HOPE—The People-to-People Health Foundation, Inc.

  20. Three-step management of pneumothorax: time for a re-think on initial management†

    Science.gov (United States)

    Kaneda, Hiroyuki; Nakano, Takahito; Taniguchi, Yohei; Saito, Tomohito; Konobu, Toshifumi; Saito, Yukihito

    2013-01-01

    Pneumothorax is a common disease worldwide, but surprisingly, its initial management remains controversial. There are some published guidelines for the management of spontaneous pneumothorax. However, they differ in some respects, particularly in initial management. In published trials, the objective of treatment has not been clarified and it is not possible to compare the treatment strategies between different trials because of inappropriate evaluations of the air leak. Therefore, there is a need to outline the optimal management strategy for pneumothorax. In this report, we systematically review published randomized controlled trials of the different treatments of primary spontaneous pneumothorax, point out controversial issues and finally propose a three-step strategy for the management of pneumothorax. There are three important characteristics of pneumothorax: potentially lethal respiratory dysfunction; air leak, which is the obvious cause of the disease; frequent recurrence. These three characteristics correspond to the three steps. The central idea of the strategy is that the lung should not be expanded rapidly, unless absolutely necessary. The primary objective of both simple aspiration and chest drainage should be the recovery of acute respiratory dysfunction or the avoidance of respiratory dysfunction and subsequent complications. We believe that this management strategy is simple and clinically relevant and not dependent on the classification of pneumothorax. PMID:23117233

  1. Regional changes over time in initial virologic response rates to combination antiretroviral therapy across Europe

    DEFF Research Database (Denmark)

    Bannister, Wendy P; Kirk, Ole; Gatell, Jose M

    2006-01-01

    : Virologic response (viral load SIDA patients. Analyses were stratified by region (south, central west, north, east) or time started cART (early, 1996-1997; mid, 1998-1999; late, 2000-1904). RESULTS: Virologic...

  2. The Effect of Quantity, Quality and Timing of Headquarters-Initiated Knowledge Flows on Subsidiary Performance

    DEFF Research Database (Denmark)

    Tran, Yen; Mahnke, Volker; Ambos, Björn

    2010-01-01

    quality/performance relationship and a curvilinear quantity/performance relationship, indicating that too much knowledge sharing can be detrimental to the receiving subsidiary. Most importantly, we show that the timing of a knowledge flow significantly affects subsidiary sales performance....

  3. Regional changes over time in initial virological response rates to combination antiretroviral therapy across Europe

    DEFF Research Database (Denmark)

    Bannister, W; Kirk, O; Gatell, J

    2006-01-01

    : Virologic response (viral load SIDA patients. Analyses were stratified by region (south, central west, north, east) or time started cART (early, 1996-1997; mid, 1998-1999; late, 2000-1904). RESULTS: Virologic...

  4. Randomised Controlled Trial to determine the appropriate time to initiate peritoneal dialysis after insertion of catheter to minimise complications (Timely PD study

    Directory of Open Access Journals (Sweden)

    Fassett Robert G

    2010-06-01

    Full Text Available Abstract Background The most appropriate time to initiate dialysis after surgical insertion of Tenckhoff catheters is not clear in the literature. There is the possibility of peritoneal dialysis (PD complications such as leakage and infection if dialysis is started too soon after insertion. However, much morbidity and expense could be saved by reducing dependency on haemodialysis (HD by earlier initiation of PD post catheter insertion. Previous studies are observational and mostly compare immediate with delayed use. The primary objective is to determine the safest and shortest time interval between surgical placement of a Tenckhoff catheter and starting PD. Methods/Design This is a randomised controlled trial of patients who will start PD after insertion of Tenckhoff catheter at Royal Brisbane and Women's Hospital (RBWH or Rockhampton Base Hospital (RBH who meet the inclusion criteria. Patients will be stratified by site and diabetic status. The patients will be randomised to one of three treatment groups. Group 1 will start PD one week after Tenckhoff catheter insertion, group 2 at two weeks and group 3 at four weeks. Nurses and physicians will be blinded to the randomised allocation. The primary end point is the complication rate (leaks and infection after initiation of PD. Discussion The study will determine the most appropriate time to initiate PD after placement of a Tenckhoff catheter. Trial Registration ACTRN12610000076077

  5. Time dependency of the prediction skill for the North Atlantic subpolar gyre in initialized decadal hindcasts with MPI-ESM

    Science.gov (United States)

    Brune, Sebastian; Düsterhus, Andre; Pohlmann, Holger; Müller, Wolfgang; Baehr, Johanna

    2017-04-01

    We analyze the time dependency of decadal hindcast skill in the North Atlantic subpolar gyre within the time period 1961-2013. We compare anomaly correlation coefficients and interquartile ranges of total upper ocean heat content and sea surface temperature for three differently initialized sets of hindcast simulations with the global coupled model MPI-ESM. All initializations use weakly coupled assimilation with the same full-field nudging in the atmospheric component and different assimilation techniques for oceanic temperature and salinity: (1) ensemble Kalman filter assimilating EN4 and HadISST observations, (2) nudging of anomalies to ORAS4 reanalysis, (3) nudging of full values to ORAS4 reanalysis. We find that hindcast skill depends strongly on the evaluation time period, with higher hindcast skill during strong multiyear trends and lower hindcast skill in the absence of such trends. While there may only be small differences between the prediction systems in the analysis focusing on the entire hindcast period, these differences between the hindcast systems are much more pronounced when investigating any 20-year subperiod within the entire hindcast period. For the ensemble Kalman filter high skill in the assimilation experiment is generally linked to high skill in the initialized hindcasts. Such direct link does not seem to exist in the hindcasts initialized by either nudged system. In the ensemble Kalman filter initialized hindcasts, we find significant hindcast skill for up to 5 to 8 lead years, except for the 1970s. In the nudged system initialized hindcasts, hindcast skill is consistently diminished in lead years 2 and 3 with lowest skill in the 1970s as well. Overall, we find that a model-consistent assimilation technique can improve hindcast skill. Further, the evaluation of 20 year subperiods within the full hindcast period provides essential insights to judge the success of both the assimilation and the subsequent hindcast skill.

  6. Proof of Concept: Design and Initial Evaluation of a Device to Measure Gastrointestinal Transit Time.

    Science.gov (United States)

    Wagner, Robert H; Savir-Baruch, Bital; Halama, James R; Venu, Mukund; Gabriel, Medhat S; Bova, Davide

    2017-09-01

    Chronic constipation and gastrointestinal motility disorders constitute a large part of a gastroenterology practice and have a significant impact on a patient's quality of life and lifestyle. In most cases, medications are prescribed to alleviate symptoms without there being an objective measurement of response. Commonly used investigations of gastrointestinal transit times are currently limited to radiopaque markers or electronic capsules. Repeated use of these techniques is limited because of the radiation exposure and the significant cost of the devices. We present the proof of concept for a new device to measure gastrointestinal transit time using commonly available and inexpensive materials with only a small amount of radiotracer. Methods: We assembled gelatin capsules containing a 67 Ga-citrate-radiolabeled grain of rice embedded in paraffin for use as a point-source transit device. It was tested for stability in vitro and subsequently was given orally to 4 healthy volunteers and 10 patients with constipation or diarrhea. Imaging was performed at regular intervals until the device was excreted. Results: The device remained intact and visible as a point source in all subjects until excretion. When used along with a diary of bowel movement times and dates, the device could determine the total transit time. The device could be visualized either alone or in combination with a barium small-bowel follow-through study or a gastric emptying study. Conclusion: The use of a point-source transit device for the determination of gastrointestinal transit time is a feasible alternative to other methods. The device is inexpensive and easy to assemble, requires only a small amount of radiotracer, and remains inert throughout the gastrointestinal tract, allowing for accurate determination of gastrointestinal transit time. Further investigation of the device is required to establish optimum imaging parameters and reference values. Measurements of gastrointestinal transit time

  7. Real-time virtual sonography (RVS)-guided vacuum-assisted breast biopsy for lesions initially detected with breast MRI.

    Science.gov (United States)

    Uematsu, Takayoshi

    2013-12-01

    To report on our initial experiences with a new method of real-time virtual sonography (RVS)-guided 11-gauge vacuum-assisted breast biopsy for lesions that were initially detected with breast MRI. RVS-guided 11-gauge vacuum-assisted biopsy is performed when a lesion with suspicious characteristics is initially detected with breast MRI and is occult on mammography, sonography, and physical examination. Live sonographic images were co-registered to the previously loaded second-look spine contrast-enhanced breast MRI volume data to correlate the sonography and MR images. Six lesions were examined in six consecutive patients scheduled to undergo RVS-guided 11-gauge vacuum-assisted biopsy. One patient was removed from the study because of non-visualization of the lesion in the second-look spine contrast-enhanced breast MRI. Five patients with non-mass enhancement lesions were biopsied. The lesions ranged in size from 9 to 13 mm (mean 11 mm). The average procedural time, including the sonography and MR image co-registration time, was 25 min. All biopsies resulted in tissue retrieval. One was fibroadenomatous nodules, and those of four were fibrocystic changes. There were no complications during or after the procedures. RVS-guided 11-gauge vacuum-assisted breast biopsies provide a safe and effective method for the examination of suspicious lesions initially detected with MRI.

  8. Comparison Between Individually and Group-Based Insulin Pump Initiation by Time-Driven Activity-Based Costing.

    Science.gov (United States)

    Ridderstråle, Martin

    2017-07-01

    Depending on available resources, competencies, and pedagogic preference, initiation of insulin pump therapy can be performed on either an individual or a group basis. Here we compared the two models with respect to resources used. Time-driven activity-based costing (TDABC) was used to compare initiating insulin pump treatment in groups (GT) to individual treatment (IT). Activities and cost drivers were identified, timed, or estimated at location. Medical quality and patient satisfaction were assumed to be noninferior and were not measured. GT was about 30% less time-consuming and 17% less cost driving per patient and activity compared to IT. As a batch driver (16 patients in one group) GT produced an upward jigsaw-shaped accumulative cost curve compared to the incremental increase incurred by IT. Taking the alternate cost for those not attending into account, and realizing the cost of opportunity gained, suggested that GT was cost neutral already when 5 of 16 patients attended, and that a second group could be initiated at no additional cost as the attendance rate reached 15:1. We found TDABC to be effective in comparing treatment alternatives, improving cost control and decision making. Everything else being equal, if the setup is available, our data suggest that initiating insulin pump treatment in groups is far more cost effective than on an individual basis and that TDABC may be used to find the balance point.

  9. Patient satisfaction and barriers to initiating real-time continuous glucose monitoring in early pregnancy in women with diabetes

    DEFF Research Database (Denmark)

    Secher, A L; Madsen, A B; Nielsen, Lene Ringholm

    2012-01-01

    of initial monitoring). Ten women (15%) did not wish to use continuous glucose monitoring again in pregnancy. Main causes behind early removal of continuous glucose monitoring were self-reported skin irritation, technical problems and continuous glucose monitoring inaccuracy. No differences were found......Aim: To evaluate self-reported satisfaction and barriers to initiating real-time continuous glucose monitoring in early pregnancy among women with pregestational diabetes. Methods: Fifty-four women with Type 1 diabetes and 14 women with Type 2 diabetes were offered continuous glucose monitoring...

  10. Optimal timing of renal replacement therapy initiation in acute kidney injury: the elephant felt by the blindmen?

    Science.gov (United States)

    Shiao, Chih-Chung; Huang, Tao-Min; Spapen, Herbert D; Honore, Patrick M; Wu, Vin-Cent

    2017-06-20

    Renal replacement therapy (RRT) is a key component in the management of severe acute kidney injury (AKI) in critically ill patients. Many cohort studies, meta-analyses, and two recent large randomized prospective trials which evaluated the relationship between the timing of RRT initiation and patient outcome remain inconclusive due to substantial differences in study design, patient population, AKI definition, and RRT indication. A cause-specific diagnosis of AKI based on current staging criteria plus a sensitive biomarker (panel) that allows creating a homogeneous study population is definitely needed to assess the impact of early versus late initiation of RRT on patient outcome.

  11. Timing of initial arrival at the breeding site predicts age at first reproduction in a long-lived migratory bird

    Science.gov (United States)

    Becker, Peter H.; Dittmann, Tobias; Ludwigs, Jan-Dieter; Limmer, Bente; Ludwig, Sonja C.; Bauch, Christina; Braasch, Alexander; Wendeln, Helmut

    2008-01-01

    In long-lived vertebrates, individuals generally visit potential breeding areas or populations during one or more seasons before reproducing for the first time. During these years of prospecting, they select a future breeding site, colony, or mate and improve various skills and their physical condition to meet the requirements of reproduction. One precondition of successful reproduction is arrival in time on the breeding grounds. Here, we study the intricate links among the date of initial spring arrival, body mass, sex, and the age of first breeding in the common tern Sterna hirundo, a long-lived migratory colonial seabird. The study is based on a unique, individual-based, long-term dataset of sexed birds, marked with transponders, which allow recording their individual arrival, overall attendance, and clutch initiation remotely and automatically year by year over the entire lifetime at the natal colony site. We show that the seasonal date of initial arrival at the breeding grounds predicts the individual age at first reproduction, which mostly occurs years later. Late first-time arrivals remain delayed birds throughout subsequent years. Our findings reveal that timing of arrival at the site of reproduction and timing of reproduction itself are coherent parameters of individual quality, which are linked with the prospects of the breeding career and may have consequences for fitness. PMID:18711134

  12. Factors influencing timely initiation and completion of gestational diabetes mellitus screening and diagnosis - a qualitative study from Tamil Nadu, India.

    Science.gov (United States)

    Nielsen, Karoline Kragelund; Rheinländer, Thilde; Kapur, Anil; Damm, Peter; Seshiah, Veerasamy; Bygbjerg, Ib C

    2017-08-01

    In 2007, universal screening for gestational diabetes mellitus (GDM) was introduced in Tamil Nadu, India. To identify factors hindering or facilitating timely initiation and completion of the GDM screening and diagnosis process, our study investigated how pregnant women in rural and urban Tamil Nadu access and navigate different GDM related health services. The study was carried out in two settings: an urban private diabetes centre and a rural government primary health centre. Observations of the process of screening and diagnosis at the health centres as well as semi-structured interviews with 30 pregnant women and nine health care providers were conducted. Data was analysed using qualitative content analysis. There were significant differences in the process of GDM screening and diagnosis in the urban and rural settings. Several factors hindering or facilitating timely initiation and completion of the process were identified. Timely attendance required awareness, motivation and opportunity to attend. Women had to attend the health centre at the right time and sometimes at the right gestational age to initiate the test, wait to complete the test and obtain the test report in time to initiate further action. All these steps and requirements were influenced by factors within and outside the health system such as getting right information from health care providers, clinic timings, characteristics of the test, availability of transport, social network and support, and social norms and cultural practices. Minimising and aligning complex stepwise processes of prenatal care and GDM screening delivery and attention to the factors influencing it are important for further improving and expanding GDM screening and related services, not only in Tamil Nadu but in other similar low and middle income settings. This study stresses the importance of guidelines and diagnostic criteria which are simple and feasible on the ground.

  13. European Union bulk tank SCC standards and proposed US standards: Compliance based on data from four Federal Milk Marketing Orders

    Science.gov (United States)

    The objective of this study was to evaluate compliance of US producers with the proposed BTSCC limits. Four different SCC levels of compliance were evaluated: 750K; 600K; 500K; 400K. For the 12 month period ending October 2010, 1.0% of producers and 0.2% of milk exceeded the current US limit of 750K...

  14. SCC, Bowen's disease and BCC arising on chronic radiation dermatitis due to radiation therapy for tinea pedis

    International Nuclear Information System (INIS)

    Aoki, Eri; Aoki, Mikako; Ikemura, Akiko; Igarashi, Tsukasa; Suzuki, Kayano; Kawana, Seiji

    2000-01-01

    We reported a case who developed three different types of skin cancers: SCC, BCC, and Bowen's disease, on the chronic radiation dermatitis. He had been treated for his tinea pedis et palmaris with radiotherapy in 1940's. It is very ratre that three different types of skin cancers arise in the same patient. This is a second case reported in Japan. (author)

  15. Quantitative analysis of pulmonary perfusion using time-resolved parallel 3D MRI - initial results

    International Nuclear Information System (INIS)

    Fink, C.; Buhmann, R.; Plathow, C.; Puderbach, M.; Kauczor, H.U.; Risse, F.; Ley, S.; Meyer, F.J.

    2004-01-01

    Purpose: to assess the use of time-resolved parallel 3D MRI for a quantitative analysis of pulmonary perfusion in patients with cardiopulmonary disease. Materials and methods: eight patients with pulmonary embolism or pulmonary hypertension were examined with a time-resolved 3D gradient echo pulse sequence with parallel imaging techniques (FLASH 3D, TE/TR: 0.8/1.9 ms; flip angle: 40 ; GRAPPA). A quantitative perfusion analysis based on indicator dilution theory was performed using a dedicated software. Results: patients with pulmonary embolism or chronic thromboembolic pulmonary hypertension revealed characteristic wedge-shaped perfusion defects at perfusion MRI. They were characterized by a decreased pulmonary blood flow (PBF) and pulmonary blood volume (PBV) and increased mean transit time (MTT). Patients with primary pulmonary hypertension or eisenmenger syndrome showed a more homogeneous perfusion pattern. The mean MTT of all patients was 3.3 - 4.7 s. The mean PBF and PBV showed a broader interindividual variation (PBF: 104-322 ml/100 ml/min; PBV: 8 - 21 ml/100 ml). Conclusion: time-resolved parallel 3D MRI allows at least a semi-quantitative assessment of lung perfusion. Future studies will have to assess the clinical value of this quantitative information for the diagnosis and management of cardiopulmonary disease. (orig.) [de

  16. Houston Recovery Initiative: A Rich Case Study of Building Recovery Communities One Voice at a Time.

    Science.gov (United States)

    Bitting, Sara; Nash, Angela; Ochoa, Ashley

    2016-01-01

    Recovery from alcohol and drug problems is a process of change through which an individual achieves control and improved quality of life. Recovery is a primary goal for individuals with substance use disorder as it provides hope that treatment and overall health are possible for every individual. More than 23 million Americans are in recovery from addiction to alcohol and other drugs.Recovery-oriented systems of care (ROSC) are networks of community services and peer support that help individuals and families achieve recovery from substances and improve overall health. ROSC is a strengths-based and person-centered model that leverages existing community resources to address the needs of individuals and families as they progress through the journey of recovery. The ROSC model serves as the foundation of the Houston Recovery Initiative (HRI).The purpose of this article is to describe the history, development, and infrastructure of the HRI, which is a volunteer collaboration whose main goal is to educate the community on recovery and broaden the recovery safety net for people with substance use disorder in Houston, Texas. Since 2010, the HRI has grown to include more than 200 agencies across the spectrum of treatment and recovery support services in Houston so as to provide a resource for the community. Herein, we detail efforts to grow the HRI, lessons learned, future plans, and resources needed to move the HRI forward.

  17. Divergent series and memory of the initial condition in the long-time solution of some anomalous diffusion problems.

    Science.gov (United States)

    Yuste, S Bravo; Borrego, R; Abad, E

    2010-02-01

    We consider various anomalous d -dimensional diffusion problems in the presence of an absorbing boundary with radial symmetry. The motion of particles is described by a fractional diffusion equation. Their mean-square displacement is given by r(2) proportional, variant t(gamma)(0divergent series appear when the concentration or survival probabilities are evaluated via the method of separation of variables. While the solution for normal diffusion problems is, at most, divergent as t-->0 , the emergence of such series in the long-time domain is a specific feature of subdiffusion problems. We present a method to regularize such series, and, in some cases, validate the procedure by using alternative techniques (Laplace transform method and numerical simulations). In the normal diffusion case, we find that the signature of the initial condition on the approach to the steady state rapidly fades away and the solution approaches a single (the main) decay mode in the long-time regime. In remarkable contrast, long-time memory of the initial condition is present in the subdiffusive case as the spatial part Psi1(r) describing the long-time decay of the solution to the steady state is determined by a weighted superposition of all spatial modes characteristic of the normal diffusion problem, the weight being dependent on the initial condition. Interestingly, Psi1(r) turns out to be independent of the anomalous diffusion exponent gamma .

  18. Initial Sleep Time Predicts Success in Manual-Guided Cognitive Behavioral Therapy for Insomnia.

    Science.gov (United States)

    Bothelius, Kristoffer; Kyhle, Kicki; Broman, Jan-Erik; Gordh, Torsten; Fredrikson, Mats

    2016-01-01

    Cognitive behavioral therapy produces significant and long-lasting improvement for individuals with insomnia, but treatment resources are scarce. A "stepped care" approach has therefore been proposed, but knowledge is limited on how to best allocate patients to different treatment steps. In this study, 66 primary-care patients with insomnia attended a low-end treatment step: manual-guided cognitive behavioral therapy (CBT) for insomnia delivered by ordinary primary-care personnel. Based on clinically significant treatment effects, subjects were grouped into treatment responders or nonresponders. Baseline data were analyzed to identify predictors for treatment success. Long total sleep time at baseline assessment was the only statistically significant predictor for becoming a responder, and sleep time may thus be important to consider before enrolling patients in low-end treatments.

  19. Fission time-scale in experiments and in multiple initiation model

    Energy Technology Data Exchange (ETDEWEB)

    Karamian, S. A., E-mail: karamian@nrmail.jinr.ru [Joint Institute for Nuclear Research (Russian Federation)

    2011-12-15

    Rate of fission for highly-excited nuclei is affected by the viscose character of the systemmotion in deformation coordinates as was reported for very heavy nuclei with Z{sub C} > 90. The long time-scale of fission can be described in a model of 'fission by diffusion' that includes an assumption of the overdamped diabatic motion. The fission-to-spallation ratio at intermediate proton energy could be influenced by the viscosity, as well. Within a novel approach of the present work, the cross examination of the fission probability, time-scales, and pre-fission neutron multiplicities is resulted in the consistent interpretation of a whole set of the observables. Earlier, different aspects could be reproduced in partial simulations without careful coordination.

  20. Commissioning and initial operation experience with ASDEX Upgrade's new real-time control and data acquisition

    International Nuclear Information System (INIS)

    Raupp, G.; Behler, K.; Cole, R.; Engelhardt, K.; Lohs, A.; Lueddecke, K.; Treutterer, W.; Neu, G.; Vijverberg, T.; Zasche, D.; Zehetbauer, Th.

    2006-01-01

    ASDEX Upgrade was equipped with a distributed real-time (RT) control and diagnostic system. Application processes can be freely mapped onto controllers. They communicate through RT data exchanged via a shared memory network. Processes run self-organized with a data-driven scheme, i.e. a process executes when all required data has become available and produced data drive other processes waiting for these. The process chain starts periodically through a time-synchronous cycle master process to deterministically execute closed-loop control. Generic processes were implemented for feedback of plasma position and shape, and for performance control with fuelling and heating systems, for evaluation and monitoring of plasma quantities and Tokamak components, and generation of reference values in RT. Upon commissioning the system was speed-optimized to run a 1.6 ms cycle. Methods to exchange data and time information in RT and operate distributed data-driven processes work efficiently and reliably. The ability to freely map processes to computing nodes and RT data to generic processes provides outstanding configurational flexibility for optimizing system performance or supporting in situ replay and simulation runs. In the computation of reference values in RT acting on underlying feedback controllers, demonstrated for soft-landing, we see great potential to counteract instabilities or optimize pulses

  1. Radiation safety in the cardiac catheterization lab: A time series quality improvement initiative.

    Science.gov (United States)

    Abuzeid, Wael; Abunassar, Joseph; Leis, Jerome A; Tang, Vicky; Wong, Brian; Ko, Dennis T; Wijeysundera, Harindra C

    Interventional cardiologists have one of the highest annual radiation exposures yet systems of care that promote radiation safety in cardiac catheterization labs are lacking. This study sought to reduce the frequency of radiation exposure, for PCI procedures, above 1.5Gy in labs utilizing a Phillips system at our local institution by 40%, over a 12-month period. We performed a time series study to assess the impact of different interventions on the frequency of radiation exposure above 1.5Gy. Process measures were percent of procedures where collimation and magnification were used and percent of completion of online educational modules. Balancing measures were the mean number of cases performed and mean fluoroscopy time. Information sessions, online modules, policies and posters were implemented followed by the introduction of a new lab with a novel software (AlluraClarity©) to reduce radiation dose. There was a significant reduction (91%, psoftware (AlluraClarity©) in a new Phillips lab. Process measures of use of collimation (95.0% to 98.0%), use of magnification (20.0% to 14.0%) and completion of online modules (62%) helped track implementation. The mean number of cases performed and mean fluoroscopy time did not change significantly. While educational strategies had limited impact on reducing radiation exposure, implementing a novel software system provided the most effective means of reducing radiation exposure. Crown Copyright © 2017. Published by Elsevier Inc. All rights reserved.

  2. Usefulness of SCC-antigen for diagnosis and monitoring recurrence and effectiveness of therapies of squamous cell carcinoma of the lung

    International Nuclear Information System (INIS)

    Mino, Naoko; Iio, Atsushi; Ata, Mariko; Murase, Kenya; Kataoka, Masaaki; Ito, Hisao; Ishine, Masahiro; Kawamura, Masashi; Hamamoto, Ken

    1987-01-01

    The serum levels of SCC antigen (squamous cell carcinoma related antigen) were measured in 111 patients with primary lung cancer to assess its clinical usefulness for diagnosis of squamous cell carcinoma and for monitoring recurrence and effectiveness of therapies. Serum SCC antigen level in patients with squamous cell carcinoma of the lung was 5.9 ± 10.4 ng/ml, which was high (p < 0.05) compared with those in normal controls (1.6 ± 0.5 ng/ml), patients with other types of lung cancer (2.4 ± 2.9 ng/ml) or benign disease (1.8 ± 1.1 ng/ml). Studies at various clinical stages of squamous cell carcinoma of the lung showed, however, that the SCC antigen levels were high only in the advanced stages (III and IV), whereas not so high in the earlier stages. These results confirmed that SCC antigen is a relatively specific marker to squamous cell carcinoma in the lung, as reported in the uterine cervix and the esophagus. The SCC antigen levels decreased after operation and more markedly after radiotherapy in dose-dependent manner, corresponding to the reduction of the tumor size. On the other hand, the SCC antigen levels were extremely high in the recurrence. It was concluded that SCC antigen is a useful marker for monitoring recurrence or effectiveness of the therapies of SCC of the lung, although not so for its early diagnosis. (author)

  3. A quantitative prediction model of SCC rate for nuclear structure materials in high temperature water based on crack tip creep strain rate

    International Nuclear Information System (INIS)

    Yang, F.Q.; Xue, H.; Zhao, L.Y.; Fang, X.R.

    2014-01-01

    Highlights: • Creep is considered to be the primary mechanical factor of crack tip film degradation. • The prediction model of SCC rate is based on crack tip creep strain rate. • The SCC rate calculated at the secondary stage of creep is recommended. • The effect of stress intensity factor on SCC growth rate is discussed. - Abstract: The quantitative prediction of stress corrosion cracking (SCC) of structure materials is essential in safety assessment of nuclear power plants. A new quantitative prediction model is proposed by combining the Ford–Andresen model, a crack tip creep model and an elastic–plastic finite element method. The creep at the crack tip is considered to be the primary mechanical factor of protective film degradation, and the creep strain rate at the crack tip is suggested as primary mechanical factor in predicting the SCC rate. The SCC rates at secondary stage of creep are recommended when using the approach introduced in this study to predict the SCC rates of materials in high temperature water. The proposed approach can be used to understand the SCC crack growth in structural materials of light water reactors

  4. Timely binding of IHF and Fis to DARS2 regulates ATP–DnaA production and replication initiation

    Science.gov (United States)

    Kasho, Kazutoshi; Fujimitsu, Kazuyuki; Matoba, Toshihiro; Oshima, Taku; Katayama, Tsutomu

    2014-01-01

    In Escherichia coli, the ATP-bound form of DnaA (ATP–DnaA) promotes replication initiation. During replication, the bound ATP is hydrolyzed to ADP to yield the ADP-bound form (ADP–DnaA), which is inactive for initiation. The chromosomal site DARS2 facilitates the regeneration of ATP–DnaA by catalyzing nucleotide exchange between free ATP and ADP bound to DnaA. However, the regulatory mechanisms governing this exchange reaction are unclear. Here, using in vitro reconstituted experiments, we show that two nucleoid-associated proteins, IHF and Fis, bind site-specifically to DARS2 to activate coordinately the exchange reaction. The regenerated ATP–DnaA was fully active in replication initiation and underwent DnaA–ATP hydrolysis. ADP–DnaA formed heteromultimeric complexes with IHF and Fis on DARS2, and underwent nucleotide dissociation more efficiently than ATP–DnaA. Consistently, mutant analyses demonstrated that specific binding of IHF and Fis to DARS2 stimulates the formation of ATP–DnaA production, thereby promoting timely initiation. Moreover, we show that IHF–DARS2 binding is temporally regulated during the cell cycle, whereas Fis only binds to DARS2 in exponentially growing cells. These results elucidate the regulation of ATP–DnaA and replication initiation in coordination with the cell cycle and growth phase. PMID:25378325

  5. Timely binding of IHF and Fis to DARS2 regulates ATP-DnaA production and replication initiation.

    Science.gov (United States)

    Kasho, Kazutoshi; Fujimitsu, Kazuyuki; Matoba, Toshihiro; Oshima, Taku; Katayama, Tsutomu

    2014-12-01

    In Escherichia coli, the ATP-bound form of DnaA (ATP-DnaA) promotes replication initiation. During replication, the bound ATP is hydrolyzed to ADP to yield the ADP-bound form (ADP-DnaA), which is inactive for initiation. The chromosomal site DARS2 facilitates the regeneration of ATP-DnaA by catalyzing nucleotide exchange between free ATP and ADP bound to DnaA. However, the regulatory mechanisms governing this exchange reaction are unclear. Here, using in vitro reconstituted experiments, we show that two nucleoid-associated proteins, IHF and Fis, bind site-specifically to DARS2 to activate coordinately the exchange reaction. The regenerated ATP-DnaA was fully active in replication initiation and underwent DnaA-ATP hydrolysis. ADP-DnaA formed heteromultimeric complexes with IHF and Fis on DARS2, and underwent nucleotide dissociation more efficiently than ATP-DnaA. Consistently, mutant analyses demonstrated that specific binding of IHF and Fis to DARS2 stimulates the formation of ATP-DnaA production, thereby promoting timely initiation. Moreover, we show that IHF-DARS2 binding is temporally regulated during the cell cycle, whereas Fis only binds to DARS2 in exponentially growing cells. These results elucidate the regulation of ATP-DnaA and replication initiation in coordination with the cell cycle and growth phase. © The Author(s) 2014. Published by Oxford University Press on behalf of Nucleic Acids Research.

  6. Timing of initiation of enzyme replacement therapy after diagnosis of type 1 Gaucher disease: effect on incidence of avascular necrosis

    Science.gov (United States)

    Mistry, Pramod K; Deegan, Patrick; Vellodi, Ashok; Cole, J Alexander; Yeh, Michael; Weinreb, Neal J

    2009-01-01

    Data from the International Collaborative Gaucher Group Gaucher Registry were analysed to assess the relationship between enzyme replacement therapy with imiglucerase (ERT) and incidence of avascular necrosis (AVN) in type 1 Gaucher disease (GD1), and to determine whether the time interval between diagnosis and initiation of ERT influences the incidence rate of AVN. All patients with GD1 enrolled in the Gaucher Registry who received ERT and did not report AVN prior to starting therapy (n = 2700) were included. The incidence rate of AVN following initiation of ERT was determined. An incidence rate of AVN of 13·8 per 1000 person-years was observed in patients receiving ERT. Patients who initiated ERT within 2 years of diagnosis had an incidence rate of 8·1 per 1000 person-years; patients who started ERT ≥2 years after diagnosis had an incidence rate of 16·6 per 1000 person-years. The adjusted incidence rate ratio was 0·59 [95% confidence interval (CI) 0·36–0·96, P = 0·0343]. Splenectomy was an independent risk factor for AVN (adjusted incidence rate ratio 2·23, 95% CI 1·61–3·08, P < 0·0001). In conclusion, the risk of AVN was reduced among patients who initiated ERT within 2 years of diagnosis, compared to initiating treatment ≥2 years after diagnosis. A higher risk of AVN was observed among patients who had previously undergone splenectomy. PMID:19732054

  7. A Review of the Factors Associated With the Timely Initiation of Breastfeeding and Exclusive Breastfeeding in the Middle East

    Science.gov (United States)

    Alzaheb, Riyadh A

    2017-01-01

    Background: Breastfeeding supplies all the nutrients that infants need for their healthy development. Breastfeeding practice is multifactorial, and numerous variables influence mothers’ decisions and ability to breastfeed. This review identifies the factors potentially affecting the timely initiation of breastfeeding within an hour after birth and exclusive breastfeeding in the first 6 months in Middle Eastern countries. Methods: The Medline, ScienceDirect, and Web of Science databases were keyword-searched for primary studies meeting the following inclusion criteria: (1) publication in the English language between January 2001 and May 2017, (2) original research articles reporting primary data on the factors influencing the timely initiation of breastfeeding and/or exclusive breastfeeding, (3) the use of World Health Organization definitions, and (4) Middle Eastern research contexts. A random effect model was used to establish the average prevalence of the timely initiation of breastfeeding and exclusive breastfeeding in the Middle East. Results: The review identified 19 studies conducted in Saudi Arabia (7), Iran (3), Egypt (2), Turkey (2), Kuwait (1), the United Arab Emirates (1), Qatar (1), Lebanon (1), and Syria (1). The meta-analysis established that 34.3% (confidence interval [CI]: 20.2%-51.9%) of Middle Eastern newborns received breastfeeding initiated within an hour of birth, and only 20.5% (CI: 14.5%-28.2%) were fed only breast milk for the first 6 months. The 8 studies exploring breastfeeding initiation most commonly associated it with the following: delivery mode, maternal employment, rooming-in, and prelacteal feeding. The 17 studies investigating exclusive breastfeeding most frequently linked it to the following: maternal age, maternal education, maternal employment, and delivery mode. Conclusions: Middle Eastern health care organizations should fully understand all the determinants of breastfeeding identified by this review to provide suitable

  8. A Review of the Factors Associated With the Timely Initiation of Breastfeeding and Exclusive Breastfeeding in the Middle East

    Directory of Open Access Journals (Sweden)

    Riyadh A Alzaheb

    2017-12-01

    Full Text Available Background: Breastfeeding supplies all the nutrients that infants need for their healthy development. Breastfeeding practice is multifactorial, and numerous variables influence mothers’ decisions and ability to breastfeed. This review identifies the factors potentially affecting the timely initiation of breastfeeding within an hour after birth and exclusive breastfeeding in the first 6 months in Middle Eastern countries. Methods: The Medline, ScienceDirect, and Web of Science databases were keyword-searched for primary studies meeting the following inclusion criteria: (1 publication in the English language between January 2001 and May 2017, (2 original research articles reporting primary data on the factors influencing the timely initiation of breastfeeding and/or exclusive breastfeeding, (3 the use of World Health Organization definitions, and (4 Middle Eastern research contexts. A random effect model was used to establish the average prevalence of the timely initiation of breastfeeding and exclusive breastfeeding in the Middle East. Results: The review identified 19 studies conducted in Saudi Arabia (7, Iran (3, Egypt (2, Turkey (2, Kuwait (1, the United Arab Emirates (1, Qatar (1, Lebanon (1, and Syria (1. The meta-analysis established that 34.3% (confidence interval [CI]: 20.2%-51.9% of Middle Eastern newborns received breastfeeding initiated within an hour of birth, and only 20.5% (CI: 14.5%-28.2% were fed only breast milk for the first 6 months. The 8 studies exploring breastfeeding initiation most commonly associated it with the following: delivery mode, maternal employment, rooming-in, and prelacteal feeding. The 17 studies investigating exclusive breastfeeding most frequently linked it to the following: maternal age, maternal education, maternal employment, and delivery mode. Conclusions: Middle Eastern health care organizations should fully understand all the determinants of breastfeeding identified by this review to provide

  9. Stress corrosion crack initiation of Zircaloy-4 cladding tubes in an iodine vapor environment during creep, relaxation, and constant strain rate tests

    Science.gov (United States)

    Jezequel, T.; Auzoux, Q.; Le Boulch, D.; Bono, M.; Andrieu, E.; Blanc, C.; Chabretou, V.; Mozzani, N.; Rautenberg, M.

