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Sample records for scrubbing loose contamination

  1. Frequent contamination of nursing scrubs is associated with specific care activities.

    Science.gov (United States)

    Thom, Kerri A; Escobar, Daniel; Boutin, Mallory A; Zhan, Min; Harris, Anthony D; Johnson, J Kristie

    2018-05-01

    The objective of this article is to assess health care worker (HCW) and patient care factors associated with bacterial contamination of scrubs. We performed a cohort study of critical care HCWs. Participants were given 4 sets of new scrubs; each set was sampled 8 times during the 8-month study period on random days in the last 4 hours of the shift. Total colony counts and presence of prespecified pathogenic bacteria were assessed. Generalized estimating equation was used to identify factors associated with contamination. There were 720 samples obtained from 90 HCWs; 30% of samples were contaminated with pathogenic bacteria. Multivariate analysis showed that providing care for patients with wounds (odds ratio [OR], 1.75; 95% confidence interval [CI], 1.17-2.62; P contamination. A second model showed the average log colony count of bacterial contamination of scrubs was higher when a bath was given (log colony count difference, 0.21; P = .05) but lower among HCWs assigned to care for at least 1 patient on contact precautions (log colony count difference, 0.28; P contaminated with bacteria. Providing care for patients with wounds or giving a bath were associated with scrub contamination by pathogenic bacteria. However, the amount of contamination was lower among HCWs who were assigned to care for patients on contact precautions. Copyright © 2018 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.

  2. Influence of attrition scrubbing, ultrasonic treatment, and oxidant additions on uranium removal from contaminated soils

    International Nuclear Information System (INIS)

    Timpson, M.E.; Elless, M.P.; Francis, C.W.

    1994-01-01

    As part of the Uranium in Soils Integrated Demonstration Project being conducted by the US Department of Energy, bench-scale investigations of selective leaching of uranium from soils at the Fernald Environmental Management Project site in Ohio were conducted at Oak Ridge National Laboratory. Two soils (storage pad soil and incinerator soil), representing the major contaminant sources at the site, were extracted using carbonate- and citric acid-based lixiviants. Physical and chemical processes were used in combination with the two extractants to increase the rate of uranium release from these soils. Attrition scrubbing and ultrasonic dispersion were the two physical processes utilized. Potassium permanganate was used as an oxidizing agent to transform tetravalent uranium to the hexavalent state. Hexavalent uranium is easily complexed in solution by the carbonate radical. Attrition scrubbing increased the rate of uranium release from both soils when compared with rotary shaking. At equivalent extraction times and solids loadings, however, attrition scrubbing proved effective only on the incinerator soil. Ultrasonic treatments on the incinerator soil removed 71% of the uranium contamination in a single extraction. Multiple extractions of the same sample removed up to 90% of the uranium. Additions of potassium permanganate to the carbonate extractant resulted in significant changes in the extractability of uranium from the incinerator soil but had no effect on the storage pad soil

  3. Comparative scrub solution tests for decontamination of transuranic radionuclides from soils

    International Nuclear Information System (INIS)

    Stevens, J.R.; Kochen, R.L.; Rutherford, D.W.; Riordan, G.A.; Delaney, I.C.

    1982-08-01

    Soil decontamination tests were done using three scrubbing solutions on five different transuranic-contaminated soils from Department of Energy sites. The soils came from Rocky Flats, Colorado; Hanford, Washington; Mound Facility, Ohio; Idaho National Engineering Laboratory, Idaho; and Los Alamos National Laboratory, New Mexico. Decontamination was effected by physical and chemical means. A pH 12.5 scrub effected decontamination by serving as a hydraulic grading and attrition scrub medium; this solution did not solubilize the actinide contamination. A 2% HNO 3 , 0.2% HF, 2% pine oil, and 5% Calgon solution effected decontamination by physical and chemical means; this solution solubilized particulate actinide and actinide dispersed on the surface of soil particles. A 2N HCl scrub was also used to effect decontamination by physical and chemical means; this reagent solubilized soil constituents, removing contamination that had migrated into mineral surfaces. Only Rocky Flats soil was effectively decontaminated by the high pH solution although all soils had an enrichment of the activity in the -150 mesh fraction. Attrition scrubbing with both acid solutions had a better decontamination ability for the +150 mesh fraction for Hanford, INEL, and LANL soils. In addition, the acid solutions solubilized some of the plutonium and had a decontamination effect on the fine fractions

  4. Scrub typhus

    Directory of Open Access Journals (Sweden)

    Amy G Rapsang

    2013-01-01

    Full Text Available Scrub typhus is an acute febrile illness caused by orientia tsutsugamushi, transmitted to humans by the bite of the larva of trombiculid mites. It causes a disseminated vasculitic and perivascular inflammatory lesions resulting in significant vascular leakage and end-organ injury. It affects people of all ages and even though scrub typhus in pregnancy is uncommon, it is associated with increased foetal loss, preterm delivery, and small for gestational age infants. After an incubation period of 6-21 days, onset is characterized by fever, headache, myalgia, cough, and gastrointestinal symptoms. A primary papular lesion which later crusts to form a flat black eschar, may be present. If untreated, serious complications may occur involving various organs. Laboratory studies usually reveal leukopenia, thrombocytopenia, deranged hepatic and renal function, proteinuria and reticulonodular infiltrate. Owing to the potential for severe complications, diagnosis, and decision to initiate treatment should be based on clinical suspicion and confirmed by serologic tests. A therapeutic trial of tetracycline or chloramphenicol is indicated in patients in whom the diagnosis of scrub typhus is suspected. The recommended treatment regimen for scrub typhus is doxycycline. Alternative regimens include tetracycline, chloramphenicol, azithromycin, ciprofloxacin, rifampicin, and roxithromycin. Treatment of pregnant women with azithromycin was successfully done without relapse and with favorable pregnancy outcomes. Hence, early diagnosis and treatment are essential in order to reduce the mortality and the complications associated with the disease. We searched the English-language literature for reports of scrub typhus in children, pregnant women, and non-pregnant patients with scrub typhus, using the MEDLINE/PubMed database, which includes citations from 1945 to the present time. We used the search terms ′scrub typhus′, ′scrub typhus′ and ′pregnancy′, ′scrub

  5. Nucleation and capture of condensible airborne contaminants in an aqueous scrubbing system

    International Nuclear Information System (INIS)

    Postma, A.K.; Hilliard, R.K.

    1978-09-01

    The fate of condensible contaminants in an aqueous scrubbing system was evaluated. Knowledge of the behavior of volatile fission product compounds is important in evaluating the effectiveness of emergency air cleaning systems proposed for use in containment systems of breeder reactor plants. When a high temperature air stream passes through a spray quench chamber, very large cooling rates occur in the drop boundary layers. These large cooling rates cause large supersaturations in airborne concentrations of condensible contaminants, and one predicts that most condensation would take place through homogeneous nucleation. The very small particles formed would agglomerate, and attach to sodium aerosol particles which would be present. In the study the overall removal efficiency of volatile fission product species (typified by NaI, SeO 2 , and Sb 2 O 3 ) in an air cleaning train (quench chamber, venturi scrubber, and fibrous bed) was theoretically evaluated. The overall removal efficiency of condensible materials was found to be lower than that for sodium compound aerosols because the freshly condensed particles would be smaller in size. For a base case, a removal efficiency of 99.97 percent was predicted for condensible materials. The fibrous bed scrubber exhibited superior particle removal characteristics for small particles compared to the quench chamber and venturi scrubber. Its removal efficiency exceeded 97 percent for even the most penetrating particle size (about 0.4 micron aerodynamic diameter). Therefore, all condensible fission products would be removed with efficiencies exceeding 97 percent

  6. Bacterial Agents Andantibiogram of Most Common Isolated Organisms from Hands of Surgical Team Members after Scrubbing

    Directory of Open Access Journals (Sweden)

    PS Mohseni- Meybodi

    2008-04-01

    Full Text Available Introduction: Many post-surgical wound infections in hospitals cause morbidity and morality of patients and these are usually transmitted via hands of surgical personnel. The aim of the present study was to detect and antibiogram the bacterial agents following scrubbing of hands of surgical personnel before operation. Methods: Hands of 134 personnels of operation room were swabbed following scrubbing with antiseptic Betadine solution. Swab samples were inoculated on selective and differential media such as blood ager, McConky and manitol salt agar(MSA. Following incubation of media at 37c° for 24hr, bacterial species were identified using differential related tests. The isolated species were than antibiogramed and the results together with other data was analysed by SPSS software program. Results: Of the total of 134 cases, 81(60.4% were male and 53(39.6% female. The mean scrub time for each person was (206.1+/-103.2 seconds; 6 to 60 seconds base change. Increasing time of scrub was significantly correlated with decreasing rate of bacteria (P=0.003, (R=-0.254. Contamination was present in 129(96.3% cases following scrubbing. Maximum contamination was observed in nails (92.5%. Average number of bacteria for each individual was between 0 and 159. 62.6% of isolated bacteria were non- staphylococci and 7.7% were S. aureus. Vancomycin and ceftizoxim were the most sensitive, while penicillin was the least sensitive antibiotic. Conclusion: Results revealed that hand contamination was more than the expected standard level. Therefore, regarding the critical task of surgical personnel, training of all operation room staff is highly recommended to minimize the rate of contamination.

  7. Aerosol Scrubbing Performance Test for Self-Priming Scrubbing Nozzle Submerged in Water Pool

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Doo Yong; Jung, Woo Young; Lee, Hyun Chul; Lee, Jong Chan; Kim, Gyu Tae; Song, Yong Jae [FNC Technology Co., Yongin (Korea, Republic of)

    2016-10-15

    A scrubbing nozzle is one of the key components for a wet scrubber process based Containment Filtered Venting System (CFVS). As a part of a development of Korean CFVS, a self-priming scrubbing nozzle shown in Fig. 1 has been developed based on the well-known venturi scrubber concept. The thermal-hydraulic performances such as the pressure drop across the nozzle, water suction behavior and droplet generation inside throat have been tested in the non-submerged condition as well as submerged condition. The self-priming scrubbing nozzle used for the wet scrubber based CFVS has been developed, which is submerged in the water pool. When there is gas flow at the inlet of the nozzle, the pool water is passively sucked from the water suction slit. The fine droplets generated inside the throat capture the aerosol particles and is discharged into the water pool. In the water pool, the pool scrubbing happens. The aerosol scrubbing performance tests for the developed self-priming scrubbing nozzle has been conducted under the operational conditions such as different aerosol sizes, different carrier gas steam fractions, different, different pool water level and nozzle inlet pressure. The major findings are as follows. (1) Aerosol scrubbing efficiency increases with the increase of the aerosol size. (2) Aerosol scrubbing efficiency increases with the increase of the carrier gas steam fraction. (3) Aerosol scrubbing.

  8. Aerosol Scrubbing Performance Test for Self-Priming Scrubbing Nozzle Submerged in Water Pool

    International Nuclear Information System (INIS)

    Lee, Doo Yong; Jung, Woo Young; Lee, Hyun Chul; Lee, Jong Chan; Kim, Gyu Tae; Song, Yong Jae

    2016-01-01

    A scrubbing nozzle is one of the key components for a wet scrubber process based Containment Filtered Venting System (CFVS). As a part of a development of Korean CFVS, a self-priming scrubbing nozzle shown in Fig. 1 has been developed based on the well-known venturi scrubber concept. The thermal-hydraulic performances such as the pressure drop across the nozzle, water suction behavior and droplet generation inside throat have been tested in the non-submerged condition as well as submerged condition. The self-priming scrubbing nozzle used for the wet scrubber based CFVS has been developed, which is submerged in the water pool. When there is gas flow at the inlet of the nozzle, the pool water is passively sucked from the water suction slit. The fine droplets generated inside the throat capture the aerosol particles and is discharged into the water pool. In the water pool, the pool scrubbing happens. The aerosol scrubbing performance tests for the developed self-priming scrubbing nozzle has been conducted under the operational conditions such as different aerosol sizes, different carrier gas steam fractions, different, different pool water level and nozzle inlet pressure. The major findings are as follows. (1) Aerosol scrubbing efficiency increases with the increase of the aerosol size. (2) Aerosol scrubbing efficiency increases with the increase of the carrier gas steam fraction. (3) Aerosol scrubbing

  9. Opsoclonus in scrub typhus

    Directory of Open Access Journals (Sweden)

    S D'sa

    2012-01-01

    Full Text Available Scrub typhus is a mite borne infectious disease caused by Orientia tsutsugamushi. It is a common cause of undifferentiated febrile illness in the Indian subcontinent. We present a case of scrub typhus with a rare ophthalmic manifestation.Our patient presented with fever and opsoclonus, was diagnosed to have scrub typhus and completely improved upon treatment. Opsoclonus complicates various medical diseases, including viral infections, toxin, encephalitis, brain tumors, and paraneoplastic syndromes. There has been only one previously reported case of opsoclonus in scrub typhus. This phenomenon highlights the increasingly complex presentation of common diseases. It also indicates there is much to be discovered about the immunopathogenesis of this infectious disease.