    2018-02-01

    During accidental power transient conditions with Pellet Cladding Interaction (PCI), the synergistic effect of the stress and strain imposed on the cladding by thermal expansion of the fuel, and corrosion by iodine released as a fission product, may lead to cladding failure by Stress Corrosion Cracking (SCC). In this study, internal pressure tests were conducted on unirradiated cold-worked stress-relieved Zircaloy-4 cladding tubes in an iodine vapor environment. The goal was to investigate the influence of loading type (constant pressure tests, constant circumferential strain rate tests, or constant circumferential strain tests) and test temperature (320, 350, or 380 °C) on iodine-induced stress corrosion cracking (I-SCC). The experimental results obtained with different loading types were consistent with each other. The apparent threshold hoop stress for I-SCC was found to be independent of the test temperature. SEM micrographs of the tested samples showed many pits distributed over the inner surface, which tended to coalesce into large pits in which a microcrack could initiate. A model for the time-to-failure of a cladding tube was developed using finite element simulations of the viscoplastic mechanical behavior of the material and a modified Kachanov's damage growth model. The times-to-failure predicted by this model are consistent with the experimental data.

  10. Initial results with time series forecasting of TJ-II heliac waveforms

    International Nuclear Information System (INIS)

    Farias, G.; Dormido-Canto, S.; Vega, J.; Díaz, N.

    2015-01-01

    This article discusses about how to apply forecasting techniques to predict future samples of plasma signals during a discharge. One application of the forecasting could be to detect in real time anomalous behaviors in fusion waveforms. The work describes the implementation of three prediction techniques; two of them based on machine learning methods such as artificial neural networks and support vector machines for regression. The results have shown that depending on the temporal horizon, the predictions match the real samples in most cases with an error less than 5%, even more the forecasting of five samples ahead can reach accuracy over 90% in most signals analyzed.

  11. Determination of burnup, cooling time and initial enrichment of PWR spent fuel by use of gamma-ray activity ratios

    International Nuclear Information System (INIS)

    Min, D.K.; Park, H.J.; Park, K.J.; Ro, S.G.; Park, H.S.

    1999-01-01

    The Korea Atomic Energy Institute has been developing the algorithms for sequential determination of cooling time, initial enrichment and burnup of the PWR spent fuel assembly by use of gamma ratio measurements, i.e. 134 Cs/ 137 Cs, 154 Eu/ 137 Cs and 106 Ru 137 Cs/( 134 Cs) 2 . Calculations were performed by applying the ORIGEN-S code. This method has advantages over combination techniques of neutron and gamma measurement, because of its simplicity and insensitivity to the measurement geometry. For verifying the algorithms an experiment for determining the cooling time, initial enrichment and burnup of the two PWR spent fuel rods was conducted by use of high-resolution gamma detector (HPGe) system only. This paper describes the method used and interim results of the experiment. This method can be applied for spent fuel characterization, burnup credit and safeguards of the spent fuel management facility

  12. Initial time-resolved particle beam profile measurements at the Advanced Photon Source

    International Nuclear Information System (INIS)

    Yang, B.X.; Lumpkin, A.H.

    1995-01-01

    The commissioning of the 7-GeV Advanced Photon Source (APS) storage ring began in early 1995. Characterization of the stored particle beam properties involved time-resolved transverse and longitudinal profile measurements using optical synchrotron radiation (OSR) monitors. Early results include the observation of the beam on a single turn, measurements of the transverse beam sizes after damping using a 100 μs integration time (σ x ∼ 150 ± 25 μm, σ γ ∼ 65 ± 25 μm, depending on vertical coupling), and measurement of the bunch length (σ τ ∼ 25 to 55 ps, depending on the charge per bunch). The results are consistent with specifications and predictions based on the 8.2 nm-rad natural emittance, the calculated lattice parameters, and vertical coupling less than 10%. The novel, single-element focusing mirror for the photon transport line and the dual-sweep streak camera techniques which allow turn-by-turn measurements will also be presented. The latter measurements are believed to be the first of their kind on a storage ring in the USA

  13. Factors influencing timely initiation and completion of gestational diabetes mellitus screening and diagnosis - a qualitative study from Tamil Nadu, India

    OpenAIRE

    Nielsen, Karoline Kragelund; Rheinl?nder, Thilde; Kapur, Anil; Damm, Peter; Seshiah, Veerasamy; Bygbjerg, Ib C.

    2017-01-01

    Background In 2007, universal screening for gestational diabetes mellitus (GDM) was introduced in Tamil Nadu, India. To identify factors hindering or facilitating timely initiation and completion of the GDM screening and diagnosis process, our study investigated how pregnant women in rural and urban Tamil Nadu access and navigate different GDM related health services. Methods The study was carried out in two settings: an urban private diabetes centre and a rural government primary health cent...

  14. Effects of drive current rise-time and initial load density distribution on Z-pinch characteristics

    Institute of Scientific and Technical Information of China (English)

    Duan Yao-Yong; Guo Yong-Hui; Wang Wen-Sheng; Qiu Ai-Ci

    2005-01-01

    A two-dimensional, three-temperature radiation magneto-hydrodynamics model is applied to the investigation of evolutional trends in x-ray radiation power, energy, peak plasma temperature and density as functions of drive current rise-time and initial load density distribution by using the typical experimental parameters of tungsten wire-array Z-pinch on the Qiangguang-Ⅰ generator. The numerical results show that as the drive current rise-time is shortened, x-ray radiation peak power, energy, peak plasma density and peak ion temperature increase approximately linearly, but among them the x-ray radiation peak power increases more quickly. As the initial plasma density distribution in the radial direction becomes gradually flattened, the peak radiation power and the peak ion-temperature almost exponentially increase, while the radiation energy and the peak plasma density change only a little. The main effect of shortening drive current rise-time is to enhance compression of plasma, and the effect of flattening initial load density distribution in the radial direction is to raise the plasma temperature. Both of the approaches elevate the x-ray peak radiation power.

  15. The clinical significance of serum SCC-Ag combined with CD105 in patients with cervical cancer during the early stage diagnosis

    Directory of Open Access Journals (Sweden)

    Ru-Chan Ma

    2016-09-01

    Full Text Available Objective: To invest the clinical significance of serum SCC-Ag combined with CD105 in early diagnosis of cervical cancer to provide new ideas for early diagnosis and clinical treatment of cervical cancer. Methods: A total of 74 cases cervical cancer patients were selected as cervical cancer group, and 52 cases uterine fibroids patients were selected as normal cervical group, serum samples were collected in the early morning fasting condition, SCC-Ag and CD105 were checked by ELISA method, SCC-Ag and CD105 of two groups were analyzed by t-test, and to compare SCC-Ag and CD105 in different TMN staging, lymph gland metastasis and non-lymph gland metastasis in patients with cervical cancer, the correlation analysis was used by Pearson correlation analysis method. Results: These results came from ELISA method, comparing with normal cervical group, the SCC-Ag and CD105 of cervical cancer group increased, the difference was statistically significant. Comparing with Ⅰ period of TMN staging, SCC-Ag and CD105 of Ⅱ period increased, Ⅲ, Ⅳ period increased, the difference was statistically significant. Comparing with Ⅱ period, SCC-Ag and CD105 of Ⅲ, Ⅳ period increased, the difference was statistically significant. Comparing with non-lymph gland metastasis, SCC-Ag and CD105 of lymph gland metastasis increased in cervical cancer with surgical treatment, the difference was statistically significant. According to Pearson correlation analysis, SCC-Ag and CD105 were positively correlated. Conclusion: SCC-Ag and CD105 in patients with cervical cancer increase highly, it has important clinical value that of serum SCCAg combined with CD105 in the early diagnosis of cervical cancer, especially it has clinical guiding significance to staging and lymph gland metastasis of cervical cancer, and it is worthy of clinical reference.

  16. Maitra-Burke example of initial-state dependence in time-dependent density-functional theory

    International Nuclear Information System (INIS)

    Holas, A.; Balawender, R.

    2002-01-01

    In a recent paper, Maitra and Burke [Phys. Rev. A 63, 042501 (2001); 64, 039901(E) (2001)] have given an interesting and instructive example that illustrates a specific feature of the time-dependent density-functional theory--the dependence of the reconstructed time-dependent potential not only on the electron density, but also on the initial state of the system. However, a concise form of its presentation by these authors is insufficient to reveal all its peculiarities. Our paper represents a very detailed study of this valuable example, intended to facilitate a better understanding and appreciation

  17. Initial-boundary value problems for multi-term time-fractional diffusion equations with x-dependent coefficients

    OpenAIRE

    Li, Zhiyuan; Huang, Xinchi; Yamamoto, Masahiro

    2018-01-01

    In this paper, we discuss an initial-boundary value problem (IBVP) for the multi-term time-fractional diffusion equation with x-dependent coefficients. By means of the Mittag-Leffler functions and the eigenfunction expansion, we reduce the IBVP to an equivalent integral equation to show the unique existence and the analyticity of the solution for the equation. Especially, in the case where all the coefficients of the time-fractional derivatives are non-negative, by the Laplace and inversion L...

  18. NSE, CEA and SCC - a useful combination of tumor markers in lung cancer

    International Nuclear Information System (INIS)

    Fischbach, W.; Jany, B.

    1988-01-01

    The usefulness of neuronspecific enolase (NSE), CEA, and of the tumor associated antigen SSC was investigated in 61 patients with histologically proven lung cancer (small cell lung cancer n=25, adenocarcinoma n=14, squamous cell carcinoma n=18 and large cell carcinoma n=4). The sensitivity of NSE was 93.3% in small cell lung cancer (SCLC), whereas in adeno- and squamous cell carcinoma only 8 or 13%, resp., elevated serum NSE were found. CEA was the most sensitive marker for adenocarcinoma (58.3%). Contrary to NSE, however, CEA does not allow any conclusions concerning differential diagnosis as pathological serum concentrations were also observed in 46.6% both in small cell lung cancer and in squamous cell carcinoma. SCC demonstrated a sensitivity of 53% in squamous cell carcinoma. Elevated serum levels were also found in adenocarcinoma (41.6%), but never in small lung cancer. For all three markers tested, high serum concentrations were predominantly present in patients with advanced disease state. (orig.) [de

  19. Role of grain boundary engineering in the SCC behavior of ferritic-martensitic alloy HT-9

    International Nuclear Information System (INIS)

    Gupta, G.; Ampornrat, P.; Ren, X.; Sridharan, K.; Allen, T.R.; Was, G.S.

    2007-01-01

    This paper focuses on the role of grain boundary engineering (GBE) in stress corrosion cracking (SCC) of ferritic-martensitic (F-M) alloy HT-9 in supercritical water (SCW) at 400 deg. C and 500 deg. C. Constant extension rate tensile (CERT) tests were conducted on HT-9 in as-received (AR) and coincident site lattice enhanced (CSLE) condition. Both unirradiated and irradiated specimens (irradiated with 2 MeV protons at 400 deg. C and 500 deg. C to a dose of 7 dpa) were tested. Ferritic-martensitic steel HT-9 exhibited intergranular stress corrosion cracking when subjected to CERT tests in an environment of supercritical water at 400 deg. C and 500 deg. C and also in an inert environment of argon at 500 deg. C. CSL-enhancement reduces grain boundary carbide coarsening and cracking susceptibility in both the unirradiated and irradiated condition. Irradiation enhanced coarsening of grain boundary carbides and cracking susceptibility of HT-9 for both the AR and CSLE conditions. Intergranular (IG) cracking of HT-9 results likely from fracture of IG carbides and seems consistent with the mechanism that coarser carbides worsen cracking susceptibility. Oxidation in combination with wedging stresses is the likely cause of the observed environmental enhancement of high temperature IG cracking in HT-9

  20. SCC behavior of alloy 690 from a CDRM mock-up

    International Nuclear Information System (INIS)

    Lapena, J.; Sol Garcia-Redondo, M. del; Perosanz, F.J.; Saez, A.; Gomez-Briceno, D.; Castelao, C.

    2015-01-01

    Stress corrosion cracking (SCC) response of Alloy 690 when the material has been subjected to nonuniform cold working is of interest to understand the behavior of the weld heat affected zone (HAZ) of Alloy 690 in which localised plastic strain exists due to weld shrinkage. This has a special interest in the case of control-rod-drive mechanisms (CRDM) of vessel head. To simulate these conditions during last years many crack growth rate (CGR) data were obtained in deformed material by cold work (rolling, forging or tensile straining), up to 40% of cold working. However, it is unclear to what extent this simulation procedure reproduces the conditions of the material in a CRDM. A research project is being carried out in order to obtain CGR data in realistic situations existing in operating power plants, by the use of CT specimens extracted from CRDMs. This presentation shows the characterization and some results of crack growth rate data on Alloy 690 TT base metal/HAZ/weld metal using specimens made from a CRDM mock-up. It has been fabricated following the usual procedures used for the RPV head fabrication for the Spanish PWR NPP. (authors)

  1. Grain by grain study of the mechanisms of crack propagation during iodine SCC of Zry-4

    International Nuclear Information System (INIS)

    Haddad Andalag, R.E.

    1993-01-01

    This paper describes the tests conducted to determine the conditions leading to cracking of a specified grain of metal, focussing on the crystallographic orientation of crack paths, the critical stress conditions and the significance of the fractographic features encountered. In order to get orientable cracking, a technique was developed to produce iodine SCC, by means of pressurizing tubes of a specially heat treated Zry-4 having very large grains, shaped as discs of a few millimeters in diameter and grown up to the wall thickness. Careful orientation of fractured grains, performed by means of a back-reflection Laue technique with a precision better than one degree, has proved that transgranular cracking occurs only along basal planes. The effect of anisotropy, plasticity, triaxiality and residual stresses originated in thermal contraction, has to be considered to account for the influence of the stress state . A grain by grain calculation led to the conclusion that transgranular cracking always occurs on those bearing the maximum resolved tensile stress on basal planes. There are clear indications of the need of a triaxial stress state for the process to occur. Fracture modes other than pseudo-cleavage have been encountered, including intergranular separation, ductile tearing produced by prismatic slip and propagation along twin boundaries. In each case the fractographic features have been identified, and associations have been made with fractographs obtained in normal fuel cladding. (Author)

  2. Computer-assisted assessment of ultrasound real-time elastography: initial experience in 145 breast lesions.

    Science.gov (United States)

    Zhang, Xue; Xiao, Yang; Zeng, Jie; Qiu, Weibao; Qian, Ming; Wang, Congzhi; Zheng, Rongqin; Zheng, Hairong

    2014-01-01

    To develop and evaluate a computer-assisted method of quantifying five-point elasticity scoring system based on ultrasound real-time elastography (RTE), for classifying benign and malignant breast lesions, with pathologic results as the reference standard. Conventional ultrasonography (US) and RTE images of 145 breast lesions (67 malignant, 78 benign) were performed in this study. Each lesion was automatically contoured on the B-mode image by the level set method and mapped on the RTE image. The relative elasticity value of each pixel was reconstructed and classified into hard or soft by the fuzzy c-means clustering method. According to the hardness degree inside lesion and its surrounding tissue, the elasticity score of the RTE image was computed in an automatic way. Visual assessments of the radiologists were used for comparing the diagnostic performance. Histopathologic examination was used as the reference standard. The Student's t test and receiver operating characteristic (ROC) curve analysis were performed for statistical analysis. Considering score 4 or higher as test positive for malignancy, the diagnostic accuracy, sensitivity, specificity, positive predictive value (PPV) and negative predictive value (NPV) were 93.8% (136/145), 92.5% (62/67), 94.9% (74/78), 93.9% (62/66), and 93.7% (74/79) for the computer-assisted scheme, and 89.7% (130/145), 85.1% (57/67), 93.6% (73/78), 92.0% (57/62), and 88.0% (73/83) for manual assessment. Area under ROC curve (Az value) for the proposed method was higher than the Az value for visual assessment (0.96 vs. 0.93). Computer-assisted quantification of classical five-point scoring system can significantly eliminate the interobserver variability and thereby improve the diagnostic confidence of classifying the breast lesions to avoid unnecessary biopsy. Copyright © 2013 Elsevier Ireland Ltd. All rights reserved.

  3. Computer-assisted assessment of ultrasound real-time elastography: Initial experience in 145 breast lesions

    Energy Technology Data Exchange (ETDEWEB)

    Zhang, Xue; Xiao, Yang [Shenzhen Key Lab for Molecular Imaging, Paul C. Lauterbur Research Center for Biomedical Imaging, Institute of Biomedical and Health Engineering, Shenzhen Institutes of Advanced Technology, Chinese Academy of Sciences, Shenzhen (China); Zeng, Jie [Department of Medical Ultrasonics, Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou (China); Qiu, Weibao; Qian, Ming; Wang, Congzhi [Shenzhen Key Lab for Molecular Imaging, Paul C. Lauterbur Research Center for Biomedical Imaging, Institute of Biomedical and Health Engineering, Shenzhen Institutes of Advanced Technology, Chinese Academy of Sciences, Shenzhen (China); Zheng, Rongqin, E-mail: zhengronggin@hotmail.com [Department of Medical Ultrasonics, Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou (China); Zheng, Hairong, E-mail: hr.zheng@siat.ac.cn [Shenzhen Key Lab for Molecular Imaging, Paul C. Lauterbur Research Center for Biomedical Imaging, Institute of Biomedical and Health Engineering, Shenzhen Institutes of Advanced Technology, Chinese Academy of Sciences, Shenzhen (China)

    2014-01-15

    Purpose: To develop and evaluate a computer-assisted method of quantifying five-point elasticity scoring system based on ultrasound real-time elastography (RTE), for classifying benign and malignant breast lesions, with pathologic results as the reference standard. Materials and methods: Conventional ultrasonography (US) and RTE images of 145 breast lesions (67 malignant, 78 benign) were performed in this study. Each lesion was automatically contoured on the B-mode image by the level set method and mapped on the RTE image. The relative elasticity value of each pixel was reconstructed and classified into hard or soft by the fuzzy c-means clustering method. According to the hardness degree inside lesion and its surrounding tissue, the elasticity score of the RTE image was computed in an automatic way. Visual assessments of the radiologists were used for comparing the diagnostic performance. Histopathologic examination was used as the reference standard. The Student's t test and receiver operating characteristic (ROC) curve analysis were performed for statistical analysis. Results: Considering score 4 or higher as test positive for malignancy, the diagnostic accuracy, sensitivity, specificity, positive predictive value (PPV) and negative predictive value (NPV) were 93.8% (136/145), 92.5% (62/67), 94.9% (74/78), 93.9% (62/66), and 93.7% (74/79) for the computer-assisted scheme, and 89.7% (130/145), 85.1% (57/67), 93.6% (73/78), 92.0% (57/62), and 88.0% (73/83) for manual assessment. Area under ROC curve (A{sub z} value) for the proposed method was higher than the A{sub z} value for visual assessment (0.96 vs. 0.93). Conclusion: Computer-assisted quantification of classical five-point scoring system can significantly eliminate the interobserver variability and thereby improve the diagnostic confidence of classifying the breast lesions to avoid unnecessary biopsy.

  4. Clinical stage of oral cancer patients at the time of initial diagnosis.

    Science.gov (United States)

    Shah, Irfan; Sefvan, Omer; Luqman, Uzair; Ibrahim, Waseem; Mehmood, Sana; Alamgir, Wajiha

    2010-01-01

    Squamous cell carcinoma is the most common oral cancer. Early diagnosis ensures better prognosis. Late diagnosis is however common around the world and contributes to the high morbidity and mortality related to oral cancer. The objective of this study was to determine the clinical stage of oral cancer patients at the time of diagnosis. This retrospective study was carried out on 334 oral cancer patients who presented to the outdoor departments of Armed Forces Institute of Dentistry, and Armed Forces Institute of Pathology, Rawalpindi from July 2008 to December 2009. The records that were reviewed included history and clinical examination findings. OPG and CT scans of the head and neck region, chest X-rays, abdominal ultrasounds and liver function tests. Size of the primary tumour, the size, number and laterality of the involved cervical lymph nodes and the presence/absence of distant metastases were documented and statistically analysed using SPSS-17. Out of the 334 patients, 203 (60.8%) were males and 131 (39.2%) females. The age range was from 21 to 88 years. Buccal mucosa was the most commonly involved site (32%). The primary tumour was 4 Cm or more in size, (T3/T4) 71.25% of the cases. Cervical lymph nodes were involved in 211 patients (63.2%) and distant metastases were present in 39 patients (11.7%). Overall, clinical stage IV was the most common (57.18%) followed by stage III (24.55%), stage II (13.77%) and stage I (4.49%). Oral cancers are diagnosed late (Stage III and IV) in Pakistan and need immediate public and professional attention.

  5. Clinical stage of oral cancer patients at the time of initial diagnosis

    International Nuclear Information System (INIS)

    Shah, I.; Sefvan, O.; Luqman, Z.; Ibrahim, W.; Mehmood, S.

    2010-01-01

    Background: Squamous cell carcinoma is the most common oral cancer. Early diagnosis ensures better prognosis. Late diagnosis is however common around the world and contributes to the high morbidity and mortality related to oral cancer. The objective of this study was to determine the clinical stage of oral cancer patients at the time of diagnosis. Methods: This retrospective study was carried out on 334 oral cancer patients who presented to the outdoor departments of Armed Forces Institute of Dentistry, and Armed Forces Institute of Pathology, Rawalpindi from July 2008 to December 2009. The records that were reviewed included history and clinical examination findings, OPG and CT scans of the head and neck region, chest X-rays, abdominal ultrasounds and liver function tests. Size of the primary tumour, the size, number and laterality of the involved cervical lymph nodes and the presence/absence of distant metastases were documented and statistically analysed using SPSS-17. Results: Out of the 334 patients, 203 (60.8%) were males and 131 (39.2%) females. The age range was from 21 to 88 years. Buccal mucosa was the most commonly involved site (32 %). The primary tumour was 4 Cm or more in size, (T3/T4) 71.25% of the cases. Cervical lymph nodes were involved in 211 patients (63.2%) and distant metastases were present in 39 patients (11.7%). Overall, clinical stage IV was the most common (57.18%) followed by stage III(24.55%), stage II (13.77%) and stage I (4.49%). Conclusion: Oral cancers are diagnosed late (Stage III and IV) in Pakistan and need immediate public and professional attention. (author)

  6. Motion-Corrected Real-Time Cine Magnetic Resonance Imaging of the Heart: Initial Clinical Experience.

    Science.gov (United States)

    Rahsepar, Amir Ali; Saybasili, Haris; Ghasemiesfe, Ahmadreza; Dolan, Ryan S; Shehata, Monda L; Botelho, Marcos P; Markl, Michael; Spottiswoode, Bruce; Collins, Jeremy D; Carr, James C

    2018-01-01

    Free-breathing real-time (RT) imaging can be used in patients with difficulty in breath-holding; however, RT cine imaging typically experiences poor image quality compared with segmented cine imaging because of low resolution. Here, we validate a novel unsupervised motion-corrected (MOCO) reconstruction technique for free-breathing RT cardiac images, called MOCO-RT. Motion-corrected RT uses elastic image registration to generate a single heartbeat of high-quality data from a free-breathing RT acquisition. Segmented balanced steady-state free precession (bSSFP) cine images and free-breathing RT images (Cartesian, TGRAPPA factor 4) were acquired with the same spatial/temporal resolution in 40 patients using clinical 1.5 T magnetic resonance scanners. The respiratory cycle was estimated using the reconstructed RT images, and nonrigid unsupervised motion correction was applied to eliminate breathing motion. Conventional segmented RT and MOCO-RT single-heartbeat cine images were analyzed to evaluate left ventricular (LV) function and volume measurements. Two radiologists scored images for overall image quality, artifact, noise, and wall motion abnormalities. Intraclass correlation coefficient was used to assess the reliability of MOCO-RT measurement. Intraclass correlation coefficient showed excellent reliability (intraclass correlation coefficient ≥ 0.95) of MOCO-RT with segmented cine in measuring LV function, mass, and volume. Comparison of the qualitative ratings indicated comparable image quality for MOCO-RT (4.80 ± 0.35) with segmented cine (4.45 ± 0.88, P = 0.215) and significantly higher than conventional RT techniques (3.51 ± 0.41, P cine (1.51 ± 0.90, P = 0.088 and 1.23 ± 0.45, P = 0.182) were not different. Wall motion abnormality ratings were comparable among different techniques (P = 0.96). The MOCO-RT technique can be used to process conventional free-breathing RT cine images and provides comparable quantitative assessment of LV function and volume

  7. SCC growth behavior of cast stainless steels in high-temperature water. Influences of corrosion potential, steel type, thermal aging and cold-work

    International Nuclear Information System (INIS)

    Yamada, Takuyo; Terachi, Takumi; Miyamoto, Tomoki; Arioka, Koji

    2011-01-01

    Recent studies on crack growth rate (CGR) measurement in oxygenated high-temperature pure water conditions, such as normal water chemistry (NWC) in BWRs, using compact tension (CT) type specimens have shown that stainless steel weld metal are susceptible to stress corrosion cracking (SCC). On the other hand, the authors reported that no significant SCC growth was observed on stainless steel weld metals in PWR primary water at temperatures from 250degC to 340degC. Cast austenitic stainless steels are widely used in light water reactors, and there is a similarity between welded and cast stainless steels in terms of the microstructure of the ferrite/austenite duplex structure. However, there are a few reports giving CGR data on cast stainless steels in the BWRs and PWRs. The principal purpose of this study was to examine the SCC growth behavior of cast stainless steels in simulated PWR primary water. A second objective was to examine the effects on SCC growth in hydrogenated and oxygenated water environments at 320degC of: (1) corrosion potential; (2) steels type (Mo in alloy); (3) thermal-aging (up to 400degC x 40 kh); and (4) cold-working (10%). The results were as follows: (1) No significant SCC growth was observed on all types of cast stainless steels: aged (400degC x 40 kh) of SCS14A and SCS13A and 10% cold-working, in hydrogenated (low-potential) water at 320degC. (2) Aging at 400degC x 40 kh SCS14A (10%CW) markedly accelerated the SCC growth of cast material in high-potential water at 320degC, but no significant SCC growth was observed in the hydrogenated water, even after long-term thermal aging (400degC x 40 kh). (3) Thus, cast stainless steels have excellent SCC resistance in PWR primary water. (4) On the other hand, significant SCC growth was observed on all types of cast stainless steels: 10%CW SCS14A and SCS13A, in 8 ppm-oxygenated (high-potential) water at 320degC. (5) No large difference in SCC growth was observed between SCS14A (Mo) and SCS13A. (6) No

  8. Initial Sensorimotor and Cardiovascular Data Acquired from Soyuz Landings: Establishing a Functional Performance Recovery Time Constant

    Science.gov (United States)

    Reschke, M. F.; Kozlovskaya, I. B.; Kofman, I. S.; Tomilovskaya, E. S.; Cerisano, J. M.; Bloomberg, J. J.; Stenger, M. B.; Platts, S. H.; Rukavishnikov, I. V.; Fomina, E. V.; hide

    2015-01-01

    INTRODUCTION Testing of crew responses following long-duration flights has not been previously possible until a minimum of more than 24 hours after landing. As a result, it has not been possible to determine the trend of the early recovery process, nor has it been possible to accurately assess the full impact of the decrements associated with long-duration flight. To overcome these limitations, both the Russian and U.S. programs have implemented joint testing at the Soyuz landing site. This International Space Station research effort has been identified as the functional Field Test, and represents data collect on NASA, Russian, European Space Agency, and Japanese Aerospace Exploration Agency crews. RESEARCH The primary goal of this research is to determine functional abilities associated with long-duration space flight crews beginning as soon after landing as possible on the day of landing (typically within 1 to 1.5 hours). This goal has both sensorimotor and cardiovascular elements. To date, a total of 15 subjects have participated in a 'pilot' version of the full 'field test'. The full version of the 'field test' will assess functional sensorimotor measurements included hand/eye coordination, standing from a seated position (sit-to-stand), walking normally without falling, measurement of dynamic visual acuity, discriminating different forces generated with the hands (both strength and ability to judge just noticeable differences of force), standing from a prone position, coordinated walking involving tandem heel-to-toe placement (tested with eyes both closed and open), walking normally while avoiding obstacles of differing heights, and determining postural ataxia while standing (measurement of quiet stance). Sensorimotor performance has been obtained using video records, and data from body worn inertial sensors. The cardiovascular portion of the investigation has measured blood pressure and heart rate during a timed stand test in conjunction with postural ataxia

  9. Cognitive rehabilitation therapy after acquired brain injury in Argentina: psychosocial outcomes in connection with the time elapsed before treatment initiation.

    Science.gov (United States)

    Saux, Gastón; Demey, Ignacio; Rojas, Galeno; Feldberg, Carolina

    2014-01-01

    To examine the effect of cognitive rehabilitation therapy (CRT) on psychosocial outcomes in Argentinean patients with acquired brain injury (ABI), in connection with the time elapsed between injury and treatment initiation. Self-reported data from patients in a naturalistic setting was collected before and after CRT. An outpatient sample of 75 Spanish-speaking patients with cognitive disturbances secondary to ABI (49 male/26 female, age: 50.2 ± 20.1 years; education 14.3 ± 3.2 years) completed a set of scales on their daily living activities, memory self-perception, quality-of-life and mood. Single and multi-group analyses were conducted, considering pre- and post- responses and the time elapsed between injury and treatment initiation. The influence of socio-demographic moderators was controlled during comparisons. Results suggest an improvement in several psychosocial indicators after treatment. Additionally, correlations and group comparisons showed greater improvement in subjective memory and quality-of-life self-reports in patients who began treatment earlier than those who began treatment after a longer time period. Overall, results suggest that CRT is associated with positive results in different areas of the psychosocial domain and that post-injury time can mediate this effect.

  10. Predictors of nonfunctional arteriovenous access at hemodialysis initiation and timing of access creation: A registry-based study.

    Directory of Open Access Journals (Sweden)

    Natalia Alencar de Pinho

    Full Text Available Determinants of nonfunctional arteriovenous (AV access, including timing of AV access creation, have not been sufficiently described. We studied 29 945 patients who had predialysis AV access placement and were included in the French REIN registry from 2005 through 2013. AV access was considered nonfunctional when dialysis began with a catheter. We estimated crude and adjusted odds ratio (OR with 95% confidence intervals (CI of nonfunctional versus functional AV access associated with case-mix, facility characteristics, and timing of AV access creation. Analyses were stratified by dialysis start condition (planned or as an emergency and comorbidity profile. Overall, 18% patients had nonfunctional AV access at hemodialysis initiation. In the group with planned dialysis start, female gender (OR 1.43, 95% CI 1.32-1.56, diabetes (OR 1.28, 95% CI 1.15-1.44, and a higher number of cardiovascular comorbidities (OR 1.27, 95% CI 1.09-1.49, and 1.31, 1.05-1.64, for 3 and >3 cardiovascular comorbidities versus none, respectively were independent predictors of nonfunctional AV access. A higher percentage of AV access creation at the region level was associated with a lower rate of nonfunctional AV access (OR 0.98, 95% CI 0.98-0.99 per 1% increase. The odds of nonfunctional AV access decreased as time from creation to hemodialysis initiation increased up to 3 months in nondiabetic patients with fewer than 2 cardiovascular comorbidities and 6 months in patients with diabetes or 2 or more such comorbidities. In conclusion, both patient characteristics and clinical practices may play a role in successful AV access use at hemodialysis initiation. Adjusting the timing of AV access creation to patients' comorbidity profiles may improve functional AV access rates.

  11. The differences in delay times for air showers initiated by 100 TeV gamma rays and protons

    International Nuclear Information System (INIS)

    Mikocki, S.; Poirier, J.; Linsley, J.; Consiglio Nazionale delle Ricerche, Palermo; Wrotniak, A.; Maryland Univ., College Park

    1987-01-01

    The purpose of this study is to investigate whether there are any differences in the time delay distributions between showers initiated by gamma rays and by protons. The results of Monte Carlo calculations of atmospheric showers initiated by gamma rays and protons at an energy of 100 TeV show systematic differences. These differences are negligible at small distances from the core of the showers; at larger distances the effects become large. However, at large distances the particle densities are small at an energy of 100 TeV and the subsequent statistical fluctuations would make an identification of gamma-ray showers unreliable. However, these large effects should be included in corrections for the curvature of gamma-ray and proton shower fronts. (author)

  12. Emergence of Sequence Type 779 Methicillin-Resistant Staphylococcus aureus Harboring a Novel Pseudo Staphylococcal Cassette Chromosome mec (SCCmec)-SCC-SCCCRISPR Composite Element in Irish Hospitals

    Science.gov (United States)

    Kinnevey, Peter M.; Shore, Anna C.; Brennan, Grainne I.; Sullivan, Derek J.; Ehricht, Ralf; Monecke, Stefan; Slickers, Peter

    2013-01-01

    Methicillin-resistant Staphylococcus aureus (MRSA) has been a major cause of nosocomial infection in Irish hospitals for 4 decades, and replacement of predominant MRSA clones has occurred several times. An MRSA isolate recovered in 2006 as part of a larger study of sporadic MRSA exhibited a rare spa (t878) and multilocus sequence (ST779) type and was nontypeable by PCR- and DNA microarray-based staphylococcal cassette chromosome mec (SCCmec) element typing. Whole-genome sequencing revealed the presence of a novel 51-kb composite island (CI) element with three distinct domains, each flanked by direct repeat and inverted repeat sequences, including (i) a pseudo SCCmec element (16.3 kb) carrying mecA with a novel mec class region, a fusidic acid resistance gene (fusC), and two copper resistance genes (copB and copC) but lacking ccr genes; (ii) an SCC element (17.5 kb) carrying a novel ccrAB4 allele; and (iii) an SCC element (17.4 kb) carrying a novel ccrC allele and a clustered regularly interspaced short palindromic repeat (CRISPR) region. The novel CI was subsequently identified by PCR in an additional 13 t878/ST779 MRSA isolates, six from bloodstream infections, recovered between 2006 and 2011 in 11 hospitals. Analysis of open reading frames (ORFs) carried by the CI showed amino acid sequence similarity of 44 to 100% to ORFs from S. aureus and coagulase-negative staphylococci (CoNS). These findings provide further evidence of genetic transfer between S. aureus and CoNS and show how this contributes to the emergence of novel SCCmec elements and MRSA strains. Ongoing surveillance of this MRSA strain is warranted and will require updating of currently used SCCmec typing methods. PMID:23147725

  13. Emergence of sequence type 779 methicillin-resistant Staphylococcus aureus harboring a novel pseudo staphylococcal cassette chromosome mec (SCCmec)-SCC-SCCCRISPR composite element in Irish hospitals.

    LENUS (Irish Health Repository)

    Kinnevey, Peter M

    2013-01-01

    Methicillin-resistant Staphylococcus aureus (MRSA) has been a major cause of nosocomial infection in Irish hospitals for 4 decades, and replacement of predominant MRSA clones has occurred several times. An MRSA isolate recovered in 2006 as part of a larger study of sporadic MRSA exhibited a rare spa (t878) and multilocus sequence (ST779) type and was nontypeable by PCR- and DNA microarray-based staphylococcal cassette chromosome mec (SCCmec) element typing. Whole-genome sequencing revealed the presence of a novel 51-kb composite island (CI) element with three distinct domains, each flanked by direct repeat and inverted repeat sequences, including (i) a pseudo SCCmec element (16.3 kb) carrying mecA with a novel mec class region, a fusidic acid resistance gene (fusC), and two copper resistance genes (copB and copC) but lacking ccr genes; (ii) an SCC element (17.5 kb) carrying a novel ccrAB4 allele; and (iii) an SCC element (17.4 kb) carrying a novel ccrC allele and a clustered regularly interspaced short palindromic repeat (CRISPR) region. The novel CI was subsequently identified by PCR in an additional 13 t878\\/ST779 MRSA isolates, six from bloodstream infections, recovered between 2006 and 2011 in 11 hospitals. Analysis of open reading frames (ORFs) carried by the CI showed amino acid sequence similarity of 44 to 100% to ORFs from S. aureus and coagulase-negative staphylococci (CoNS). These findings provide further evidence of genetic transfer between S. aureus and CoNS and show how this contributes to the emergence of novel SCCmec elements and MRSA strains. Ongoing surveillance of this MRSA strain is warranted and will require updating of currently used SCCmec typing methods.

  14. Timing of Initiating Glycopeptide Therapy for Methicillin-Resistant Staphylococcus aureus Bacteremia: The Impact on Clinical Outcome

    Directory of Open Access Journals (Sweden)

    Chen-Hsiang Lee

    2013-01-01

    Full Text Available When a Staphylococcus-like organism (SLO is microscopically found in Gram staining of blood culture (BC specimen, it seems reasonable to administrate a glycopeptide (GP for empirical therapy. The paper investigates the risk factors for 14-day mortality in patients with methicillin-resistance Staphylococcus aureus bacteremia (MRSAB and clarifies the impact of the timing for initiating GP therapy. A retrospective study identifies patients with MRSAB (endocarditis was excluded between 2006 and 2009. Patients were categorized as receiving GP at the interval before a preliminary BC report indicating the growth of SLO and the onward 24 hours or receiving GP 24 h after a preliminary BC report indicating the growth of SLO. Total 339 patients were enrolled. There was no difference on the 14-day overall or infection-related mortality rates at the time to administer GP. Multivariate analysis disclosed pneumonia (OR = 4.47; of 95% CI; of 2.09–9.58; and high APACHE II score (OR, 2.81, with 95% CI, 1.19–6.65; were independent risk factors for infection-related mortality. The mortality rate did not decrease following administrating GP immediately after a preliminary BC indicating SLO growth. An additional research for the optimal timing for initiating GP treatment is warranted.

  15. Program of in-pile IASCC testing under the simulated actual plant condition. Development of technique for in-pile IASCC initiation test in JMTR

    International Nuclear Information System (INIS)

    Ugachi, Hirokazu; Tsukada, Takashi; Kaji, Yoshiyuki; Nagata, Nobuaki; Dozaki, Koji; Takiguchi, Hideki

    2003-01-01

    Irradiation assisted stress corrosion cracking (IASCC) is caused by the synergistic effects of neutron irradiation, stress and corrosion by high temperature water. It is, therefore, essential to perform in-pile SCC tests, which are material tests under the conditions simulating those of actual LWR operation, in order to clarify the precise mechanism of the phenomenon, though mainly out-of-pile SCC tests for irradiated materials have been carried out in this research field. There are, however, many difficulties to perform in-pile SCC tests. Performing in-pile SCC tests, essential key techniques must be developed. Hence as a part of development of the key techniques for in-pile SCC tests, we have embarked on development of the test technique which enables us to obtain the information concerning the effect of such parameters as applied stress level, water chemistry, irradiation conditions, etc. on the crack initiation behavior. Although it is difficult to detect the crack initiation in in-pile SCC tests, the crack initiation can be evaluated by the detection of specimen rupture if the cross section area of the specimen is small enough. Therefore, we adopted the uniaxial constant loading (UCL) test with small tensile specimens. This paper will describe the current status of the development of several techniques for in-pile SCC initiation tests in JMTR and the results of the performance tests of the designed testing unit using the out-of-pile loop facility. (author)

  16. Anti-Cancer Effects of Imperata cylindrica Leaf Extract on Human Oral Squamous Carcinoma Cell Line SCC-9 in Vitro.

    Science.gov (United States)

    Keshava, Rohini; Muniyappa, Nagesh; Gope, Rajalakshmi; Ramaswamaiah, Ananthanarayana Saligrama

    2016-01-01

    Imperata cylindrica, a tall tufted grass which has multiple pharmacological applications is one of the key ingredients in various traditional medicinal formula used in India. Previous reports have shown that I. cylindrica plant extract inhibited cell proliferation and induced apoptosis in various cancer cell lines. To our knowledge, no studies have been published on the effect of I. cylindrica leaf extract on human oral cancers. The present study was undertaken in order to evaluate the anticancer properties of the leaf extract of I. cylindrica using an oral squamous cell carcinoma cell line SCC-9 as an in vitro model system. A methanol extract from dried leaves of I. cylindrica (ICL) was prepared by standard procedures. Effects of the ICL extract on the morphology of SCC-9 cells was visualized by microscopy. Cytotoxicity was determined by MTT assay. Effects of the ICL extract on colony forming ability of SCC-9 cells was evaluated using clonogenic assay. Cell cycle analysis was performed by flow cytometry and induction of apoptosis was determined by DNA fragmentation assay. The ICL extract treatment caused cytotoxicity and induced cell death in vitro in SCC-9 cells in a dose-dependent manner. This treatment also significantly reduced the clonogenic potential and inhibited cell proliferation by arresting the cell cycle in the G2/M phase. Furthermore, DNA fragmentation assays showed that the observed cell death was caused by apoptosis. This is the first report showing the anticancer activity of the methanol extracts from the leaves of I. cylindrica in human oral cancer cell line. Our data indicates that ICL extract could be considered as one of the lead compounds for the formulation of anticancer therapeutic agents to treat/manage human oral cancers. The natural abundance of I. cylindrica and its wide geographic distribution could render it one of the primary resource materials for preparation of anticancer therapeutic agents.

  17. The effect of w/c ratio on microstructure of self-compacting concrete (SCC) with sugarcane bagasse ash (SCBA)

    Science.gov (United States)

    Hanafiah, Saloma, Victor, Amalina, Khoirunnisa Nur

    2017-11-01

    Self-Compacting Concrete (SCC) is a concrete that can flow and compact by itself without vibrator. The ability of SCC to flow by itself makes this concrete very suitable for construction that has very small reinforcement gaps. In this study, SCC was designed to get a compressive strength above 60 MPa at the age of 28 days. Sugarcane bagasse ash was used as substitution material for cement replacement. Percentages of sugarcane bagasse ash used were 10%, 15%, and 20%. There were three w/c values that vary from 0.275, 0.300, and 0.325. Testing standards referred to ASTM, EFNARC and ACI. The fresh concrete test was slump flow, L-box and V-funnel. The maximum compressive strength was in the mixture with the sugarcane bagasse ash composition of 15% and w/c=0.275 which was 67.24 MPa. The result of SEM test analysis found that the mixture composition with 15% sugarcane bagasse ash has solid CSH structure, small amount of pores, and smaller pore diameter than other mixtures.

  18. CEA, SCC and NSE levels in exhaled breath condensate--possible markers for early detection of lung cancer.

    Science.gov (United States)

    Zou, Yingchang; Wang, Lin; Zhao, Cong; Hu, Yanjie; Xu, Shan; Ying, Kejing; Wang, Ping; Chen, Xing

    2013-12-01

    Lung cancer (LC) is the leading cause of cancer-related death. The sensitive and non-invasive diagnostic tools in the early stage are still poor. We present a pilot study on the early diagnosis of LC by detecting markers in exhaled breath condensate (EBC). EBC samples were collected from 105 patients with LC and 56 healthy controls. We applied chemiluminescence immunoassay to detect CEA (carcinoembryonic antigen), SCC (squamous cell carcinoma) antigen and NSE (neuron specific enolase) in EBC and serum. Concentrations of markers were compared between independent groups and subgroups. A significantly higher concentration level of each marker was found in patients with LC than healthy controls. The areas under curve of receiver operating characteristic (ROC) curves were 0.800, 0.771, 0.659, 0.679, 0.636 and 0.626 for EBC-CEA, serum-CEA, EBC-SCC, serum-SCC, EBC-NSE and serum-NSE, respectively. Markers in EBC had a higher positive rate (PR) and were more specific to histologic types than markers in serum. In addition, multivariate analysis was performed to evaluate the association of presenting markers with the stages of non-small cell lung cancer (NSCLC). EBC-CEA showed the best predictive characteristic (p tumor markers in EBC may have a better diagnostic performance for LC than those in serum. With further investigation on the combination of markers in EBC, detection of EBC could probably be a novel and non-invasive method to detect NSCLC earlier.

  19. SCC growth behavior of stainless steel weld metals in high-temperature water. Influence of corrosion potential, weld type, thermal aging, cold-work and temperature

    International Nuclear Information System (INIS)

    Yamada, Takuyo; Terachi, Takumi; Miyamoto, Tomoki; Arioka, Koji

    2009-01-01

    Recent studies on crack growth rate measurement in oxygenated high-temperature pure water conditions, such as normal water chemistry in boiling water reactors, using compact tension type specimens have shown that weld stainless steels are susceptible to stress corrosion cracking. However, to our knowledge, there is no crack growth data of weld stainless steels in pressurized water reactor primary water. The principal purpose of this study was to examine the SCC growth behavior of stainless steel weld metals in simulated PWR primary water. A second objective was to examine the effect of (1) corrosion potential, (2) thermal-aging, (3) Mo in alloy and (4) cold-working on SCC growth in hydrogenated and oxygenated water environments at 320degC. In addition, the temperature dependence of SCC growth in simulated PWR primary water was also studied. The results were as follows: (1) No significant SCC growth was observed on all types of stainless steel weld metals: as-welded, aged (400degC x 10 kh) 308L and 316L, in 2.7 ppm-hydrogenated (low-potential) water at 320degC. (2) 20% cold-working markedly accelerated the SCC growth of weld metals in high-potential water at 320degC, but no significant SCC growth was observed in the hydrogenated water, even after 20% cold-working. (3) No significant SCC growth was observed on stainless steel weld metals in low-potential water at 250degC and 340degC. Thus, stainless steel weld metals have excellent SCC resistance in PWR primary water. On the other hand, (4) significant SCC growth was observed on all types of stainless steel weld metals: as-weld, aged (400degC x 10 kh) and 20% cold-worked 308L and 316L, in 8 ppm-oxygenated (high-potential) water at 320degC. (5) No large difference in SCC growth was observed between 316L (Mo) and 308L. (6) No large effect on SCC growth was observed between before and after aging up to 400degC for 10 kh. (7) 20% cold-working markedly accelerated the SCC growth of stainless steel weld metals. (author)

  20. Time-dependent efficiency measurements of polymer solar cells with dye additives: unexpected initial increase of efficiency

    Science.gov (United States)

    Bandaccari, Kyle J.; Chesmore, Grace E.; Bugaj, Mitchel; Valverde, Parisa Tajalli-Tehrani; Barber, Richard P.; McNelis, Brian J.

    2018-04-01

    We report the effects of the addition of two azo-dye additives on the time-dependent efficiency of polymer solar cells. Although the maximum efficiencies of devices containing different amounts of dye do not vary greatly over the selected concentration range, the time dependence results reveal a surprising initial increase in efficiency in some samples. We observe this effect to be correlated with a leakage current, although a specific mechanism is not yet identified. We also present the measured lifetimes of these solar cells, and find that variations in dye concentrations produce a small effect at most. Characterization of the bulk heterojunction layer (active layer) morphology using atomic-force microscope (AFM) imaging reveals reordering patterns which suggest that the primary effects of the dyes arise via structural, not absorptive, characteristics.

  1. Time of initial detection of fetal and extra-fetal structures by ultrasonographic examination in Miniature Schnauzer bitches.

    Science.gov (United States)

    Kim, Bang Sil; Son, Chang Ho

    2007-09-01

    Serial ultrasonographic examinations were performed daily on 9 Miniature Schnauzer bitches from the 15th day of gestation until parturition to determine the time the gestational structures were first detected. The gestational age was timed from the day of ovulation (day 0), which was estimated to occur when the plasma progesterone concentration was >4.0 ng/ml. The gestational length in 9 Miniature Schnauzer bitches was found to be 63.0 +/- 1.7 (range 61-65) days. The initial detection of the fetal and extra-fetal structures were as follows: gestational sac at day 18.0 +/- 0.9 (17-19); zonary placenta in the uterine wall at day 24.9 +/- 1.1 (23-26); yolk sac membrane at day 25.0 +/- 0.9 (24-26); amnionic membrane at day 27.7 +/- 1.0 (26- 29); embryo initial detection at day 22.6 +/- 0.5 (22-23); heartbeat at day 23.4 +/- 0.5 (23-24); fetal movement at day 32.5 +/- 0.8 (32-34); stomach at day 31.2 +/- 1.6 (29-33); urinary bladder at day 32.6 +/- 1.8 (31-35); skeleton at day 34.9 +/- 1.6 (34-38) and kidney at day 42.2 +/- 0.7 (41-43).

  2. Timing of initiation and fault rates of the Yushu-Xianshuihe-Xiaojiang fault system around the eastern Himalayan syntaxis.

    Science.gov (United States)

    Hervé Leloup, Philippe; Replumaz, Anne; Chevalier, Marie-Luce; Zhang, Yuan-Ze; Paquette, Jean-Louis; Wang, Guo-Can; Bernet, Matthias; van der Beek, Peter; Pan, Jiawei; Metois, Marianne; Li, Haibing

    2017-04-01

    In eastern Tibet, the left-lateral strike-slip Yushu-Xianshuihe-Xiaojiang fault system (YXX-FS) is 1400 km long, veering from N100° to N175° broadly following a small circle whose pole is located in the eastern Himalayan syntaxis. Several competing models are proposed to explain the geological evolution of eastern Tibet, and in particular of the YXX-FS: fault following slip-lines in a plastic media, book-shelf fault in a large right-lateral shear zone, or fault bounding a lower channel flow veering around the syntaxis. In this contribution we document the timing of onset of the YXX-FS, its propagation through time, its rate at various time-scales; and discuss how these relate to the deformation models. The YXX-FS comprises four segments from east (Tibetan Plateau) to west (Yunnan): Yushu-Ganzi, Xianshuihe, Anninghe, and Zemuhe-Xiaojiang. It is one of the most tectonically active intra-continental fault system in China along which more than 20 M>6.5 earthquakes occurred since 1700. Slip-rates of 3.5 to 30 mm/yr along the YXX-FS have been suggested by matching geological offsets of 60-100 km with initiation ages of 2 to 17 Ma. Late Quaternary rates deduced from morphological offsets, InSAR, paleoseismology and GPS also show a large range: between 3 and 20 mm/yr. The timing of initiation of the Yushu-Ganzi segment has been constrained at 12.6±1 Ma and its total offset to 76 - 90 km (Wang et al., 2009) yielding a rate of 6.6+0.8-0.7 mm/yr. By measuring the offsets of moraine crests and fan edges across the fault using LiDAR and kinematic GPS, and dating their surfaces using 10Be, we determined slip-rates of 7+1.1-1.0 mm/yr, 3 - 11.2 mm/yr and 8.5+0.8-0.7 mm/yr at three different sites. This suggests a constant rate of 6-8 mm/yr along the fault segment since 13Ma. The timing of initiation of the Xianshuihe segment was thought to be prior to 12.8±1.4 Ma (Roger et al., 1995), but new field studies and geochronological ages suggest that the fault initiated later. Using

  3. Characteristics of Aerococcus viridans isolated from bovine subclinical mastitis and its effect on milk SCC, yield, and composition.

    Science.gov (United States)

    Sun, Meng; Gao, Jian; Ali, Tariq; Yu, Dan; Zhang, Shiyao; Khan, Saeed U; Fanning, Séamus; Han, Bo

    2017-04-01

    Aerococcus viridians (A. viridans), an environmental Gram-positive bacterium, has been documented to be associated with bovine mastitis. However, its exact role in bovine mastitis and the changes it brings about in milk characteristics are not yet known. The objectives of the current study were to describe the antibiotic resistance of A. viridans from bovine mastitis as well as the correlation between existence of this pathogen in udders and the somatic cell counts (SCC), daily milk yield, and composition of individual cow. One-year sampling for subclinical mastitis composite milk was conducted based on monthly DHI data from September 2013 to August 2014, in a commercial herd located in Beijing, China. All samples were cultured and pathogens were identified using microbiology method. A. viridians isolates were further identified by API identification system and 16S ribosomal RNA (rRNA) sequencing method. Kirby-Bauer disk diffusion method was used to test the antibiotic resistance of A. viridians against kinds of antimicrobial substance. SCC, milk yield, and milk composition data were from monthly Dairy Herd Improvement (DHI) results. Results showed that a total of 279 (16.67%) A. viridans isolates were identified from among 1674 bacterial isolates cultured from milk samples with high SCC. The incidence of mastitis caused by A. viridans was the highest (48-53%) during the summer season. Majority of the isolates were susceptible to most of antimicrobial compounds tested, especially to β-lactams, but were found to be resistant (50-90%) to aminoglycosides, sulfonamides, and tetracycline. The average SCC of the A. viridans infected cows was significantly higher (1000.0 × 10 3  cells/mL) (P  0.05) by 1.86 kg/day. Reductions were also observed in fat content (P > 0.05), lactose (P  0.05), whereas protein content increased significantly (P bovine subclinical mastitis wherein it exerts an effect on SCC, milk yield, and composition.

  4. Impact of overall treatment time on local control of slow growing human GL squamous cell carcinoma in nude mice treated by fractionated irradiation

    International Nuclear Information System (INIS)

    Baumann, M.; Petersen, C.; Schulz, P.; Baisch, H.

    1999-01-01

    Background and purpose: The impact of overall treatment time of fractionated irradiation on local control of slow growing human GL squamous cell carcinoma (SCC) was determined. Materials and methods: Moderately well differentiated and keratinizing human GL SCC with a volume doubling time of 8 days were transplanted subcutaneously into the right hindleg of NMRI (nu/nu) mice and irradiated with 30 fractions under ambient conditions over 2, 3, 4.5, 6 and 10 weeks. Endpoint of the experiments was local tumor control at day 180 after end of treatment.Results: The tumor control dose 50% (TCD 50) increased from 40 to 57 Gy when the treatment time was extended from 2 to 10 weeks. The data can be well described by a linear increase in TCD 50 with time. The recovered dose per day (D r ) was 0.28 Gy (95% confidence interval 0.06; 0.48). The fit to the data was not significantly improved by assuming a biphasic (dog-leg) time course with constant TCD 50 values in the initial part of treatment followed by a more rapid increase of TCD 50 thereafter.Conclusions: D r in GL SCC was significantly less than the value of 1.0 Gy (0.7; 1.3 ) previously reported for poorly differentiated, non-keratinizing and fast growing human FaDu SCC (Baumann M, Liertz C, Baisch H, Wiegel T, Lorenzen J, Arps H. Impact of overall treatment time of fractionated irradiation on local control of human FaDu squamous cell carcinoma in nude mice. Radiother. Oncol. 1994;32:137-143), indicating important heterogeneity of the time factor between different tumors of the same histological type. (Copyright (c) 1999 Elsevier Science B.V., Amsterdam. All rights reserved.)

  5. Gait initiation time is associated with the risk of multiple falls-A population-based study.

    Science.gov (United States)

    Callisaya, Michele L; Blizzard, Leigh; Martin, Kara; Srikanth, Velandai K

    2016-09-01

    In a population-based study of older people to examine whether 1) overall gait initiation (GI) time or its components are associated with falls and 2) GI under dual-task is a stronger predictor of falls risk than under single-task. Participants aged 60-85 years were randomly selected from the electoral roll. GI was obtained with a force platform under both single and dual-task conditions. Falls were ascertained prospectively over a 12-month period. Log multinomial regression was used to examine the association between GI time (total and its components) and risk of single and multiple falls. Age, sex and physiological and cognitive falls risk factors were considered as confounders. The mean age of the sample (n=124) was 71.0 (SD 6.8) years and 58.9% (n=73) were male. Over 12 months 21.8% (n=27) of participants reported a single fall and 16.1% (n=20) reported multiple falls. Slower overall GI time under both single (RR all per 100ms 1.28, 95%CI 1.03, 1.58) and dual-task (RR 1.14, 95%CI 1.02, 1.27) was associated with increased risk of multiple, but not single falls (pfalls were also associated with slower time to first lateral movement under single-task (RR 1.90 95%CI 0.59, 1.51) and swing time under dual-task condition (RR 1.44 95%CI 1.08, 1.94). Slower GI time is associated with the risk of multiple falls independent of other risk factors, suggesting it could be used as part of a comprehensive falls assessment. Time to the first lateral movement under single-task may be the best measures of this risk. Copyright © 2016 Elsevier B.V. All rights reserved.

  6. Study on environment-sensitive cracking time for 316Ti stainless steel

    International Nuclear Information System (INIS)

    Zhang Pingzhu; Liu Xinghua; Hu Shilin; Zhang Weiguo

    1999-01-01

    The time of environmentally assisted cracking of 316Ti stainless steel is studied by slow strain rate test (SSRT) and constant load test (CLT) methods. The experimental results under the simulating water chemical conditions of PWR primary side show that the initial fracture time τ desponds on the concentration of Cl - ion w(Cl - ) and the load σ. The relationships between lgτ and lgw (Cl - ), Δlgτ and Δσ are all linear. The threshold of stress corrosion cracking (SCC) is decreased with the increasing of w(Cl - ) and σ

  7. Stress Corrosion Cracking of Pipeline Steels in Fuel Grade Ethanol and Blends - Study to Evaluate Alternate Standard Tests and Phenomenological Understanding of SCC

    Science.gov (United States)

    2011-10-30

    Main aim of this project was to evaluate alternate standard test methods for stress corrosion cracking (SCC) and compare them with the results from slow strain rate test (SSRT) results under equivalent environmental conditions. Other important aim of...

  8. Correlation between Colon Transit Time Test Value and Initial Maintenance Dose of Laxative in Children with Chronic Functional Constipation

    Science.gov (United States)

    Kim, Mock Ryeon; Park, Hye Won; Son, Jae Sung; Lee, Ran

    2016-01-01

    Purpose To evaluate the correlation between colon transit time (CTT) test value and initial maintenance dose of polyethylene glycol (PEG) 4000 or lactulose. Methods Of 415 children with chronic functional constipation, 190 were enrolled based on exclusion criteria using the CTT test, defecation diary, and clinical chart. The CTT test was performed with prior disimpaction. The laxative dose for maintenance was determined on the basis of the defecation diary and clinical chart. The Shapiro-Wilk test and Pearson's and Spearman's correlations were used for statistical analysis. Results The overall group median value and interquartile range of the CTT test was 43.8 (31.8) hours. The average PEG 4000 dose for maintenance in the overall group was 0.68±0.18 g/kg/d; according to age, the dose was 0.73±0.16 g/kg/d (encopresis, abnormal CTT test subtype) for either laxative. Even in the largest group (overall, n=109, younger than 8 years and on PEG 4000), the correlation was weak (Pearson's correlation coefficient [R]=0.268, p=0.005). Within the abnormal transit group, subgroup (n=73, younger than 8 years and on PEG 4000) correlation was weak (R=0.267, p=0.022). Conclusion CTT test value cannot predict the initial maintenance dose of PEG 4000 or lactulose with linear correlation. PMID:27738600

  9. Modeling time to recovery and initiating event frequency for loss of off-site power incidents at nuclear power plants

    International Nuclear Information System (INIS)

    Iman, R.L.; Hora, S.C.

    1988-01-01

    Industry data representing the time to recovery of loss of off-site power at nuclear power plants for 63 incidents caused by plant-centered losses, grid losses, or severe weather losses are fit with exponential, lognormal, gamma and Weibull probability models. A Bayesian analysis is used to compare the adequacy of each of these models and to provide uncertainty bounds on each of the fitted models. A composite model that combines the probability models fitted to each of the three sources of data is presented as a method for predicting the time to recovery of loss of off-site power. The composite model is very general and can be made site specific by making adjustments on the models used, such as might occur due to the type of switchyard configuration or type of grid, and by adjusting the weights on the individual models, such as might occur with weather conditions existing at a particular plant. Adjustments in the composite model are shown for different models used for switchyard configuration and for different weights due to weather. Bayesian approaches are also presented for modeling the frequency of initiating events leading to loss of off-site power. One Bayesian model assumes that all plants share a common incidence rate for loss of off-site power, while the other Bayesian approach models the incidence rate for each plant relative to the incidence rates of all other plants. Combining the Bayesian models for the frequency of the initiating events with the composite Bayesian model for recovery provides the necessary vehicle for a complete model that incorporates uncertainty into a probabilistic risk assessment

  10. Clinical diagnostic significance of combined detection of serum and pleural effusion levels of CEA, NSE, CYFRA21-1, SCC-Ag in patients with lung cancer

    International Nuclear Information System (INIS)

    Bian Baoxiang; Hu Nan; Wu Fenglei; Yang Chengxi

    2008-01-01

    Objective: To appraise the clinical diagnostic significance of combined detection of serum and chest fluid levels of CEA, NSE, CYFRA21-1 and SCC-Ag in patients with lung cancer. Methods: Serum and pleural effusion contents of CEA, NSE, CYFRA21-1 and SCC-Ag were determined with RIA in 54 patients with lung cancer and 35 patients with benign lung disorders. Results: The serum and pleural effusion contents of CEA, NSE, CYFRA21-1 and SCC-Ag in patients with lung cancer were significantly higher than those in patients with benign lung disorders (P<0.01). The contents of CEA, NSE, CYFRA21-1 and SCC-Ag in patients pleural effusion were significantly higher than those in patients serum (P<0.01). For combined detection of CEA, NSE, CYFRA21-1 and SCC-Ag in serum and pleural effusion, the positive rate was 83.33% and 92.59% respectively. Conclusion: Combined detection of CEA, NSE, CYFRA21-1 and SCC-Ag contents in serum and pleural effusion can increase the positive rate of lung cancer diagnosis. (authors)

  11. Dynamics of Al/Fe{sub 2}O{sub 3} MIC combustion from short single-pulse photothermal initiation and time-resolved spectroscopy

    Energy Technology Data Exchange (ETDEWEB)

    Stiegman, Albert E.; Park, Chi-Dong; Mileham, Melissa; Van de Burgt, Lambertus J. [Department of Chemistry and Biochemistry, Florida State University Tallahassee, FL (United States); Kramer, Michael P. [AFRL/MNME Eglin AFB, FL (United States)

    2009-08-15

    Time-resolved spectroscopy was used to study the dynamics of the photothermal ignition of Al/Fe{sub 2}O{sub 3} metastable intermolecular composites after single short-pulse laser initiation. The dynamics were recorded in several time domains from nanosecond to microsecond to quantify the dynamics from initial laser excitation to combustion. Time-averaged spectral data were also collected for the overall emission occurring during combustion. (Abstract Copyright [2009], Wiley Periodicals, Inc.)

  12. The effectiveness of service delivery initiatives at improving patients' waiting times in clinical radiology departments: a systematic review.

    Science.gov (United States)

    Olisemeke, B; Chen, Y F; Hemming, K; Girling, A

    2014-12-01

    We reviewed the literature for the impact of service delivery initiatives (SDIs) on patients' waiting times within radiology departments. We searched MEDLINE, EMBASE, CINAHL, INSPEC and The Cochrane Library for relevant articles published between 1995 and February, 2013. The Cochrane EPOC risk of bias tool was used to assess the risk of bias on studies that met specified design criteria. Fifty-seven studies met the inclusion criteria. The types of SDI implemented included extended scope practice (ESP, three studies), quality management (12 studies), productivity-enhancing technologies (PETs, 29 studies), multiple interventions (11 studies), outsourcing and pay-for-performance (one study each). The uncontrolled pre- and post-intervention and the post-intervention designs were used in 54 (95%) of the studies. The reporting quality was poor: many of the studies did not test and/or report the statistical significance of their results. The studies were highly heterogeneous, therefore meta-analysis was inappropriate. The following type of SDIs showed promising results: extended scope practice; quality management methodologies including Six Sigma, Lean methodology, and continuous quality improvement; productivity-enhancing technologies including speech recognition reporting, teleradiology and computerised physician order entry systems. We have suggested improved study design and the mapping of the definitions of patient waiting times in radiology to generic timelines as a starting point for moving towards a situation where it becomes less restrictive to compare and/or pool the results of future studies in a meta-analysis.

  13. Effect of Initiation Time of Hydrostatic Pressure Shock on Chromosome Set Doubling of Tetraploidization in Turbot Scophthalmus maximus.

    Science.gov (United States)

    Zhu, Xiangping; Lin, Zhengmei; Wu, Zhihao; Li, Jiandong; You, Feng

    2017-10-01

    The objective of the study was to clarify the effects of initiation time on chromosome set doubling induced by hydrostatic pressure shock through nuclear phase fluorescent microscopy in turbot Scophthalmus maximus. The ratio of developmentally delayed embryo and chromosome counting was used to assess induction efficiency. For the embryos subjected to a pressure of 67.5 MPa for 6 min at prometaphase (A group), chromosomes recovered to the pre-treatment condition after 11-min recovering. The first nuclear division and cytokinesis proceeded normally. During the second cell cycle, chromosomes did not enter into metaphase after prometaphase, but spread around for about 13 min, then assembled together and formed a large nucleus without anaphase separation; the second nuclear division and cytokinesis was inhibited. The ratio of developmentally delayed embryo showed that the second mitosis of 78% A group embryo was inhibited. The result of chromosome counting showed that the tetraploidization rate of A group was 72%. For the embryos subjected to a pressure of 67.5 MPa for 6 min at anaphase (B group), chromosomes recovered to the pre-treatment condition after about 31-min recovering. Afterwards, one telophase nucleus formed without anaphase separation; the first nuclear division was inhibited. The time of the first cleavage furrow occurrence of B group embryos delayed 27 min compared with that of A group embryos. With the first cytokinesis proceeding normally, 81.3% B group embryos were at two-cell stage around the middle of the second cell cycle after treatment. Those embryos were one of the two blastomeres containing DNA and the other without DNA. The first nuclear division of those embryos was inhibited. During the third cell cycle after treatment, 65.2% of those abovementioned embryos were at four-cell stage, cytokinesis occurred in both blastomeres, and nuclear division only occurred in the blastomere containing DNA. Of those abovementioned embryos, 14.0% were at

  14. Pimonidazole labelling and response to fractionated irradiation of five human squamous cell carcinoma (hSCC) lines in nude mice: The need for a multivariate approach in biomarker studies

    International Nuclear Information System (INIS)

    Yaromina, Ala; Zips, Daniel; Thames, Howard D.; Eicheler, Wolfgang; Krause, Mechthild; Rosner, Andrea; Haase, Michael; Petersen, Cordula; Raleigh, James A.; Quennet, Verena; Walenta, Stefan; Mueller-Klieser, Wolfgang; Baumann, Michael

    2006-01-01

    Objective: To investigate the influence on local control after fractionated radiotherapy of hypoxia measured in unirradiated tumours using the hypoxic marker Pimonidazole, using multivariate approaches. Material and methods: Five human squamous cell carcinoma lines (FaDu, UT-SCC-15, UT-SCC-14, XF354, and UT-SCC-5) were transplanted subcutaneously into the right hind-leg of NMRI nude mice. Histological material was collected from 60 unirradiated tumours after injection of Pimonidazole. The relative hypoxic area within the viable tumour area (Pimonidazole hypoxic fraction, pHF) was determined in seven serial 10 μm cross-sections per tumour by fluorescence microscopy and computerized image analysis. Local tumour control was evaluated in a total of 399 irradiated tumours at 120 days after 30 fractions given within 6 weeks with total doses between 30 and 115 Gy. Results: Tumour lines showed pronounced heterogeneity in both pHF and TCD 5 . Mean pHF values varied between 5% and 37%, TCD 5 values between 47 and 130 Gy. A Cox Proportional Hazards model of time to recurrence with two covariates, dose and pHF, yielded significant contributions of both parameters on local control (p < 0.005) but violated the proportional hazards assumption, suggesting that other factors also influence tumour control. Introduction of histological grade as an example of a confounding factor into the model improved the fit significantly. Local control rates decreased with increasing pHF and this effect was more pronounced at higher doses. Conclusions: This study confirms that tumour hypoxia measured using Pimonidazole in untreated tumours is a significant determinant of local control after fractionated irradiation. The data support the use of multivariate approaches for the evaluation of a single prognostic biomarker such as Pimonidazole, and more generally, suggest that they are required to establish accurate prognostic factors for tumour response

  15. Evaluation of the MOST (Making the Most of Out-of-School Time) Initiative: Final Report. Summary of Findings. Discussion Paper.

    Science.gov (United States)

    Halpern, Robert; Spielberger, Julie; Robb, Sylvan

    The University of Chicago's Chapin Hall Center for Children conducted an evaluation of the first phase (1995-1998) of the MOST (Making the Most of Out-of-School Time) Initiative of the Wallace-Reader's Digest Funds. The objectives of this initiative were to contribute to the supply, accessibility, affordability, and quality of after-school…

  16. Distinguishing effect of buffing vs. grinding, milling and turning operations on the chloride induced SCC susceptibility of 304L austenitic stainless steel

    International Nuclear Information System (INIS)

    Kumar, Pandu Sunil; Acharyya, Swati Ghosh; Rao, S.V. Ramana; Kapoor, Komal

    2017-01-01

    The study compares the effect of different surface working operations like grinding, milling, turning and buffing on the Cl – induced stress corrosion cracking (SCC) susceptibility of austenitic 304L stainless steel (SS) in a chloride environment. SS 304L was subjected to four different surface working operations namely grinding, milling, turning and buffing. The residual stress distribution of the surface as a result of machining was measured by X-ray diffraction. The Cl – induced SCC susceptibility of the different surface worked samples were determined by testing in boiling magnesium chloride as per ASTM G36 for 3 h, 9 h and 72 h. The surface and cross section of the samples both pre and post exposure to the corrosive medium was characterized using optical microscopy, scanning electron microscopy (SEM). The study revealed that grinding, milling and turning operations resulted in high tensile residual stresses on the surface together with the high density of deformation bands making these surfaces highly susceptible to Cl – induced SCC. On the other hand buffing produces compressive residual stresses on the surface with minimal plastic strain, making it more resistance to Cl – induced SCC. The study highlights that the conventional machining operations on 304L SS surfaces should be invariably followed by buffing operation to make the surfaces more resistance to SCC. - Highlights: • Grinding, milling and turning lead to tensile residual stresses and plastic strain. • Buffing leads to compressive residual stresses on the surface and minimal strain. • Grinding, milling and turning make 304L SS surface susceptible to SCC. • Buffed 304L SS surface is immune to SCC. • Grinding, milling, and turning operations should be followed by buffing operation.