  10. Neuropsychiatric manifestations of scrub typhus

    Directory of Open Access Journals (Sweden)

    Sanjay K Mahajan

    2017-01-01

    Full Text Available Scrub typhus is caused by Orientia tsutsugamushi characterized by focal or disseminated vasculitis and perivasculitis which may involve the lungs, heart, liver, spleen and central nervous system. It was thought to have been eradicated from India. Recently it is being reported from many areas of India. The clinical picture and severity of the symptoms varies widely. The neurological manifestations of scrub typhus are not uncommon but are diverse. Meningoencephalitis is classical manifestation of scrub typhus but cerebellitis, cranial nerve palsies, plexopathy, transverse myelitis, neuroleptic malignant syndrome and Guillan-Barré syndrome are other manifestations reported in literature. The availability of literature on the neurological manifestations of scrub typhus is limited to case reports mainly. This article reviews various neurological manifestations of scrub typhus reported in literature.

  11. Status epilepticus in scrub typhus.

    Science.gov (United States)

    Kalita, Jayantee; Mani, Vinita E; Bhoi, Sanjeev K; Misra, Usha K

    2016-07-01

    Scrub typhus is an emerging infection, and there is little information about status epilepticus (SE) in scrub typhus. We report the clinical spectrum and outcome of SE in scrub typhus. In a 3-year prospective hospital-based observational study, all scrub typhus patients with SE were included. Scrub typhus was diagnosed by immunochromatography assay. SE was defined if convulsions lasted longer than 5 min. The patients' demographic, clinical, computed tomography (CT), magnetic resonance imaging (MRI), and electroencephalography (EEG) findings were noted. Response to antiepileptic drugs (AEDs) and outcome at 1 month and 1 year were recorded. Between 2012 and 2014, there were 66 patients with scrub typhus admitted with central nervous system (CNS) involvement, 10 (15.2%) of whom had SE (generalized convulsions in 5, secondary generalized in one). The median age of the patients was 34 (range 18-71) years and seven were female. The duration of SE ranged between 10 min and 48 h. SE responded to one AED in five patients, two AEDs in three patients, and more than two AEDs in two patients. Cranial MRI findings were normal. All patients recovered completely with doxycycline by 1 month and AED was withdrawn by 8 months in all. Although 15% patients with scrub typhus may have SE, they have good outcome. Wiley Periodicals, Inc. © 2016 International League Against Epilepsy.

  12. Scrub typhus: Clinical spectrum and outcome.

    Science.gov (United States)

    Venkategowda, Pradeep M; Rao, S Manimala; Mutkule, Dnyaneshwar P; Rao, Mallela V; Taggu, Alai N

    2015-04-01

    Scrub typhus is one of the differential diagnoses for fever with thrombocytopenia. ARDS associated with Scrub typhus has high morbidity and mortality. To evaluate clinical features, lab values, and outcome in patients with scrub typhus and comparison in patients with or without ARDS. A prospective observational study was conducted on 109 patients with febrile illness and thrombocytopenia during a period of 12 months. All 109 patients were tested with both Immune-chromatography test and Weil felix test. Patients having either Immune-chromatography test/Weil felix test positive have been included and considered as scrub typhus positive whereas negative for both Immune-chromatography and Weil felix test were excluded. Clinical features, lab parameters, and outcome were evaluated in all patients with scrub typhus. Statistical analysis used in this study was T-test. Among 58 patients who were included (After exclusion of 51 patients among total of 109 patients) 34 patients had no ARDS and 24 patients had ARDS. The clinical feature like dyspnoea, cough, low blood pressure (MAPscrub typhus patients group with ARDS. The higher titers of Weil-felix can be correlated with more severe form of disease according to our observation. All 34 Scrub typhus patients without ARDS recovered completely. Among 24 Scrub typhus patients with ARDS, 22 patients recovered, and 2 patients died. Scrub typhus is an important differential diagnosis in a patients having fever with thrombocytopenia. Scrub typhus associated with ARDS has high morbidity and mortality. Early diagnosis and treatment with doxycycline can prevent the occurrence of ARDS.

  13. Diagnosis of Scrub Typhus

    NARCIS (Netherlands)

    Koh, Gavin C. K. W.; Maude, Richard J.; Paris, Daniel H.; Newton, Paul N.; Blacksell, Stuart D.

    2010-01-01

    Scrub typhus is transmitted by trombiculid mites and is endemic to East and Southeast Asia and Northern Australia. The clinical syndrome classically consists of a fever, rash, and eschar, but scrub typhus also commonly presents as an undifferentiated fever that requires laboratory confirmation of

  14. Acute pancreatitis associated with scrub typhus.

    Science.gov (United States)

    Sv, Padmavathi Devi; M, Aruna; Kumar, Anil Cv; Krishna Reddy, Hari; Bl, Sangeetha; Siva Kumar, V

    2017-01-01

    Scrub typhus, or tsutsugamushi fever, is a zoonosis of rural Asia and the western Pacific islands. The causative organism, Orientia (formerly Rickettsia) tsutsugamushi, is transmitted to humans by the bite of a larval Leptotrombidium mite (chigger). Scrub typhus may have gastrointestinal presentations, such as acute acalculous cholecystitis, duodenal ulcer perforation, peritonitis and gastric ulceration. Acute pancreatitis with scrub typhus has been reported rarely. We report a patient of scrub typhus complicated by acute pancreatitis and acute kidney injury. © The Author(s) 2016.

  15. Scrub Typhus, Republic of Palau

    OpenAIRE

    Demma, Linda J.; McQuiston, Jennifer H.; Nicholson, William L.; Murphy, Staci M.; Marumoto, Pearl; Sengebau-Kingzio, J. Maireng; Kuartei, Stevenson; Durand, A. Mark; Swerdlow, David L.

    2006-01-01

    Scrub typhus, caused by Orientia tsutsugamushi, is a severe febrile illness transmitted to humans by trombiculid mites, which normally feed on rodents. The first known outbreak of scrub typhus in Palau occurred in 2001 to 2003 among residents of the remote southwest islands. To determine the extent of scrub typhus distribution in Palau, we tested serum samples from humans and rodents for antibodies to O. tsutsugamushi. Of 212 Palau residents surveyed in 2003, 101 (47.6%) had immunoglobulin G ...

  16. Acute Cholecystitis in Patients with Scrub Typhus.

    Science.gov (United States)

    Lee, Hyun; Ji, Misuk; Hwang, Jeong-Hwan; Lee, Ja-Yeon; Lee, Ju-Hyung; Chung, Kyung Min; Lee, Chang-Seop

    2015-11-01

    Acute cholecystitis is a rare complication of scrub typhus. Although a few such cases have been reported in patients with scrub typhus, the clinical course is not well described. Of 12 patients, acute cholecystitis developed in 66.7% (8/12) of patients older than 60 yr. The scrub typhus group with acute cholecystitis had marginal significant longer hospital stay and higher cost than the group without cholecystitis according to propensity score matching. Scrub typhus should be kept in mind as a rare etiology of acute cholecystitis in endemic areas because the typical signs of scrub typhus such as skin rash and eschar can present after the abdominal pain.

  17. Epidemiologic characteristics of scrub typhus on Jeju Island.

    Science.gov (United States)

    Lee, Sung Uk

    2017-01-01

    Scrub typhus is the most common febrile disease in Korea during the autumn. Jeju Island is the largest island in South Korea and has a distinctive oceanic climate. This study aimed to identify epidemiologic characteristics of scrub typhus on Jeju Island. From January 2011 to December 2016, 446 patients were diagnosed with scrub typhus on Jeju Island. The patients' personal data and the environmental factors that might be related to scrub typhus were investigated and retrospectively analyzed. The median age of the patients was 58-years-old (range, 8 to 91) and 43% of them worked in the agricultural, forestry or livestock industry. Regardless of their job, 87% of the patients had a history of either working outdoors or of other activities before developing scrub typhus. The south and southeast regions of Jeju Island, especially Namwon-eup, showed the highest incidence of scrub typhus. Workers in mandarin orange orchards seemed to be the highest risk group for scrub typhus infection. Scrub typhus on Jeju Island showed unique characteristics. To efficiently prevent scrub typhus, each year individual regional approaches should be developed based on the epidemiologic characteristics of the disease.

  18. UNDERWATER COATINGS FOR CONTAMINATION CONTROL

    International Nuclear Information System (INIS)

    Julia L. Tripp; Kip Archibald; Ann Marie Phillips; Joseph Campbell

    2004-01-01

    The Idaho National Laboratory (INL) deactivated several aging nuclear fuel storage basins. Planners for this effort were greatly concerned that radioactive contamination present on the basin walls could become airborne as the sides of the basins became exposed during deactivation and allowed to dry after water removal. One way to control this airborne contamination was to fix the contamination in place while the pool walls were still submerged. There are many underwater coatings available on the market for marine, naval and other applications. A series of tests were run to determine whether the candidate underwater fixatives were easily applied and adhered well to the substrates (pool wall materials) found in INL fuel pools. Lab-scale experiments were conducted by applying fourteen different commercial underwater coatings to four substrate materials representative of the storage basin construction materials, and evaluating their performance. The coupons included bare concrete, epoxy painted concrete, epoxy painted carbon steel, and stainless steel. The evaluation criteria included ease of application, adherence to the four surfaces of interest, no change on water clarity or chemistry, non-hazardous in final applied form and be proven in underwater applications. A proprietary two-part, underwater epoxy owned by S. G. Pinney and Associates was selected from the underwater coatings tested for application to all four pools. Divers scrubbed loose contamination off the basin walls and floors using a ship hull scrubber and vacuumed up the sludge. The divers then applied the coating using a special powered roller with two separate heated hoses that allowed the epoxy to mix at the roller surface was used to eliminate pot time concerns. The walls were successfully coated and water was removed from the pools with no detectable airborne contamination releases

  19. Peritonitis in Patients with Scrub Typhus

    OpenAIRE

    Lee, Chang-Hun; Lee, Jae-Hoon; Yoon, Ki Jung; Hwang, Jeong-Hwan; Lee, Chang-Seop

    2012-01-01

    Various complications have been reported in scrub typhus cases including acute respiratory distress syndrome, encephalitis, pneumonia, pericarditis, acute renal failure, and acute hepatic failure. Few studies have reported on the gastrointestinal manifestations of scrub typhus. Typical gastrointestinal manifestations in patients with scrub typhus include abdominal pain, nausea, vomiting, hematemesis, melena, and diarrhea. The two cases presented in this study are the first reported cases of p...

  20. Acute Cholecystitis in Patients with Scrub Typhus

    OpenAIRE

    Lee, Hyun; Ji, Misuk; Hwang, Jeong-Hwan; Lee, Ja-Yeon; Lee, Ju-Hyung; Chung, Kyung Min; Lee, Chang-Seop

    2015-01-01

    Acute cholecystitis is a rare complication of scrub typhus. Although a few such cases have been reported in patients with scrub typhus, the clinical course is not well described. Of 12 patients, acute cholecystitis developed in 66.7% (8/12) of patients older than 60 yr. The scrub typhus group with acute cholecystitis had marginal significant longer hospital stay and higher cost than the group without cholecystitis according to propensity score matching. Scrub typhus should be kept in mind as ...

  1. Loose part monitoring device

    International Nuclear Information System (INIS)

    Nomura, Hiroshi.

    1992-01-01

    The device of the present invention estimates a place where loose parts occur and structural components as the loose parts in a fluid flow channel of a reactor device, to provide information thereof to a plant operator. That is, the device of the present invention comprises (1) a plurality of detectors disposed to each of equipments constituting fluid channels, (2) an abnormal sound sensing device for sensing signals from the detectors, (3) an estimation section for estimating the place where the loose parts occur and the structural components thereof based on the signals sensed by the abnormal sound sensing section, (4) a memory section for storing data of the plant structure necessary for the estimation, and (5) a display section for displaying the result of the estimation. In such a device, the position where the loose parts collide against the plant structural component and the energy thereof are estimated. The dropping path of the loose parts is estimated from the estimation position. Parts to be loose parts in the path are listed up. The parts on the list is selected based on the estimated energy thereby enabling to determine the loose parts. (I.S.)

  2. Endemic Scrub Typhus-like Illness, Chile

    Science.gov (United States)

    2011-09-01

    We report a case of scrub typhus in a 54-year-old man who was bitten by several terrestrial leeches during a trip to Chiloé Island in southern...vectors for murine typhus (R. typhi) and fl ea-borne spotted fever (R. felis), mites as vectors of rickettsialpox (R. akari), and scrub typhus ...rickettsial disease have been reported in this country since 1976 (3). Scrub typhus , caused by O. tsutsugamushi, which is usually transmitted by

  3. Predictors of Severity in Pediatric Scrub Typhus.

    Science.gov (United States)

    Narayanasamy, Dinesh Kumar; Arun Babu, Thirunavukkarasu; Vijayadevagaran, Vijayasankar; Kittu, Devi; Ananthakrishnan, Shanthi

    2018-01-24

    To identify the factors that can predict the severity of scrub typhus in children. This prospective study was conducted at a tertiary care teaching hospital between November 2014 to October 2016. All children scrub typhus were included in the study. These children were followed during the hospital course and their laboratory results, response to treatment and complications were documented. Cases of 'severe scrub typhus' were identified based on criteria from published adult and pediatric studies. Out of 930 children with fever for more than 7d, IgM ELISA for scrub typhus was positive in 230 children. Ninety one (40.6%) cases fulfilled the criteria of 'severe scrub typhus' in children. Out of 45 factors, 27 potential factors were studied. The multivariate analysis identified 5 factors, breathlessness (OR: 6.85, 95%CI: 2.69 to 9.87), altered sensorium (OR: 11.48, 95% CI 3.43 to 10.19), leucocytosis (OR: 3.38, 95% CI 1.12 to 10.16), hypoalbuminemia (OR: 10.78, 95% CI 2.66 to 48.76), and hyponatremia (OR: 10.08, 95% CI 2.11 to 23.42) to be significantly associated with the 'severe scrub typhus' cases. Breathlessness, altered sensorium, leucocytosis, hypoalbuminemia, and hyponatremia predict severity in childhood scrub typhus. Presence of these factors should alert the treating physician regarding the need for intensive monitoring, treatment or referral.

  4. Epidemiologic characteristics of scrub typhus on Jeju Island

    OpenAIRE

    Lee, Sung Uk

    2017-01-01

    OBJECTIVES Scrub typhus is the most common febrile disease in Korea during the autumn. Jeju Island is the largest island in South Korea and has a distinctive oceanic climate. This study aimed to identify epidemiologic characteristics of scrub typhus on Jeju Island. METHODS From January 2011 to December 2016, 446 patients were diagnosed with scrub typhus on Jeju Island. The patients’ personal data and the environmental factors that might be related to scrub typhus were investigated and retrosp...

  5. Recovery of perchloroethylene scrubbing medium generated in the refabrication of high-temperature gas-cooled reactor fuel

    International Nuclear Information System (INIS)

    Judd, M.S.; Van Cleve, J.E. Jr.; Rainey, W.T. Jr.

    1976-11-01

    During the refabrication of high-temperature gas-cooled reactor (HTGR) fuel, perchloroethylene (C 2 Cl 4 ) is used as the nonmoderating scrubbing medium to remove condensable hydrocarbons, carbon soot, and uranium-bearing particulates from the off-gas streams. The process by which the contaminated perchloroethylene is recycled is discussed

  6. Macrofungi in the lateritic scrub jungles of southwestern India

    Directory of Open Access Journals (Sweden)

    A. A. Greeshma

    2015-09-01

    Full Text Available A pilot study on macrofungi in scrub jungles (with and without fire-impact in lateritic region of southwestern coast of India was carried out.  Out of 11 species in 10 genera recovered, six and five species were confined to scrub jungle and fire-impacted scrub jungle, respectively.  An ectomycorrhizal Amanita sp. was the most frequent in scrub jungle associated with exotic (Acacia auriculiformis and A. mangium and plantation (Anacardium occidentale trees.  Based on traditional knowledge, it is a highly edible and nutritional delicacy in the coastal regions.  Astraeus odoratus was another common ectomycorrhizal fungus in native trees Hopea ponga, which was recovered from the fire-impacted scrub jungle and is possibly edible.  Edible termite mound mushroom Termitomyces striatus was also common in the fire-impacted scrub jungle.  Chlorophyllum molybdites was the most frequent mushroom in the fire-impacted scrub jungle.  

  7. Hemorrhagic Transformation of Scrub Typhus Encephalitis: A Rare Entity.

    Science.gov (United States)

    Kim, H-C; Yoon, K-W; Yoo, D-S; Cho, C-S

    2015-12-01

    Central nervous system (CNS) involvement of scrub typhus infection is well known. Most CNS involvement of scrub typhus infection present as meningitis or encephalitis. We report on a patient suffering from hemorrhagic transformation of intracranial lesions caused by Orientia tsutsugamushi. A 53-year-old female farmer who was infected by scrub typhus was treated with doxycycline and recovered from the systemic illness. However, headache persisted. Brain radiologic studies revealed acute intracranial hemorrhage and enhancing lesion, which implied a CNS involvement. Hemorrhagic transformation of encephalitis by scrub typhus is very rare complication and to our best knowledge, this is the first report of hemorrhagic transformation of scrub typhus encephalitis. Clinician should consider the possibility of hemorrhagic transformation of encephalitis in cases of scrub typhus infection.

  8. Recovery of perchloroethylene scrubbing medium generated in the refabrication of high-temperature gas-cooled reactor fuel

    Energy Technology Data Exchange (ETDEWEB)

    Judd, M.S.; Van Cleve, J.E. Jr.; Rainey, W.T. Jr.

    1976-11-01

    During the refabrication of high-temperature gas-cooled reactor (HTGR) fuel, perchloroethylene (C/sub 2/Cl/sub 4/) is used as the nonmoderating scrubbing medium to remove condensable hydrocarbons, carbon soot, and uranium-bearing particulates from the off-gas streams. The process by which the contaminated perchloroethylene is recycled is discussed.

  9. Development of Aerosol Scrubbing Test Loop for Containment Filtered Venting System

    International Nuclear Information System (INIS)

    Lee, Doo Yong; Jung, Woo Young; Lee, Hyun Chul; Lee, Jong Chan; Kim, Gyu Tae

    2016-01-01

    The scrubber tank is filled with scrubbing water with the chemical additives. The droplet separator based on a cyclone is installed above the scrubbing water pool to remove the large droplets that may clog a metal fiber filter installed at the upper section of the scrubber tank. The outlet piping is connected from the scrubber tank to the molecular sieve to chemically remove the gaseous iodine. The aerosol as a particle is physically captured in the scrubbing water pool passing through the scrubbing nozzle as well as the metal fiber filter. The gaseous iodine such as molecular iodine as well as organic iodide is chemically removed in the scrubbing water pool and molecular sieve. The thermal-hydraulic as well as scrubbing performance for the CFVS should be verified with the experiments. The experiment can be divided into the filtration component based experiment and whole system based one. In this paper, the aerosol scrubbing test loop developed to test the thermal-hydraulic and aerosol scrubbing performance of the scrubbing nozzle with the scrubbing water pool is introduced. The aerosol scrubbing test loop has been developed as a part of the Korean CFVS project. In this loop, the filtration components such as the scrubbing nozzle submerged in the scrubbing water pool as well as the cyclone as droplet separator can be tested under the CFVS operating conditions. The aerosol scrubbing performance of the filtration components including pool scrubbing behavior can be tested with the aerosol generation and feeding system and aerosol measurement system.

  10. Development of Aerosol Scrubbing Test Loop for Containment Filtered Venting System

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Doo Yong; Jung, Woo Young; Lee, Hyun Chul; Lee, Jong Chan; Kim, Gyu Tae [FNC Technology, Yongin (Korea, Republic of)

    2016-05-15

    The scrubber tank is filled with scrubbing water with the chemical additives. The droplet separator based on a cyclone is installed above the scrubbing water pool to remove the large droplets that may clog a metal fiber filter installed at the upper section of the scrubber tank. The outlet piping is connected from the scrubber tank to the molecular sieve to chemically remove the gaseous iodine. The aerosol as a particle is physically captured in the scrubbing water pool passing through the scrubbing nozzle as well as the metal fiber filter. The gaseous iodine such as molecular iodine as well as organic iodide is chemically removed in the scrubbing water pool and molecular sieve. The thermal-hydraulic as well as scrubbing performance for the CFVS should be verified with the experiments. The experiment can be divided into the filtration component based experiment and whole system based one. In this paper, the aerosol scrubbing test loop developed to test the thermal-hydraulic and aerosol scrubbing performance of the scrubbing nozzle with the scrubbing water pool is introduced. The aerosol scrubbing test loop has been developed as a part of the Korean CFVS project. In this loop, the filtration components such as the scrubbing nozzle submerged in the scrubbing water pool as well as the cyclone as droplet separator can be tested under the CFVS operating conditions. The aerosol scrubbing performance of the filtration components including pool scrubbing behavior can be tested with the aerosol generation and feeding system and aerosol measurement system.

  11. A Markov decision process for managing habitat for Florida scrub-jays

    Science.gov (United States)

    Johnson, Fred A.; Breininger, David R.; Duncan, Brean W.; Nichols, James D.; Runge, Michael C.; Williams, B. Ken

    2011-01-01

    Florida scrub-jays Aphelocoma coerulescens are listed as threatened under the Endangered Species Act due to loss and degradation of scrub habitat. This study concerned the development of an optimal strategy for the restoration and management of scrub habitat at Merritt Island National Wildlife Refuge, which contains one of the few remaining large populations of scrub-jays in Florida. There are documented differences in the reproductive and survival rates of scrubjays among discrete classes of scrub height (Markov models to estimate annual transition probabilities among the four scrub-height classes under three possible management actions: scrub restoration (mechanical cutting followed by burning), a prescribed burn, or no intervention. A strategy prescribing the optimal management action for management units exhibiting different proportions of scrub-height classes was derived using dynamic programming. Scrub restoration was the optimal management action only in units dominated by mixed and tall scrub, and burning tended to be the optimal action for intermediate levels of short scrub. The optimal action was to do nothing when the amount of short scrub was greater than 30%, because short scrub mostly transitions to optimal height scrub (i.e., that state with the highest demographic success of scrub-jays) in the absence of intervention. Monte Carlo simulation of the optimal policy suggested that some form of management would be required every year. We note, however, that estimates of scrub-height transition probabilities were subject to several sources of uncertainty, and so we explored the management implications of alternative sets of transition probabilities. Generally, our analysis demonstrated the difficulty of managing for a species that requires midsuccessional habitat, and suggests that innovative management tools may be needed to help ensure the persistence of scrub-jays at Merritt Island National Wildlife Refuge. The development of a tailored monitoring

  12. Multiple eschars in scrub typhus: a case report.

    Science.gov (United States)

    Koraluru, Munegowda; Nandigam, Manideep; Bairy, Indira; Vidyasagar, Sudha; Varma, Muralidhar

    2017-01-01

    Eschar in scrub typhus aids in early diagnosis and institution of appropriate therapy; however, the eschar positivity rates vary greatly in endemic regions. Multiple eschars in scrub typhus are a rare presentation. Our patient presented with fever and multiple eschars and was empirically started on doxycycline. Nested polymerase chain reaction from all the four eschars and from EDTA blood were positive for 56-kDa type-specific antigen which is specific for Orientia tsutsugamushi The patient recovered completely after 7 days of antibiotic treatment. He was from an area where scrub typhus was not observed previously. An eschar in an acute febrile patient from the "tsutsugamushi triangle" is a valuable sign in scrub typhus diagnosis. A search for multiple eschars in scrub typhus must be made by clinicians. © The Author(s) 2016.