  17. Distinguishing effect of buffing vs. grinding, milling and turning operations on the chloride induced SCC susceptibility of 304L austenitic stainless steel

    Energy Technology Data Exchange (ETDEWEB)

    Kumar, Pandu Sunil [School of Engineering Sciences and Technology, University of Hyderabad, Hyderabad 500046 (India); Acharyya, Swati Ghosh, E-mail: swati364@gmail.com [School of Engineering Sciences and Technology, University of Hyderabad, Hyderabad 500046 (India); Rao, S.V. Ramana; Kapoor, Komal [Nuclear Fuel Complex, Department of Atomic Energy, Government of India, Hyderabad 500062 (India)

    2017-02-27

    The study compares the effect of different surface working operations like grinding, milling, turning and buffing on the Cl{sup –} induced stress corrosion cracking (SCC) susceptibility of austenitic 304L stainless steel (SS) in a chloride environment. SS 304L was subjected to four different surface working operations namely grinding, milling, turning and buffing. The residual stress distribution of the surface as a result of machining was measured by X-ray diffraction. The Cl{sup –} induced SCC susceptibility of the different surface worked samples were determined by testing in boiling magnesium chloride as per ASTM G36 for 3 h, 9 h and 72 h. The surface and cross section of the samples both pre and post exposure to the corrosive medium was characterized using optical microscopy, scanning electron microscopy (SEM). The study revealed that grinding, milling and turning operations resulted in high tensile residual stresses on the surface together with the high density of deformation bands making these surfaces highly susceptible to Cl{sup –} induced SCC. On the other hand buffing produces compressive residual stresses on the surface with minimal plastic strain, making it more resistance to Cl{sup –} induced SCC. The study highlights that the conventional machining operations on 304L SS surfaces should be invariably followed by buffing operation to make the surfaces more resistance to SCC. - Highlights: • Grinding, milling and turning lead to tensile residual stresses and plastic strain. • Buffing leads to compressive residual stresses on the surface and minimal strain. • Grinding, milling and turning make 304L SS surface susceptible to SCC. • Buffed 304L SS surface is immune to SCC. • Grinding, milling, and turning operations should be followed by buffing operation.

  18. Effect of the timing of dialysis initiation on left ventricular hypertrophy and ınflammation in pediatric patients.

    Science.gov (United States)

    Bakkaloğlu, Sevcan A; Kandur, Yaşar; Serdaroğlu, Erkin; Noyan, Aytül; Bayazıt, Aysun Karabay; Sever, Lale; Özlü, Sare Gülfem; Özçelik, Gül; Dursun, İsmail; Alparslan, Caner

    2017-09-01

    The optimal time for dialysis initiation in adults and children with chronic kidney disease remains unclear. The aim of this study was to evaluate the impact of dialysis timing on different outcome parameters, in particular left ventricular (LV) morphology and inflammation, in pediatric patients receiving peritoneal dialysis and hemodialysis. The medical records of pediatric dialysis patients who were followed-up in nine pediatric nephrology centers in Turkey between 2008 and 2013 were retrospectively reviewed. In addition to demographic data, we retrieved anthropometric measurements, data on dialysis treatment modalities, routine biochemical parameters, complete blood count, serum ferritin, parathormone, C-reactive protein (CRP), and albumin levels, as well as echocardiographic data and hospitalization records. The patients were divided into two groups based on their estimated glomerular filtration rate (eGFR) levels at dialysis initiation, namely, an early-start group, characterized by an eGFR of >10 ml/min/1.73 m 2 , and a late-start group, with an eGFR of standard deviation 12.3 ± 5.1 years, range 0.5-21 years) were enrolled in this study. Echocardiographic data were available for 137 patients, and the mean LV mass index (LVMI) was 58 ± 31 (range 21-215) g/m 2.7 . The LVMI was 75 ± 30 g/m 2.7 (n = 81) and 34 ± 6 g/m 2.7 (n = 56) in patients with or without LV hypertrophy (LVH) (p 10 ml/min/1.73 m 2 ) versus late-start dialysis (eGFR  0.05) nor in number of hospitalizations. Serum albumin levels were significantly higher in the early-dialysis group compared with the late-dialysis group (3.3 ± 0.7 vs. 3.1 ± 0.7 g/dl, respectively; p 0.5 vs. 3.1 ± 0.5 g/dl; p = > 0.05) and relatively lower CRP levels (3.64 ± 2.00 vs. 4.37 ± 3.28 mg/L, p > 0.05) than the late-start group, but these differences did not reach statistical significance. Although early dialysis initiation did not have a significant effect on important

  19. Quality Assurance of Real-Time Oceanographic Data from the Cabled Array of the Ocean Observatories Initiative

    Science.gov (United States)

    Kawka, O. E.; Nelson, J. S.; Manalang, D.; Kelley, D. S.

    2016-02-01

    The Cabled Array component of the NSF-funded Ocean Observatories Initiative (OOI) provides access to real-time physical, chemical, geological, and biological data from water column and seafloor platforms/instruments at sites spanning the southern half of the Juan de Fuca Plate. The Quality Assurance (QA) program for OOI data is designed to ensure that data products meet OOI science requirements. This overall data QA plan establishes the guidelines for assuring OOI data quality and summarizes Quality Control (QC) protocols and procedures, based on best practices, which can be utilized to ensure the highest quality data across the OOI program. This presentation will highlight, specifically, the QA/QC approach being utilized for the OOI Cabled Array infrastructure and data and will include a summary of both shipboard and shore-based protocols currently in use. Aspects addressed will be pre-deployment instrument testing and calibration checks, post-deployment and pre-recovery field verification of data, and post-recovery "as-found" testing of instruments. Examples of QA/QC data will be presented and specific cases of cabled data will be discussed in the context of quality assessments and adjustment/correction of OOI datasets overall for inherent sensor drift and/or instrument fouling.

  20. The optimal time of initiation of renal replacement therapy in acute kidney injury: A meta-analysis.

    Science.gov (United States)

    Luo, Kaiping; Fu, Shufang; Fang, Weidong; Xu, Gaosi

    2017-09-15

    The impact on the timing of renal replacement therapy (RRT) initiation on clinical outcomes for patients with acute kidney injury (AKI) remains controversial. We searched the Cochrane Library, EMBASE, Global Health, MEDLINE, PubMed, the International Clinical Trials Registry Platform, and Web of Science. We included 49 studies involving 9698 patients. Pooled analysis of 5408 critically ill patients with AKI showed that early RRT was significantly associated with reduced mortality compared to late RRT [odds ratio (OR), 0.40; 95% confidential intervals (CI), 0.32 - 0.48; I 2 , 50.2%]. For 4290 non-critically ill patients with AKI, there was no statistically significant difference in the risk of mortality between early and late RRT (OR, 1.07; 95% CI, 0.79 - 1.45; I 2 , 73.0%). Early RRT was markedly associated with shortened intensive care units (ICU) length of stay (LOS) and hospital LOS compared to late RRT in both critically ill and non-critically ill patients with AKI. Early RRT probably reduce the mortality, ICU and hospital LOS in critically ill patients with AKI. Inversely, early RRT in non-critically ill patients with AKI did not decrease the mortality, but shortened the ICU and hospital LOS.

  1. The Ocean Observatories Initiative: Unprecedented access to real-time data streaming from the Cabled Array through OOI Cyberinfrastructure

    Science.gov (United States)

    Knuth, F.; Vardaro, M.; Belabbassi, L.; Smith, M. J.; Garzio, L. M.; Crowley, M. F.; Kerfoot, J.; Kawka, O. E.

    2016-02-01

    The National Science Foundation's Ocean Observatories Initiative (OOI), is a broad-scale, multidisciplinary facility that will transform oceanographic research by providing users with unprecedented access to long-term datasets from a variety of deployed physical, chemical, biological, and geological sensors. The Cabled Array component of the OOI, installed and operated by the University of Washington, is located on the Juan de Fuca tectonic plate off the coast of Oregon. It is a unique network of >100 cabled instruments and instrumented moorings transmitting data to shore in real-time via fiber optic technology. Instruments now installed include HD video and digital still cameras, mass spectrometers, a resistivity-temperature probe inside the orifice of a high-temperature hydrothermal vent, upward-looking ADCP's, pH and pC02 sensors, Horizontal Electrometer Pressure Inverted Echosounders and many others. Here, we present the technical aspects of data streaming from the Cabled Array through the OOI Cyberinfrastructure. We illustrate the types of instruments and data products available, data volume and density, processing levels and algorithms used, data delivery methods, file formats and access methods through the graphical user interface. Our goal is to facilitate the use and access to these unprecedented, co-registered oceanographic datasets. We encourage researchers to collaborate through the use of these simultaneous, interdisciplinary measurements, in the exploration of short-lived events (tectonic, volcanic, biological, severe storms), as well as long-term trends in ocean systems (circulation patterns, climate change, ocean acidity, ecosystem shifts).

  2. Cytotoxic Effect of the Genus Sinularia Extracts on Human SCC25 and HaCaT Cells

    International Nuclear Information System (INIS)

    Wang, G.H.; Chou, T.H.; Liang, C.H.; Lin, R.J.; Sheu, J.H.; Wang, S.H.

    2009-01-01

    Soft corals of the genus Sinularia are being increasingly adopted to treat a wide variety of disease processes. However, the mechanism underlying its activity against human oral cancer cells is poorly understood. This study evaluates the cyototoxicity effects of the genus Sinularia extracts (S. grandilobata, S. parva, S. triangula, S. scabra, S. nanolobata and S. gibberosa) by SCC25 and HaCaT cells. The cell adhesion assay indicates that extracts reduce the cell attachment. Extracts exhibit a dose-dependent cytotoxic effect using MTS assay.Treatment of extracts to observe the morphological alterations in cells, membrane blebbing, nuclear condensation, and apoptotic bodies is demonstrated. Flow cytometry shows that extracts sensitized the cells in the G0/G1 and G2/M phases with a concomitant significantly increased sub-G1 fraction, suggesting cell death by apoptosis. Extracts of the genus Sinularia thus apparently cause apoptosis of SCC25 and HaCaT cells, and warrant further research investigating the possible antioral cancer compounds in these soft corals.

  3. Numerical study on dissimilar guide vane design with SCC piston for air and emulsified biofuel mixing improvement

    Directory of Open Access Journals (Sweden)

    Hamid Mohd Fadzli

    2017-01-01

    Full Text Available Crude palm oil (CPO is one of the most potential biofuels that can be applied in the conventional diesel engines, where the chemical properties of CPO are comparable to diesel fuel. However, its higher viscosity and heavier molecules can contributes to several engine problems such as low atomization during injection, carbon deposit formation, injector clogging, low mixing with air and lower combustion efficiency. An emulsification of biofuel and modifications of few engine critical components have been identified to mitigate the issues. This paper presents the effects of dissimilar guide vane design (GVD in terms of height variation of 0.25R, 0.3R and 0.35R at the intake manifold with shallow depth re-entrance combustion chamber (SCC piston application to the incylinder air flow characteristics improvement. The simulation results show that the intake manifold with GVD improved the performance of the air flow characteristic particularly swirl, tumble and cross tumble ratios from the intake manifold to the engine. The GVD with the height of 0.3R was found to be the optimum design with respect to the overall improvement of the air flow characteristic. The improvement of the air flow characteristic with the application of GVD and SCC piston in the engine was expected to contribute to a better air fuel mixing, fuel atomization and combustion efficiency of the engine using emulsified biofuel as a source of fuel.

  4. Impact of generic antiretroviral therapy (ART) and free ART programs on time to initiation of ART at a tertiary HIV care center in Chennai, India.

    Science.gov (United States)

    Solomon, Sunil S; Lucas, Gregory M; Kumarasamy, Nagalingeswaran; Yepthomi, Tokugha; Balakrishnan, Pachamuthu; Ganesh, Aylur K; Anand, Santhanam; Moore, Richard D; Solomon, Suniti; Mehta, Shruti H

    2013-08-01

    Antiretroviral therapy (ART) access in the developing world has improved, but whether increased access has translated to more rapid treatment initiation among those who need it is unknown. We characterize time to ART initiation across three eras of ART availability in Chennai, India (1996-1999: pregeneric; 2000-2003: generic; 2004-2007: free rollout). Between 1996 and 2007, 11,171 patients registered for care at the YR Gaitonde Centre for AIDS Research and Education (YRGCARE), a tertiary HIV referral center in southern India. Of these, 5726 patients became eligible for ART during this period as per Indian guidelines for initiation of ART. Generalized gamma survival models were used to estimate relative times (RT) to ART initiation by calendar periods of eligibility. Time to initiation of ART among patients in Chennai, India was also compared to an HIV clinical cohort in Baltimore, USA. Median age of the YRGCARE patients was 34 years; 77% were male. The median CD4 at presentation was 140 cells/µl. After adjustment for demographics, CD4 and WHO stage, persons in the pregeneric era took 3.25 times longer (95% confidence interval [CI]: 2.53-4.17) to initiate ART versus the generic era and persons in the free rollout era initiated ART more rapidly than the generic era (RT: 0.73; 95% CI: 0.63-0.83). Adjusting for differences across centers, patients at YRGCARE took longer than patients in the Johns Hopkins Clinical Cohort (JHCC) to initiate ART in the pregeneric era (RT: 4.90; 95% CI: 3.37-7.13) but in the free rollout era, YRGCARE patients took only about a quarter of the time (RT: 0.31; 95% CI: 0.22-0.44). These data demonstrate the benefits of generic ART and government rollouts on time to initiation of ART in one developing country setting and suggests that access to ART may be comparable to developed country settings.

  5. One-parameter family of time-symmetric initial data for the radial infall of a particle into a Schwarzschild black hole

    International Nuclear Information System (INIS)

    Martel, Karl; Poisson, Eric

    2002-01-01

    A one-parameter family of time-symmetric initial data for the radial infall of a particle into a Schwarzschild black hole is constructed within the framework of black-hole perturbation theory. The parameter measures the amount of gravitational radiation present on the initial spacelike surface. These initial data sets are then evolved by integrating the Zerilli-Moncrief wave equation in the presence of the particle. Numerical results for the gravitational waveforms and their power spectra are presented; we show that the choice of initial data strongly influences the waveforms, both in their shapes and their frequency content. We also calculate the total energy radiated by the particle-black-hole system, as a function of the initial separation between the particle and the black hole, and as a function of the choice of initial data. Our results confirm that for large initial separations, a conformally flat initial three-geometry minimizes the initial gravitational-wave content, so that the total energy radiated is also minimized. For small initial separations, however, we show that the conformally flat solution no longer minimizes the energy radiated

  6. The Effect of Adding PET (Polyethylen Terephthalate) Plastic Waste on SCC (Self-Compacting Concrete) to Fresh Concrete Behavior and Mechanical Characteristics

    Science.gov (United States)

    Aswatama W, K.; Suyoso, H.; Meyfa U, N.; Tedy, P.

    2018-01-01

    To study the effect PET waste plastics on SCC then PET plastic waste content for SCC is made into 2.5%; 5%; 7.5%; and 10%. As reference concrete is made SCC with 0% PET level. The results on all fresh concrete test items indicate that for all PET waste levels made are meeting the criteria as SCC. The effect of adding PET to fresh concrete behavior on all test items shows that the filling ability and passing ability of concrete work increases with increasing of PET. However, the increase in PET will decrease its mechanical properties. The result of heat test shows that the mechanical properties of concrete (compressive strength, splitting, and elastic modulus) after heating at 250°C temperature has not changed, while at 600°C has significant capacity decline. To clarify the differences between SCC before and after heating, microstructure analysis was done in the form of photo magnification of specimen using SEM (Scanning Electron Microscope).

  7. Factors associated with time between using a drug and injection initiation among people who inject drugs in Kermanshah, Iran.

    Science.gov (United States)

    Noroozi, Mehdi; Farhadi, Mohammad Hassan; Armoon, Bahram; Farhoudian, Ali; Shushtari, Zahra Jorjoran; Sharhani, Asaad; Karimi, Salah Eddin; Sayadnasiri, Mohammad; Rezaei, Omid; Ghiasvand, Hesam

    2018-05-17

    Background The transition from non-injection to injection drug use dramatically increases the risk of transmitting HIV and other blood borne infections including hepatitis B virus (HBV) and hepatitis C virus (HCV). The aim of this study was to explore factors associated with the transition from first illicit drug use to first injection among drug users. Methods Using snowball sampling and convenience sampling through needle and syringe programmes (NSPs), we recruited 500 people who inject drugs (PWID) in Kermanshah, between September and December 2014. Trained interviewers collected data on socio-demographic characteristics, HIV testing and drug-related risk behaviors over the last month prior to interview using a structured questionnaire. Our main outcome variable was first illicit drug use to first injection (TIJ). TIJ was calculated by subtracting age at first drug injection from age of first illicit drug use. Results Overall, the average age at first drug use and injection were 21.4 [standard deviation (SD 5.6)] and 22.8 (SD 8.9), respectively. The average duration of injection was 6.0 (SD 4.6) years. Overall, the mean of TIJ for participants was 1.4 (IQR = 2, 4) years. Age of first injecting drug use negatively correlated with TIJ (R2 = 0.219, p = 0.001). Education level and socioeconomic status (SES), and negatively correlated with TIJ. Conclusion Some demographic factors and drug use characteristics including educational level, SES, knowledge of HIV status, age of initiating drug use, being a poly drug user and using methamphetamine were predictors of the time to transition.

  8. Healthy hospital food initiatives in the United States: time to ban sugar sweetened beverages to reduce childhood obesity

    OpenAIRE

    Wojcicki, Janet M

    2013-01-01

    While childhood obesity is a global problem, the extent and severity of the problem in United States, has resulted in a number of new initiatives, including recent hospital initiatives to limit the sale of sweetened beverages and other high calorie drinks in hospital vending machines and cafeterias. These proposed policy changes are not unique to United States, but are more comprehensive in the number of proposed hospitals that they will impact. Meanwhile, however, it is advised, that these i...

  9. Impact of Vestibular Lesions on Allocentric Navigation and Interval Timing: The Role of Self-Initiated Motion in Spatial-Temporal Integration

    Czech Academy of Sciences Publication Activity Database

    Dallal, N. L.; Yin, B.; Nekovářová, Tereza; Stuchlík, Aleš; Meck, W. H.

    2015-01-01

    Roč. 3, 3-4 (2015), s. 269-305 ISSN 2213-445X R&D Projects: GA MŠk(CZ) LH14053 Institutional support: RVO:67985823 Keywords : peak-interval procedure * interval timing * radial-arm maze * magnitude representation * dorsolateral striatum * self-initiated movement * hippocampus * cerebellum * time perception * allocentric navigation Subject RIV: FH - Neurology

  10. Association between illness severity and timing of initial enteral feeding in critically ill patients: a retrospective observational study

    Directory of Open Access Journals (Sweden)

    Huang Hsiu-Hua

    2012-05-01

    Full Text Available Abstract Background Early enteral nutrition is recommended in cases of critical illness. It is unclear whether this recommendation is of most benefit to extremely ill patients. We aim to determine the association between illness severity and commencement of enteral feeding. Methods One hundred and eight critically ill patients were grouped as “less severe” and “more severe” for this cross-sectional, retrospective observational study. The cut off value was based on Acute Physiology and Chronic Health Evaluation II score 20. Patients who received enteral feeding within 48 h of medical intensive care unit (ICU admission were considered early feeding cases otherwise they were assessed as late feeding cases. Feeding complications (gastric retention/vomiting/diarrhea/gastrointestinal bleeding, length of ICU stay, length of hospital stay, ventilator-associated pneumonia, hospital mortality, nutritional intake, serum albumin, serum prealbumin, nitrogen balance (NB, and 24-h urinary urea nitrogen data were collected over 21 days. Results There were no differences in measured outcomes between early and late feedings for less severely ill patients. Among more severely ill patients, however, the early feeding group showed improved serum albumin (p = 0.036 and prealbumin (p = 0.014 but worsened NB (p = 0.01, more feeding complications (p = 0.005, and prolonged ICU stays (p = 0.005 compared to their late feeding counterparts. Conclusions There is a significant association between severity of illness and timing of enteral feeding initiation. In more severe illness, early feeding was associated with improved nutritional outcomes, while late feeding was associated with reduced feeding complications and length of ICU stay. However, the feeding complications of more severely ill early feeders can be handled without significantly affecting nutritional intake and there is no eventual difference in length of hospital stay or mortality

  11. The Effect of the Kind of Sands and Additions on the Mechanical Behaviour of S.C.C

    Science.gov (United States)

    Zeghichi, L.; Benghazi, Z.; Baali, L.

    The sand is an inert element essential in the composition of concrete; its use ensures granular continuity between the cement and gravel for better cohesion of concrete. This paper presents the results of a study that investigated the influence of sand quality on the properties of fresh and hardened self-compacting concrete (SCC). The dune sands are very fine materials characterized by a high intergranular porosity, high surface area and low fineness modulus; on the other hand crushed (manufactured) sand has a high rate into thin and irregular shapes which are influencing the workability of concrete. The amount of dune sand varies from (0% 50%, to 100%) by weight of fine aggregates. The effect of additions is also treated (blast furnace slag and lime stone) The results show that the rheological properties favour the use of dune sands; however the mechanical properties support the use of crushed sand.

  12. Technical basis for hydrogen-water chemistry: Laboratory studies of water chemistry effects on SCC [stress-corrosion-cracking

    International Nuclear Information System (INIS)

    Kassner, T.F.; Ruther, W.E.; Soppet, W.K.

    1986-10-01

    The influence of different impurities, viz., oxyacids and several chloride salts, on the stress-corrosion-cracking (SCC) of sensitized Type 304 stainless steel (SS) was investigated in constant-extension-rate-tensile (CERT) tests in 289 0 C water at a low dissolved-oxygen concentration ( 0 C in low-oxygen environments with and without sulfate at low concentrations. In these experiments, the crack growth behavior of the materials was correlated with the type and concentration of the impurities and the electrochemical potentials of Type 304 SS and platinum electrodes in the simulated hydrogen-water chemistry environments. The information suggests that better characterization of water quality, through measurement of the concentrations of individual species (SO 4 2- , NO 3 - , Cu 2+ , etc.) coupled with measurements of the corrosion and redox potentials at high temperatures will provide a viable means to monitor and ultimately improve the performance of BWR system materials

  13. DFTB3: Extension of the self-consistent-charge density-functional tight-binding method (SCC-DFTB).

    Science.gov (United States)

    Gaus, Michael; Cui, Qiang; Elstner, Marcus

    2012-04-10

    The self-consistent-charge density-functional tight-binding method (SCC-DFTB) is an approximate quantum chemical method derived from density functional theory (DFT) based on a second-order expansion of the DFT total energy around a reference density. In the present study we combine earlier extensions and improve them consistently with, first, an improved Coulomb interaction between atomic partial charges, and second, the complete third-order expansion of the DFT total energy. These modifications lead us to the next generation of the DFTB methodology called DFTB3, which substantially improves the description of charged systems containing elements C, H, N, O, and P, especially regarding hydrogen binding energies and proton affinities. As a result, DFTB3 is particularly applicable to biomolecular systems. Remaining challenges and possible solutions are also briefly discussed.

  14. Gonadal development and growth in 46,XX and 46,XY individuals with P450scc deficiency (congenital lipoid adrenal hyperplasia)

    DEFF Research Database (Denmark)

    Müller, J; Torsson, A; Damkjaer Nielsen, M

    1991-01-01

    We have investigated gonadal development and growth in 4 individuals (3 with 46,XY and 1 with 46,XX karyotype) with P450scc deficiency. One patient died at 2 months of age from adrenal insufficiency, while the remaining 3 individuals were healthy and developed normally (age at follow-up: 18, 10...... and 8 years). In the surviving individuals, the diagnosis was established during the first 2-4 months of life by extensive endocrine studies of blood and urine. In the remaining patient, the diagnosis was made on the basis of karyotype (46,XY), anatomy of internal and external genitalia and adrenal...... pathology. Gonadectomy was performed in the 2 surviving 46,XY individuals at the age of 7 years, and histological examination showed normal testicular morphology but very few germ cells. Postmortem examination of the testes of the 2-month-old subject showed normal testicular histology, and quantitative...

  15. Effect of Residual Strain on PWSCC Initiation of Alloy 690 in Primary Water of PWR

    International Nuclear Information System (INIS)

    Lee, Eun-Hee; Kim, Sung-Woo; Eom, Ki-Hyeon; Hwang, Seong-Sik

    2016-01-01

    The object of this study is to attempt to correlate the susceptibility to crack initiation of Alloy 690 with the levels of cold work in simulated primary water. Experiments were conducted in high-temperature water to accelerate the cracking behavior and to determine the severity of crack initiation as a function of level of cold work for Alloy 690. Cracking susceptibility was determined by measuring the crack length per unit area and crack density. SCC initiation susceptibility of Alloy 690 increased with increase of the residual strain induced by the prior cold-rolling process. The 20% cold-rolled specimen exhibited mostly IG cracks, while the 30% and 40% cold-rolled specimens revealed significant amounts of IG and TG cracks. Most cracks were observed near the smallest cross-section area of the tapered specimen, where the maximum stress was applied, indicating that the SCC initiation susceptibility was strongly dependent on the applied stress. In order to find the correlation between SCC initiation susceptibility and residual strain induced by cold work, more analyses need to be performed in terms of the crack length per unit area and the crack density, as a strong indicative for SCC initiation susceptibility

  16. Early initiation of night-time NIV in an outpatient setting: a randomized non-inferiority study in ALS patients.

    Science.gov (United States)

    Bertella, Enrica; Banfi, Paolo; Paneroni, Mara; Grilli, Silvia; Bianchi, Luca; Volpato, Eleonora; Vitacca, Michele

    2017-12-01

    In patients with amyotrophic lateral sclerosis (ALS), non-invasive ventilation (NIV) is usually initiated in an in-hospital regime. We investigated if NIV initiated in an outpatient setting can be as effective in terms of patients' acceptance/adherence. We also evaluated factors predicting NIV acceptance and adherence and disease progression. Prospective randomized study. Outpatient versus inpatient rehabilitation. ALS patients. ALS patients were randomized to two groups for NIV initiation: outpatients versus inpatients. At baseline (T0), end of NIV trial program (T1) and after 3 months from T1 (T2), respiratory function tests, blood gas analysis, and sleep study were performed. At T1, we assessed: NIV acceptance (>4 h/night), and dyspnea symptoms (day/night) by Visual analogue scale (VAS), staff and patients' experience (how difficult NIV was to accept, how difficult ventilator was to manage, satisfaction); at T2: NIV adherence (>120 h/month) and patients' experience. Fifty patients participated. There were no differences in acceptance failure (P=0.733) or adherence failure (P=0.529). At T1, outpatients had longer hours of nocturnal ventilation (PNIV acceptance/adherence failure. There were no between-group differences in progression of respiratory impairment, symptoms and sleep quality. Early outpatient initiation of NIV in ALS is as effective as inpatient initiation.

  17. A predictive model for steam generator degradation through PW SCC in roll transitions

    International Nuclear Information System (INIS)

    Hernalsteen, P.

    1989-01-01

    The tubebundle of pressurized water reactors steam generators (SG) has been affected by numerous corrosion damages, in various nuclear plants, all over the world. One of the main problems is primary water stress corrosion cracking (PWSCC) in the roll transitions of mill annealed Inconel 600 tubes mechanically expanded in the SG tubesheet. Multiple axial cracks are initiated from the primary side and grow rapidly through water; they further grow in length and propagate outside of the roll transition. In most plants, both in Europe and in the USA, short penning has been performed on the inside diameter of the expanded section of susceptible tubing. While the compressive surface layer induced by peening is considered to be efficient in preventing crack initiation, field experience showed that it did not prevent preexisting cracks from further propagation. For the usual case of SG peened after crack initiation, there is thus a remaining concern about the long term evolution of the population of cracked tubes. This paper presents a model to predict the SG degradation process in order to support both the maintenance policy and the longer term repair/replacement strategy

  18. Liderazgo de una empresa familiar que influye en el clima laboral de los trabajadores de la empresa SEDEMI S.C.C

    OpenAIRE

    Rodríguez Valenzuela, Darwin Fausto

    2015-01-01

    El presente trabajo detalla el estudio del liderazgo y su influencia en el clima organizacional de los trabajadores de la empresa familiar Sedemi S.C.C., con la fin de proponer opciones de mejora, que coadyuven al directorio de la empresa, para fomentar un ambiente laboral agradable y motivador para sus empleados, y de esta manera incrementar su desempeño laboral. La investigación se realizó en la empresa SEDEMI S.C.C. La población objetivo está conformada por los empleados administrativos y ...

  19. Value and significance of tumor markers as CEA, CA125, SCC-Ag, CA199 and CYFRA21-1 in the diagnosis of cervical cancer

    Directory of Open Access Journals (Sweden)

    Xiao-Juan Wang

    2017-09-01

    Full Text Available Objective: To investigate the value and significance of serum CEA, CA125, SCC-Ag, CA199 and CYFRA21-1 in the diagnosis of cervical cancer by comparing the detection of five serum markers. Methods: A total of 108 cases were divided into three groups, including 60 cervical cancerpatients and 20 cervical intraepithelial neoplasiain patients treated in our hospital from September 2015 to September 2016 and 28 healthy women. Radioimmunoassay was used to detect and compare the serum levels of CA125, CA199, CYFRA21-1 and ELISA method was used to detect and compare the serum levels of SCC-Ag, CEA. Results: (1 There was no statistically significant difference in the serum CEA, CA125, SCC-Ag, CA199, CYFRA21-1 levels between CIN group and control group. The serums CEA, CA125, SCC-Ag, CA199, CYFRA21-1 levels of cervical cancer patients were significantly higher than the other two groups. The differences were statistically significant. (2There were statistically significant differences in the serum CEA, CA125, SCC-Ag, CA199, CYFRA21-1 levels between different cervical pathological type groups.The serum CA125, CA199, CEA levels of cervical glandular cancer patients were significantly higher than the other two groups. The differences were statistically significant. The serum SCC-Ag, CYFRA21-1 levels of cervical squamous cancer patients were significantly higher than the other two groups. The differences were statistically significant. Conclusion: The serums CEA, CA125, SCC-Ag, CA199, CYFRA21-1 levels of cervical cancer patients were significantly higher than cervical intraepithelial neoplasiain patients and healthy women. The serum CA125, CA199, CEA levels of cervical glandular cancer patients were significantly higher and the serum SCC-Ag, CYFRA21-1 levels of cervical squamous cancer patients were significantly higher. The five tumor markers can be used in diagnosis of cervical cancer and they are also worthy in distinguishing cervical pathological types.

  20. Evaluation of salt particle collection device for preventing SCC on canister - Effect on particle collection rate by electric field

    International Nuclear Information System (INIS)

    Takeda, H.; Saegusa, T.

    2013-01-01

    Now, in Japan, while metal casks are used for spent nuclear fuel storage, a practical use of concrete casks is under review because of its cost effectiveness and procurement easiness. In reviewing the practical use, stress corrosion cracking (SCC) of a canister container in the concrete cask becomes an issue and is needed to be resolved soon. A natural ventilation system is generally adopted for the storage facilities, especially in Japan where facilities are built near coasts so that the cooling air includes sea salt particles. Therefore, the occurrence of SCC is concerned when the sea salt particles adhere to welded parts of the canisters. In this study, we proposed a salt particle collection device with low pressure loss which does not interfere with the air flow into the building or the concrete casks. The device is composed of a stack of 10 parallel stainless steel plates, the air is free to circulate in the space between them. Pressure loss tests in a laboratory and salt particle collection tests in the field have been performed. It has been clarified that the pressure loss of the device is one-thirtieth to one-twentieth of that of a commercial filter and 40% of the particles in the air could be collected and the device would not influence the heat removal performance. Moreover, we evaluated the effect of electric field on the particle collection under supposing the particle charge. In the case of electric field over 10 3 kV/m the particle collection rate could be improved dramatically

  1. Time to ART Initiation among Patients Treated for Rifampicin-Resistant Tuberculosis in Khayelitsha, South Africa: Impact on Mortality and Treatment Success.

    Science.gov (United States)

    Daniels, Johnny Flippie; Khogali, Mohammed; Mohr, Erika; Cox, Vivian; Moyo, Sizulu; Edginton, Mary; Hinderaker, Sven Gudmund; Meintjes, Graeme; Hughes, Jennifer; De Azevedo, Virginia; van Cutsem, Gilles; Cox, Helen Suzanne

    2015-01-01

    Khayelitsha, South Africa, with high burdens of rifampicin-resistant tuberculosis (RR-TB) and HIV co-infection. To describe time to antiretroviral treatment (ART) initiation among HIV-infected RR-TB patients initiating RR-TB treatment and to assess the association between time to ART initiation and treatment outcomes. A retrospective cohort study of patients with RR-TB and HIV co-infection not on ART at RR-TB treatment initiation. Of the 696 RR-TB and HIV-infected patients initiated on RR-TB treatment between 2009 and 2013, 303 (44%) were not on ART when RR-TB treatment was initiated. The median CD4 cell count was 126 cells/mm3. Overall 257 (85%) patients started ART during RR-TB treatment, 33 (11%) within 2 weeks, 152 (50%) between 2-8 weeks and 72 (24%) after 8 weeks. Of the 46 (15%) who never started ART, 10 (21%) died or stopped RR-TB treatment within 4 weeks and 16 (37%) had at least 4 months of RR-TB treatment. Treatment success and mortality during treatment did not vary by time to ART initiation: treatment success was 41%, 43%, and 50% among patients who started ART within 2 weeks, between 2-8 weeks, and after 8 weeks (p = 0.62), while mortality was 21%, 13% and 15% respectively (p = 0.57). Mortality was associated with never receiving ART (adjusted hazard ratio (aHR) 6.0, CI 2.1-18.1), CD4 count ≤100 (aHR 2.1, CI 1.0-4.5), and multidrug-resistant tuberculosis (MDR-TB) with second-line resistance (aHR 2.5, CI 1.1-5.4). Despite wide variation in time to ART initiation among RR-TB patients, no differences in mortality or treatment success were observed. However, a significant proportion of patients did not initiate ART despite receiving >4 months of RR-TB treatment. Programmatic priorities should focus on ensuring all patients with RR-TB/HIV co-infection initiate ART regardless of CD4 count, with special attention for patients with CD4 counts ≤ 100 to initiate ART as soon as possible after RR-TB treatment initiation.