  13. A Markov decision process for managing habitat for Florida scrub-jays

    Science.gov (United States)

    Johnson, Fred A.; Breininger, David R.; Duncan, Brean W.; Nichols, James D.; Runge, Michael C.; Williams, B. Ken

    2011-01-01

    Florida scrub-jays Aphelocoma coerulescens are listed as threatened under the Endangered Species Act due to loss and degradation of scrub habitat. This study concerned the development of an optimal strategy for the restoration and management of scrub habitat at Merritt Island National Wildlife Refuge, which contains one of the few remaining large populations of scrub-jays in Florida. There are documented differences in the reproductive and survival rates of scrubjays among discrete classes of scrub height (strategy that would maximize the long-term growth rate of the resident scrub-jay population. We used aerial imagery with multistate Markov models to estimate annual transition probabilities among the four scrub-height classes under three possible management actions: scrub restoration (mechanical cutting followed by burning), a prescribed burn, or no intervention. A strategy prescribing the optimal management action for management units exhibiting different proportions of scrub-height classes was derived using dynamic programming. Scrub restoration was the optimal management action only in units dominated by mixed and tall scrub, and burning tended to be the optimal action for intermediate levels of short scrub. The optimal action was to do nothing when the amount of short scrub was greater than 30%, because short scrub mostly transitions to optimal height scrub (i.e., that state with the highest demographic success of scrub-jays) in the absence of intervention. Monte Carlo simulation of the optimal policy suggested that some form of management would be required every year. We note, however, that estimates of scrub-height transition probabilities were subject to several sources of uncertainty, and so we explored the management implications of alternative sets of transition probabilities. Generally, our analysis demonstrated the difficulty of managing for a species that requires midsuccessional habitat, and suggests that innovative management tools may be needed to

  14. Scrub typhus: audit of an outbreak.

    Science.gov (United States)

    Krishna, Mani Ram; Vasuki, B; Nagaraju, K

    2015-06-01

    To document the epidemiological, clinical and laboratory profile of all children with scrub typhus at a tertiary care centre in Chennai between September 2010 and June 2011. The case records of all children admitted and diagnosed with scrub typhus between September 2010 and June 2011 were analysed to look for salient clinical and laboratory parameters. During the study period, 52 children were admitted with scrub typhus in the authors' hospital. The presenting complaints included fever in all cases. Other symptoms included swelling of legs (50 %) and vomiting (45 %). 13 % presented with CNS symptoms. The commonest physical findings included eschar (67 %), hepatomegaly (94 %), splenomegaly (73 %) and third spacing (67 %). Salient lab parameters included packed cell volume (PCV) scrub typhus in a tertiary care centre is reported. Eschar and hepatosplenomegaly with a high CRP value is helpful in diagnosis. All patients responded well to the treatment.

  15. HRCT findings of scrub typhus

    International Nuclear Information System (INIS)

    Kim, Kyu Sik; Kang, Sung Soo; Jin, Kong Yong; Lee, Jeong Min; Han, Young Min; Kim, Chong Soo; Chung, Gyung Ho; Lee, Sang Yong; Sohn, Myung Hee; Choi, Ki Chul

    1997-01-01

    To evaluate high-resolution CT (HRCT) findings of scrub typhus. We retrospectively reviewed the HRCT scans of 26 serologically confirmed scrub typhus patients. One underwent follow-up HRCT scanning. Twenty-three(88.5%) of the 26 patients showed abnormal findings. All 23 had lung parenchymal lesions; a small amount of pleural effusion was seen in 11 patients, and lymphadenopathy in six. The predominant parenchymal lesion was thickening of interlobular septae and the axial and intralobular interstitium (n=16). Most lesions were located in both lower lung zones. Other findings were ground-glass attenuation (n=11) and focal parenchymal consolidation (n=8). In one patient, parenchymal lesions were resolved on follow-up HRCT scanning. HRCT findings of interstitial thickening, abnormally increased parenchymal attenuation, pleural effusion and lymphadenopathy with typical clinical symptoms were diagnostic of scrub typhus

  16. HRCT findings of scrub typhus

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Kyu Sik; Kang, Sung Soo; Jin, Kong Yong; Lee, Jeong Min; Han, Young Min; Kim, Chong Soo; Chung, Gyung Ho; Lee, Sang Yong; Sohn, Myung Hee; Choi, Ki Chul [Chonbuk National Univ. Medical School, Chonju (Korea, Republic of)

    1997-06-01

    To evaluate high-resolution CT (HRCT) findings of scrub typhus. We retrospectively reviewed the HRCT scans of 26 serologically confirmed scrub typhus patients. One underwent follow-up HRCT scanning. Twenty-three(88.5%) of the 26 patients showed abnormal findings. All 23 had lung parenchymal lesions; a small amount of pleural effusion was seen in 11 patients, and lymphadenopathy in six. The predominant parenchymal lesion was thickening of interlobular septae and the axial and intralobular interstitium (n=16). Most lesions were located in both lower lung zones. Other findings were ground-glass attenuation (n=11) and focal parenchymal consolidation (n=8). In one patient, parenchymal lesions were resolved on follow-up HRCT scanning. HRCT findings of interstitial thickening, abnormally increased parenchymal attenuation, pleural effusion and lymphadenopathy with typical clinical symptoms were diagnostic of scrub typhus.

  17. A case of scrub typhus requiring maintenance hemodialysis

    Directory of Open Access Journals (Sweden)

    Dae-Yeon Kim

    2013-12-01

    Full Text Available Renal failure caused by scrub typhus is known to be reversible. In most cases, renal function is almost fully restored after appropriate antibiotic treatment. A 71-year-old man was diagnosed with scrub typhus complicated by renal failure. A renal biopsy revealed histopathologic findings consistent with acute tubulointerstitial nephritis. Renal function did not improve 18 months after discharge and the patient required continuous hemodialysis. Although severe renal failure requiring dialysis is a rare complication of scrub typhus, we describe a case of scrub typhus requiring maintenance hemodialysis. To the best of our knowledge, this is the first such report.

  18. Extracorporeal Membrane Oxygenation for Complicated Scrub Typhus

    Directory of Open Access Journals (Sweden)

    Eun Sun Kim

    Full Text Available Scrub typhus is a mite-borne infectious disease caused by Orientia tsutsugamushi . Although early diagnosis and appropriate antibiotic therapy improve the prognosis for the majority of patients, life-threatening complications are not uncommon. Here, we present a case of successful veno-veno-type extracorporeal membrane oxygenation for scrub typhus-induced complications, including acute respiratory distress syndrome, myocarditis and multi-organ dysfunction. To our knowledge, this is the first case report of successful extracorporeal membrane oxygenation in complicated scrub typhus in Korea.

  19. Pool scrubbing

    International Nuclear Information System (INIS)

    Lopez-Jimenez, J.; Herranz, J.; Escudero, M.J.; Espigares, M.M.; Peyres, V.; Polo, J.; Kortz, Ch.; Koch, M.K.; Brockmeier, U.; Unger, H.; Dutton, L.M.C.; Smedley, Ch.; Trow, W.; Jones, A.V.; Bonanni, E.; Calvo, M.; Alonso, A.

    1996-12-01

    The Source Term Project in the Third Frame Work Programme of the European Union Was conducted under and important joined effort on pool scrubbing research. CIEMAT was the Task Manager of the project and several other organizations participated in it: JRC-Ispra, NNC Limited, RUB-NES and UPM. The project was divided into several tasks. A peer review of the models in the pool scrubbing codes SPARC90 and BUSCA-AUG92 was made, considering the different aspects in the hydrodynamic phenomenology, particle retention and fission product vapor abortions. Several dominant risk accident sequences were analyzed with MAAP, SPARC90 and BUSCA-AUG92 codes, and the predictions were compared. A churn-turbulent model was developed for the hydrodynamic behaviour of the pool. Finally, an experimental programme in the PECA facility of CIEMAT was conducted in order to study the decontamination factor under jet injection regime, and the experimental observations were compared with the SPARC and BUSCA codes. (Author)

  20. Seroprevalence of Scrub Typhus Infection in Arunachal Pradesh, India.

    Science.gov (United States)

    Jakharia, Aniruddha; Borkakoty, Biswajyoti; Biswas, Dipankar; Yadav, Kaushal; Mahanta, Jagadish

    2016-10-01

    Scrub typhus is a major reason for febrile illness, caused by a bacterium Orientia tsutsugamushi, a rickettsial pathogen. Few outbreaks of scrub typhus have been reported from Arunachal Pradesh in recent past. However, there is lack of seroprevalence data from the region. In this regard, this study was undertaken using archival serum sample available from seven districts of Arunachal Pradesh. This serological study was conducted in Regional Medical Research Center for NE Region, Dibrugarh. Reactivity to IgG class of antibodies against scrub typhus was done using Scrub typhus detect IgG ELISA kit as per manufacturer's protocol. Seroprevalence of scrub typhus in seven districts of Arunachal Pradesh was found to be 40% (120/300). The age-specific scrub typhus seroprevalence rose steadily from 5.6% in children scrub typhus infection should be considered in differential diagnosis of any acute febrile illness in this part of the country. In view of the high prevalence, empirical therapy of doxycycline/azithromycin may be done in cases of undiagnosed fever. Active surveillance has to be done to understand exact magnitude, epidemiological aspects, and distribution of vector and disease of this reemerging neglected tropical disease.

  1. Pancreatitis in scrub typhus

    Directory of Open Access Journals (Sweden)

    Alok Bhatt

    2014-01-01

    Full Text Available Scrub typhus is a rickettsial infection prevalent in most parts of India. Acute pancreatitis with pseudocyst formation is a rare complication of this condition. This paper reports acute renal failure, pancreatitis and pseudocyst formation in a 48-year-old female with scrub typhus. Ultrasonography of the abdomen revealed a bulky pancreas with fluid seen along the body of the pancreas in the lesser sac. The infection was successfully treated with doxycycline and supportive treatment. Pancreatitis was managed conservatively. This case report highlights the importance of identifying and managing uncommon complications of a common tropical disease for optimum outcome.

  2. Scrub typhus en Scrub itch, in het bijzonder in Nieuw Guinea

    NARCIS (Netherlands)

    Hammen, van der L.

    1956-01-01

    INHOUD Pag. I. Inleiding.................. 1 II. Historisch overzicht............... 3 III. Epidemiologie en oecologie............. 13 IV. Klinische waarnemingen, pathologie, diagnose en behandeling .... 24 V. Aetiologie.................. 27 VI. Scrub itch.................. 28 VII. Preventieve

  3. Waste management of actinide contaminated soil

    International Nuclear Information System (INIS)

    Navratil, J.D.; Thompson, G.H.; Kochen, R.L.

    1978-01-01

    Waste management processes have been developed to reduce the volume of Rocky Flats soil contaminated with plutonium and americium and to prepare the contaminated fraction for terminal storage. The primary process consists of wet-screening. The secondary process uses attrition scrubbing and wet screening with additives. The tertiary process involves volume reduction of the contaminated fraction by calcination, or fixation by conversion to glass. The results of laboratory scale testing of the processes are described

  4. Measurement of loose powder density

    International Nuclear Information System (INIS)

    Akhtar, S.; Ali, A.; Haider, A.; Farooque, M.

    2011-01-01

    Powder metallurgy is a conventional technique for making engineering articles from powders. Main objective is to produce final products with the highest possible uniform density, which depends on the initial loose powder characteristics. Producing, handling, characterizing and compacting materials in loose powder form are part of the manufacturing processes. Density of loose metallic or ceramic powder is an important parameter for die design. Loose powder density is required for calculating the exact mass of powder to fill the die cavity for producing intended green density of the powder compact. To fulfill this requirement of powder metallurgical processing, a loose powder density meter as per ASTM standards is designed and fabricated for measurement of density. The density of free flowing metallic powders can be determined using Hall flow meter funnel and density cup of 25 cm/sup 3/ volume. Density of metal powders like cobalt, manganese, spherical bronze and pure iron is measured and results are obtained with 99.9% accuracy. (author)

  5. Scrub Typhus Outbreak in a Remote Primary School, Bhutan, 2014.

    Science.gov (United States)

    Tshokey, Tshokey; Graves, Stephen; Tshering, Dorji; Phuntsho, Kelzang; Tshering, Karchung; Stenos, John

    2017-08-01

    Scrub typhus in Bhutan was first reported in 2009. We investigated an outbreak of scrub typhus in a remote primary school during August-October 2014. Delay in recognition and treatment resulted in 2 deaths from meningoencephalitis. Scrub typhus warrants urgent public health interventions in Bhutan.

  6. Scrub Typhus Outbreak in a Remote Primary School, Bhutan, 2014

    OpenAIRE

    Tshokey, Tshokey; Graves, Stephen; Tshering, Dorji; Phuntsho, Kelzang; Tshering, Karchung; Stenos, John

    2017-01-01

    Scrub typhus in Bhutan was first reported in 2009. We investigated an outbreak of scrub typhus in a remote primary school during August?October 2014. Delay in recognition and treatment resulted in 2 deaths from meningoencephalitis. Scrub typhus warrants urgent public health interventions in Bhutan.

  7. Spatiotemporal Dynamics of Scrub Typhus Transmission in Mainland China, 2006-2014.

    Science.gov (United States)

    Wu, Yi-Cheng; Qian, Quan; Soares Magalhaes, Ricardo J; Han, Zhi-Hai; Hu, Wen-Biao; Haque, Ubydul; Weppelmann, Thomas A; Wang, Yong; Liu, Yun-Xi; Li, Xin-Lou; Sun, Hai-Long; Sun, Yan-Song; Clements, Archie C A; Li, Shen-Long; Zhang, Wen-Yi

    2016-08-01

    Scrub typhus is endemic in the Asia-Pacific region including China, and the number of reported cases has increased dramatically in the past decade. However, the spatial-temporal dynamics and the potential risk factors in transmission of scrub typhus in mainland China have yet to be characterized. This study aims to explore the spatiotemporal dynamics of reported scrub typhus cases in mainland China between January 2006 and December 2014, to detect the location of high risk spatiotemporal clusters of scrub typhus cases, and identify the potential risk factors affecting the re-emergence of the disease. Monthly cases of scrub typhus reported at the county level between 2006 and 2014 were obtained from the Chinese Center for Diseases Control and Prevention. Time-series analyses, spatiotemporal cluster analyses, and spatial scan statistics were used to explore the characteristics of the scrub typhus incidence. To explore the association between scrub typhus incidence and environmental variables panel Poisson regression analysis was conducted. During the time period between 2006 and 2014 a total of 54,558 scrub typhus cases were reported in mainland China, which grew exponentially. The majority of cases were reported each year between July and November, with peak incidence during October every year. The spatiotemporal dynamics of scrub typhus varied over the study period with high-risk clusters identified in southwest, southern, and middle-eastern part of China. Scrub typhus incidence was positively correlated with the percentage of shrub and meteorological variables including temperature and precipitation. The results of this study demonstrate areas in China that could be targeted with public health interventions to mitigate the growing threat of scrub typhus in the country.

  8. Clinical proteomic analysis of scrub typhus infection.

    Science.gov (United States)

    Park, Edmond Changkyun; Lee, Sang-Yeop; Yun, Sung Ho; Choi, Chi-Won; Lee, Hayoung; Song, Hyun Seok; Jun, Sangmi; Kim, Gun-Hwa; Lee, Chang-Seop; Kim, Seung Il

    2018-01-01

    Scrub typhus is an acute and febrile infectious disease caused by the Gram-negative α-proteobacterium Orientia tsutsugamushi from the family Rickettsiaceae that is widely distributed in Northern, Southern and Eastern Asia. In the present study, we analysed the serum proteome of scrub typhus patients to investigate specific clinical protein patterns in an attempt to explain pathophysiology and discover potential biomarkers of infection. Serum samples were collected from three patients (before and after treatment with antibiotics) and three healthy subjects. One-dimensional sodium dodecyl sulphate-polyacrylamide gel electrophoresis followed by liquid chromatography-tandem mass spectrometry was performed to identify differentially abundant proteins using quantitative proteomic approaches. Bioinformatic analysis was then performed using Ingenuity Pathway Analysis. Proteomic analysis identified 236 serum proteins, of which 32 were differentially expressed in normal subjects, naive scrub typhus patients and patients treated with antibiotics. Comparative bioinformatic analysis of the identified proteins revealed up-regulation of proteins involved in immune responses, especially complement system, following infection with O. tsutsugamushi , and normal expression was largely rescued by antibiotic treatment. This is the first proteomic study of clinical serum samples from scrub typhus patients. Proteomic analysis identified changes in protein expression upon infection with O. tsutsugamushi and following antibiotic treatment. Our results provide valuable information for further investigation of scrub typhus therapy and diagnosis.

  9. Estimating the burden of scrub typhus: A systematic review.

    Directory of Open Access Journals (Sweden)

    Ana Bonell

    2017-09-01

    Full Text Available Scrub typhus is a vector-borne zoonotic disease that can be life-threatening. There are no licensed vaccines, or vector control efforts in place. Despite increasing awareness in endemic regions, the public health burden and global distribution of scrub typhus remains poorly known.We systematically reviewed all literature from public health records, fever studies and reports available on the Ovid MEDLINE, Embase Classic + Embase and EconLit databases, to estimate the burden of scrub typhus since the year 2000.In prospective fever studies from Asia, scrub typhus is a leading cause of treatable non-malarial febrile illness. Sero-epidemiological data also suggest that Orientia tsutsugamushi infection is common across Asia, with seroprevalence ranging from 9.3%-27.9% (median 22.2% IQR 18.6-25.7. A substantial apparent rise in minimum disease incidence (median 4.6/100,000/10 years, highest in China with 11.2/100,000/10 years was reported through passive national surveillance systems in South Korea, Japan, China, and Thailand. Case fatality risks from areas of reduced drug-susceptibility are reported at 12.2% and 13.6% for South India and northern Thailand, respectively. Mortality reports vary widely around a median mortality of 6.0% for untreated and 1.4% for treated scrub typhus. Limited evidence suggests high mortality in complicated scrub typhus with CNS involvement (13.6% mortality, multi-organ dysfunction (24.1% and high pregnancy miscarriage rates with poor neonatal outcomes.Scrub typhus appears to be a truly neglected tropical disease mainly affecting rural populations, but increasingly also metropolitan areas. Rising minimum incidence rates have been reported over the past 8-10 years from countries with an established surveillance system. A wider distribution of scrub typhus beyond Asia is likely, based on reports from South America and Africa. Unfortunately, the quality and quantity of the available data on scrub typhus epidemiology is

  10. Estimating the burden of scrub typhus: A systematic review.

    Science.gov (United States)

    Bonell, Ana; Lubell, Yoel; Newton, Paul N; Crump, John A; Paris, Daniel H

    2017-09-01

    Scrub typhus is a vector-borne zoonotic disease that can be life-threatening. There are no licensed vaccines, or vector control efforts in place. Despite increasing awareness in endemic regions, the public health burden and global distribution of scrub typhus remains poorly known. We systematically reviewed all literature from public health records, fever studies and reports available on the Ovid MEDLINE, Embase Classic + Embase and EconLit databases, to estimate the burden of scrub typhus since the year 2000. In prospective fever studies from Asia, scrub typhus is a leading cause of treatable non-malarial febrile illness. Sero-epidemiological data also suggest that Orientia tsutsugamushi infection is common across Asia, with seroprevalence ranging from 9.3%-27.9% (median 22.2% IQR 18.6-25.7). A substantial apparent rise in minimum disease incidence (median 4.6/100,000/10 years, highest in China with 11.2/100,000/10 years) was reported through passive national surveillance systems in South Korea, Japan, China, and Thailand. Case fatality risks from areas of reduced drug-susceptibility are reported at 12.2% and 13.6% for South India and northern Thailand, respectively. Mortality reports vary widely around a median mortality of 6.0% for untreated and 1.4% for treated scrub typhus. Limited evidence suggests high mortality in complicated scrub typhus with CNS involvement (13.6% mortality), multi-organ dysfunction (24.1%) and high pregnancy miscarriage rates with poor neonatal outcomes. Scrub typhus appears to be a truly neglected tropical disease mainly affecting rural populations, but increasingly also metropolitan areas. Rising minimum incidence rates have been reported over the past 8-10 years from countries with an established surveillance system. A wider distribution of scrub typhus beyond Asia is likely, based on reports from South America and Africa. Unfortunately, the quality and quantity of the available data on scrub typhus epidemiology is currently too

  11. Clinical score to differentiate scrub typhus and dengue: A tool to differentiate scrub typhus and dengue

    Directory of Open Access Journals (Sweden)

    Shubhanker Mitra

    2017-01-01

    Full Text Available Background: Dengue and scrub typhus share similar clinical and epidemiological features, and are difficult to differentiate at initial presentation. Many places are endemic to both these infections where they comprise the majority of acute undifferentiated febrile illnesses. Materials and Methods: We aimed to develop a score that can differentiate scrub typhus from dengue. In this cross-sectional study, 188 cases of scrub typhus and 201 cases of dengue infection who presented to the emergency department or medicine outpatient clinic from September 2012 to April 2013 were included. Univariate followed by multivariate logistic regression analysis was performed to identify clinical features and laboratory results that were significantly different between the two groups. Each variable was assigned scores based on the strength of association and receiver operating characteristics area under the curve (ROC-AUC was generated and compared. Six scoring models were explored to ascertain the model with the best fit. Results: Model 2 was developed using the following six variables: oxygen saturation (>90%, ≤90%, total white blood cell count (7000 cells/cumm, hemoglobin (≤14 and >14 g/dL, total bilirubin (200 and ≥200 IU/dL, and altered sensorium (present or absent. Each variable was assigned scores based on its strength of association. The AUC-ROC curve (95% confidence interval for model 2 was 0.84 (0.79–0.89. At the cut off score of 13, the sensitivity and specificity were 85% and 77% respectively, with a higher score favoring dengue. Conclusion: In areas of high burden of ST and dengue, model 2 (the “clinical score to differentiate scrub typhus and dengue fever” is a simple and rapid clinical scoring system that may be used to differentiate scrub typhus and dengue at initial presentation.

  12. Clinical Score to Differentiate Scrub Typhus and Dengue: A Tool to Differentiate Scrub Typhus and Dengue.

    Science.gov (United States)

    Mitra, Shubhanker; Gautam, Ira; Jambugulam, Mohan; Abhilash, Kundavaram Paul Prabhakar; Jayaseeelan, Vishalakshi

    2017-01-01

    Dengue and scrub typhus share similar clinical and epidemiological features, and are difficult to differentiate at initial presentation. Many places are endemic to both these infections where they comprise the majority of acute undifferentiated febrile illnesses. We aimed to develop a score that can differentiate scrub typhus from dengue. In this cross-sectional study, 188 cases of scrub typhus and 201 cases of dengue infection who presented to the emergency department or medicine outpatient clinic from September 2012 to April 2013 were included. Univariate followed by multivariate logistic regression analysis was performed to identify clinical features and laboratory results that were significantly different between the two groups. Each variable was assigned scores based on the strength of association and receiver operating characteristics area under the curve (ROC-AUC) was generated and compared. Six scoring models were explored to ascertain the model with the best fit. Model 2 was developed using the following six variables: oxygen saturation (>90%, ≤90%), total white blood cell count (7000 cells/cumm), hemoglobin (≤14 and >14 g/dL), total bilirubin (200 and ≥200 IU/dL), and altered sensorium (present or absent). Each variable was assigned scores based on its strength of association. The AUC-ROC curve (95% confidence interval) for model 2 was 0.84 (0.79-0.89). At the cut off score of 13, the sensitivity and specificity were 85% and 77% respectively, with a higher score favoring dengue. In areas of high burden of ST and dengue, model 2 (the "clinical score to differentiate scrub typhus and dengue fever") is a simple and rapid clinical scoring system that may be used to differentiate scrub typhus and dengue at initial presentation.

  13. Acute pancreatitis due to scrub typhus

    Directory of Open Access Journals (Sweden)

    Atif Shaikh Iqbal Ahmed

    2014-01-01

    Full Text Available Scrub typhus is endemic in large parts of India and can cause multi-organ failure and death. Acute pancreatitis as a complication is very rare and is potentially fatal. This case series describes seven adult patients who presented with an acute febrile illness and were diagnosed to have scrub typhus with acute pancreatitis. The mean age of the seven patients with acute pancreatitis was 49.4 years, and mean duration of fever prior to presentation was 7.7 days. All seven patients had abdominal pain, and three had a pathognomonic eschar. The mean serum lipase level was 1,509 U/L (normal value: <190 U/L and the mean serum amylase level was 434 U/L (normal value: <200 U/L. Six patients had evidence of multi-organ dysfunction. Hematological and respiratory system dysfunction was seen in five patients, hepatic and renal dysfunction in four, and central nervous system dysfunction in three patients. Three patients who had ≥4 organs involved, died (mortality rate: 42.8%. Our case series shows that pancreatitis in scrub typhus is an extremely rare complication and when present, is associated with increased mortality (42.8%. Physicians may be familiar with the various complications of scrub typhus but less so with acute pancreatitis and hence may be underdiagnosed.

  14. The lived experiences of operating theatre scrub nurses learning technical scrub skills 'I'm doing this right, aren't I? Am I doing this right?'

    Science.gov (United States)

    Radford, Eleanor J; Fotis, Theo

    2018-01-01

    Operating theatre scrub nurses (OTSNs) are not required to have undertaken a secondary or specialist post-registration theatre qualification to work in the operating theatre (OT) setting in the UK. From the systematic review there is only very limited literature or research in how technical scrub skills are acquired. This study explores the lived experiences of OTSNs learning technical scrub skills. The study employed the qualitative methodology of interpretative phenomenological analysis. Data was collected from six participating OTSNs using semi-structured interviews. Four superordinate themes emerged: How technical scrub skills are established, Gatekeepers, How the learner feels whilst learning and, Reflections of the experienced scrub nurse. The study found that the experiences of OTSNs learning technical scrub skills are varied and a variety of teaching and learning methods are utilised. These experiences were influenced by the team, mentor and surgeon within the OT environment. Lived experiences were also influenced by organisational structure and service pressures within the NHS.