  2. Timely initiation of breastfeeding and associated factors among mothers in Motta town, East Gojjam zone, Amhara regional state, Ethiopia, 2015: a cross-sectional study.

    Science.gov (United States)

    Tewabe, Tilahun

    2016-10-19

    Timely initiation of breastfeeding within one hour after birth and exclusive breastfeeding is recommended for the first six months of infant life along with continuation of breastfeeding up to two years. Timely initiation of breastfeeding has the potential to prevent 22 % of neonatal deaths. The objective of this study was to assess timely initiation of breastfeeding and associated factors among mothers who have infants less than six months of age in Motta town, East Gojjam, Amhara Regional State, Ethiopia. Community based quantitative cross-sectional study was conducted from April 7, 2015 to May 7, 2015. Simple random sampling technique was applied after taking all registered mothers who have infants less than 6 months old from local health extension workers of each kebele. A total of 423 mothers with infant less than six month old were included in this study. The data was collected from all four Kebeles using interviewer administered questionnaire. Descriptive and inferential statistics were used to present the data. Both bivariate and multivariate logistic regression analyses were used to identify factors associated with timely initiation breastfeeding. Prevalence of timely initiation of breastfeeding was78.8 % [95 % CL: 74.88 %, 82.72 %]. Mothers who gave birth to their infant in a health institution [AOR = 3.486(1.253, 9.700)], birthed vaginally [AOR = 5.722(3.134, 11.246)] and didn't give prelacteal food [AOR = 4.627(2.095, 10.220)] were more likely to initiate breastfeeding early than their counterparts. Prevalence of timely initiation of breastfeeding in the study area was 78.8 %. Place of delivery, mode of delivery and prelactal feeding were the independent predictors of timely initiation of breastfeeding. Recommendations to increase timely initiation of breastfeeding were: encouraging mothers to deliver their child in a health institution, minimizing caesarean delivery as much as possible and educating mothers and community as a whole

  3. Will changes in phenology track climate change? A study of growth initiation timing in coast Douglas-fir

    Science.gov (United States)

    Kevin Ford; Connie Harrington; Sheel Bansal; Peter J. Gould; Brad St. Clair

    2016-01-01

    Under climate change, the reduction of frost risk, onset of warm temperatures and depletion of soil moisture are all likely to occur earlier in the year in many temperate regions. The resilience of tree species will depend on their ability to track these changes in climate with shifts in phenology that lead to earlier growth initiation in the spring. Exposure to warm...

  4. Initial Study

    DEFF Research Database (Denmark)

    Torp, Kristian

    2009-01-01

    increased. In the initial study presented here, the time it takes to pass an intersection is studied in details. Two major signal-controlled four-way intersections in the center of the city Aalborg are studied in details to estimate the congestion levels in these intersections, based on the time it takes...

  5. Age of initiation, psychopathology, and other substance use are associated with time to use disorder diagnosis in persons using opioids nonmedically.

    Science.gov (United States)

    Schepis, Ty S; Hakes, Jahn K

    2017-01-01

    Nonmedical use of prescription opioids (NMUPO) is an ongoing public health challenge, as NMUPO is associated with psychopathology, other drug use, and fatal overdose. These concomitant risks are greatest in those with opioid use disorder (OUD), but the development of NMUPO-related use disorder is poorly understood. The primary aim of this study was to establish factors associated with the development of and time to OUD among persons engaged in NMUPO. Data were from wave 1 of the National Epidemiologic Study on Alcohol and Related Conditions, with 1755 participants endorsing lifetime NMUPO. Analyses used sequential design-based logistic regression for DSM-IV (Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition) opioid dependence correlates, followed by Cox regression of proportional hazards for correlates (e.g., sociodemographics, age of NMUPO initiation, and psychopathology) of time to dependence in those who developed DSM-IV dependence. Earlier age of NMUPO initiation increased OUD odds (adjusted odds ratio [AOR] = 0.95, 95% confidence interval [CI] = 0.94-0.96) but slowed OUD development (adjusted hazard ratio [AHR] = 1.05, 95% CI = 1.04-1.06) in those who developed OUD (n = 118), after controlling for sociodemographics, psychopathology, and ages of other drug use initiation. Psychopathology and earlier other drug use initiation were associated with higher OUD odds, but only having an alcohol use disorder was associated with shorter time to OUD. Earlier NMUPO initiation is associated with increased odds of OUD, although those with early initiation had a slower progression to OUD. Programs that prevent early NMUPO initiation, which might lower rates of OUD, and/or identify the later initiators at highest risk for rapid OUD development could have great public health benefits.

  6. Time until initiation of tumor growth is an effective measure of the anti-angiogenic effect of TNP-470 on human glioblastoma in nude mice

    DEFF Research Database (Denmark)

    Kragh, M; Spang-Thomsen, M; Kristjansen, P E

    1999-01-01

    , 11, or 15 days after inoculation. The time from inoculation until initiation of exponential tumor growth was determined along with the post-therapeutic growth delay and the initial tumor doubling time (TD) for each individual tumor (n=103) on the basis of tumor volume growth curves. We found that: i......) the onset of growth of U87 xenografts was effectively inhibited by concurrent treatment with TNP-470 beyond the first three days after inoculation, ii) this effect was fully reversible upon termination of therapy, and iii) the post-therapeutic growth delay was independent of the accumulated dose...

  7. Clinical and Economic Outcomes Associated With the Timing of Initiation of Basal Insulin in Patients With Type 2 Diabetes Mellitus Previously Treated With Oral Antidiabetes Drugs.

    Science.gov (United States)

    Levin, Philip; Zhou, Steve; Durden, Emily; Farr, Amanda M; Gill, Jasvinder; Wei, Wenhui

    2016-01-01

    In patients with type 2 diabetes mellitus (T2DM) not achieving glycemic targets using oral antidiabetes drugs (OADs), studies suggest that timely insulin initiation has clinical benefits. Insulin initiation at the early versus late stage of disease progression has not been explored in detail. This retrospective database analysis investigated clinical and economic outcomes associated with the timing of insulin initiation in patients with T2DM treated with ≥1 OAD in a real-world US setting. This study linked data from the Truven Health MarketScan(®) Commercial database, Medicare Supplemental database, and Quintiles Electronic Medical Records database. A total of 1830 patients with T2DM were included. Patients were grouped according to their OAD use before basal insulin initiation (1, 2, or ≥3 OADs) as a proxy for the timing of insulin initiation. Clinical and economic outcomes were evaluated over 1 year of follow-up. During follow-up the 1 OAD group, compared with the 2 and ≥3 OADs groups, had a greater reduction in glycosylated hemoglobin A1c (-1.7% vs -1.0% vs -0.9%, respectively; P 1), greater achievement of glycemic target (38.2% vs 26.7% vs 19.6%, respectively; P 1), and a lower incidence of hypoglycemia (2.7% vs 6.6% vs 5.0%, respectively; P = 0.0002), with no difference in total health care costs ($21,167 vs $21,060 vs $20,133, respectively). This study shows that early insulin initiation (represented by the 1 OAD group) may be clinically beneficial to patients with T2DM not controlled with OADs, without adding to costs. This supports the call for timely initiation of individualized insulin therapy in this population. Copyright © 2016 The Authors. Published by Elsevier Inc. All rights reserved.

  8. Is it time to scrap Scadding and adopt computed tomography for initial evaluation of sarcoidosis? [version 1; referees: 2 approved

    Directory of Open Access Journals (Sweden)

    Andrew Levy

    2018-05-01

    Full Text Available In this review, we argue for the use of high-resolution computed tomography (HRCT over chest X-ray in the initial evaluation of patients with sarcoidosis. Chest X-ray, which has long been used to classify disease severity and offer prognostication in sarcoidosis, has clear limitations compared with HRCT, including wider interobserver variability, a looser association with lung function, and poorer sensitivity to detect important lung manifestations of sarcoidosis. In addition, HRCT offers a diagnostic advantage, as it better depicts targets for biopsy, such as mediastinal/hilar lymphadenopathy and focal parenchymal disease. Newer data suggest that specific HRCT findings may be associated with important prognostic outcomes, such as increased mortality. As we elaborate in this update, we strongly recommend the use of HRCT in the initial evaluation of the patient with sarcoidosis.

  9. Initialization of a fractional order identification algorithm applied for Lithium-ion battery modeling in time domain

    Science.gov (United States)

    Nasser Eddine, Achraf; Huard, Benoît; Gabano, Jean-Denis; Poinot, Thierry

    2018-06-01

    This paper deals with the initialization of a non linear identification algorithm used to accurately estimate the physical parameters of Lithium-ion battery. A Randles electric equivalent circuit is used to describe the internal impedance of the battery. The diffusion phenomenon related to this modeling is presented using a fractional order method. The battery model is thus reformulated into a transfer function which can be identified through Levenberg-Marquardt algorithm to ensure the algorithm's convergence to the physical parameters. An initialization method is proposed in this paper by taking into account previously acquired information about the static and dynamic system behavior. The method is validated using noisy voltage response, while precision of the final identification results is evaluated using Monte-Carlo method.

  10. Timing of initiation of macronuclear DNA synthesis is set during the preceding cell cycle in Paramecium tetraurelia: analysis of the effects of abrupt changes in nutrient level

    International Nuclear Information System (INIS)

    Ching, A.S.L.; Berger, J.D.

    1986-01-01

    In many eukaryotic organisms, initiation of DNA synthesis is associated with a major control point within the cell cycle and reflects the commitment of the cell to the DNA replication-division portion of the cell cycle. In paramecium, the timing of DNA synthesis initiation is established prior to fission during the preceding cell cycle. DNA synthesis normally starts at 0.25 in the cell cycle. When dividing cells are subjected to abrupt nutrient shift-up by transfer from a chemostat culture to medium with excess food, or shift-down from a well-fed culture to exhausted medium, DNA synthesis initiation in the post-shift cell cycle occurs at 0.25 of the parental cell cycle and not at either 0.25 in the post-shift cell cycle or at 0.25 in the equilibrium cell cycle produced under the post-shift conditions. The long delay prior to initiation of DNA synthesis following nutritional shift-up is not a consequence of continued slow growth because the rate of protein synthesis increases rapidly to the normal level after shift-up. Analysis of the relation between increase in cell mass and initiation of DNA synthesis following nutritional shifts indicates that increase in cell mass, per se, is neither a necessary nor a sufficient condition for initiation of DNA synthesis, in spite of the strong association between accumulation of cell mass and initiation of DNA synthesis in cells growing under steady-state conditions

  11. Healthy hospital food initiatives in the United States: time to ban sugar sweetened beverages to reduce childhood obesity.

    Science.gov (United States)

    Wojcicki, Janet M

    2013-06-01

    While childhood obesity is a global problem, the extent and severity of the problem in United States, has resulted in a number of new initiatives, including recent hospital initiatives to limit the sale of sweetened beverages and other high calorie drinks in hospital vending machines and cafeterias. These proposed policy changes are not unique to United States, but are more comprehensive in the number of proposed hospitals that they will impact. Meanwhile, however, it is advised, that these initiatives should focus on banning sugar sweetened beverages, including sodas, 100% fruit juice and sports drinks, from hospital cafeterias and vending machines instead of limiting their presence, so as to ensure the success of these programs in reducing the prevalence of childhood obesity. If US hospitals comprehensively remove sugar sweetened beverages from their cafeterias and vending machines, these programs could subsequently become a model for efforts to address childhood obesity in other areas of the world. Hospitals should be a model for health care reform in their communities and removing sugar sweetened beverages is a necessary first step. ©2013 Foundation Acta Paediatrica. Published by Blackwell Publishing Ltd.

  12. Socio-economic status and time trends associated with early ART initiation following primary HIV infection in Montreal, Canada: 1996 to 2015.

    Science.gov (United States)

    Mehraj, Vikram; Cox, Joseph; Lebouché, Bertrand; Costiniuk, Cecilia; Cao, Wei; Li, Taisheng; Ponte, Rosalie; Thomas, Réjean; Szabo, Jason; Baril, Jean-Guy; Trottier, Benoit; Côté, Pierre; LeBlanc, Roger; Bruneau, Julie; Tremblay, Cécile; Routy, Jean-Pierre

    2018-02-01

    Guidelines regarding antiretroviral therapy (ART) initiation in HIV infection have varied over time, with the 2015 World Health Organization recommendation suggesting ART initiation at the time of diagnosis regardless of CD4 T-cell counts. Herein, we investigated the influence of socio-demographic and clinical factors in addition to time trends on early ART initiation among participants of the Montreal Primary HIV Infection Study. The Montreal Primary HIV Infection Study is a prospective cohort established in three community medical centres (CMCs) and two university medical centres (UMCs). Recently diagnosed HIV-infected adults were categorized as receiving early (vs. delayed) ART if ART was initiated within 180 days of the baseline visit. Associations between early ART initiation and socio-demographic, socio-economic and behavioural information were examined. Independent associations of factors linked with early ART initiation were determined using multivariable binary logistic regression analysis. A total of 348 participants had a documented date of HIV acquisition of age of participants was 35 (28; 42) years and the majority were male (96%), having paid employment (63%), men who have sex with men (MSM) (78%) and one to four sexual partners in the last three months (70%). Participants presented with a median IQR HIV plasma viral load of 4.6 (3.7; 5.3) log 10 copies/ml, CD4 count of 510 (387; 660) cells/μl and were recruited in CMCs (52%) or UMCs (48%). Early ART initiation was observed in 47% of the participants and the trend followed a V-shaped curve with peaks in 1996 to 1997 (89%) and 2013 to 2015 (88%) with a dip in 2007 to 2009 (22%). Multivariable analyses showed that having a paid employment adjusted odds ratio (aOR: 2.43; 95% CI: 1.19, 4.95), lower CD4 count (aOR per 50 cell increase: 0.93; 95% CI: 0.87, 0.99) and care at UMCs (aOR: 2.03; 95% CI: 1.06 to 3.90) were independently associated with early ART initiation. Early ART initiation during primary

  13. Clinical significance of measurement of changes of serum IGF-II, SCC and CYFRA21-1 levels after operation in patients with carcinoma of uterine cervix

    International Nuclear Information System (INIS)

    Kuang Lei

    2010-01-01

    Objective: To explore the clinical significance of changes of serum IGF-II, SCC and CYFRA21-1 levels after operation in patients with carcinoma uterine cervix. Methods: Serum levels of IGF-II, SCC and CYFRA21-1 were determined with RIA repeatedly in 31 patients with carcinoma of uterine cervix (before operation 1 month after operation and 6 month after operation) and once in 35 controls. Results: Before operation,serum levels of IGF-II, SCC and CYFRA21-1 in the patients were significantly higher than those in the controls (P<0.01). One month after operation all the serum levels were approaching normal. Six month later,the levels in the patients without recurrence remained normal. However, the levels in the 6 patients with recurrence returned to those before operation again. Conclusion: Changes of serum IGF-II, SCC and CYFRA21-1 levels are closely related to the tumor burden and may be of prognostic importance. (authors)

  14. Microscopical approach of the shape coexistence phenomenon using Adiabatic SCC method

    International Nuclear Information System (INIS)

    Hinohara, Nobuo

    2005-01-01

    Using the multi-O(4) model as a simple model of oblate-prolate shape coexistence, we show that contribution from time-old components of mean field to mass parameter (inertia function) is very important for large amplitude collective motion. (author)

  15. Direct Measurement of Initial Enrichment, Burn-up and Cooling Time of Spent Fuel Assembly with a Differential Die-Away Technique Based Instrument

    International Nuclear Information System (INIS)

    Henzl, Vladimir; Swinhoe, Martyn T.; Tobin, Stephen J.

    2012-01-01

    An outline of this presentation of what a Differential Die-Away (DDA) instrument can do are: (1) Principle of operation of DDA instrument; (2) Determination of initial enrichment (IE) (σ DDA response increases (die-away time is longer) with increasing fissile content; and (2) Spent fuel => DDA response decreases (die-away time is shorter) with higher burn-up (i.e. more neutron absorbers present).

  16. Effects of Mothers against Drunk Driving's (MADD's) Victim Impact Panels on First-Time DWI Offenders: Some Initial Results.

    Science.gov (United States)

    Rao, Nagesh; And Others

    A study assessed the effects of victim impact panels (VIP) on first-time DWI (Driving While Intoxicated) offenders in Albuquerque, New Mexico. The VIP is an emotional presentation by the victim or their parents about how they were injured or their child was killed by a drunk driver. Subjects, 350 first-time offenders participated in a Mothers…

  17. Evaluation of neutron irradiation effect on SCC crack growth behaviour for austenitic stainless steels

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2013-08-15

    Austenitic stainless steels are widely used as structural components in reactor pressure vessel internals because of their high strength, ductility, and fracture toughness. However, exposure to neutron irradiation results in changes in microstructure, mechanical properties and microchemistry of the steels. Irradiation assisted stress corrosion cracking (IASCC) caused by the effect of neutron irradiation during long term plant operation in high temperature water environments is considered to take the form of intergranular stress corrosion cracking (IGSCC) and the critical fluence level has been reported to be about 5x10{sup 24}n/m{sup 2} (E>1MeV) in Type 304 stainless steel in BWR environment. JNES had been conducting IASCC project during the JFY (2000) - JFY (2008) period, and prepared an engineering database on IASCC. However, the data of Crack Growth Rate (CGR) below the critical fluence level are not sufficient. So, this project was initiated to obtain the CGR data below the critical fluence level. Test specimens have been irradiated in the Halden reactor, operating by the OECD Halden Reactor Project, and the post irradiation examination (PIE) will be conducted from JFY (2011) to JFY (2013), finally the modified IASCC guide will be prepared in JFY (2013). (author)

  18. 20-Hydroxycholecalciferol, product of vitamin D3 hydroxylation by P450scc, decreases NF-kappaB activity by increasing IkappaB alpha levels in human keratinocytes.

    Directory of Open Access Journals (Sweden)

    Zorica Janjetovic

    Full Text Available The side chain of vitamin D3 is hydroxylated in a sequential manner by cytochrome P450scc (CYP11A1 to form 20-hydroxycholecalciferol, which can induce growth arrest and differentiation of both primary and immortalized epidermal keratinocytes. Since nuclear factor-kappaB (NF-kappaB plays a pivotal role in the regulation of cell proliferation, differentiation and apoptosis, we examined the capability of 20-hydroxycholecalciferol to modulate the activity of NF-kappaB, using 1,25-dihydroxycholecalciferol (calcitriol as a positive control. 20-hydroxycholecalciferol inhibits the activation of NFkappaB DNA binding activity as well as NF-kappaB-driven reporter gene activity in keratinocytes. Also, 20-hydroxycholecalciferol induced significant increases in the mRNA and protein levels of the NF-kappaB inhibitor protein, IkappaB alpha, in a time dependent manner, while no changes in total NF-kappaB-p65 mRNA or protein levels were observed. Another measure of NF-kappaB activity, p65 translocation from the cytoplasm into the nucleus was also inhibited in extracts of 20-hydroxycholecalciferol treated keratinocytes. Increased IkappaB alpha was concomitantly observed in cytosolic extracts of 20-hydroxycholecalciferol treated keratinocytes, as determined by immunoblotting and immunofluorescent staining. In keratinocytes lacking vitamin D receptor (VDR, 20-hydroxycholecalciferol did not affect IkappaB alpha mRNA levels, indicating that it requires VDR for its action on NF-kappaB activity. Comparison of the effects of calcitrol, hormonally active form of vitamin D3, with 20-hydrocholecalciferol show that both agents have a similar potency in inhibiting NF-kappaB. Since NF-kappaB is a major transcription factor for the induction of inflammatory mediators, our findings indicate that 20-hydroxycholecalciferol may be an effective therapeutic agent for inflammatory and hyperproliferative skin diseases.

  19. Time asymmetric spacetimes near null and spatial infinity: II. Expansions of developments of initial data sets with non-smooth conformal metrics

    International Nuclear Information System (INIS)

    Kroon, Juan Antonio Valiente

    2005-01-01

    This paper uses the conformal Einstein equations and the conformal representation of spatial infinity introduced by Friedrich to analyse the behaviour of the gravitational field near null and spatial infinity for the development of initial data which are, in principle, non-conformally flat and time asymmetric. The paper is the continuation of the investigation started in Class. Quantum Grav. 21 (2004) 5457-92, where only conformally flat initial data sets were considered. For the purposes of this investigation, the conformal metric of the initial hypersurface is assumed to have a very particular type of non-smoothness at infinity in order to allow for the presence of non-Schwarzschildean stationary initial data sets in the class under study. The calculation of asymptotic expansions of the development of these initial data sets reveals-as in the conformally flat case-the existence of a hierarchy of obstructions to the smoothness of null infinity which are expressible in terms of the initial data. This allows for the possibility of having spacetimes where future and past null infinity have different degrees of smoothness. A conjecture regarding the general structure of the hierarchy of obstructions is presented

  20. Archive of digital Chirp sub-bottom profile data collected during USGS Cruise 07SCC01 offshore of the Chandeleur Islands, Louisiana, June 2007

    Science.gov (United States)

    Forde, Arnell S.; Dadisman, Shawn V.; Flocks, James G.; Wiese, Dana S.

    2010-01-01

    In June of 2007, the U.S. Geological Survey (USGS) conducted a geophysical survey offshore of the Chandeleur Islands, Louisiana, in cooperation with the Louisiana Department of Natural Resources (LDNR) as part of the USGS Barrier Island Comprehensive Monitoring (BICM) project. This project is part of a broader study focused on Subsidence and Coastal Change (SCC). The purpose of the study was to investigate the shallow geologic framework and monitor the enviromental impacts of Hurricane Katrina (Louisiana landfall was on August 29, 2005) on the Gulf Coast's barrier island chains. This report serves as an archive of unprocessed digital 512i and 424 Chirp sub-bottom profile data, trackline maps, navigation files, Geographic Information System (GIS) files, Field Activity Collection System (FACS) logs, observer's logbook, and formal Federal Geographic Data Committee (FGDC) metadata. Gained (a relative increase in signal amplitude) digital images of the seismic profiles are also provided. Refer to the Acronyms page for expansion of acronyms and abbreviations used in this report. The USGS St. Petersburg Coastal and Marine Science Center (SPCMSC) assigns a unique identifier to each cruise or field activity. For example, 07SCC01 tells us the data were collected in 2007 for the Subsidence and Coastal Change (SCC) study and the data were collected during the first field activity for that study in that calendar year. Refer to http://walrus.wr.usgs.gov/infobank/programs/html/definition/activity.html for a detailed description of the method used to assign the field activity identification (ID). All Chirp systems use a signal of continuously varying frequency; the Chirp systems used during this survey produce high resolution, shallow penetration profile images beneath the seafloor. The towfish is a sound source and receiver, which is typically towed 1 - 2 m below the sea surface. The acoustic energy is reflected at density boundaries (such as the seafloor or sediment layers

  1. Patterns and Timing of Failure for Diffuse Large B-Cell Lymphoma After Initial Therapy in a Cohort Who Underwent Autologous Bone Marrow Transplantation for Relapse

    Energy Technology Data Exchange (ETDEWEB)

    Dhakal, Sughosh; Bates, James E. [Department of Radiation Oncology, Wilmot Cancer Institute, University of Rochester Medical Center, Rochester, New York (United States); Casulo, Carla; Friedberg, Jonathan W.; Becker, Michael W.; Liesveld, Jane L. [Department of Medicine, Wilmot Cancer Institute, University of Rochester Medical Center, Rochester, New York (United States); Constine, Louis S., E-mail: louis_constine@urmc.rochester.edu [Department of Radiation Oncology, Wilmot Cancer Institute, University of Rochester Medical Center, Rochester, New York (United States)

    2016-10-01

    Purpose: To evaluate the location and timing of initial recurrence in patients with diffuse large B-cell lymphoma (DLBCL) who subsequently underwent high-dose chemotherapy with autologous stem cell transplant (HDC/ASCT), to direct approaches for disease surveillance, elucidate the patterns of failure of contemporary treatment strategies, and guide adjuvant treatment decisions. Methods and Materials: We analyzed consecutive patients with DLBCL who underwent HDC/ASCT between May 1992 and March 2014 at our institution. Of the 187 evaluable patients, 8 had incomplete data, and 79 underwent HDC/ASCT as a component of initial treatment for de novo or refractory DLBCL and were excluded from further analysis. Results: The median age was 50.8 years; the median time to relapse was 1.3 years. Patients were segregated according to the initial stage at diagnosis, with early stage (ES) defined as stage I/II and advanced stage (AS) defined as stage III/IV. In total, 40.4% of the ES and 75.5% of the AS patients relapsed in sites of initial disease; 68.4% of those with ES disease and 75.0% of those with AS disease relapsed in sites of initial disease only. Extranodal relapses were common (44.7% in ES and 35.9% in AS) and occurred in a variety of organs, although gastrointestinal tract/liver (n=12) was most frequent. Conclusions: Most patients with DLBCL who relapse and subsequently undergo HDC/ASCT initially recur in the previously involved disease site(s). Time to recurrence is brief, suggesting that frequency of screening is most justifiably greatest in the early posttherapy years. © 2016 Elsevier Inc.

  2. One-year continuation of copper or levonorgestrel intrauterine devices initiated at the time of emergency contraception.

    Science.gov (United States)

    Sanders, J N; Turok, D K; Royer, P A; Thompson, I S; Gawron, L M; Storck, K E

    2017-08-01

    This study compares 1-year intrauterine device (IUD) continuation among women presenting for emergency contraception (EC) and initiating the copper (Cu T380A) IUD or the levonorgestrel (LNG) 52 mg IUD plus 1.5 mg oral LNG. This cohort study enrolled 188 women who presented at a single family planning clinic in Utah between June 2013 and September 2014 and selected either the Cu T380A IUD or LNG 52 mg IUD plus oral LNG for EC. Trained personnel followed participants by phone, text or e-mail for 12 months or until discontinuation occurred. We assessed reasons for discontinuation and used Cox proportional hazard models, Kaplan-Meier estimates and log-rank tests to assess differences in continuation rates between IUDs. One hundred seventy-six women received IUDs; 66 (37%) chose the Cu T380A IUD and 110 (63%) chose the LNG 52 mg IUD plus oral LNG. At 1 year, we accounted for 147 (84%) participants, 33 (22%) had requested removals, 13 (9%) had an expulsion and declined reinsertion, 3 (2%) had a pregnancy with their IUD in place and 98 (67%) were still using their device. Continuation rates did not differ by IUD type; 60% of Cu T380A IUD users and 70% of LNG 52 mg IUD plus oral LNG users were still using their device at 12 months (adjusted hazard ratio 0.72, 95% confidence interval 0.40-1.3). Two-thirds of women who chose IUD placement at the EC clinical encounter continued use at 1 year. Women initiating Cu T380A IUD and LNG 52 mg IUD had similar 1-year continuation rates. These findings support same-day insertion of IUDs for women who are seeking EC and would like to use a highly effective reversible method going forward. Providing IUD options for EC users presents an opportunity to increase availability of highly effective contraception. Copyright © 2017. Published by Elsevier Inc.

  3. Impact of rapid molecular diagnostic tests on time to treatment initiation and outcomes in patients with multidrug-resistant tuberculosis, Tamil Nadu, India.

    Science.gov (United States)

    Nair, Dina; Navneethapandian, Pooranaganga D; Tripathy, Jaya Prasad; Harries, Anthony D; Klinton, Joel S; Watson, Basilea; Sivaramakrishnan, Gomathi N; Reddy, Devarajulu S; Murali, Lakshmi; Natrajan, Mohan; Swaminathan, Soumya

    2016-09-01

    India is replacing culture and drug sensitivity testing (CDST) with rapid molecular tests for diagnosing MDR-TB. We assessed the impact of rapid tests on time to initiation of treatment and outcomes in patients with MDR-TB compared with CDST. A retrospective cohort study involving MDR-TB patients from six districts in Tamil Nadu state, who underwent CDST (2010-2011) and rapid tests (2012-2013). There were 135 patients in the CDST group and 389 in the rapid diagnostic test group. Median time from sputum receipt at the laboratory to initiation of MDR-TB treatment was 130 days (IQR 75-213) in the CDST group and 22 days (IQR 14-38) in the rapid diagnostic test group (p30% in both groups and missing data were higher in CDST (13%) compared with rapid tests (3%). There were significantly higher risks of unfavourable treatment outcomes in males (aRR 1.3, 95% CI 1.1-1.5) and those with treatment initiation delays >30 days (aRR 1.3, 95% CI 1.0-1.6). Rapid molecular diagnostic tests shortened the time to initiate treatment which was associated with reduced unfavourable outcomes in MDR-TB patients. This supports the policy to scale up these tests in India. © The Author 2016. Published by Oxford University Press on behalf of Royal Society of Tropical Medicine and Hygiene. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  4. Constant strain rate test and SCC-behaviour of stainless steels

    International Nuclear Information System (INIS)

    Krauss, H.; Speckhardt, H.

    1979-01-01

    In the present work, the stress corrosion cracking behaviour in boiling aqueous 35% magnesium chloride solution under conditions of no external current was investigated as a function of the defined extension rates for the two austenitic steels X 2 CrNi 189 and X 2 CrNiSi 1815, as well as for both ferritic austenitic steels X 6 CrNiMoCu 217 and X 2 CrNiMoN 225. The endurance time found until cracking, the maximum tensile stress, the sample stretching up to cracking and the relative rupture energy were determined for the evaluation, as well as metallographic investigations to describe the crack picture, test surface appearance and attack picture carried out. (orig.) 891 RW/orig. 892 BRE [de

  5. Real-time x-ray scattering study of the initial growth of organic crystals on polymer brushes

    Energy Technology Data Exchange (ETDEWEB)

    An, Sung Yup; Ahn, Kwangseok; Kim, Doris Yangsoo; Lee, Dong Ryeol, E-mail: drlee@ssu.ac.kr [Department of Physics, Soongsil University, Seoul 156-743 (Korea, Republic of); Lee, Hyun-Hwi [Pohang Accelerator Laboratory, Pohang University of Science and Technology, Pohang 790-784 (Korea, Republic of); Cho, Jeong Ho, E-mail: jhcho94@skku.edu [Department of Chemical Engineering, SKKU Advanced Institute of Nanotechnology (SAINT) and Center for Human Interface Nano Technology (HINT), Sungkyunkwan University, Suwon 440-476 (Korea, Republic of)

    2014-04-21

    We studied the early-stage growth structures of pentacene organic crystals grown on polymer brushes using real-time x-ray scattering techniques. In situ x-ray reflectivity and atomic force microscopy analyses revealed that at temperatures close to the glass transition temperature of polymer brush, the pentacene overlayer on a polymer brush film showed incomplete condensation and 3D island structures from the first monolayer. A growth model based on these observations was used to quantitatively analyze the real-time anti-Bragg x-ray scattering intensities measured during pentacene growth to obtain the time-dependent layer coverage of the individual pentacene monolayers. The extracted total coverage confirmed significant desorption and incomplete condensation in the pentacene films deposited on the polymer brushes. These effects are ascribed to the change in the surface viscoelasticity of the polymer brushes around the glass transition temperature.

  6. Recovery from sublethal damage during fractionated irradiation of human FaDu SCC

    International Nuclear Information System (INIS)

    Petersen, Cordula; Zips, Daniel; Krause, Mechthild; Voelkel, Wolfram; Thames, Howard D.; Baumann, Michael

    2005-01-01

    Background and purpose: The present study addresses whether recovery of sublethal damage in tumours may change during fractionated irradiation in FaDu human squamous cell carcinoma and whether such an effect might contribute to the pronounced time factor of fractionated irradiation previously found in this tumour. Patients and methods: FaDu tumours were transplanted s.c. into the right hind leg of NMRI nu/nu mice. Single doses or 2, 4, and 8 equal fractions in 3.5 days were applied in previously unirradiated tumours and after priming with 18 fractions of 3 Gy in 18 or 36 days. All irradiations were given under clamp hypoxic conditions. Experimental endpoints were tumour control dose 50% (TCD 50 ) and α/β values without and after priming. Results: Without priming TCD 50 increased with increasing number of fractions from 38.8 Gy (95% CI 35;45) after single dose irradiation to 54.0 Gy (42;57) after 8 fractions. No increase in TCD 50 when given in 1, 2, 4, or 8 fractions in 3.5 days was found after priming with 18 3-Gy fractions in 18 and 36 days. After priming with 18 fractions in 18 days TCD 50 remained constant at 25 Gy and after priming with 18 fractions in 36 days at 42 Gy. The α/β ratio without priming was 68 Gy (42;127). After fractionated irradiation with 18 3-Gy fractions in 18 and 36 days the α/β ratio increased to 317 Gy (38;∞) and to infinite, respectively. Conclusions: Our results indicate that clonogenic cells in FaDu tumours lose entirely their capacity to recover from sublethal radiation damage during fractionated irradiation. Therefore, an increased repair capacity as an explanation for the pronounced time factor of fractionated irradiation in this tumour can be ruled out

  7. A re-evaluation of the initial yield of the hydrated electron in the picosecond time range

    International Nuclear Information System (INIS)

    Muroya, Yusa; Lin Mingzhang; Wu, Guozhong; Iijima, Hokuto; Yoshii, Koji; Ueda, Toru; Kudo, Hisaaki; Katsumura, Yosuke

    2005-01-01

    The yield of the hydrated electron in the picosecond time range has been re-evaluated with an ultrafast pulse radiolysis system using a laser photocathode RF-gun in combination with a conventional one, and a value of 4.1±0.2 per 100 eV of absorbed energy at 20 ps was derived. This is consistent with recent experimental results using a time correlation method [Bartels et al., J. Phys. Chem. A 104, 1686-1691 (2000)] and with Monte-Carlo calculations [Muroya et al., Can. J. Chem. 80 1367-1374 (2002)

  8. SCC mec typing and antimicrobial resistance of methicillin-resistant Staphylococcus aureus (MRSA) from pigs of Northeast India.

    Science.gov (United States)

    Rajkhowa, S; Sarma, D K; Pegu, S R

    2016-12-01

    Staphylococcus aureus is one of the most important pathogens of both humans and animal. Methicillin-resistant Staphylococcus aureus (MRSA) is an important human pathogen that causes serious infections both in hospitals and communities due to its multidrug resistance tendency. This study was undertaken to characterize the MRSA isolates from pigs and to determine the antimicrobial resistance of these isolates. Forty nine MRSA strains (one strain per positive pig) isolated from pigs of Northeast India were characterized by SCCmec typing and antimicrobial resistance. The overall prevalence of MRSA was 7.02 % with the highest prevalence recorded in pigs aged 1-3 months (P = 0.001) and in nasal samples (P = 0.005). Two SCC mec types (type III and V) were found in Indian pigs with predominance of type V. All isolates were resistant to penicillin. Seventeen resistance groups were observed where 87.75 % isolates showed multidrug resistance (showed resistance to three or more classes of antimicrobials). The most predominant resistance pattern observed was Oxytetracycline + Penicillin + Sulfadiazine + Tetracycline accounting 12.24 % of the isolates. The present study contributes to the understanding of characteristics and antimicrobial resistance of porcine MRSA isolates which in turn will help in devising strategy for the control of this pathogen. Findings of the study also throw light on multidrug resistance MRSA and emphasize the need for judicious use of antimicrobials in animal practice.