  15. Scrub Typhus Incidence Modeling with Meteorological Factors in South Korea.

    Science.gov (United States)

    Kwak, Jaewon; Kim, Soojun; Kim, Gilho; Singh, Vijay P; Hong, Seungjin; Kim, Hung Soo

    2015-06-29

    Since its recurrence in 1986, scrub typhus has been occurring annually and it is considered as one of the most prevalent diseases in Korea. Scrub typhus is a 3rd grade nationally notifiable disease that has greatly increased in Korea since 2000. The objective of this study is to construct a disease incidence model for prediction and quantification of the incidences of scrub typhus. Using data from 2001 to 2010, the incidence Artificial Neural Network (ANN) model, which considers the time-lag between scrub typhus and minimum temperature, precipitation and average wind speed based on the Granger causality and spectral analysis, is constructed and tested for 2011 to 2012. Results show reliable simulation of scrub typhus incidences with selected predictors, and indicate that the seasonality in meteorological data should be considered.

  16. Scrub Typhus Incidence Modeling with Meteorological Factors in South Korea

    Directory of Open Access Journals (Sweden)

    Jaewon Kwak

    2015-06-01

    Full Text Available Since its recurrence in 1986, scrub typhus has been occurring annually and it is considered as one of the most prevalent diseases in Korea. Scrub typhus is a 3rd grade nationally notifiable disease that has greatly increased in Korea since 2000. The objective of this study is to construct a disease incidence model for prediction and quantification of the incidences of scrub typhus. Using data from 2001 to 2010, the incidence Artificial Neural Network (ANN model, which considers the time-lag between scrub typhus and minimum temperature, precipitation and average wind speed based on the Granger causality and spectral analysis, is constructed and tested for 2011 to 2012. Results show reliable simulation of scrub typhus incidences with selected predictors, and indicate that the seasonality in meteorological data should be considered.

  17. Pool scrubbing models for iodine components

    Energy Technology Data Exchange (ETDEWEB)

    Fischer, K [Battelle Ingenieurtechnik GmbH, Eschborn (Germany)

    1996-12-01

    Pool scrubbing is an important mechanism to retain radioactive fission products from being carried into the containment atmosphere or into the secondary piping system. A number of models and computer codes has been developed to predict the retention of aerosols and fission product vapours that are released from the core and injected into water pools of BWR and PWR type reactors during severe accidents. Important codes in this field are BUSCA, SPARC and SUPRA. The present paper summarizes the models for scrubbing of gaseous Iodine components in these codes, discusses the experimental validation, and gives an assessment of the state of knowledge reached and the open questions which persist. The retention of gaseous Iodine components is modelled by the various codes in a very heterogeneous manner. Differences show up in the chemical species considered, the treatment of mass transfer boundary layers on the gaseous and liquid sides, the gas-liquid interface geometry, calculation of equilibrium concentrations and numerical procedures. Especially important is the determination of the pool water pH value. This value is affected by basic aerosols deposited in the water, e.g. Cesium and Rubidium compounds. A consistent model requires a mass balance of these compounds in the pool, thus effectively coupling the pool scrubbing phenomena of aerosols and gaseous Iodine species. Since the water pool conditions are also affected by drainage flow of condensate water from different regions in the containment, and desorption of dissolved gases on the pool surface is determined by the gas concentrations above the pool, some basic limitations of specialized pool scrubbing codes are given. The paper draws conclusions about the necessity of coupling between containment thermal-hydraulics and pool scrubbing models, and proposes ways of further simulation model development in order to improve source term predictions. (author) 2 tabs., refs.

  18. Pool scrubbing models for iodine components

    International Nuclear Information System (INIS)

    Fischer, K.

    1996-01-01

    Pool scrubbing is an important mechanism to retain radioactive fission products from being carried into the containment atmosphere or into the secondary piping system. A number of models and computer codes has been developed to predict the retention of aerosols and fission product vapours that are released from the core and injected into water pools of BWR and PWR type reactors during severe accidents. Important codes in this field are BUSCA, SPARC and SUPRA. The present paper summarizes the models for scrubbing of gaseous Iodine components in these codes, discusses the experimental validation, and gives an assessment of the state of knowledge reached and the open questions which persist. The retention of gaseous Iodine components is modelled by the various codes in a very heterogeneous manner. Differences show up in the chemical species considered, the treatment of mass transfer boundary layers on the gaseous and liquid sides, the gas-liquid interface geometry, calculation of equilibrium concentrations and numerical procedures. Especially important is the determination of the pool water pH value. This value is affected by basic aerosols deposited in the water, e.g. Cesium and Rubidium compounds. A consistent model requires a mass balance of these compounds in the pool, thus effectively coupling the pool scrubbing phenomena of aerosols and gaseous Iodine species. Since the water pool conditions are also affected by drainage flow of condensate water from different regions in the containment, and desorption of dissolved gases on the pool surface is determined by the gas concentrations above the pool, some basic limitations of specialized pool scrubbing codes are given. The paper draws conclusions about the necessity of coupling between containment thermal-hydraulics and pool scrubbing models, and proposes ways of further simulation model development in order to improve source term predictions. (author) 2 tabs., refs

  19. Associated factors and clinical implications of serum aminotransferase elevation in scrub typhus.

    Science.gov (United States)

    Su, Tung-Hung; Liu, Chun-Jen; Shu, Pei-Yun; Fu, Yang-Hsien; Chang, Chi-Hsien; Jao, Ping; Kao, Jia-Horng

    2016-12-01

    Timely diagnosis and prompt treatment can reduce the complications of scrub typhus. It is thus important to find easy laboratory tests to help in the diagnosis, especially in patients without eschar at initial presentation. Because serum aminotransferase elevation is common in scrub typhus, its associated factors and clinical implications need further investigations. We conducted a retrospective study in Kinmen, Taiwan, to collect clinically suspected scrub typhus patients notified to Taiwan Centers for Disease Control for confirmation during 2005-2010. Scrub typhus was diagnosed and Orientia tsutsugamushi was genotyped by serological or molecular assays. The laboratory data and clinical information were recorded for analysis. Overall, 344 suspected scrub typhus patients were reported to Taiwan Centers for Disease Control and 288 of them were certified scrub typhus. Scrub typhus patients had significantly more thrombocytopenia, serum aminotransferase elevation (76% vs. 54%, p = 0.001), higher frequency of fever, eschar, and lymphadenopathy, compared with nontyphus patients. Hepatic dysfunction in scrub typhus was associated with older age, longer fever duration, and absence of lymphadenopathy, but seemed to be unrelated to the rickettsial genotypes. Multivariate analysis showed that serum aminotransferase elevation (odds ratio: 3.75; p = 0.003; 95% confidence interval: 1.56-9.01) independently predicted scrub typhus. Furthermore, in suspected scrub typhus patients without eschar, 92% of true typhus patients had serum aminotransferase elevation compared with the nontyphus ones (odds ratio: 6.47; p = 0.028, 95% confidence interval: 1.23-34.11). Hepatic dysfunction in scrub typhus patients is associated with older age, longer fever duration, and absence of lymphadenopathy. Serum aminotransferase elevation can aid in the diagnosis of scrub typhus, especially in suspected patients without eschar. Copyright © 2014. Published by Elsevier B.V.

  20. Climate variability, animal reservoir and transmission of scrub typhus in Southern China.

    Science.gov (United States)

    Wei, Yuehong; Huang, Yong; Li, Xiaoning; Ma, Yu; Tao, Xia; Wu, Xinwei; Yang, Zhicong

    2017-03-01

    We aimed to evaluate the relationships between climate variability, animal reservoirs and scrub typhus incidence in Southern China. We obtained data on scrub typhus cases in Guangzhou every month from 2006 to 2014 from the Chinese communicable disease network. Time-series Poisson regression models and distributed lag nonlinear models (DLNM) were used to evaluate the relationship between risk factors and scrub typhus. Wavelet analysis found the incidence of scrub typhus cycled with a period of approximately 8-12 months and long-term trends with a period of approximately 24-36 months. The DLNM model shows that relative humidity, rainfall, DTR, MEI and rodent density were associated with the incidence of scrub typhus. Our findings suggest that the incidence scrub typhus has two main temporal cycles. Determining the reason for this trend and how it can be used for disease control and prevention requires additional research. The transmission of scrub typhus is highly dependent on climate factors and rodent density, both of which should be considered in prevention and control strategies for scrub typhus.

  1. Rapid Increase in Scrub Typhus Incidence in Mainland China, 2006-2014.

    Science.gov (United States)

    Wu, Yi-Cheng; Qian, Quan; Magalhaes, Ricardo J Soares; Han, Zhi-Hai; Haque, Ubydul; Weppelmann, Thomas A; Hu, Wen-Biao; Liu, Yun-Xi; Sun, Yan-Song; Zhang, Wen-Yi; Li, Shen-Long

    2016-03-01

    Scrub typhus is a vector-borne disease, which has recently reemerged in China. In this study, we describe the distribution and incidence of scrub typhus cases in China from 2006 to 2014 and quantify differences in scrub typhus cases with respect to sex, age, and occupation. The results of our study indicate that the annual incidence of scrub typhus has increased during the study period. The number of cases peaked in 2014, which was 12.8 times greater than the number of cases reported in 2006. Most (77.97%) of the cases were reported in five provinces (Guangdong, Yunnan, Anhui, Fujian, and Shandong). Our study also demonstrates that the incidence rate of scrub typhus was significantly higher in females compared to males (P scrub typhus incidence, but also document an expansion in the geographic distribution throughout the country. © The American Society of Tropical Medicine and Hygiene.

  2. Antiseptic Effect of Conventional Povidone-Iodine Scrub, Chlorhexidine Scrub, and Waterless Hand Rub in a Surgical Room: A Randomized Controlled Trial.

    Science.gov (United States)

    Tsai, Jui-Chen; Lin, Yen-Kuang; Huang, Yen-Jung; Loh, El-Wui; Wen, Hsiao-Yun; Wang, Chia-Hui; Tsai, Yin-Tai; Hsieh, Wen-Shyang; Tam, Ka-Wai

    2017-04-01

    OBJECTIVE Effective perioperative hand antisepsis is crucial for the safety of patients and medical staff in surgical rooms. The antimicrobial effectiveness of different antiseptic methods, including conventional hand scrubs and waterless hand rubs, has not been well evaluated. DESIGN, SETTING, AND PARTICIPANTS A randomized controlled trial was conducted to investigate the effectiveness of the 3 antiseptic methods among surgical staff of Taipei Medical University-Shuang Ho Hospital. For each method used, a group of 80 participants was enrolled. INTERVENTION Surgical hand cleansing with conventional 10% povidone-iodine scrub, conventional 4% chlorhexidine scrub, or waterless hand rub (1% chlorhexidine gluconate and 61% ethyl alcohol). RESULTS Colony-forming unit (CFU) counts were collected using the hand imprinting method before and after disinfection and after surgery. After surgical hand disinfection, the mean CFU counts of the conventional chlorhexidine (0.5±0.2, Pantiseptic method (P=.0036), but not other variables, predicted the mean CFU count. CONCLUSIONS Conventional chlorhexidine scrub and waterless hand rub were superior to a conventional povidone-iodine product in bacterial inhibition. We recommend using conventional chlorhexidine scrub as a standard method for perioperative hand antisepsis. Waterless hand rub may be used if the higher cost is affordable. Infect Control Hosp Epidemiol 2017;38:417-422.

  3. Scrub Typhus: An Emerging Neglected Tropical Disease in Nepal.

    Science.gov (United States)

    Upadhyaya, B P; Shakya, G; Adhikari, S; Rijal, N; Acharya, J; Maharjan, L; Marasini, B R

    2016-05-01

    Scrub typhus is a neglected tropical disease and is under reported from Nepal. The objective of this study was to investigate the sero-epidemiology of scrub typhus in patients suffering from acute febrile illness. A total of 434 specimens collected from July to November 2015 at National Public Health Laboratory (NPHL) were investigated for detection of immunoglobulin M (IgM) antibody to Orientiatsutsugamushi.The Scrub Typhus Detect TM kit (InBios, USA) was used to detect the antibodies to O.tsutsugamushi in human serum. Randomly selected 10% positive specimens were used for confirmation by dot- enzyme-linked immunosorbent assay and indirect immunofluorescence assay. Of the total, 175 (40.3%) were positive for IgM antibodies to O. tsutsugamushi. Positive results of scrub typhus were highest among female in 11-20 year followed by males in 41-50 years age group. The IgM antibodies to O. tsutusugamushi were positive in specimens of various geographical regions including 30 districts of Nepal. Positive cases were found in various ecological regions of Nepal. Scrub typhus is one of the neglected tropical diseases in Nepal. Patients with acute febrile illness should be investigated for scrub typhus with high priority. There is an urgent need of reliable and affordable diagnostic tests at all level of health facilities of Nepal. Surveillance and public health awareness about the disease transmission and preventive measures needs to be initiated.

  4. Loose Graph Simulations

    DEFF Research Database (Denmark)

    Mansutti, Alessio; Miculan, Marino; Peressotti, Marco

    2017-01-01

    We introduce loose graph simulations (LGS), a new notion about labelled graphs which subsumes in an intuitive and natural way subgraph isomorphism (SGI), regular language pattern matching (RLPM) and graph simulation (GS). Being a unification of all these notions, LGS allows us to express directly...... also problems which are “mixed” instances of previous ones, and hence which would not fit easily in any of them. After the definition and some examples, we show that the problem of finding loose graph simulations is NP-complete, we provide formal translation of SGI, RLPM, and GS into LGSs, and we give...

  5. Distribution of Eschar in Pediatric Scrub Typhus.

    Science.gov (United States)

    Rose, Winsley; Rajan, Roshni J; Punnen, Anu; Ghosh, Urmi

    2016-10-01

    Identifying an eschar in scrub typhus is useful for initiation of prompt and appropriate antibiotic therapy. The distribution of eschars in all children scrub typhus over a 5 year period is described. Of 431 children admitted with scrub typhus, eschars were present in 176 (40.8%) children with the following distribution: head, face and neck, 33 (19.1%); axillae, 37 (21%); chest and abdomen, 21 (11.9%); genitalia, inguinal region and buttocks, 58 (33%); back, 8 (4.5%); upper extremities, 13 (7.4%); and lower extremities, 5 (2.8%). The commonest sites of eschars were scrotum (27 of 106; 25.5%) and axillae (15 of 106; 14.2%) in males and axillae (22 of 70; 31.4%) and groin (16 of 70; 22.9%) in females. Eschars were seen within skin folds in 100 of 176 (56.8%) children. Children should be carefully examined for the presence of eschar especially in the skin folds of the genitalia, axillae and groin to make an early diagnosis of scrub typhus. © The Author [2016]. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

  6. Self-scrubbing coal

    International Nuclear Information System (INIS)

    Kindig, J.K.

    1992-01-01

    More than 502 million tons - 65 percent of all coal shipped to utilities in 1990 - were above 1.2 pounds of sulfur dioxide per million Btu. Most of the coal, even though cleaned in conventional coal preparation plants, still does not meet the emission limitation the Clean Air Act Amendments mandate for the year 2000. To cope with this fact, most utilities plan to switch to low sulfur (western U.S. or Central Appalachian) coal or install scrubbers. Both solutions have serous drawbacks. Switching puts local miners out of work and weakens the economy in the utility's service territory. Scrubbing requires a major capital expenditure by the utility. Scrubbers also increase the operating complexity and costs of the generating station and produce yet another environmental problem, scrubber sludge. Employing three new cost-effective technologies developed by Customer Coals International (CCl), most non-compliance coals east of the Mississippi River can be brought into year-2000 compliance. The compliance approach employed, depends upon the characteristics of the raw coal. Three types of raw coal are differentiated, based upon the amount of organic sulfur in the coals and the ease (or difficultly) of liberating the pyrite. They are: Low organic sulfur content and pyrite that liberates easily. Moderate organic sulfur content and pyrite that liberates easily. High organic sulfur content or the pyrite liberates with difficulty. In this paper examples of each type of raw coal are presented below, and the compliance approach employed for each is described. The names of the beneficiated coal products produced from each type of raw coal give above are: Carefree Coal, Self-Scrubbing Coal and Dry-Scrubbing Coal

  7. Clinical manifestations of scrub typhus.

    Science.gov (United States)

    Rajapakse, Senaka; Weeratunga, Praveen; Sivayoganathan, Sriharan; Fernando, Sumadhya Deepika

    2017-02-01

    The mite-borne rickettsial zoonosis scrub typhus is widely prevalent in parts of Southeast and Far East Asia, and northern Australia. The disease is an acute febrile illness, associated with rash and often an eschar, which responds dramatically to treatment with antibiotics. In some cases it results in a serious illness leading to multiple organ involvement and death. The disease manifestations are thought to result from a systemic vasculitis, caused by both direct effects of the organisms as well as an exaggerated immune response, although little is understood about its pathogenesis. A wide spectrum of clinical manifestations, affecting nearly every organ system, have been described with scrub typhus. Some of these manifestations are serious and life threatening. In this systematic review, we summarise the typical and atypical manifestations of scrub typhus reported in the literature. Awareness of these unusual manifestations will hopefully guide clinicians towards diagnosing the condition early, and initiating early appropriate antibiotics and other supportive measures. © The Author 2017. 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.

  8. A review of the global epidemiology of scrub typhus.

    Science.gov (United States)

    Xu, Guang; Walker, David H; Jupiter, Daniel; Melby, Peter C; Arcari, Christine M

    2017-11-01

    Scrub typhus is a serious public health problem in the Asia-Pacific area. It threatens one billion people globally, and causes illness in one million people each year. Caused by Orientia tsutsugamushi, scrub typhus can result in severe multiorgan failure with a case fatality rate up to 70% without appropriate treatment. The antigenic heterogeneity of O. tsutsugamushi precludes generic immunity and allows reinfection. As a neglected disease, there is still a large gap in our knowledge of the disease, as evidenced by the sporadic epidemiologic data and other related public health information regarding scrub typhus in its endemic areas. Our objective is to provide a systematic analysis of current epidemiology, prevention and control of scrub typhus in its long-standing endemic areas and recently recognized foci of infection.

  9. Code Development of Radioactive Aerosol Scrubbing in Pool-Injection Zone

    Energy Technology Data Exchange (ETDEWEB)

    Jo, Hyun Joung; Ha, Kwang Soon [Korea Atomic Energy Research Institute, Daejeon (Korea, Republic of); Jang, Dong Soon [Chungnam National University, Daejeon (Korea, Republic of)

    2015-10-15

    The pool scrubbing models were reviewed and an aerosol scrubbing code has been prepared to calculate decontamination factor through the injection zone. The developed code has been verified using the experimental results and evaluated parametrically on the input variables. In injection zone, the initial steam condensation was most effective mechanism for the aerosol removal, and the steam fraction and pool temperature were highly affected on the decontamination factor by initial steam condensation. The aerosol scrubbing code will be updated to evaluate the decontamination factor at rise zone and finally whole pool scrubber phenomena. If a severe accident occurs in a nuclear power plant (NPP), the aerosol and gaseous fission products might be produced in the reactor vessel, and then released to the environment after the containment failure. FCVS (Filtered Containment Venting System) is one of the severe accident mitigation systems for retaining the containment integrity by discharging the high-temperature and high-pressure fission products to the environment after passing through the filtration system. In general, the FCVS is categorized into two types, wet and dry types. The scrubbing pool could play an important role in the wet type FCVS because a large amount of aerosol is captured in the water pool. The pool scrubbing phenomena have been modelled and embedded in several computer codes, such as SPARC (Suppression Pool Aerosol Removal Code), BUSCA (BUbble Scrubbing Algorithm) and SUPRA (Suppression Pool Retention Analysis). These codes aim at simulating the pool scrubbing process and estimating the decontamination factors (DFs) of the radioactive aerosol and iodine gas in the water pool, which is defined as the ratio of initial mass of the specific radioactive material to final massy after passing through the water pool. The pool scrubbing models were reviewed and an aerosol scrubbing code has been prepared to calculate decontamination factor through the injection

  10. Activation of the coagulation cascade in patients with scrub typhus.

    Science.gov (United States)

    Lee, Hee-Jeong; Park, Chi-Young; Park, Sang-Gon; Yoon, Na-Ra; Kim, Dong-Min; Chung, Choon-Hae

    2017-09-01

    This retrospective study aimed to evaluate the levels of coagulation factors and presence of disseminated intravascular coagulation (DIC) in patients with scrub typhus. We included patients confirmed to have scrub typhus at the Chosun University Hospital between September 2004 and December 2009. The DIC scores were evaluated in 365 patients and 36 healthy controls. The median concentrations of fibrinogen, d-dimer, and fibrin/fibrinogen degradation products (FDP) were compared between patients and healthy controls (pscrub typhus had longer prothrombin time and lower platelet counts than the controls. Major bleeding was observed in 18/365 patients with scrub typhus. Fifty-one (14.0%) patients presented with severe complications of scrub typhus. Overt DIC and thrombocytopenia (scrub typhus had overt DIC, as defined by the International Society on Thrombosis and Hemostasis DIC score (DIC1) and the DIC-scoring template with a fibrinogen/C-reactive protein-ratio (DIC2), respectively. Three (16.7%) and 10 (55.6%) patients with bleeding had overt DIC, as defined by the DIC1 and DIC2, respectively. Seven (13.7%) and 26 (51%) patients with severe illness had overt DIC, as defined by DIC1 and DIC2, respectively. In conclusion, activation of the coagulation system is an important feature of scrub typhus and is correlated with severe disease, including bleeding. This is the first study to report a relationship between DIC and scrub typhus. Copyright © 2017 Elsevier Inc. All rights reserved.

  11. Scrub Typhus among Pediatric Patients in Dambadeniya:A Base Hospital in Sri Lanka

    OpenAIRE

    De Silva, Nalika; Wijesundara, Sarojini; Liyanapathirana, Veranja; Thevanesam, Vasanthi; Stenos, John

    2012-01-01

    Data on pediatric scrub typhus is uncommon in Sri Lanka and other countries. The objective of this study was to identify the clinical features of patients with scrub typhus at a Base Hospital in Sri Lanka. Sixty patients presenting with suspected scrub typhus were included in the study. Their blood samples were tested for the presence of antibodies against rickettsioses using the reference method. Twenty patients had confirmed scrub typhus and 24 had possible scrub typhus. Their clinical feat...

  12. Scrub typhus: radiological and clinical findings in abdominopelvic involvement.

    Science.gov (United States)

    Kim, Kun Yung; Song, Ji Soo; Park, Eun Hae; Jin, Gong Yong

    2017-03-01

    To describe the clinical and radiological findings of abdominopelvic involvement in scrub typhus. Abdominopelvic computed tomography (CT) of 78 patients with scrub typhus were evaluated by two readers. The presence of gallbladder wall thickening, arterial inhomogeneous enhancement of the liver, periportal edema, splenic infarction, hepatomegaly, splenomegaly, ascites, pleural effusion, and sites of lymphadenopathy were evaluated. Patients were divided into four clinical subgroups according to laboratory findings. Association between imaging findings and subgroups was analyzed by Chi squared test or Fisher's exact test. The most common CT finding was hepatomegaly (74.4%), followed by splenomegaly (66.7%). The majority of patients had at least three areas of abdominopelvic lymphadenopathy (71.8%). Pelvic lymphadenopathy was most commonly seen when eschar was found in the ipsilateral lower extremity (left, n = 5/7; right, n = 8/13). Significant association between hepatic dysfunction and perigastric lymphadenopathy was documented (p = 0.03). Scrub typhus has a spectrum of variable clinical and radiological findings mimicking those of acute hepatitis. Diffuse abdominopelvic lymphadenopathy involving the retroperitoneum and pelvic area may aid in early diagnosis of scrub typhus. Perigastric lymphadenopathy could be a sign of severe scrub typhus combined with hepatic dysfunction.

  13. Thermal-Hydraulic Performance of Scrubbing Nozzle Used for CFVS

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Hyun Chul; Lee, Doo Yong; Jung, Woo Young; Lee, Jong Chan; Kim, Gyu Tae [FNC TECH, Yongin (Korea, Republic of)

    2016-05-15

    A Containment Filtered Venting System (CFVS) is the most interested device to mitigate a threat against containment integrity under the severe accident of nuclear power plant by venting with the filtration of the fission products. FNC technology and partners have been developed the self-priming scrubbing nozzle used for the CFVS which is based on the venturi effect. The thermal-hydraulic performances such as passive scrubbing water suction as well as pressure drop across the nozzle have been tested under various thermal-hydraulic conditions. The two types of test section have been built for testing the thermal-hydraulic performance of the self-priming scrubbing nozzle. Through the visualization loop, the liquid suction performance through the slit, pressure drop across the nozzle are measured. The passive water suction flow through the suction slit at the throat is important parameter to define the scrubbing performance of the self-priming scrubbing nozzle. The water suction flow is increased with the increase of the overhead water level at the same inlet gas flow. It is not so much changed with the change of inlet gas flow at the overhead water level.