  9. PEMANFAATAN REBUSAN DAUN SIRIH MERAH (Piper crocatum DALAM MENURUNKAN TINGKAT KEJADIAN MASTITIS BERDASARKANN UJI CMT DAN SCC

    Directory of Open Access Journals (Sweden)

    Razan Harastha Sjuhada

    2017-11-01

    Full Text Available The red betel leaves (Piper crocatum known as herbal antiseptic that contain many substances like essential oil, flavonoid, saponin, and tannin. The red betel leaves can be use to replace chemical antiseptic and more safe to use for teat dipping for dairy cow. The purpose of this research was to determine the effect of teat dipping with red betel leaves decoction to decrease subclinical mastitis level and somatic cell based on CMT and SCC. The method in this research was experiment with Randomize Block Design with 3 treatments and 5 replications. The data analyzed with Analysis of Variance (ANOVA, if there were significant effects it would be continue by Duncan’s Multiple Range Test (DMRT. The results showed that teat dipping with red betel leaves decoction had a significant different (P<0.05 to decrease mastitis level. Teat dipping with red betel leaves decoction 20% concentration could decrease mastitis level up to 30%. Teat dipping with red betel leaves decoction had a significant difference (P<0.05 to decrease the amount of somatic cell too. Teat dipping with red betel leaves stew 20% concentration could decrease the amount of somatic cell up to 1.98% or 0.12CFU/ml. The conclusion that teat dipping with red betel leaves decoction 20% was the best concentration and gave the best results to decrease mastitis level and somatic cell.

  10. Estimating the state of a geophysical system with sparse observations: time delay methods to achieve accurate initial states for prediction

    Science.gov (United States)

    An, Zhe; Rey, Daniel; Ye, Jingxin; Abarbanel, Henry D. I.

    2017-01-01

    The problem of forecasting the behavior of a complex dynamical system through analysis of observational time-series data becomes difficult when the system expresses chaotic behavior and the measurements are sparse, in both space and/or time. Despite the fact that this situation is quite typical across many fields, including numerical weather prediction, the issue of whether the available observations are "sufficient" for generating successful forecasts is still not well understood. An analysis by Whartenby et al. (2013) found that in the context of the nonlinear shallow water equations on a β plane, standard nudging techniques require observing approximately 70 % of the full set of state variables. Here we examine the same system using a method introduced by Rey et al. (2014a), which generalizes standard nudging methods to utilize time delayed measurements. We show that in certain circumstances, it provides a sizable reduction in the number of observations required to construct accurate estimates and high-quality predictions. In particular, we find that this estimate of 70 % can be reduced to about 33 % using time delays, and even further if Lagrangian drifter locations are also used as measurements.

  11. Emotions predictably modify response times in the initiation of human motor actions: A meta-analytic review.

    Science.gov (United States)

    Beatty, Garrett F; Cranley, Nicole M; Carnaby, Giselle; Janelle, Christopher M

    2016-03-01

    Emotions motivate individuals to attain appetitive goals and avoid aversive consequences. Empirical investigations have detailed how broad approach and avoidance orientations are reflected in fundamental movement attributes such as the speed, accuracy, and variability of motor actions. Several theoretical perspectives propose explanations for how emotional states influence the speed with which goal directed movements are initiated. These perspectives include biological predisposition, muscle activation, distance regulation, cognitive evaluation, and evaluative response coding accounts. A comprehensive review of literature and meta-analysis were undertaken to quantify empirical support for these theoretical perspectives. The systematic review yielded 34 studies that contained 53 independent experiments producing 128 effect sizes used to evaluate the predictions of existing theories. The central tenets of the biological predisposition (Hedges' g = -0.356), distance regulation (g = -0.293; g = 0.243), and cognitive evaluation (g = -0.249; g = -0.405; g = -0.174) accounts were supported. Partial support was also identified for the evaluative response coding (g = -0.255) framework. Our findings provide quantitative evidence that substantiate existing theoretical perspectives, and provide potential direction for conceptual integration of these independent perspectives. Recommendations for future empirical work in this area are discussed. (c) 2016 APA, all rights reserved).

  12. The effect of complete integration of HIV and TB services on time to initiation of antiretroviral therapy: a before-after study.

    Directory of Open Access Journals (Sweden)

    Bernhard Kerschberger

    Full Text Available Studies have shown that early ART initiation in TB/HIV co-infected patients lowers mortality. One way to implement earlier ART commencement could be through integration of TB and HIV services, a more efficient model of care than separate, vertical programs. We present a model of full TB/HIV integration and estimate its effect on time to initiation of ART.We retrospectively reviewed TB registers and clinical notes of 209 TB/HIV co-infected adults with a CD4 count <250 cells/µl and registered for TB treatment at one primary care clinic in a South African township between June 2008 and May 2009. Using Kaplan-Meier and Cox proportional hazard analysis, we compared time between initiation of TB treatment and ART for the periods before and after full, "one-stop shop" integration of TB and HIV services (in December 2009. Potential confounders were determined a priori through directed acyclic graphs. Robustness of assumptions was investigated by sensitivity analyses. The analysis included 188 patients (100 pre- and 88 post-integration, yielding 56 person-years of observation. Baseline characteristics of the two groups were similar. Median time to ART initiation decreased from 147 days (95% confidence interval [CI] 85-188 before integration of services to 75 days (95% CI 52-119 post-integration. In adjusted analyses, patients attending the clinic post-integration were 1.60 times (95% CI 1.11-2.29 more likely to have started ART relative to the pre-integration period. Sensitivity analyses supported these findings.Full TB/HIV care integration is feasible and led to a 60% increased chance of co-infected patients starting ART, while reducing time to ART initiation by an average of 72 days. Although these estimates should be confirmed through larger studies, they suggest that scale-up of full TB/HIV service integration in high TB/HIV prevalence settings may shorten time to ART initiation, which might reduce excess mortality and morbidity.

  13. The Impact of a Line Probe Assay Based Diagnostic Algorithm on Time to Treatment Initiation and Treatment Outcomes for Multidrug Resistant TB Patients in Arkhangelsk Region, Russia.

    Science.gov (United States)

    Eliseev, Platon; Balantcev, Grigory; Nikishova, Elena; Gaida, Anastasia; Bogdanova, Elena; Enarson, Donald; Ornstein, Tara; Detjen, Anne; Dacombe, Russell; Gospodarevskaya, Elena; Phillips, Patrick P J; Mann, Gillian; Squire, Stephen Bertel; Mariandyshev, Andrei

    2016-01-01

    In the Arkhangelsk region of Northern Russia, multidrug-resistant (MDR) tuberculosis (TB) rates in new cases are amongst the highest in the world. In 2014, MDR-TB rates reached 31.7% among new cases and 56.9% among retreatment cases. The development of new diagnostic tools allows for faster detection of both TB and MDR-TB and should lead to reduced transmission by earlier initiation of anti-TB therapy. The PROVE-IT (Policy Relevant Outcomes from Validating Evidence on Impact) Russia study aimed to assess the impact of the implementation of line probe assay (LPA) as part of an LPA-based diagnostic algorithm for patients with presumptive MDR-TB focusing on time to treatment initiation with time from first-care seeking visit to the initiation of MDR-TB treatment rather than diagnostic accuracy as the primary outcome, and to assess treatment outcomes. We hypothesized that the implementation of LPA would result in faster time to treatment initiation and better treatment outcomes. A culture-based diagnostic algorithm used prior to LPA implementation was compared to an LPA-based algorithm that replaced BacTAlert and Löwenstein Jensen (LJ) for drug sensitivity testing. A total of 295 MDR-TB patients were included in the study, 163 diagnosed with the culture-based algorithm, 132 with the LPA-based algorithm. Among smear positive patients, the implementation of the LPA-based algorithm was associated with a median decrease in time to MDR-TB treatment initiation of 50 and 66 days compared to the culture-based algorithm (BacTAlert and LJ respectively, ptime to MDR-TB treatment initiation of 78 days when compared to the culture-based algorithm (LJ, ptime to MDR diagnosis and earlier treatment initiation as well as better treatment outcomes for patients with MDR-TB. These findings also highlight the need for further improvements within the health system to reduce both patient and diagnostic delays to truly optimize the impact of new, rapid diagnostics.

  14. Real-time monitoring of initial thermal oxidation on Si(001) surfaces by synchrotron radiation photoemission spectroscopy

    CERN Document Server

    Yoshigoe, A; Teraoka, Y

    2003-01-01

    The thermal oxidation of Si(001) surfaces at 860 K, 895 K, 945 K and 1000 K under the O sub 2 pressure of 1 x 10 sup - sup 4 Pa has been investigated by time-resolved photoemission measurements with synchrotron radiation. Based on time evolution analyses by reaction kinetics models, it was found that the oxidation at 860 K, 895 K and 945 K has progressed with the Langmuir adsorption type, whereas the oxidation at 1000 K has showed the character of the two-dimensional island growth involving SiO desorption. The oxidation rates increases with increasing surface temperature in the passive oxidation condition. The time evolution of each Si oxidation state (Si sup n sup + : n = 1, 2, 3, 4) derived from the Si-2p core-level shifts has also been analyzed. The results revealed that the thermal energy contribution to the migration process of the adsorbed oxygen and the emission of the bulk silicon atoms. Thus, the fraction of the Si sup 4 sup + bonding state, i.e. SiO sub 2 structure, was increased. (author)

  15. The role of time-dependent deformation in intergranular crack initiation of alloy 600 steam generator tubing material

    International Nuclear Information System (INIS)

    Was, G.S.; Lian, K.

    1998-03-01

    Intergranular stress corrosion cracking (IGSCC) of two commercial alloy 600 conditions (600LT, 600HT) and controlled- purity Ni-18Cr-9Fe alloys (CDMA, CDTT) were investigated using constant extension rate tensile (CERT) tests in primary water (0.01M LiOH+0.01M H 3 BO 3 ) with 1 bar hydrogen overpressure at 360 degrees C and 320 degrees C. Heat treatments produced two types of microstructures in both commercial and controlled-purity alloys: one dominated by grain boundary carbides (600HT and CDTT) and one dominated by intragranular carbides (600LT and CDMA). CERT tests were conducted over a range of strain rates and at two temperatures with interruptions at specific strains to determine the crack depth distributions. Results show that in all samples, IGSCC was the dominant failure mode. For both the commercial alloy and the controlled-purity alloys, the microstructure with grain boundary carbides showed delayed crack initiation and shallower crack depths than did the intragranular carbide microstructure under all experimental conditions. This data indicates that a grain boundary carbide microstructure is more resistant to IGSCC than an intragranular carbide microstructure. Observations support both the film rupture/slip dissolution mechanism and enhanced localized plasticity. The advantage of these results over previous studies is that the different carbide distributions were obtained in the same commercial alloy using different heat treatments, and in the other case, in nearly identical controlled-purity alloys. Therefore, observations of the effects of carbide distribution on IGSCC can more confidently be attributed to the carbide distribution alone rather than other potentially significant differences in microstructure or composition

  16. Different target-discrimination times can be followed by the same saccade-initiation timing in different stimulus conditions during visual searches

    Science.gov (United States)

    Tanaka, Tomohiro; Nishida, Satoshi

    2015-01-01

    The neuronal processes that underlie visual searches can be divided into two stages: target discrimination and saccade preparation/generation. This predicts that the length of time of the prediscrimination stage varies according to the search difficulty across different stimulus conditions, whereas the length of the latter postdiscrimination stage is stimulus invariant. However, recent studies have suggested that the length of the postdiscrimination interval changes with different stimulus conditions. To address whether and how the visual stimulus affects determination of the postdiscrimination interval, we recorded single-neuron activity in the lateral intraparietal area (LIP) when monkeys (Macaca fuscata) performed a color-singleton search involving four stimulus conditions that differed regarding luminance (Bright vs. Dim) and target-distractor color similarity (Easy vs. Difficult). We specifically focused on comparing activities between the Bright-Difficult and Dim-Easy conditions, in which the visual stimuli were considerably different, but the mean reaction times were indistinguishable. This allowed us to examine the neuronal activity when the difference in the degree of search speed between different stimulus conditions was minimal. We found that not only prediscrimination but also postdiscrimination intervals varied across stimulus conditions: the postdiscrimination interval was longer in the Dim-Easy condition than in the Bright-Difficult condition. Further analysis revealed that the postdiscrimination interval might vary with stimulus luminance. A computer simulation using an accumulation-to-threshold model suggested that the luminance-related difference in visual response strength at discrimination time could be the cause of different postdiscrimination intervals. PMID:25995344

  17. Time to Treatment Initiation in People With Alzheimer Disease: A Meta-Analysis of Randomized Controlled Trials.

    Science.gov (United States)

    Tsoi, Kelvin K F; Hirai, Hoyee W; Chan, Joyce Y C; Kwok, Timothy C Y

    2016-01-01

    Alzheimer disease (AD) is a global health problem which afflicts millions of old age population worldwide. Acetylcholinesterase inhibitors and memantine are recognized drug treatments with limited clinical efficacy. It is uncertain if earlier initiation of these drugs will result in better outcomes in the longer term. To evaluate the benefit of early treatment among people with AD. Prospective randomized controlled trials were systematically searched from the OVID databases. The trials were eligible if study participants diagnosed with AD and were randomized to have early or late treatment. Any clinical assessment scales on cognitive function, physical function, behavioral problems, and the overall clinical status were the primary outcomes, and any reported adverse events were the secondary outcomes. Ten randomized trials were identified between 2000 and 2010. A total of 3092 participants with AD with mean age 75.8 years were randomly assigned to receive early treatment or treatment delayed by placebo intervention for around 6 months. Compared with late treatment, early AD drug treatment showed no significant benefit on cognitive function [mean difference (MD) of Alzheimer's Disease Assessment Scale- Cognitive Subscale = -0.49, 95% CI = -1.67 to 0.69], physical function (MD of Alzheimer's Disease Cooperative Study Activities of Daily Living Inventory = 0.47, 95% CI = -1.44 to 2.39), behavioral problems (MD of Neuropsychiatric Inventory = -0.26, 95% CI = -2.70 to 2.18), and clinical status (MD of Clinician's Interview-Based Impression of Change plus Caregiver Input = 0.02, 95% CI = -0.23 to 0.27). Nausea was the most common adverse events in acetylcholinesterase inhibitor users, while memantine did not result in more side effects than the placebo group. For both drugs, early treatment had comparable adverse events when compared with late treatment. Earlier AD drug treatment by around 6 months did not result in significant difference in cognitive function, physical

  18. Investigation into the Mpemba Effect: Variation in the Freezing Time of Water Dependent on Initial Temperature and Purity

    Science.gov (United States)

    Thvedt, Ingrid; Roseberry, Martha; Lehman, Susan

    2009-03-01

    The observation that hot water sometimes appears to freeze more quickly than cold water, known as the Mpemba effect, has generated vigorous debate. Prior research [1] into the Mpemba effect has resulted in conflicting results, due to a variety of observation techniques, multiple definitions of freezing, and different water treatments. To clarify the previous results, we have tested multiple types of water and improved the sample monitoring. During cooling and freezing, each 50 g water sample is continually monitored by three thermistors at different depths. Samples of tap, distilled, and nanopure water were heated, heated and cooled, or boiled before being frozen. We monitor the time to reach freezing, the duration of freezing, and the total time to reach -7^oC. We observe the Mpemba effect most consistently in the length of the freezing transition in tap water. Observations of temperature variation during freezing will also be presented. [1] See the review by M. Jeng, Am.J.Phys. 74 514 (2006).

  19. Factors Associated with Timing of Initiation of Antiretroviral Therapy among HIV-1 Infected Adults in the Niger Delta Region of Nigeria

    Science.gov (United States)

    Ogoina, Dimie

    2015-01-01

    Introduction Based on growing evidence mainly from countries outside Sub-Saharan Africa, the World Health Organisation (WHO) now recommends initiation of antiretroviral therapy (ART) in HIV-infected individuals in developing countries when CD4 cell count (CD4+) is ≤ 500cells/ul. Nigeria accounts for about 14% of the estimated HIV/AIDS burden in Sub-Saharan Africa. We evaluated the factors associated with timing of initiation of ART among treatment-ineligible HIV-infected adults from Nigeria. Methods We retrospectively reviewed the hospital records of ART ineligible HIV-infected adults who enrolled into HIV care between January 2008 and December 2012 at two major tertiary hospitals in Bayelsa State, South-South Nigeria. Demographic, clinical and laboratories data were obtained at presentation, at each subsequent visit at 6 monthly intervals and at time of initiation of ART. Cox proportional regression and Kaplan-Meier survival analysis were used to evaluate independent predictors of time to initiation of ART. Results Amongst the 280 study participants, 70.6% were females, 62.6% had CD4+ ≥500cells/ul, 48.4% had WHO HIV Stage 1 disease and 34.3% were lost to follow up. In a cohort of 180 participants followed up for ≥3months, participants with CD4+ of 351-500cells/ul and stage 2 disease were more likely to start ART earlier than those with CD4+ > 500cells/ul (Hazard ratio [HR]-1.7, 95% confidence interval [CI] of 1.0-2.9) and stage 1 disease (HR-2.3 (95% CI-1.3-4.2) respectively. HIV-infected adults with faster CD4+ decay required earlier ART initiation, especially in the first year of follow up. Conclusion ART-ineligible HIV-infected adults on follow up in South-South Nigeria are more likely to require earlier initiation of ART if they have stage 2 HIV disease or CD4+ ≤500cells/ul at presentation. Our findings suggest faster progression of HIV-disease in these groups of individuals and corroborate the growing evidence in support for earlier initiation of ART

  20. Breastfeeding Initiation and Duration in First-Time Mothers: Exploring the Impact of Father Involvement in the Early Post-Partum Period

    Directory of Open Access Journals (Sweden)

    Theresa Hunter

    2014-12-01

    Full Text Available Background: The early post-partum period is a crucial time for breastfeeding support. Mothers who have physical and emotional support during this period are more likely to be successful in breastfeeding. This study examined the relationship between father involvement and support for breast feeding initiation and duration in first-time mothers. Methods: Overall, 146 women who attended a childbirth education class or breastfeeding course at BABS were asked to fill out the Childbirth Experiences Survey, which explored key topics such as (1 breastfeeding initiation, (2 early post-partum breastfeeding, (3 breastfeeding plan, (4 post-partum breastfeeding support and (5 breast feeding duration. This was a voluntary self-reported questionnaire. The surveys were completed by the mothers during the post-partum period. Results: 45.9% (n=67 of mothers received helped from their husband or partner with breastfeeding while in the hospital, while 54.1% (n=79 of mothers did not receive support from their partners. Mothers who received early post-partum breastfeeding support were more likely to continue breastfeeding after leaving the hospital. Conclusion: First-time mothers who identified as having breastfeeding support from their partners, the infant’s father, during the early post-partum period were more likely to initiate breastfeeding and had longer breastfeeding durations.

  1. A real-time monitoring/emergency response workstation using a 3-D numerical model initialized with SODAR

    International Nuclear Information System (INIS)

    Lawver, B.S.; Sullivan, T.J.; Baskett, R.L.

    1993-01-01

    Many workstation based emergency response dispersion modeling systems provide simple Gaussian models driven by single meteorological tower inputs to estimate the downwind consequences from accidental spills or stack releases. Complex meteorological or terrain settings demand more sophisticated resolution of the three-dimensional structure of the atmosphere to reliably calculate plume dispersion. Mountain valleys and sea breeze flows are two common examples of such settings. To address these complexities, we have implemented the three-dimensional-diagnostic MATHEW mass-adjusted wind field and ADPIC particle-in-cell dispersion models on a workstation for use in real-time emergency response modeling. Both MATHEW and ADPIC have shown their utility in a variety of complex settings over the last 15 years within the Department of Energy's Atmospheric Release Advisory Capability project

  2. Prolonged Cerebral Circulation Time Is the Best Parameter for Predicting Vasospasm during Initial CT Perfusion in Subarachnoid Hemorrhagic Patients.

    Directory of Open Access Journals (Sweden)

    Chun Fu Lin

    Full Text Available We sought to imitate angiographic cerebral circulation time (CCT and create a similar index from baseline CT perfusion (CTP to better predict vasospasm in patients with subarachnoid hemorrhage (SAH.Forty-one SAH patients with available DSA and CTP were retrospectively included. The vasospasm group was comprised of patients with deterioration in conscious functioning and newly developed luminal narrowing; remaining cases were classified as the control group. The angiography CCT (XA-CCT was defined as the difference in TTP (time to peak between the selected arterial ROIs and the superior sagittal sinus (SSS. Four arterial ROIs were selected to generate four corresponding XA-CCTs: the right and left anterior cerebral arteries (XA-CCTRA2 and XA-CCTLA2 and right- and left-middle cerebral arteries (XA-CCTRM2 and XA-CCTLM2. The CCTs from CTP (CT-CCT were defined as the differences in TTP from the corresponding arterial ROIs and the SSS. Correlations of the different CCTs were calculated and diagnostic accuracy in predicting vasospasm was evaluated.Intra-class correlations ranged from 0.96 to 0.98. The correlations of XA-CCTRA2, XA-CCTRM2, XA-CCTLA2, and XA-CCTLM2 with the corresponding CT-CCTs were 0.64, 0.65, 0.53, and 0.68, respectively. All CCTs were significantly prolonged in the vasospasm group (5.8-6.4 s except for XA-CCTLA2. CT-CCTA2 of 5.62 was the optimal cut-off value for detecting vasospasm with a sensitivity of 84.2% and specificity 82.4.CT-CCTs can be used to interpret cerebral flow without deconvolution algorithms, and outperform both MTT and TTP in predicting vasospasm risk. This finding may help facilitate management of patients with SAH.

  3. Initial Demonstration of the Real-Time Safety Monitoring Framework for the National Airspace System Using Flight Data

    Science.gov (United States)

    Roychoudhury, Indranil; Daigle, Matthew; Goebel, Kai; Spirkovska, Lilly; Sankararaman, Shankar; Ossenfort, John; Kulkarni, Chetan; McDermott, William; Poll, Scott

    2016-01-01

    As new operational paradigms and additional aircraft are being introduced into the National Airspace System (NAS), maintaining safety in such a rapidly growing environment becomes more challenging. It is therefore desirable to have an automated framework to provide an overview of the current safety of the airspace at different levels of granularity, as well an understanding of how the state of the safety will evolve into the future given the anticipated flight plans, weather forecast, predicted health of assets in the airspace, and so on. Towards this end, as part of our earlier work, we formulated the Real-Time Safety Monitoring (RTSM) framework for monitoring and predicting the state of safety and to predict unsafe events. In our previous work, the RTSM framework was demonstrated in simulation on three different constructed scenarios. In this paper, we further develop the framework and demonstrate it on real flight data from multiple data sources. Specifically, the flight data is obtained through the Shadow Mode Assessment using Realistic Technologies for the National Airspace System (SMART-NAS) Testbed that serves as a central point of collection, integration, and access of information from these different data sources. By testing and evaluating using real-world scenarios, we may accelerate the acceptance of the RTSM framework towards deployment. In this paper we demonstrate the framework's capability to not only estimate the state of safety in the NAS, but predict the time and location of unsafe events such as a loss of separation between two aircraft, or an aircraft encountering convective weather. The experimental results highlight the capability of the approach, and the kind of information that can be provided to operators to improve their situational awareness in the context of safety.

  4. SCC propagation and cessation behavior near the fusion boundary of dissimilar weld joint with Ni-based weld metal and low alloy steel

    International Nuclear Information System (INIS)

    Ishizawa, Makoto; Abe, Hiroshi; Watanabe, Yutaka

    2009-01-01

    The purpose of this study is to investigate the following items focused on the microstructure near the fusion boundary of dissimilar weld joint with Ni-based weld metal and low alloy steel; (1) Microstructural characteristics near the fusion boundary, (2) Dominant factor that makes crack retardation near the fusion boundary. Main conclusions can be summarized as follows; (1) From the results of CBB tests, it has been understood that the low alloy steel has no SCC susceptibility and that there is a difference in oxidation behavior between high and low sulfur containing low alloy steel, (2) In Alloy182/LAS sample, most of crack tips were located at the fusion boundary. It has been thought that crack become less active when crack reach at fusion boundary, (3) It has been suggested that the dominant factor of crack retardation is low SCC susceptibility of low alloy steel in high temperature water. (author)

  5. Reported implementation lessons from a national quality improvement initiative; Productive Ward: Releasing Time to Care™. A qualitative, ward-based team perspective.

    Science.gov (United States)

    White, Mark; Butterworth, Tony; Wells, John S G

    2017-10-01

    To explore the experiences of participants involved in the implementation of the Productive Ward: Releasing Time to Care™ initiative in Ireland, identifying key implementation lessons. A large-scale quality improvement programme Productive Ward: Releasing Time to Care™ was introduced nationwide into Ireland in 2011. We captured accounts from ward-based teams in an implementation phase during 2013-14 to explore their experiences. Semi-structured, in-depth interviews with a purposive sample of 24 members of ward-based teams from nine sites involved in the second national phase of the initiative were conducted. Interviews were analysed and coded under themes, using a seven-stage iterative process. The predominant theme identified was associated with the implementation and management of the initiative and included: project management; training; preparation; information and communication; and participant's negative experiences. The most prominent challenge reported related to other competing clinical priorities. Despite the structured approach of Productive Ward: Releasing Time to Care™, it appears that overstretched and busy clinical environments struggle to provide the right climate and context for ward-based teams to engage and interact actively with quality improvement tools, methods and activities. Findings highlight five key aspects of implementation and management that will help facilitate successful adoption of large-scale, ward-based quality improvement programmes such as Productive Ward: Releasing Time to Care™. Utilising pre-existing implementation or quality frameworks to assess each ward/unit for 'readiness' prior to commencing a quality improvement intervention such as Productive Ward: Releasing Time to Care™ should be considered. © 2017 John Wiley & Sons Ltd.

  6. Effects of fluoride and aluminum on expressions of StAR and P450scc of related steroidogenesis in guinea pigs' testis.

    Science.gov (United States)

    Dong, Chunguang; Cao, Jinling; Cao, Chunfang; Han, Yichao; Wu, Shouyan; Wang, Shaolin; Wang, Jundong

    2016-03-01

    A lot of studies have shown that fluoride and aluminum have toxic effect on male reproductive system, but the mechanism of which and the interaction between fluoride and aluminum is still unknown. This study investigated the effects of fluoride (NaF) or/and aluminum (AlCl3) on serum testosterone level, gene and protein expression levels of Steroidogenic Acute Regulatory Protein (StAR) and Cytochrome P450 cholesterol side chain cleavage enzyme (P450scc) in the testes of guinea pigs. Fifty-two guinea pigs were divided randomly into four groups (Control, HiF, HiAl and HiF + HiAl). Fluoride (150 mg NaF/L) or/and aluminum (300 mg AlCl3/L) were orally administrated to male guinea pigs for 13 weeks. The results showed that F and Al reduced number and elevated abnormal ratio of sperm. Meanwhile, the concentrations of serum testosterone in all experimental groups were decreased. P450scc protein expression was significantly reduced in all treatment groups, and StAR expression was decreased remarkably in HiF group and HiF + HiAl group. The levels of StAR mRNA in three groups were reduced by 53.9%, 21.4% and 33.4%, respectively, while the expressions of P450scc mRNA were reduced by 67.8%, 17.0% and 47.8%. Therefore, we concluded that F induced the reduction in testosterone and sperm amount, and thus in lower fertility, which might occur as a consequence of depressed StAR and P450scc mRNA expression. There were no synergistic effects between F and Al, instead, Al weakened the toxicity of F to some extents. The results indicated that Al had antagonism effects on F. Copyright © 2015 Elsevier Ltd. All rights reserved.

  7. Effect of radiotherapy on serum SCC, CEA, CRFRA21-1, TAG72, CA199 and lymphocyte subsets in patients with esophageal squamous cell carcinoma

    Directory of Open Access Journals (Sweden)

    Sha Sha

    2016-09-01

    Full Text Available Objective: To study the effect of radiotherapy on serum SCC, CEA, CRFRA21-1, TAG72, CA199 and lymphocyte subsets in patients with esophageal squamous cell carcinoma. Methods: A total of 60 patients with esophageal squamous cell carcinoma in our hospital from January 2013 to January 2016 were selected as experiment group and 40 healthy subjects were selected as control group. Patients in experiment group were treated with 6MV X-ray radiation therapy. Serum SCC, CEA, CRFRA21-1, TAG72, CA199 and the cell percentage of peripheral blood CD4+, CD8+ were compared in control group and the experimental group before and after 1 month radiotherapy. Results: Before treatment, the levels of serum SCC, CEA and CRFRA21-1 in the experimental group were significantly higher than those in the control group (P0.05. Before treatment, the cell percentage of peripheral blood CD4+, CD8+ and the ratio of CD4+/CD8+ in experimental group was significantly lower than that of the control group, the percentage of peripheral blood CD8+ in the experimental group was significantly higher than that in the control group (P0.05, and in the experimental group, the proportion of CD4+ cells and the tatio of CD4+/CD8+ in peripheral blood was significantly lower than that of the control group, the proportion of CD8+ was significantly higher than that of the control group (P<0.05. Conclusions: Radiotherapy can significantly reduce the serum SCC, CEA, CRFRA21-1, TAG72 and CA199 levels of the patients with esophageal squamous cell carcinoma, but have less influence on the T lymphocyte subsets.

  8. Fisetin-induced apoptosis of human oral cancer SCC-4 cells through reactive oxygen species production, endoplasmic reticulum stress, caspase-, and mitochondria-dependent signaling pathways.

    Science.gov (United States)

    Su, Chen-Hsuan; Kuo, Chao-Lin; Lu, Kung-Wen; Yu, Fu-Shun; Ma, Yi-Shih; Yang, Jiun-Long; Chu, Yung-Lin; Chueh, Fu-Shin; Liu, Kuo-Ching; Chung, Jing-Gung

    2017-06-01

    Oral cancer is one of the cancer-related diseases in human populations and its incidence rates are rising worldwide. Fisetin, a flavonoid from natural products, has been shown to exhibit anticancer activities in many human cancer cell lines but the molecular mechanism of fisetin-induced apoptosis in human oral cancer cells is still unclear; thus, in this study, we investigated fisetin-induced cell death and associated signal pathways on human oral cancer SCC-4 cells in vitro. We examined cell morphological changes, total viable cells, and cell cycle distribution by phase contrast microscopy and flow cytometry assays. Reactive oxygen species (ROS), Ca 2+ , mitochondria membrane potential (ΔΨ m ), and caspase-8, -9, and -3 activities were also measured by flow cytometer. Results indicate that fisetin induced cell death through the cell morphological changes, caused G2/M phase arrest, induction of apoptosis, promoted ROS and Ca 2+ production, and decreased the level of ΔΨ m and increased caspase-3, -8, and -9 activities in SCC-4 cells. DAPI staining and DNA gel electrophoresis were also used to confirm fisetin-induced cell apoptosis in SCC-4 cells. Western blotting also found out that Fisetin increased the proapoptotic proteins such as Bax and Bid and decreased the antiapoptotic proteins such as Bcl-2. Furthermore, results also showed that Fisetin increased the cytochrome c, AIF, and Endo G release from mitochondria in SCC-4 cells. We also used ATF-6α, ATF-6β, GADD153, and GRP78 which indicated that fisetin induced cell death through ER stress. Based on those observations, we suggest that fisetin induced cell apoptosis through ER stress, mitochondria-, and caspase-dependent pathways. © 2017 Wiley Periodicals, Inc.

  9. Time-driven activity-based costing: a driver for provider engagement in costing activities and redesign initiatives.

    Science.gov (United States)

    McLaughlin, Nancy; Burke, Michael A; Setlur, Nisheeta P; Niedzwiecki, Douglas R; Kaplan, Alan L; Saigal, Christopher; Mahajan, Aman; Martin, Neil A; Kaplan, Robert S

    2014-11-01

    To date, health care providers have devoted significant efforts to improve performance regarding patient safety and quality of care. To address the lagging involvement of health care providers in the cost component of the value equation, UCLA Health piloted the implementation of time-driven activity-based costing (TDABC). Here, the authors describe the implementation experiment, share lessons learned across the care continuum, and report how TDABC has actively engaged health care providers in costing activities and care redesign. After the selection of pilots in neurosurgery and urology and the creation of the TDABC team, multidisciplinary process mapping sessions, capacity-cost calculations, and model integration were coordinated and offered to engage care providers at each phase. Reviewing the maps for the entire episode of care, varying types of personnel involved in the delivery of care were noted: 63 for the neurosurgery pilot and 61 for the urology pilot. The average cost capacities for care coordinators, nurses, residents, and faculty were $0.70 (range $0.63-$0.75), $1.55 (range $1.28-$2.04), $0.58 (range $0.56-$0.62), and $3.54 (range $2.29-$4.52), across both pilots. After calculating the costs for material, equipment, and space, the TDABC model enabled the linking of a specific step of the care cycle (who performed the step and its duration) and its associated costs. Both pilots identified important opportunities to redesign care delivery in a costconscious fashion. The experimentation and implementation phases of the TDABC model have succeeded in engaging health care providers in process assessment and costing activities. The TDABC model proved to be a catalyzing agent for cost-conscious care redesign.

  10. Carry-over effects of winter location contribute to variation in timing of nest initiation and clutch size in black brant (Branta bernicla nigricans)

    Science.gov (United States)

    Schamber, Jason L.; Sedinger, James S.; Ward, David H.

    2012-01-01

    We assessed carry-over effects from winter location on timing of nest initiation and clutch size of Black Brant (Branta bernicla nigricans) using observations of individually marked brant breeding at the Tutakoke River colony in Alaska, and wintering along a latitudinal gradient at three areas on the Pacific coast of Baja California: northernmost Bahia San Quintin (BSQ), Laguna Ojo de Liebre (LOL), and southernmost Laguna San Ignacio (LSI). Black Brant initiated nests according to a north—south trend in winter location, although year was a stronger predictor of initiation date than was wintering site. Female Black Brant that wintered at BSQ initiated nests 2.2 days earlier than females from LSI. Conversely, Black Brant showed only a weak south—north trend in clutch size; individuals from LSI laid slightly larger clutches than individuals from BSQ, probably because a smaller proportion of only high-quality females from the southernmost wintering area in Baja California were able to attain the nutritional condition necessary to breed. These results indicate that winter location can influence individual reproductive performance and, potentially, limit population growth of southern segments of the wintering Black Brant population.

  11. Degradation of self-compacting concrete (SCC) due to sulfuric acid attack: Experiment investigation on the effect of high volume fly ash content

    Science.gov (United States)

    Kristiawan, S. A.; Sunarmasto; Tyas, G. P.

    2016-02-01

    Concrete is susceptible to a variety of chemical attacks. In the sulfuric acid environment, concrete is subjected to a combination of sulfuric and acid attack. This research is aimed to investigate the degradation of self-compacting concrete (SCC) due to sulfuric acid attack based on measurement of compressive strength loss and diameter change. Since the proportion of SCC contains higher cement than that of normal concrete, the vulnerability of this concrete to sulfuric acid attack could be reduced by partial replacement of cement with fly ash at high volume level. The effect of high volume fly ash at 50-70% cement replacement levels on the extent of degradation owing to sulfuric acid will be assessed in this study. It can be shown that an increase in the utilization of fly ash to partially replace cement tends to reduce the degradation as confirmed by less compressive strength loss and diameter change. The effect of fly ash to reduce the degradation of SCC is more pronounced at a later age.

  12. Finite-Element Investigation of the Structural Behavior of Basalt Fiber Reinforced Polymer (BFRP- Reinforced Self-Compacting Concrete (SCC Decks Slabs in Thompson Bridge

    Directory of Open Access Journals (Sweden)

    Lingzhu Zhou

    2018-06-01

    Full Text Available The need for a sustainable development and improved whole life performance of concrete infrastructure has led to the requirement of more durable and sustainable concrete bridges alongside accurate predictive analysis tools. Using the combination of Self-Compacting Concrete (SCC with industrial by-products and fiber-reinforced polymer (FRP, reinforcement is anticipated to address the concerns of high carbon footprint and corrosion in traditional steel-reinforced concrete structures. This paper presents a numerical investigation of the structural behavior of basalt fiber-reinforced polymer (BFRP-reinforced SCC deck slabs in a real bridge, named Thompson Bridge, constructed in Northern Ireland, U.K. A non-linear finite element (FE model is proposed by using ABAQUS 6.10 in this study, which is aimed at extending the previous investigation of the field test in Thompson Bridge. The results of this field test were used to validate the accuracy of the proposed finite element model. The results showed good agreement between the test results and the numerical results; more importantly, the compressive membrane action (CMA inside the slabs could be well demonstrated by this FE model. Subsequently, a series of parametric studies was conducted to investigate the influence of different parameters on the structural performance of the deck slabs in Thompson Bridge. The results of the analyses are discussed, and conclusions on the behavior of the SCC deck slabs reinforced by BFRP bars are presented.

  13. Optimal timing of antiretroviral treatment initiation in HIV-positive children and adolescents: a multiregional analysis from Southern Africa, West Africa and Europe.

    Science.gov (United States)

    Schomaker, Michael; Leroy, Valeriane; Wolfs, Tom; Technau, Karl-Günter; Renner, Lorna; Judd, Ali; Sawry, Shobna; Amorissani-Folquet, Madeleine; Noguera-Julian, Antoni; Tanser, Frank; Eboua, François; Navarro, Maria Luisa; Chimbetete, Cleophas; Amani-Bosse, Clarisse; Warszawski, Josiane; Phiri, Sam; N'Gbeche, Sylvie; Cox, Vivian; Koueta, Fla; Giddy, Janet; Sygnaté-Sy, Haby; Raben, Dorthe; Chêne, Geneviève; Davies, Mary-Ann

    2017-04-01

    There is limited knowledge about the optimal timing of antiretroviral treatment initiation in older children and adolescents. A total of 20 576 antiretroviral treatment (ART)-naïve patients, aged 1-16 years at enrolment, from 19 cohorts in Europe, Southern Africa and West Africa, were included. We compared mortality and growth outcomes for different ART initiation criteria, aligned with previous and recent World Health Organization criteria, for 5 years of follow-up, adjusting for all measured baseline and time-dependent confounders using the g-formula. Median (1st;3rd percentile) CD4 count at baseline was 676 cells/mm 3 (394; 1037) (children aged ≥ 1 and 10 years at enrolment we did not find any difference in mortality or growth with immediate ART initiation, with estimated differences of -0.1% (-0.2%; 0.6%) and -0.03 (-0.05; 0.00), respectively. Growth differences in children aged < 10 years persisted for treatment thresholds using higher CD4 values. Regular follow-up led to better height and mortality outcomes. Immediate ART is associated with lower mortality and better growth for up to 5 years in children < 10 years old. Our results on adolescents were inconclusive. © The Author 2016; all rights reserved. Published by Oxford University Press on behalf of the International Epidemiological Association

  14. Timing of volcanism and initiation of rifting in the Omo-Turkana depression, southwest Ethiopia: Evidence from paleomagnetism

    Science.gov (United States)

    Erbello, Asfaw; Kidane, Tesfaye

    2018-03-01

    Lava flows of the Gombe Group basalt cover the base of the Omo-Turkana rift in southwestern Ethiopia and northern Kenya. Paleomagnetic study results on these basalts are integrated with previous geochronologic data to better constrain the timing of volcanism and rifting in the area. A total of 80 drilled core samples were collected from nine sites. Experimental methods of Alternating Field (AF) demagnetization, Thermal (TH) demagnetization and Isothermal Remanent Magnetization (IRM) experiments are performed to unravel components of magnetizations. Two components of Natural Remnant Magnetization (NRM) directions are identified; the first one considered as Viscous Remanent Magnetization (VRM) is removed by 5-25 mT AF or a temperature of 120 °C-250 °C, the second component isolated after these steps defined a straight-line segment directed towards the origin and is interpreted as the Characteristic Remanent Magnetization (ChRM). In the IRM Acquisition experiment all analyzed samples showed a sharp rise in acquisition and reached to their saturation magnetization by an applied field of 300 mT. This together with the AF demagnetization and TH demagnetization behaviors suggest pseudo single domain titanomagnetite as a dominant magnetic carrier of the remanence. From a total of nine sites, six sites are reversed polarity, two sites are normal polarity and pass the reversal test of McFadden and McElhinny (1990) while one site is of erratic behavior probably due to lightning strike. The mean direction for the reversed polarity is DS = 186.1°, IS = -1.9° (N = 2, KS = 38.8, α95 = 10.9°) and that for the normal polarity is DS = 348.4°, IS = 4.6° (N = 6, K = 378.9, α95 = 12.9°). The overall mean direction DS = 1.7°, IS = 2.6° (N = 8, KS = 34.2, α95 = 9.6°), is statistically identical to the expected mean direction Ds = 2.1°, Is = 7.8° (N = 26, α95 = 2.3) obtained from the African Apparent Polar Waner Path (APWP) curve of African plate for a mean age of 4.25 Ma

  15. Time to and Predictors of CD4+ T-Lymphocytes Recovery in HIV-Infected Children Initiating Highly Active Antiretroviral Therapy in Ghana

    Directory of Open Access Journals (Sweden)

    Lorna Renner

    2011-01-01

    Full Text Available Background. CD4+ T-lymphocyte monitoring is not routinely available in most resource-limited settings. We investigated predictors of time to CD4+ T-lymphocyte recovery in HIV-infected children on highly active antiretroviral (HAART at Korle-Bu Teaching Hospital, Ghana. Methods. Time to CD4+ T-lymphocyte recovery was defined as achieving percent CD4+ T-lymphocytes of 25%. We used Cox proportional hazard models for identifying significant predictor variables. Results. Of the 233 children with complete CD4+ T-lymphocyte data, the mean age at HAART initiation was 5.5 (SD=3.1 years. The median recovery time was 60 weeks (95% CL: 55–65. Evidence at baseline of severe suppression in CD4+ T-lymphocyte count adjusted for age, age at HAART initiation, gender, and having parents alive were statistically significant in predicting time to CD4+ T-lymphocyte recovery. Conclusions. A targeted approach based on predictors of CD4+ T-lymphocyte recovery can be a viable and cost-effective way of monitoring HAART in HIV-infected children in resource-limited settings.

  16. Impact of time of initiation of once-monthly paliperidone palmitate in hospitalized Asian patients with acute exacerbation of schizophrenia: a post hoc analysis from the PREVAIL study.

    Science.gov (United States)

    Li, Huafang; Li, Yan; Feng, Yu; Zhuo, Jianmin; Turkoz, Ibrahim; Mathews, Maju; Tan, Wilson

    2018-01-01

    To evaluate the differences in efficacy and safety outcomes in acute exacerbating schizophrenia patients between 2 subgroups (≤1 week and >1 week), differing in time interval from hospitalization to time of initiation of once-monthly paliperidone palmitate. PREVAIL was a multicenter, single-arm, open-label, prospective Phase IV study in hospitalized Asian patients (either sex, aged 18-65 years) diagnosed with schizophrenia ( Diagnostic and Statistical Manual of Mental Disorders , Fourth Edition). Change from baseline to week 13 in primary (Positive and Negative Syndrome Scale [PANSS] total score), secondary endpoints (PANSS responder rate, PANSS subscale, PANSS Marder factor, Clinical Global Impression-Severity, and Personal and Social Performance scale scores, readiness for hospital discharge questionnaire) and safety were assessed in this post hoc analysis. Significant mean reduction from baseline to week 13 in the PANSS total score, 30% PANSS responder rates ( P ≤0.01), PANSS subscales (positive and general psychopathology; all P ≤0.01), PANSS Marder factor (positive symptoms, uncontrolled hostility, and excitement and anxiety/depression; all P ≤0.01), Personal and Social Performance scale scores ( P ≤0.05) and Clinical Global Impression-Severity categorical summary ( P ≤0.05) were significantly greater in the ≤1 week subgroup versus >1 week subgroup ( P ≤0.05). The readiness for hospital discharge questionnaire improved over time for the overall study population, but remained similar between subgroups at all-time points. Treatment-emergent adverse events were similar between the subgroups. Early initiation of once-monthly paliperidone palmitate in hospitalized patients with acute exacerbation of schizophrenia led to greater improvements in psychotic symptoms with comparable safety than treatment initiation following 1 week of hospitalization.

  17. Optimal timing of viral load monitoring during pregnancy to predict viraemia at delivery in HIV-infected women initiating ART in South Africa: a simulation study.

    Science.gov (United States)

    Lesosky, Maia; Glass, Tracy; Mukonda, Elton; Hsiao, Nei-Yuan; Abrams, Elaine J; Myer, Landon

    2017-11-01

    HIV viral load (VL) monitoring is a central tool to evaluate ART effectiveness and transmission risk. There is a global movement to expand VL monitoring following recent recommendations from the World Health Organization (WHO), but there has been little research into VL monitoring in pregnant women. We investigated one important question in this area: when and how frequently VL should be monitored in women initiating ART during pregnancy to predict VL at the time of delivery in a simulated South African population. We developed a mathematical model simulating VL from conception through delivery using VL data from the Maternal and Child Health - Antiretroviral Therapy (MCH-ART) cohort. VL was modelled based on three major compartments: pre-ART VL, viral decay immediately after ART initiation and viral maintenance (including viral suppression and viraemic episodes). Using this simulation, we examined the performance of various VL monitoring schema in predicting elevated VL at delivery. If WHO guidelines for non-pregnant adults were used, the majority of HIV-infected pregnant women (69%) would not receive a VL test during pregnancy. Most models that based VL monitoring in pregnancy on the time elapsed since ART initiation (regardless of gestation) performed poorly (sensitivity pregnancy on the woman's gestation (regardless of time on ART) appeared to perform better overall (sensitivity >60%). Across all permutations, inclusion of pre-ART VL values had a negligible impact on predictive performance (improving test sensitivity and specificity pregnancy, supporting better integration of maternal and HIV health services. Testing turnaround times require careful consideration, and point-of-care VL testing may be the best approach for measuring VL at delivery. Broadening the scope of this simulation model in the light of current scale up of VL monitoring in high burden countries is important. © 2017 The Authors. Journal of the International AIDS Society published by John

  18. U-curve association between timing of renal replacement therapy initiation and in-hospital mortality in postoperative acute kidney injury.

    Directory of Open Access Journals (Sweden)

    Chih-Chung Shiao

    Full Text Available BACKGROUND: Postoperative acute kidney injury (AKI is associated with poor outcomes in surgical patients. This study aims to evaluate whether the timing of renal replacement therapy (RRT initiation affects the in-hospital mortality of patients with postoperative AKI. METHODOLOGY: This multicenter retrospective observational study, which was conducted in the intensive care units (ICUs in a tertiary hospital (National Taiwan University Hospital and its branch hospitals in Taiwan between January, 2002, and April, 2009, included adult patients with postoperative AKI who underwent RRT for predefined indications. The demographic data, comorbid diseases, types of surgery and RRT, and the indications for RRT were documented. Patients were categorized according to the period of time between the ICU admission and RRT initiation as the early (EG, ≦1 day, intermediate (IG, 2-3 days, and late (LG, ≧4 days groups. The in-hospital mortality rate censored at 180 day was defined as the endpoint. RESULTS: Six hundred forty-eight patients (418 men, mean age 63.0±15.9 years were enrolled, and 379 patients (58.5% died during the hospitalization. Both the estimated probability of death and the in-hospital mortality rates of the three groups represented U-curves. According to the Cox proportional hazard method, LG (hazard ratio, 1.527; 95% confidence interval, 1.152-2.024; P = 0.003, compared with IG group, age (1.014; 1.006-1.021, diabetes (1.279; 1.022-1.601; P = 0.031, cirrhosis (2.147; 1.421-3.242, extracorporeal membrane oxygenation support (1.811; 1.391-2.359, initial neurological dysfunction (1.448; 1.107-1.894; P = 0.007, pre-RRT mean arterial pressure (0.988; 0.981-0.995, inotropic equivalent (1.006; 1.001-1.012; P = 0.013, APACHE II scores (1.055; 1.037-1.073, and sepsis (1.939; 1.536-2.449 were independent predictors of the in-hospital mortality (All P<0.001 except otherwise stated. CONCLUSIONS: The current study found a U

  19. Feasible Initial Population with Genetic Diversity for a Population-Based Algorithm Applied to the Vehicle Routing Problem with Time Windows

    Directory of Open Access Journals (Sweden)

    Marco Antonio Cruz-Chávez

    2016-01-01

    Full Text Available A stochastic algorithm for obtaining feasible initial populations to the Vehicle Routing Problem with Time Windows is presented. The theoretical formulation for the Vehicle Routing Problem with Time Windows is explained. The proposed method is primarily divided into a clustering algorithm and a two-phase algorithm. The first step is the application of a modified k-means clustering algorithm which is proposed in this paper. The two-phase algorithm evaluates a partial solution to transform it into a feasible individual. The two-phase algorithm consists of a hybridization of four kinds of insertions which interact randomly to obtain feasible individuals. It has been proven that different kinds of insertions impact the diversity among individuals in initial populations, which is crucial for population-based algorithm behavior. A modification to the Hamming distance method is applied to the populations generated for the Vehicle Routing Problem with Time Windows to evaluate their diversity. Experimental tests were performed based on the Solomon benchmarking. Experimental results show that the proposed method facilitates generation of highly diverse populations, which vary according to the type and distribution of the instances.

  20. Posterior Tracheopexy for Severe Tracheomalacia Associated with Esophageal Atresia (EA: Primary Treatment at the Time of Initial EA Repair versus Secondary Treatment

    Directory of Open Access Journals (Sweden)

    Hester F. Shieh

    2018-01-01

    Full Text Available PurposeWe review outcomes of posterior tracheopexy for tracheomalacia in esophageal atresia (EA patients, comparing primary treatment at the time of initial EA repair versus secondary treatment.MethodsAll EA patients who underwent posterior tracheopexy from October 2012 to September 2016 were retrospectively reviewed. Clinical symptoms, tracheomalacia scores, and persistent airway intrusion were collected. Indication for posterior tracheopexy was the presence of clinical symptoms, in combination with severe tracheomalacia as identified on bronchoscopic evaluation, typically defined as coaptation in one or more regions of the trachea. Secondary cases were usually those with chronic respiratory symptoms who underwent bronchoscopic evaluation, whereas primary cases were those found to have severe tracheomalacia on routine preoperative dynamic tracheobronchoscopy at the time of initial EA repair.ResultsA total of 118 patients underwent posterior tracheopexy: 18 (15% primary versus 100 (85% secondary cases. Median (interquartile range age was 2 months (1–4 months for primary (22% type C and 18 months (8–40 months for secondary (87% type C cases (p < 0.001. There were statistically significant improvements in most clinical symptoms postoperatively for primary and secondary cases, with no significant differences in any postoperative symptoms between the two groups (p > 0.1. Total tracheomalacia scores improved significantly in primary (p = 0.013 and secondary (p < 0.001 cases. Multivariable Cox regression analysis indicated no differences in persistent airway intrusion requiring reoperation between primary and secondary tracheopexy adjusting for imbalances in age and EA type (p = 0.67.ConclusionPosterior tracheopexy is effective in treating severe tracheomalacia with significant improvements in clinical symptoms and degree of airway collapse on bronchoscopy. With no significant differences in outcomes between primary and

  1. Finding time for KPI initiatives.

    Science.gov (United States)

    Wolfskill, Sandra J

    2007-12-01

    To develop a KPI reporting program for your revenue cycle, strategies for success include: carefully forming a small team to develop and report KPIs; targeting a maximum of two new, significant financial KPIs and two process KPIs per segment of the revenue cycle every six to 12 months; ensuring that the KPIs reported answer critical questions about revenue cycle performance; regularly sharing KPI results with staff.

  2. Optimal timing of initiation of oral P2Y12-receptor antagonist therapy in patients with non-ST elevation acute coronary syndromes

    DEFF Research Database (Denmark)

    Zeymer, Uwe; Montalescot, Gilles; Ardissino, Diego

    2016-01-01

    The optimal time-point of the initiation of P2Y12 antagonist therapy in patients with non-ST elevation acute coronary syndromes (NTSE-ACS) is still a matter of debate. European guidelines recommend P2Y12 as soon as possible after first medical contact. However, the only trial which compared the two...... strategies did not demonstrate any benefit of pre-treatment with prasugrel before angiography compared to starting therapy after angiography and just prior to percutaneous coronary intervention (PCI). This paper summarizes the results of pharmacodynamic and previous studies, and gives recommendations...

  3. Impact of time of initiation of once-monthly paliperidone palmitate in hospitalized Asian patients with acute exacerbation of schizophrenia: a post hoc analysis from the PREVAIL study

    Directory of Open Access Journals (Sweden)

    Li H

    2018-04-01

    Full Text Available Huafang Li,1,2 Yan Li,1,2 Yu Feng,3 Jianmin Zhuo,4 Ibrahim Turkoz,5 Maju Mathews,5 Wilson Tan3 1Shanghai Mental Health Centre, Shanghai Jiao Tong University School of Medicine, Shanghai, China; 2Shanghai Key Laboratory of Psychotic Disorders, Shanghai, China; 3Janssen Pharmaceutical Companies of Johnson and Johnson, Singapore; 4Janssen China Research and Development, Shanghai, China; 5Janssen Research & Development LLC, Titusville, NJ, USA Purpose: To evaluate the differences in efficacy and safety outcomes in acute exacerbating schizophrenia patients between 2 subgroups (≤1 week and >1 week, differing in time interval from hospitalization to time of initiation of once-monthly paliperidone palmitate. Patients and methods: PREVAIL was a multicenter, single-arm, open-label, prospective Phase IV study in hospitalized Asian patients (either sex, aged 18–65 years diagnosed with schizophrenia (Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition. Change from baseline to week 13 in primary (Positive and Negative Syndrome Scale [PANSS] total score, secondary endpoints (PANSS responder rate, PANSS subscale, PANSS Marder factor, Clinical Global Impression-Severity, and Personal and Social Performance scale scores, readiness for hospital discharge questionnaire and safety were assessed in this post hoc analysis. Results: Significant mean reduction from baseline to week 13 in the PANSS total score, 30% PANSS responder rates (P≤0.01, PANSS subscales (positive and general psychopathology; all P≤0.01, PANSS Marder factor (positive symptoms, uncontrolled hostility, and excitement and anxiety/depression; all P≤0.01, Personal and Social Performance scale scores (P≤0.05 and Clinical Global Impression-Severity categorical summary (P≤0.05 were significantly greater in the ≤1 week subgroup versus >1 week subgroup (P≤0.05. The readiness for hospital discharge questionnaire improved over time for the overall study population, but

  4. A general formulation of discrete-time quantum mechanics: Restrictions on the action and the relation of unitarity to the existence theorem for initial-value problems

    International Nuclear Information System (INIS)

    Khorrami, M.

    1995-01-01

    A general formulation for discrete-time quantum mechanics, based on Feynman's method in ordinary quantum mechanics, is presented. It is shown that the ambiguities present in ordinary quantum mechanics (due to noncommutativity of the operators), are no longer present here. Then the criteria for the unitarity of the evolution operator are examined. It is shown that the unitarity of the evolution operator puts restrictions on the form of the action, and also implies the existence of a solution for the classical initial-value problem. 13 refs

  5. Whittling Down the Wait Time: Exploring Models to Minimize the Delay from Initial Concern to Diagnosis and Treatment of Autism Spectrum Disorder.

    Science.gov (United States)

    Gordon-Lipkin, Eliza; Foster, Jessica; Peacock, Georgina

    2016-10-01

    The process from initial concerns to diagnosis of autism spectrum disorder (ASD) can be a long and complicated process. The traditional model for evaluation and diagnosis of ASD often consists of long wait-lists and evaluations that result in a 2-year difference between the earliest signs of ASD and mean age of diagnosis. Multiple factors contribute to this diagnostic bottleneck, including time-consuming evaluations, cost of care, lack of providers, and lack of comfort of primary care providers to diagnose autism. This article explores innovative clinical models that have been implemented to address this as well as future directions and opportunities. Copyright © 2016 Elsevier Inc. All rights reserved.

  6. Travel-time Tomography of the Upper Mantle using Amphibious Array Seismic Data from the Cascadia Initiative and EarthScope

    Science.gov (United States)

    Cafferky, S.; Schmandt, B.

    2013-12-01

    Offshore and onshore broadband seismic data from the Cascadia Initiative and EarthScope provide a unique opportunity to image 3-D mantle structure continuously from a spreading ridge across a subduction zone and into continental back-arc provinces. Year one data from the Cascadia Initiative primarily covers the northern half of the Juan de Fuca plate and the Cascadia forearc and arc provinces. These new data are used in concert with previously collected onshore data for a travel-time tomography investigation of mantle structure. Measurement of relative teleseismic P travel times for land-based and ocean-bottom stations operating during year one was completed for 16 events using waveform cross-correlation, after bandpass filtering the data from 0.05 - 0.1 Hz with a second order Butterworth filter. Maps of travel-time delays show changing patterns with event azimuth suggesting that structural variations exist beneath the oceanic plate. The data from year one and prior onshore travel time measurements were used in a tomographic inversion for 3-D mantle P-velocity structure. Inversions conducted to date use ray paths determined by a 1-D velocity model. By meeting time we plan to present models using ray paths that are iteratively updated to account for 3-D structure. Additionally, we are testing the importance of corrections for sediment and crust thickness on imaging of mantle structure near the subduction zone. Low-velocities beneath the Juan de Fuca slab that were previously suggested by onshore data are further supported by our preliminary tomographic inversions using the amphibious array data.

  7. Real-time three-dimensional color doppler evaluation of the flow convergence zone for quantification of mitral regurgitation: Validation experimental animal study and initial clinical experience

    Science.gov (United States)

    Sitges, Marta; Jones, Michael; Shiota, Takahiro; Qin, Jian Xin; Tsujino, Hiroyuki; Bauer, Fabrice; Kim, Yong Jin; Agler, Deborah A.; Cardon, Lisa A.; Zetts, Arthur D.; hide

    2003-01-01

    BACKGROUND: Pitfalls of the flow convergence (FC) method, including 2-dimensional imaging of the 3-dimensional (3D) geometry of the FC surface, can lead to erroneous quantification of mitral regurgitation (MR). This limitation may be mitigated by the use of real-time 3D color Doppler echocardiography (CE). Our objective was to validate a real-time 3D navigation method for MR quantification. METHODS: In 12 sheep with surgically induced chronic MR, 37 different hemodynamic conditions were studied with real-time 3DCE. Using real-time 3D navigation, the radius of the largest hemispherical FC zone was located and measured. MR volume was quantified according to the FC method after observing the shape of FC in 3D space. Aortic and mitral electromagnetic flow probes and meters were balanced against each other to determine reference MR volume. As an initial clinical application study, 22 patients with chronic MR were also studied with this real-time 3DCE-FC method. Left ventricular (LV) outflow tract automated cardiac flow measurement (Toshiba Corp, Tokyo, Japan) and real-time 3D LV stroke volume were used to quantify the reference MR volume (MR volume = 3DLV stroke volume - automated cardiac flow measurement). RESULTS: In the sheep model, a good correlation and agreement was seen between MR volume by real-time 3DCE and electromagnetic (y = 0.77x + 1.48, r = 0.87, P time 3DCE-derived MR volume also showed a good correlation and agreement with the reference method (y = 0.89x - 0.38, r = 0.93, P time 3DCE can capture the entire FC image, permitting geometrical recognition of the FC zone geometry and reliable MR quantification.

  8. Study of the initial stages of oxidation of stainless steels in high temperature water; Etude des premiers stades d'oxydation d'alliages inoxydables dans l'eau a haute temperature

    Energy Technology Data Exchange (ETDEWEB)

    Machet, A

    2004-06-15

    Steam Generator tubes (alloys 600, 690 and 800) are protected against corrosion by an oxide layer. The release of corrosion products into the primary water of the Pressurised Water Reactor is limited by this layer. Activation of these products increases the radioactivity. Breakdown of the passive film can lead to Stress Corrosion Cracking (SCC). The aim of this study is to understand the early stages of passivation of these alloys, in high temperature and high pressure water. A new micro-autoclave was developed to achieve short time exposures (from several seconds to 10 minutes). The surfaces were characterised by XPS, NRA, STM and SEM and a kinetic model is proposed for the alloy 600. Longer oxidation times were studied (up to 400 hours). The kinetics obtained for short time oxidations were used to fit the long oxidation time behaviour. This reveals that the initial stages of oxidation are essential in the passive films growth in such conditions. (author)

  9. Effect of resistivity profile on current decay time of initial phase of current quench in neon-gas-puff inducing disruptions of JT-60U

    Energy Technology Data Exchange (ETDEWEB)

    Kawakami, S.; Ohno, N. [Graduate School of Engineering, Nagoya University, Nagoya 464-8603 (Japan); Shibata, Y.; Isayama, A.; Kawano, Y. [Japan Atomic Energy Agency, Naka 311-0193 (Japan); Watanabe, K. Y. [Graduate School of Engineering, Nagoya University, Nagoya 464-8603 (Japan); National Institute for Fusion Science, Toki 509-5292 (Japan); Takizuka, T. [Graduate School of Engineering, Osaka University, Suita 565-0871 (Japan); Okamoto, M. [Ishikawa National College of Technology, Ishikawa 929-0392 (Japan)

    2013-11-15

    According to an early work [Y. Shibata et al., Nucl. Fusion 50, 025015 (2010)] on the behavior of the plasma current decay in the JT-60U disruptive discharges caused by the radiative collapse with a massive neon-gas-puff, the increase of the internal inductance mainly determined the current decay time of plasma current during the initial phase of current quench. To investigate what determines the increase of the internal inductance, we focus attention on the relationship between the electron temperature (or the resistivity) profile and the time evolution of the current density profile and carry out numerical calculations. As a result, we find the reason of the increase of the internal inductance: The current density profile at the start of the current quench is broader than an expected current density profile in the steady state, which is determined by the temperature (or resistivity) profile. The current density profile evolves into peaked one and the internal inductance is increasing.

  10. Determinants of durability of first-line antiretroviral therapy regimen and time from first-line failure to second-line antiretroviral therapy initiation

    DEFF Research Database (Denmark)

    Desmonde, Sophie; Eboua, François T; Malateste, Karen

    2015-01-01

    BACKGROUND: We described reasons for switching to second-line antiretroviral treatment (ART) and time to switch in HIV-infected children failing first-line ART in West Africa. METHODS: We included all children aged 15 years or less, starting ART (at least three drugs) in the paediatric Ie...... post-ART initiation, 188 (7%) had switched to second-line. The most frequent reasons were drug stock outs (20%), toxicity (18%), treatment failure (16%) and poor adherence (8%). Over the 24-month follow-up period, 322 (12%) children failed first-line ART after a median time of 7 months...... rare and switches after an immunological failure were insufficient. These gaps reveal that it is crucial to advocate for both sustainable access to first-line and alternative regimens to provide adequate roll-out of paediatric ART programmes....

  11. Initial clinical experience with a 64-MDCT whole-body scanner in an emergency department: better time management and diagnostic quality?

    Science.gov (United States)

    Rieger, Michael; Czermak, Benedikt; El Attal, Rene; Sumann, Günther; Jaschke, Werner; Freund, Martin

    2009-03-01

    The objective of this study was to assess time management and diagnostic quality when using a 64-multidetector-row computed tomography (MDCT) whole-body scanner to evaluate polytraumatized patients in an emergency department. Eighty-eight consecutive polytraumatized patients with injury severity score (ISS) > or = 18 (mean ISS = 29) were included in this study. Documented and evaluated data were crash history, trauma mechanism, number and pattern of injuries, injury severity, diagnostics, time flow, and missed diagnoses. Data were stored in our hospital information system. Seven time intervals were evaluated. In particular, attention was paid to the "acquisition interval," the "reformatting and evaluation time" as well as the "CT time" (time from CT start to preliminary diagnosis). A standardized whole-body CT was performed. The acquired CT data together with automatically generated multiplanar reformatted images ("direct MPR") were transferred to a 3D rendering workstation. Diagnostic quality was determined on the basis of missed diagnoses. Head-to-toe scout images were possible because volume coverage was up to 2 m. Experienced radiologists at an affiliated workstation performed radiologic evaluation of the acquired datasets immediately after acquisition. The "acquisition interval" was 12 minutes +/- 4.9 minutes, the "reformatting and evaluation interval" 7.0 minutes +/- 2.1 minutes, and the "CT time" 19 minutes +/- 6.1 minutes. Altogether, 7 of 486 lesions were recognized but not communicated in the "reformatting and evaluation interval", and 10 injuries were initially missed and detected during follow-up. This study indicates that 64-MDCT saves time, especially in the "reformatting and evaluation interval." Diagnostic quality is high, as reflected by the small number of missed diagnoses.

  12. Timing differences in the generation of ground reaction forces between the initial and secondary landing phases of the drop vertical jump ☆

    Science.gov (United States)

    Bates, Nathaniel A.; Ford, Kevin R.; Myer, Gregory D.; Hewett, Timothy E.

    2014-01-01

    Background Rapid impulse loads imparted on the lower extremity from ground contact when landing from a jump may contribute to ACL injury prevalence in female athletes. The drop jump and drop landing tasks enacted in the first and second landings of drop vertical jumps, respectively, have been shown to elicit separate neuromechanical responses. We examined the first and second landings of a drop vertical jump for differences in landing phase duration, time to peak force, and rate of force development. Methods 239 adolescent female basketball players completed drop vertical jumps from an initial height of 31 cm. In-ground force platforms and a three dimensional motion capture system recorded force and positional data for each trial. Findings Between the first and second landing, rate of force development experienced no change (P > 0.62), landing phase duration decreased (P = 0.01), and time to peak ground reaction force increased (P 0.12). Interpretation The current results have important implications for the future assessment of ACL injury risk behaviors. Rate of force development remained unchanged between first and second landings from equivalent fall height, while time to peak reaction force increased during the second landing. Neither factor was dependent on the total time duration of landing phase, which decreased during the second landing. Shorter time to peak force may increase ligament strain and better represent the abrupt joint loading that is associated with ACL injury risk. PMID:23899938

  13. Timing differences in the generation of ground reaction forces between the initial and secondary landing phases of the drop vertical jump.

    Science.gov (United States)

    Bates, Nathaniel A; Ford, Kevin R; Myer, Gregory D; Hewett, Timothy E

    2013-08-01

    Rapid impulse loads imparted on the lower extremity from ground contact when landing from a jump may contribute to ACL injury prevalence in female athletes. The drop jump and drop landing tasks enacted in the first and second landings of drop vertical jumps, respectively, have been shown to elicit separate neuromechanical responses. We examined the first and second landings of a drop vertical jump for differences in landing phase duration, time to peak force, and rate of force development. 239 adolescent female basketball players completed drop vertical jumps from an initial height of 31cm. In-ground force platforms and a three dimensional motion capture system recorded force and positional data for each trial. Between the first and second landing, rate of force development experienced no change (P>0.62), landing phase duration decreased (P=0.01), and time to peak ground reaction force increased (P0.12). The current results have important implications for the future assessment of ACL injury risk behaviors. Rate of force development remained unchanged between first and second landings from equivalent fall height, while time to peak reaction force increased during the second landing. Neither factor was dependent on the total time duration of landing phase, which decreased during the second landing. Shorter time to peak force may increase ligament strain and better represent the abrupt joint loading that is associated with ACL injury risk. © 2013.

  14. Voice Onset Time for the Word-Initial Voiceless Consonant /t/ in Japanese Spasmodic Dysphonia-A Comparison With Normal Controls.

    Science.gov (United States)

    Yanagida, Saori; Nishizawa, Noriko; Mizoguchi, Kenji; Hatakeyama, Hiromitsu; Fukuda, Satoshi

    2015-07-01

    Voice onset time (VOT) for word-initial voiceless consonants in adductor spasmodic dysphonia (ADSD) and abductor spasmodic dysphonia (ABSD) patients were measured to determine (1) which acoustic measures differed from the controls and (2) whether acoustic measures were related to the pause or silence between the test word and the preceding word. Forty-eight patients with ADSD and nine patients with ABSD, as well as 20 matched normal controls read a story in which the word "taiyo" (the sun) was repeated three times, each differentiated by the position of the word in the sentence. The target of measurement was the VOT for the word-initial voiceless consonant /t/. When the target syllable appeared in a sentence following a comma, or at the beginning of a sentence following a period, the ABSD patients' VOTs were significantly longer than those of the ADSD patients and controls. Abnormal prolongation of the VOTs was related to the pause or silence between the test word and the preceding word. VOTs in spasmodic dysphonia (SD) may vary according to the SD subtype or speaking conditions. VOT measurement was suggested to be a useful method for quantifying voice symptoms in SD. Copyright © 2015 The Voice Foundation. Published by Elsevier Inc. All rights reserved.

  15. RETURN OF THE KING: TIME-SERIES PHOTOMETRY OF FO AQUARII’S INITIAL RECOVERY FROM ITS UNPRECEDENTED 2016 LOW STATE

    Energy Technology Data Exchange (ETDEWEB)

    Littlefield, Colin; Garnavich, Peter; Kennedy, Mark R.; Aadland, Erin [Department of Physics, University of Notre Dame, Notre Dame, IN (United States); Terndrup, Donald M.; Calhoun, Grace V.; Holoien, Thomas [Department of Astronomy, The Ohio State University, Columbus, Ohio (United States); Callanan, Paul [Department of Physics, University College Cork, Cork (Ireland); Abe, Lyu; Bendjoya, Philippe; Rivet, Jean-Pierre; Vernet, David; Devogèle, Maxime [Université Côte d’Azur, OCA, CNRS, Laboratoire Lagrange, Nice (France); Shappee, Benjamin [Carnegie Observatories, 813 Santa Barbara Street, Pasadena, CA 91101 (United States); Heras, Teófilo Arranz [Observatorio Las Pegueras de Navas de Oro (Segovia) (Spain); Bonnardeau, Michel [MBCAA Observatory, Le Pavillon, F-38930 Lalley (France); Cook, Michael [AAVSO, Newcastle Observatory, Newcastle, Ontario (Canada); Coulter, Daniel [Department of Physics and Astronomy, Michigan State University, East Lansing, MI (United States); Debackère, André [LCOGT, Monistrol sur Loire (France); Dvorak, Shawn [AAVSO, Rolling Hill Observatory, Lake County, Florida (United States); and others

    2016-12-10

    In 2016 May, the intermediate polar FO Aqr was detected in a low state for the first time in its observational history. We report time-resolved photometry of the system during its initial recovery from this faint state. Our data, which includes high-speed photometry with cadences of just 2 s, show the existence of very strong periodicities at 22.5 and 11.26 minutes, equivalent to the spin–orbit beat frequency and twice its value, respectively. A pulse at the spin frequency is also present but at a much lower amplitude than is normally observed in the bright state. By comparing our power spectra with theoretical models, we infer that a substantial amount of accretion was stream-fed during our observations, in contrast to the disk-fed accretion that dominates the bright state. In addition, we find that FO Aqr’s rate of recovery has been unusually slow in comparison to rates of recovery seen in other magnetic cataclysmic variables, with an e -folding time of 115 ± 7 days. The recovery also shows irregular variations in the median brightness of as much as 0.2 mag over a 10-day span. Finally, we show that the arrival times of the spin pulses are dependent upon the system’s overall brightness.

  16. RETURN OF THE KING: TIME-SERIES PHOTOMETRY OF FO AQUARII’S INITIAL RECOVERY FROM ITS UNPRECEDENTED 2016 LOW STATE

    International Nuclear Information System (INIS)

    Littlefield, Colin; Garnavich, Peter; Kennedy, Mark R.; Aadland, Erin; Terndrup, Donald M.; Calhoun, Grace V.; Holoien, Thomas; Callanan, Paul; Abe, Lyu; Bendjoya, Philippe; Rivet, Jean-Pierre; Vernet, David; Devogèle, Maxime; Shappee, Benjamin; Heras, Teófilo Arranz; Bonnardeau, Michel; Cook, Michael; Coulter, Daniel; Debackère, André; Dvorak, Shawn

    2016-01-01

    In 2016 May, the intermediate polar FO Aqr was detected in a low state for the first time in its observational history. We report time-resolved photometry of the system during its initial recovery from this faint state. Our data, which includes high-speed photometry with cadences of just 2 s, show the existence of very strong periodicities at 22.5 and 11.26 minutes, equivalent to the spin–orbit beat frequency and twice its value, respectively. A pulse at the spin frequency is also present but at a much lower amplitude than is normally observed in the bright state. By comparing our power spectra with theoretical models, we infer that a substantial amount of accretion was stream-fed during our observations, in contrast to the disk-fed accretion that dominates the bright state. In addition, we find that FO Aqr’s rate of recovery has been unusually slow in comparison to rates of recovery seen in other magnetic cataclysmic variables, with an e -folding time of 115 ± 7 days. The recovery also shows irregular variations in the median brightness of as much as 0.2 mag over a 10-day span. Finally, we show that the arrival times of the spin pulses are dependent upon the system’s overall brightness.

  17. Adults with developmental dyslexia show selective impairments in time-based and self-initiated prospective memory: Self-report and clinical evidence.

    Science.gov (United States)

    Smith-Spark, James H; Zięcik, Adam P; Sterling, Christopher

    2017-03-01

    Prospective memory (PM; memory for delayed intentions) would seem to be impaired in dyslexia but evidence is currently limited in scope. There is a need, therefore, firstly, to explore PM under controlled conditions using a broader range of PM tasks than used previously and, secondly, to determine whether objectively measured and self-reported PM problems can be found in the same individuals with dyslexia. The responses of 30 adults with dyslexia were compared with those of 30 IQ-matched adults without dyslexia on a self-report and a clinical measure of PM. Dyslexia-related deficits were shown on the clinical measure overall and, more particularly, when PM responses had to be made to cues based on time rather than environmental events. Adults with dyslexia were also more likely to forget to carry out an intention under naturalistic conditions 24h later. On the self-report questionnaire, the group with dyslexia reported significantly more frequent problems with PM overall, despite using more techniques to aid their memory. In particular, problems were identified with longer-term PM tasks and PM which had to be self-initiated. Dyslexia-related PM deficits were found under both laboratory and everyday conditions in the same participants; the first time that this has been demonstrated. These findings support previous experimental research which has highlighted dyslexia-related deficits in PM when the enacting of intentions is based on time cues and/or has to be self-initiated rather than being in prompted by environmental events. Copyright © 2017 Elsevier Ltd. All rights reserved.

  18. Maternal Education Is Associated with Disparities in Breastfeeding at Time of Discharge but Not at Initiation of Enteral Feeding in the Neonatal Intensive Care Unit.

    Science.gov (United States)

    Herich, Lena Carolin; Cuttini, Marina; Croci, Ileana; Franco, Francesco; Di Lallo, Domenico; Baronciani, Dante; Fares, Katia; Gargano, Giancarlo; Raponi, Massimiliano; Zeitlin, Jennifer

    2017-03-01

    To investigate the relationship between maternal education and breastfeeding in very preterm infants admitted to neonatal intensive care units. This prospective, population-based cohort study analyzed the data of all very preterm infants admitted to neonatal care during 1 year in 3 regions in Italy (Lazio, Emilia-Romagna, and Marche). The use of mothers' own milk was recorded at initial enteral feedings and at hospital discharge. We used multilevel logistic analysis to model the association between maternal education and breastfeeding outcomes, adjusting for maternal age and country of birth. Region was included as random effect. There were 1047 very preterm infants who received enteral feeding, and 975 were discharged alive. At discharge, the use of mother's own milk, exclusively or not, and feeding directly at the breast were significantly more likely for mothers with an upper secondary education or higher. We found no relationship between maternal education and type of milk at initial enteral feedings. However, the exclusive early use of the mother's own milk at initial feedings was related significantly with receiving any maternal milk and feeding directly at the breast at discharge from hospital, and the association with feeding at the breast was stronger for the least educated mothers. In this population-based cohort of very preterm infants, we found a significant and positive association between maternal education and the likelihood of receiving their mother's own milk at the time of discharge. In light of the proven benefits of maternal milk, strategies to support breastfeeding should be targeted to mothers with less education. Copyright © 2016 Elsevier Inc. All rights reserved.

  19. Diseño de un sistema administrativo contable aplicable a la empresa Centro Artesanal Niño Jesús S.C.C.

    OpenAIRE

    Posso García, Carlos Patricio

    2006-01-01

    El Sistema Administrativo Contable es el pilar de toda organización para poder desarrollar adecuadamente sus actividades, estableciendo responsabilidades a los encargados de las todas las áreas, medidas de seguridad y control. Diseñar un modelo de un SISTEMA ADMINISTRATIVO-CONTABLE para la empresa CENTRO ARTESANAL NIÑO JESÚS S.C.C. permitirá contar con una oportuna, completa y exacta información de los resultados financieros de la Empresa en su conjunto; así como mejorar los procesos ad...

  20. So much to do, so little time. To accomplish the mandatory initiatives of ARRA, healthcare organizations will require significant and thoughtful planning, prioritization and execution.

    Science.gov (United States)

    Klein, Kimberly

    2010-01-01

    The American Recovery and Reinvestment Act of 2009 (ARRA) has set forth legislation for the healthcare community to achieve adoption of electronic health records (EHR), as well as form data standards, health information exchanges (HIE) and compliance with more stringent security and privacy controls under the HITECH Act. While the Office of the National Coordinator for Health Information Technology (ONCHIT) works on the definition of both "meaningful use" and "certification" of information technology systems, providers in particular must move forward with their IT initiatives to achieve the basic requirements for Medicare and Medicaid incentives starting in 2011, and avoid penalties that will reduce reimbursement beginning in 2015. In addition, providers, payors, government and non-government stakeholders will all have to balance the implementation of EHRs, working with HIEs, at the same time that they must upgrade their systems to be in compliance with ICD-10 and HIPAA 5010 code sets. Compliance deadlines for EHRs and HIEs begin in 2011, while ICD-10 diagnosis and procedure code sets compliance is required by October 2013 and HIPAA 5010 transaction sets, with one exception, is required by January 1, 2012. In order to accomplish these strategic and mandatory initiatives successfully and simultaneously, healthcare organizations will require significant and thoughtful planning, prioritization and execution.

  1. The timing and role of initiation rites in preparing young people for adolescence and responsible sexual and reproductive behaviour in Malawi.

    Science.gov (United States)

    Munthali, Alister C; Zulu, Eliya M

    2007-12-01

    This paper examines timing of puberty and mechanisms through which society prepares adolescents to understand and deal with it in Malawi. Data from a national representative survey of adolescents and in-depth interviews also conducted with adolescents are used. SPSS was used to analyse survey data while N6 was used to analyse qualitative data. Results show that the onset of menarche in girls and various pubertal body changes in boys can be a cause of joy, excitement, or distress depending on how adolescents understand what this means to them at this critical stage when they start defining and comprehending their sexuality. Much more emphasis is put on educating girls about reproductive implications of menarche than on what is expected of boys as sexual beings, which may contribute to boys' greater indulgence in risky sexual behaviors than girls. The significance of initiation ceremonies in some communities provides an important platform through which programs can reach many adolescents and intervene, particularly in addressing the widely held notion among initiates that attending these ceremonies symbolizes that one is not a child anymore and can have sex.

  2. A microcosm of musical expression. I. Quantitative analysis of pianists' timing in the initial measures of Chopin's Etude in E major.

    Science.gov (United States)

    Repp, B H

    1998-08-01

    Patterns of expressive timing were measured in bars 1-5 of 115 commercially recorded performances of Chopin's Etude in E major, op. 10, No. 3. These patterns were subjected to principal components analysis, which suggested at least four independent "timing strategies": (1) major ritards at the ends of melodic gestures; (2) acceleration within some of these gestures, without final ritards; (3) extreme lengthening of the initial downbeat; and (4) ritards between as well as within melodic gestures. Strategies 1 and 4 respond in different ways to the melodic-rhythmic grouping structure of the music, and strategy 3 merely represents a local emphasis. Strategy 2 is the one most difficult to rationalize; it does not seem to represent an alternative structural interpretation of the music but rather an alternative gestural shaping. Each individual pianist's timing pattern could be described as a weighted combination of these four strategies plus idiosyncratic variation. A wide variety of combinations was represented, and no two individual patterns were exactly the same. In addition, there was a wide range of basic tempi and of degrees of tempo modulation. There were no strong relationships between any of these variables and sociocultural characteristics of the artists, although some weak trends were observed.

  3. Changes in Cardiovascular Disease Risk Factors With Immediate Versus Deferred Antiretroviral Therapy Initiation Among HIV-Positive Participants in the START (Strategic Timing of Antiretroviral Treatment) Trial

    DEFF Research Database (Denmark)

    Baker, Jason V; Sharma, Shweta; Achhra, Amit C

    2017-01-01

    INTRODUCTION: HIV infection and certain antiretroviral therapy (ART) medications increase atherosclerotic cardiovascular disease risk, mediated, in part, through traditional cardiovascular disease risk factors. METHODS AND RESULTS: We studied cardiovascular disease risk factor changes in the START...... (Strategic Timing of Antiretroviral Treatment) trial, a randomized study of immediate versus deferred ART initiation among HIV-positive persons with CD4+ cell counts >500 cells/mm3. Mean change from baseline in risk factors and the incidence of comorbid conditions were compared between groups....... The characteristics among 4685 HIV-positive START trial participants include a median age of 36 years, a CD4 cell count of 651 cells/mm3, an HIV viral load of 12 759 copies/mL, a current smoking status of 32%, a median systolic/diastolic blood pressure of 120/76 mm Hg, and median levels of total cholesterol of 168 mg...

  4. The naive CD4+ count in HIV-1-infected patients at time of initiation of highly active antiretroviral therapy is strongly associated with the level of immunological recovery

    DEFF Research Database (Denmark)

    Michael, OG; Kirk, O; Mathiesen, Lars Reinhardt

    2002-01-01

    CD4 + count followed a triphasic pattern, reflecting an initial phase of rapid redistribution from lymphoid tissues, followed by a slow increase, partially due to an increase in naive CD4+ cell count. From Month 18 onwards, both naive and total CD4 + cell counts stabilized, although viral suppression......-infected patients. The focus was on the naive CD4 + cell time course and associations between naive CD4 + cell counts and established prognostic markers. Total and naive CD4 + cell counts were measured using flow cytometry. The HIV-RNA detection limit was 20 copies/ml. During 36 months of HAART, the total...... was sustained. There was no association between plasma viral load and the increase in naive CD4 + cell count. Importantly, baseline naive CD4 + cell count was significantly associated with the change in naive CD4 + cell count, suggesting that the naive cell count at baseline does influence the immunological...

  5. Tsunami simulation method initiated from waveforms observed by ocean bottom pressure sensors for real-time tsunami forecast; Applied for 2011 Tohoku Tsunami

    Science.gov (United States)

    Tanioka, Yuichiro

    2017-04-01

    After tsunami disaster due to the 2011 Tohoku-oki great earthquake, improvement of the tsunami forecast has been an urgent issue in Japan. National Institute of Disaster Prevention is installing a cable network system of earthquake and tsunami observation (S-NET) at the ocean bottom along the Japan and Kurile trench. This cable system includes 125 pressure sensors (tsunami meters) which are separated by 30 km. Along the Nankai trough, JAMSTEC already installed and operated the cable network system of seismometers and pressure sensors (DONET and DONET2). Those systems are the most dense observation network systems on top of source areas of great underthrust earthquakes in the world. Real-time tsunami forecast has depended on estimation of earthquake parameters, such as epicenter, depth, and magnitude of earthquakes. Recently, tsunami forecast method has been developed using the estimation of tsunami source from tsunami waveforms observed at the ocean bottom pressure sensors. However, when we have many pressure sensors separated by 30km on top of the source area, we do not need to estimate the tsunami source or earthquake source to compute tsunami. Instead, we can initiate a tsunami simulation from those dense tsunami observed data. Observed tsunami height differences with a time interval at the ocean bottom pressure sensors separated by 30 km were used to estimate tsunami height distribution at a particular time. In our new method, tsunami numerical simulation was initiated from those estimated tsunami height distribution. In this paper, the above method is improved and applied for the tsunami generated by the 2011 Tohoku-oki great earthquake. Tsunami source model of the 2011 Tohoku-oki great earthquake estimated using observed tsunami waveforms, coseimic deformation observed by GPS and ocean bottom sensors by Gusman et al. (2012) is used in this study. The ocean surface deformation is computed from the source model and used as an initial condition of tsunami

  6. Phase II of a Six sigma Initiative to Study DWPF SME Analytical Turnaround Times: SRNL's Evaluation of Carbonate-Based Dissolution Methods

    International Nuclear Information System (INIS)

    Edwards, Thomas

    2005-01-01

    The Analytical Development Section (ADS) and the Statistical Consulting Section (SCS) of the Savannah River National Laboratory (SRNL) are participating in a Six Sigma initiative to improve the Defense Waste Processing Facility (DWPF) Laboratory. The Six Sigma initiative has focused on reducing the analytical turnaround time of samples from the Slurry Mix Evaporator (SME) by developing streamlined sampling and analytical methods [1]. The objective of Phase I was to evaluate the sub-sampling of a larger sample bottle and the performance of a cesium carbonate (Cs 2 CO 3 ) digestion method. Successful implementation of the Cs 2 CO 3 fusion method in the DWPF would have important time savings and convenience benefits because this single digestion would replace the dual digestion scheme now used. A single digestion scheme would result in more efficient operations in both the DWPF shielded cells and the inductively coupled plasma--atomic emission spectroscopy (ICP-AES) laboratory. By taking a small aliquot of SME slurry from a large sample bottle and dissolving the vitrified SME sample with carbonate fusion methods, an analytical turnaround time reduction from 27 hours to 9 hours could be realized in the DWPF. This analytical scheme has the potential for not only dramatically reducing turnaround times, but also streamlining operations to minimize wear and tear on critical shielded cell components that are prone to fail, including the Hydragard(trademark) sampling valves and manipulators. Favorable results from the Phase I tests [2] led to the recommendation for a Phase II effort as outlined in the DWPF Technical Task Request (TTR) [3]. There were three major tasks outlined in the TTR, and SRNL issued a Task Technical and QA Plan [4] with a corresponding set of three major task activities: (1) Compare weight percent (wt%) total solids measurements of large volume samples versus peanut vial samples. (2) Evaluate Cs 2 CO 3 and K 2 CO 3 fusion methods using DWPF simulated

  7. HIV treatment eligibility expansion and timely antiretroviral treatment initiation following enrollment in HIV care: A metaregression analysis of programmatic data from 22 countries

    Science.gov (United States)

    Brazier, Ellen; Yiannoutsos, Constantin; Wools-Kaloustian, Kara; Althoff, Keri; Van Nguyen, Kinh; Sinayobye, Jean d'Amour; Anderegg, Nanina; Ford, Nathan; Wikramanayake, Radhika; Nash, Denis

    2018-01-01

    Background The effect of antiretroviral treatment (ART) eligibility expansions on patient outcomes, including rates of timely ART initiation among those enrolling in care, has not been assessed on a large scale. In addition, it is not known whether ART eligibility expansions may lead to “crowding out” of sicker patients. Methods and findings We examined changes in timely ART initiation (within 6 months) at the original site of HIV care enrollment after ART eligibility expansions among 284,740 adult ART-naïve patients at 171 International Epidemiology Databases to Evaluate AIDS (IeDEA) network sites in 22 countries where national policies expanding ART eligibility were introduced between 2007 and 2015. Half of the sites included in this analysis were from Southern Africa, one-third were from East Africa, and the remainder were from the Asia-Pacific, Central Africa, North America, and South and Central America regions. The median age of patients enrolling in care at contributing sites was 33.5 years, and the median percentage of female patients at these clinics was 62.5%. We assessed the 6-month cumulative incidence of timely ART initiation (CI-ART) before and after major expansions of ART eligibility (i.e., expansion to treat persons with CD4 ≤ 350 cells/μL [145 sites in 22 countries] and CD4 ≤ 500 cells/μL [152 sites in 15 countries]). Random effects metaregression models were used to estimate absolute changes in CI-ART at each site before and after guideline expansion. The crude pooled estimate of change in CI-ART was 4.3 percentage points (95% confidence interval [CI] 2.6 to 6.1) after ART eligibility expansion to CD4 ≤ 350, from a baseline median CI-ART of 53%; and 15.9 percentage points (pp) (95% CI 14.3 to 17.4) after ART eligibility expansion to CD4 ≤ 500, from a baseline median CI-ART of 57%. The largest increases in CI-ART were observed among those newly eligible for treatment (18.2 pp after expansion to CD4 ≤ 350 and 47.4 pp after

  8. HIV treatment eligibility expansion and timely antiretroviral treatment initiation following enrollment in HIV care: A metaregression analysis of programmatic data from 22 countries.

    Directory of Open Access Journals (Sweden)

    Olga Tymejczyk

    2018-03-01

    Full Text Available The effect of antiretroviral treatment (ART eligibility expansions on patient outcomes, including rates of timely ART initiation among those enrolling in care, has not been assessed on a large scale. In addition, it is not known whether ART eligibility expansions may lead to "crowding out" of sicker patients.We examined changes in timely ART initiation (within 6 months at the original site of HIV care enrollment after ART eligibility expansions among 284,740 adult ART-naïve patients at 171 International Epidemiology Databases to Evaluate AIDS (IeDEA network sites in 22 countries where national policies expanding ART eligibility were introduced between 2007 and 2015. Half of the sites included in this analysis were from Southern Africa, one-third were from East Africa, and the remainder were from the Asia-Pacific, Central Africa, North America, and South and Central America regions. The median age of patients enrolling in care at contributing sites was 33.5 years, and the median percentage of female patients at these clinics was 62.5%. We assessed the 6-month cumulative incidence of timely ART initiation (CI-ART before and after major expansions of ART eligibility (i.e., expansion to treat persons with CD4 ≤ 350 cells/μL [145 sites in 22 countries] and CD4 ≤ 500 cells/μL [152 sites in 15 countries]. Random effects metaregression models were used to estimate absolute changes in CI-ART at each site before and after guideline expansion. The crude pooled estimate of change in CI-ART was 4.3 percentage points (95% confidence interval [CI] 2.6 to 6.1 after ART eligibility expansion to CD4 ≤ 350, from a baseline median CI-ART of 53%; and 15.9 percentage points (pp (95% CI 14.3 to 17.4 after ART eligibility expansion to CD4 ≤ 500, from a baseline median CI-ART of 57%. The largest increases in CI-ART were observed among those newly eligible for treatment (18.2 pp after expansion to CD4 ≤ 350 and 47.4 pp after expansion to CD4 ≤ 500, with no

  9. Family time, parental behaviour model and the initiation of smoking and alcohol use by ten-year-old children: an epidemiological study in Kaunas, Lithuania

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    Zaborskis Apolinaras

    2006-11-01

    Full Text Available Abstract Background Family is considered to be the first and the most important child development and socialization bond. Nevertheless, parental behaviour model importance for the children, as well as family time for shared activity amount influence upon the child's health-related behaviour habit development has not been yet thoroughly examined. The aim of this paper is to indicate the advanced health-hazardous behaviour modelling possibilities in the families, as well as time spent for joint family activities, and to examine the importance of time spent for joint family activities for the smoking and alcohol use habit initiation among children. Methods This research was carried out in Kaunas, Lithuania, during the school year 2004–2005. The research population consisted of 369 fifth-grade schoolchildren (211 (57.2% boys and 158 (42.8% girls and 565 parents: 323 (57.2% mothers and 242 (48.2% fathers. The response rate was 80.7% for children; 96.1% and 90.6% for mothers and fathers correspondingly. Results Eating a meal together was the most frequent joint family activity, whereas visiting friends or relatives together, going for a walk, or playing sports were the most infrequent joint family activities. More than two thirds (81.5% of parents (248 (77.0% mothers and 207 (85.9% fathers (p Conclusion Joint family activity time deficit together with frequent parental examples of smoking and alcohol use underlie the development of alcohol and smoking addictions in children to some extent. The above-mentioned issues are suggested to be widely addressed in the comprehensive family health education programs.

  10. Initial bridges between two ribosomal subunits are formed within 9.4 milliseconds, as studied by time-resolved cryo-EM.

    Science.gov (United States)

    Shaikh, Tanvir R; Yassin, Aymen S; Lu, Zonghuan; Barnard, David; Meng, Xing; Lu, Toh-Ming; Wagenknecht, Terence; Agrawal, Rajendra K

    2014-07-08

    Association of the two ribosomal subunits during the process of translation initiation is a crucial step of protein synthesis. The two subunits (30S and 50S) of the bacterial 70S ribosome are held together by 12 dynamic bridges involving RNA-RNA, RNA-protein, and protein-protein interactions. The process of bridge formation, such as whether all these bridges are formed simultaneously or in a sequential order, is poorly understood. To understand such processes, we have developed and implemented a class of microfluidic devices that mix two components to completion within 0.4 ms and spray the mixture in the form of microdroplets onto an electron microscopy grid, yielding a minimum reaction time of 9.4 ms before cryofixation. Using these devices, we have obtained cryo-EM data corresponding to reaction times of 9.4 and 43 ms and have determined 3D structures of ribosomal subunit association intermediates. Molecular analyses of the cryo-EM maps reveal that eight intersubunit bridges (bridges B1a, B1b, B2a, B2b, B3, B7a, B7b, and B8) form within 9.4 ms, whereas the remaining four bridges (bridges B2c, B4, B5, and B6) take longer than 43 ms to form, suggesting that bridges are formed in a stepwise fashion. Our approach can be used to characterize sequences of various dynamic functional events on complex macromolecular assemblies such as ribosomes.

  11. The effectiveness of the cardiovascular disease prevention programme 'KardioPro' initiated by a German sickness fund: a time-to-event analysis of routine data.

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    Sabine Witt

    Full Text Available Cardiovascular disease is the leading cause of morbidity and mortality in the developed world. To reduce this burden of disease, a German sickness fund ('Siemens-Betriebskrankenkasse', SBK initiated the prevention programme 'KardioPro' including primary (risk factor reduction and secondary (screening prevention and guideline-based treatment. The aim of this study was to assess the effectiveness of 'KardioPro' as it is implemented in the real world.The study is based on sickness fund routine data. The control group was selected from non-participants via propensity score matching. Study analysis was based on time-to-event analysis via Cox proportional hazards regression with the endpoint 'all-cause mortality, acute myocardial infarction (MI and ischemic stroke (1', 'all-cause mortality (2' and 'non-fatal acute MI and ischemic stroke (3'.A total of 26,202 insurants were included, 13,101 participants and 13,101 control subjects. 'KardioPro' enrollment was associated with risk reductions of 23.5% (95% confidence interval (CI 13.0-32.7% (1, 41.7% (95% CI 30.2-51.2% (2 and 3.5% (hazard ratio 0.965, 95% CI 0.811-1.148 (3. This corresponds to an absolute risk reduction of 0.29% (1, 0.31% (2 and 0.03% (3 per year.The prevention programme initiated by a German statutory sickness fund appears to be effective with regard to all-cause mortality. The non-significant reduction in non-fatal events might result from a shift from fatal to non-fatal events.

  12. Crack embryo formation before crack initiation and growth in high temperature water

    International Nuclear Information System (INIS)

    Arioka, Koji; Yamada, Takuyo; Terachi, Takumi; Miyamoto, Tomoki

    2008-01-01

    Crack growth measurements were performed in high temperature water and in air to examine the role of creep on IGSCC growth using cold rolled non-sensitized Type316(UNS S31600), TT690 alloy, MA600 alloy, and Carbon steel (STPT42). In addition, crack initiation tests were performed also in high temperature water and in air using specially designed CT specimen. The obtained major results are as follows: (1) TT690 did crack in intergranularly in hydrogenated high temperature water if material is cold worked in heavily. (2) Cold worked carbon steel also cracked in intergranularly in dearated high temperature water. (3) Intergranular crack growth was recognized on cold worked 316, TT690, MA600, and carbon steel even in air which might be crack embryo of IGSCC. (4) Simple Arrhenius type temperature dependence was observed on IGSCC in high temperature water and creep crack growth in air. This suggested that intergranular crack growth rate was determined by some thermal activated reaction. (5) Vacancy condensation was recognized at just ahead of the crack tips of IGSCC and creep crack of cold worked steel. This showed that IGSCC and creep crack growth was controlled by same mechanism. (6) Clear evidence of vacancies condensation was recognized at just beneath the surface before crack initiation. This proved that crack did initiate as the result of diffusion of vacancies in the solid. And the incubation time seems to be controlled by the required time for the condensation of vacancies to the stress concentrated zone. (7) Diffusion of subsituational atoms was also driven by stress gradient. This is the important knowledge to evaluate the SCC initiation after long term operation in LWR's. Based on the observed results, IGSCC initiation and growth mechanism were proposed considering the diffusion process of cold worked induced vacancies. (author)

  13. Transcriptional Response in Mouse Thyroid Tissue after 211At Administration: Effects of Absorbed Dose, Initial Dose-Rate and Time after Administration.

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    Nils Rudqvist

    Full Text Available 211At-labeled radiopharmaceuticals are potentially useful for tumor therapy. However, a limitation has been the preferential accumulation of released 211At in the thyroid gland, which is a critical organ for such therapy. The aim of this study was to determine the effect of absorbed dose, dose-rate, and time after 211At exposure on genome-wide transcriptional expression in mouse thyroid gland.BALB/c mice were i.v. injected with 1.7, 7.5 or 100 kBq 211At. Animals injected with 1.7 kBq were killed after 1, 6, or 168 h with mean thyroid absorbed doses of 0.023, 0.32, and 1.8 Gy, respectively. Animals injected with 7.5 and 100 kBq were killed after 6 and 1 h, respectively; mean thyroid absorbed dose was 1.4 Gy. Total RNA was extracted from pooled thyroids and the Illumina RNA microarray platform was used to determine mRNA levels. Differentially expressed transcripts and enriched GO terms were determined with adjusted p-value 1.5, and p-value <0.05, respectively.In total, 1232 differentially expressed transcripts were detected after 211At administration, demonstrating a profound effect on gene regulation. The number of regulated transcripts increased with higher initial dose-rate/absorbed dose at 1 or 6 h. However, the number of regulated transcripts decreased with mean absorbed dose/time after 1.7 kBq 211At administration. Furthermore, similar regulation profiles were seen for groups administered 1.7 kBq. Interestingly, few previously proposed radiation responsive genes were detected in the present study. Regulation of immunological processes were prevalent at 1, 6, and 168 h after 1.7 kBq administration (0.023, 0.32, 1.8 Gy.

  14. Conventional CD11chigh Dendritic Cells Are Important for T Cell Priming during the Initial Phase of Plasmodium yoelii Infection, but Are Dispensable at Later Time Points.

    Science.gov (United States)

    Ueffing, Kristina; Abberger, Hanna; Westendorf, Astrid M; Matuschewski, Kai; Buer, Jan; Hansen, Wiebke

    2017-01-01

    Dendritic cells (DCs) are highly specialized antigen-presenting cells that orchestrate adaptive immune responses to pathogens. During malaria infection pro- and anti-inflammatory T cell responses have to be tightly balanced to ensure parasite clearance without induction of severe immune pathologies. However, the precise role of CD11c high DCs in this process is still discussed controversially. Here, we demonstrate that long-term depletion of conventional CD11c high DCs in Plasmodium yoelii ( P. yoelii )-infected diphtheria toxin (DT)-treated RosaiDTR/CD11c-cre mice interferes with the activation of CD8 + and CD4 + T cells as well as CD4 + Foxp3 + regulatory T cells at early time points during infection. Moreover, systemic levels of the pro-inflammatory cytokines IFN-γ and TNF-α were decreased in P. yoelii -infected mice deficient for CD11c high DCs compared to infected RosaiDTR controls. To further elucidate the importance of CD11c high DCs during the later phase of infection, we treated RosaiDTR/CD11c-cre and control mice with DT only from day 4 of P. yoelii infection onward. Strikingly, this approach had no impact on the activation and IFN-γ production of CD4 + and CD8 + effector T cells. These results indicate that CD11c high DCs play a crucial role in eliciting effector T cell responses during the initial phase, but are dispensable during ongoing infection with P. yoelii .

  15. Appropriate evaluation and treatment of heart failure patients after implantable cardioverter-defibrillator discharge: time to go beyond the initial shock.

    Science.gov (United States)

    Mishkin, Joseph D; Saxonhouse, Sherry J; Woo, Gregory W; Burkart, Thomas A; Miles, William M; Conti, Jamie B; Schofield, Richard S; Sears, Samuel F; Aranda, Juan M

    2009-11-24

    Multiple clinical trials support the use of implantable cardioverter-defibrillators (ICDs) for prevention of sudden cardiac death in patients with heart failure (HF). Unfortunately, several complicating issues have arisen from the universal use of ICDs in HF patients. An estimated 20% to 35% of HF patients who receive an ICD for primary prevention will experience an appropriate shock within 1 to 3 years of implant, and one-third of patients will experience an inappropriate shock. An ICD shock is associated with a 2- to 5-fold increase in mortality, with the most common cause being progressive HF. The median time from initial ICD shock to death ranges from 168 to 294 days depending on HF etiology and the appropriateness of the ICD therapy. Despite this prognosis, current guidelines do not provide a clear stepwise approach to managing these high-risk patients. An ICD shock increases HF event risk and should trigger a thorough evaluation to determine the etiology of the shock and guide subsequent therapeutic interventions. Several combinations of pharmacologic and device-based interventions such as adding amiodarone to baseline beta-blocker therapy, adjusting ICD sensitivity, and employing antitachycardia pacing may reduce future appropriate and inappropriate shocks. Aggressive HF surveillance and management is required after an ICD shock, as the risk of sudden cardiac death is transformed to an increased HF event risk.

  16. Conventional CD11chigh Dendritic Cells Are Important for T Cell Priming during the Initial Phase of Plasmodium yoelii Infection, but Are Dispensable at Later Time Points

    Directory of Open Access Journals (Sweden)

    Kristina Ueffing

    2017-10-01

    Full Text Available Dendritic cells (DCs are highly specialized antigen-presenting cells that orchestrate adaptive immune responses to pathogens. During malaria infection pro- and anti-inflammatory T cell responses have to be tightly balanced to ensure parasite clearance without induction of severe immune pathologies. However, the precise role of CD11chigh DCs in this process is still discussed controversially. Here, we demonstrate that long-term depletion of conventional CD11chigh DCs in Plasmodium yoelii (P. yoelii-infected diphtheria toxin (DT-treated RosaiDTR/CD11c-cre mice interferes with the activation of CD8+ and CD4+ T cells as well as CD4+Foxp3+ regulatory T cells at early time points during infection. Moreover, systemic levels of the pro-inflammatory cytokines IFN-γ and TNF-α were decreased in P. yoelii-infected mice deficient for CD11chigh DCs compared to infected RosaiDTR controls. To further elucidate the importance of CD11chigh DCs during the later phase of infection, we treated RosaiDTR/CD11c-cre and control mice with DT only from day 4 of P. yoelii infection onward. Strikingly, this approach had no impact on the activation and IFN-γ production of CD4+ and CD8+ effector T cells. These results indicate that CD11chigh DCs play a crucial role in eliciting effector T cell responses during the initial phase, but are dispensable during ongoing infection with P. yoelii.

  17. Guidelines for time-to-event end point definitions in sarcomas and gastrointestinal stromal tumors (GIST) trials: results of the DATECAN initiative (Definition for the Assessment of Time-to-event Endpoints in CANcer trials)†.

    Science.gov (United States)

    Bellera, C A; Penel, N; Ouali, M; Bonvalot, S; Casali, P G; Nielsen, O S; Delannes, M; Litière, S; Bonnetain, F; Dabakuyo, T S; Benjamin, R S; Blay, J-Y; Bui, B N; Collin, F; Delaney, T F; Duffaud, F; Filleron, T; Fiore, M; Gelderblom, H; George, S; Grimer, R; Grosclaude, P; Gronchi, A; Haas, R; Hohenberger, P; Issels, R; Italiano, A; Jooste, V; Krarup-Hansen, A; Le Péchoux, C; Mussi, C; Oberlin, O; Patel, S; Piperno-Neumann, S; Raut, C; Ray-Coquard, I; Rutkowski, P; Schuetze, S; Sleijfer, S; Stoeckle, E; Van Glabbeke, M; Woll, P; Gourgou-Bourgade, S; Mathoulin-Pélissier, S

    2015-05-01

    The use of potential surrogate end points for overall survival, such as disease-free survival (DFS) or time-to-treatment failure (TTF) is increasingly common in randomized controlled trials (RCTs) in cancer. However, the definition of time-to-event (TTE) end points is rarely precise and lacks uniformity across trials. End point definition can impact trial results by affecting estimation of treatment effect and statistical power. The DATECAN initiative (Definition for the Assessment of Time-to-event End points in CANcer trials) aims to provide recommendations for definitions of TTE end points. We report guidelines for RCT in sarcomas and gastrointestinal stromal tumors (GIST). We first carried out a literature review to identify TTE end points (primary or secondary) reported in publications of RCT. An international multidisciplinary panel of experts proposed recommendations for the definitions of these end points. Recommendations were developed through a validated consensus method form