  14. Urbanization of scrub typhus disease in South Korea.

    Science.gov (United States)

    Park, Sang-Won; Ha, Na-Young; Ryu, Boyeong; Bang, Ji Hwan; Song, Hoyeon; Kim, Yuri; Kim, Gwanghun; Oh, Myoung-don; Cho, Nam-Hyuk; Lee, Jong-koo

    2015-05-01

    Scrub typhus is an endemic disease in Asia. It has been a rural disease, but indigenous urban cases have been observed in Seoul, South Korea. Urban scrub typhus may have a significant impact because of the large population. Indigenous urban scrub typhus was epidemiologically identified in Seoul, the largest metropolitan city in South Korea, using national notifiable disease data from 2010 to 2013. For detailed analysis of clinical features, patients from one hospital that reported the majority of cases were selected and compared to a historic control group. Chigger mites were prospectively collected in the city using a direct chigger mite-collecting trap, and identified using both phenotypic and 18S rDNA sequencing analyses. Their infection with Orientia tsutsugamushi was confirmed by sequencing the 56-kDa antigen gene. Eighty-eight cases of urban scrub typhus were determined in Seoul. The possible sites of infection were mountainous areas (56.8%), city parks (20.5%), the vicinity of one's own residence (17.0%), and riversides (5.7%). Eighty-seven chigger mites were collected in Gwanak mountain, one of the suspected infection sites in southern Seoul, and seventy-six (87.4%) of them were identified as Helenicula miyagawai and eight (9.2%) as Leptotrombidium scutellare. Pooled DNA extracted from H. miyagawai mites yielded O. tsutsugamushi Boryong strain. Twenty-six patients from one hospital showed low APACHE II score (3.4 ± 2.7), low complication rate (3.8%), and no hypokalemia. We identified the presence of indigenous urban scrub typhus in Seoul, and a subgroup of them had mild clinical features. The chigger mite H. miyagawai infected with O. tsutsugamushi within the city was found. In endemic area, urban scrub typhus needs to be considered as one of the differential febrile diseases and a target for prevention.

  15. Chest radiographic manifestations of scrub typhus

    Directory of Open Access Journals (Sweden)

    KPP Abhilash

    2016-01-01

    Full Text Available Background and Rationale: Respiratory system involvement in scrub typhus is seen in 20–72% of patients. In endemic areas, good understanding and familiarity with the various radiologic findings of scrub typhus are essential in identifying pulmonary complications. Materials and Methods: Patients admitted to a tertiary care center with scrub typhus between October 2012 and September 2013 and had a chest X ray done were included in the analysis. Details and radiographic findings were noted and factors associated with abnormal X-rays were analyzed. Results: The study cohort contained 398 patients. Common presenting complaints included fever (100%, generalized myalgia (83%, headache (65%, dyspnea (54%, cough (24.3%, and altered sensorium (14%. Almost half of the patients (49.4% had normal chest radiographs. Common radiological pulmonary abnormalities included pleural effusion (14.6%, acute respiratory distress syndrome (14%, airspace opacity (10.5%, reticulonodular opacities (10.3%, peribronchial thickening (5.8%, and pulmonary edema (2%. Cardiomegaly was noted in 3.5% of patients. Breathlessness, presence of an eschar, platelet counts of 2 mg/dL had the highest odds of having an abnormal chest radiograph. Patients with an abnormal chest X-ray had a higher requirement of noninvasive ventilation (odds ratio [OR]: 13.98; 95% confidence interval CI: 5.89–33.16, invasive ventilation (OR: 18.07; 95% CI: 6.42–50.88, inotropes (OR: 8.76; 95% CI: 4.35–17.62, higher involvement of other organ systems, longer duration of hospital stay (3.18 ± 3 vs. 7.27 ± 5.58 days; P< 0.001, and higher mortality (OR: 4.63; 95% CI: 1.54–13.85. Conclusion: Almost half of the patients with scrub typhus have abnormal chest radiographs. Chest radiography should be included as part of basic evaluation at presentation in patients with scrub typhus, especially in those with breathlessness, eschar, jaundice, and severe thrombocytopenia.

  16. A study of muscle involvement in scrub typhus.

    Science.gov (United States)

    Kalita, Jayantee; Misra, Usha K; Mani, Vinita E; Mahadevan, Anita; Shankar, Susrala K

    2015-01-15

    Patients with scrub typhus often complain of myalgia, but a comprehensive study on muscle dysfunction is lacking. We therefore report the clinical, electromyographic and muscle biopsy findings in patients with scrub typhus. Consecutive patients with scrub typhus were included, and their clinical and laboratory findings were noted. The patients with myalgia or weakness and elevated serum creatine kinase (CK) were considered to have muscle involvement. Electromyography (EMG) and muscle biopsy were done in some patients. Patients were treated with doxycycline 200mg daily for 7 days, and their clinical and biochemical outcome on discharge and one month were evaluated. 13 out of 33 (39.4%) patients had muscle involvement and their CK levels ranged between 287 and 3166 (859 ± 829) U/L. EMG revealed short duration polyphasic potentials, and muscle histopathology revealed evidence of vasculitis. There were significant correlations between severity of weakness and CK levels (r = -0.6; p scrub typhus. Although muscle histopathology showed evidence of vasculitis, patients responded to doxycycline. Copyright © 2014 Elsevier B.V. All rights reserved.

  17. Flotability Improvement of Ilmenite Using Attrition-Scrubbing as a Pretreatment Method

    Directory of Open Access Journals (Sweden)

    Jihua Zhai

    2017-01-01

    Full Text Available Flotation technology of the recovery and utilization of ilmenite from tailings of iron beneficiated in Panzhihua was investigated based on mineralogical study. The results of mineralogical study show that the main occurrence of the valuable mineral are liberated grains of ilmenite. Experimental results of flotation conditions show that attrition-scrubbing raw ores exhibit good flotability with higher recoveries and a slight decrease in grade compared to ores without attrition-scrubbing. Further, open-circuit experiments also prove the superiority of attrition-scrubbing raw ores. The results of closed-circuit experiments show that qualified ilmenite concentrate can be obtained and the yield, grade, and recovery are 22.26%, 47.06%, and 60.73%, respectively. Theoretical study and analysis show that there are two contributions to superior flotability for attrition-scrubbing samples. The first is that the attrition-scrubbing samples can uncover more ferrous ions on the newly-produced fresh ilmenite surface, resulting in the increase in active sites. The other is that in the process of attrition-scrubbing, the transformation of ferrous ions to ferric ions can be promoted.

  18. Quality of surgical scrub in a heart hospital: Do not take it for granted

    Directory of Open Access Journals (Sweden)

    Leila Abdollahi

    2017-09-01

    Full Text Available Introduction: The role of scrub in the prevention of post-surgery infections is well-known. This study aimed to investigate the inputs and process of surgical scrub in operating rooms of the largest heart hospital of northwest Iran. Methods: This study took place with a before-after design as a clinical audit in 2014. A check list developed based on national and international standards of surgical hand scrub was used as the study instrument. Checklists were completed by observation of surgical team scrubbing in real situation. Descriptive statistics and graphs were used to describe the results. Results: A compliance degree with the standards for prerequisites, equipment, general items, process and time of scrub was observed as 58%, 55%, 33%, 68% and 22%, respectively. The compliance degree after the intervention was 72%, 66%, 66%, 85% and 61%, respectively. Improvement was observed in all studied aspects of scrub. The total score of compliance with the standards changed from 47% to 70%. The main issues were incorrect order of scrubbing the areas of the hands, incorrect way of scrubbing the arms, insufficient scrubbing the arms (not above elbow, and lack of awareness about hospital’s policy on scrub time. Conclusion: The results showed defects in the surgical scrub of the studied hospital and that the compliance with the standards can be improved by simple interventions. Periodical audit and observation of the scrub and then feedback is recommended.

  19. Quality of surgical scrub in a heart hospital: Do not take it for granted.

    Science.gov (United States)

    Abdollahi, Leila; Tabrizi, Jafar Sadegh; Jodati, Ahmadreza; Safaie, Naser; Moradi-Joo, Mohammad; Daemi, Amin

    2017-01-01

    Introduction: The role of scrub in the prevention of post-surgery infections is well-known. This study aimed to investigate the inputs and process of surgical scrub in operating rooms of the largest heart hospital of northwest Iran. Methods: This study took place with a before-after design as a clinical audit in 2014. A check list developed based on national and international standards of surgical hand scrub was used as the study instrument. Checklists were completed by observation of surgical team scrubbing in real situation. Descriptive statistics and graphs were used to describe the results. Results: A compliance degree with the standards for prerequisites, equipment, general items, process and time of scrub was observed as 58%, 55%, 33%, 68% and 22%, respectively. The compliance degree after the intervention was 72%, 66%, 66%, 85% and 61%, respectively. Improvement was observed in all studied aspects of scrub. The total score of compliance with the standards changed from 47% to 70%. The main issues were incorrect order of scrubbing the areas of the hands, incorrect way of scrubbing the arms, insufficient scrubbing the arms (not above elbow), and lack of awareness about hospital's policy on scrub time. Conclusion: The results showed defects in the surgical scrub of the studied hospital and that the compliance with the standards can be improved by simple interventions. Periodical audit and observation of the scrub and then feedback is recommended.

  20. Diagnosis of scrub typhus.

    Science.gov (United States)

    Janardhanan, Jeshina; Trowbridge, Paul; Varghese, George M

    2014-12-01

    Scrub typhus is an acute febrile illness that, if untreated, can result in considerable morbidity and mortality. One of the primary reasons for delays in the treatment of this potentially fatal infection is the difficulty in diagnosing the condition. Diagnosis is often complicated because of the combination of non-specific symptoms that overlap with other infections commonly found in endemic areas and the poor available diagnostics. In the majority of the endemic settings, diagnosis still relies on the Weil-Felix test, which is neither sensitive nor specific. Other methods of testing have become available, but at this time, these remain insufficient to provide the rapid point-of-care diagnostics that would be necessary to significantly change the management of this infection by providers in endemic areas. This article reviews the currently available diagnostic tools for scrub typhus and their utility in the clinical setting.

  1. Seawater scrubbing - reduction of SO{sub x} emissions from ship exhausts

    Energy Technology Data Exchange (ETDEWEB)

    Karle, Ida-Maja; Turner, David (Dept. of Chemistry, Goeteborg Univ. (SE))

    2007-07-01

    It is shown that seawater scrubbing is a promising technology for reducing sulphur oxide emissions from ships. The marine chemical aspects of shipboard seawater scrubbing have been modelled and analysed, based on a 12 MW engine burning fuel with a 3% sulphur content. Calculations have been made for different efficiencies of sulphur scrubbing, different water temperatures, and for six different water types (open ocean, Kattegatt, Baltic Proper, Bothnian Sea, Bothnian Bay, and river freshwater). The results of the calculations give the volumes of water required for (i) uptake of SO{sub x} (the scrubbing process), (ii) dilution of the scrubbing water to achieve a pH of 6.5, (iii) further dilution to achieve a pH within 0.2 units of that in the ambient water, and no more that a 1% reduction in dissolved oxygen concentration. The volumes of water required for a given efficiency of the scrubbing process increase with decreasing salinity and with increasing water temperature. The salinity dependence is non-linear, such that operation in the Bothnian Sea, Bothnian Bay and low alkalinity river freshwater would require significantly larger water volumes for scrubbing and dilution that operation in the Baltic Proper, Kattegatt or open ocean. The calculations assume access to large volumes of unaffected, ambient water. This is reasonable for a ship under way in open water, but not in enclosed or semi-enclosed waters, which would therefore require detailed case studies. It may be possible to reduce the volumes of dilution water required by, for example, aeration of the scrubbing water and addition of base to neutralise the acidic sulphur oxides. Further studies would be needed in order to assess these options

  2. Meteorological factors and risk of scrub typhus in Guangzhou, southern China, 2006-2012.

    Science.gov (United States)

    Li, Tiegang; Yang, Zhicong; Dong, Zhiqiang; Wang, Ming

    2014-03-12

    Scrub typhus is becoming the most common vector born disease in Guangzhou, southern China. In this study, we aimed to examine the effect of weather patterns on the incidence of Scrub typhus in the subtropical city of Guangzhou for the period 2006-2012, and assist public health prevention and control measures. Scrub typhus reported cases during the period of 2006-2012 in Guangzhou were obtained from National Notifiable Disease Report System (NNDRS). Simultaneous meteorological data including temperature, relative humidity, atmospheric pressure, sunshine, and rainfall were obtained from the documentation of the Guangzhou Meteorological Bureau. A negative binomial regression was used to identify the relationship between meteorological variables and scrub typhus. Annual incidence rates of scrub typhus from 2006 to 2012 were 3.25, 2.67, 3.81, 4.22, 4.41, 5.12, and 9.75 (per 100 000) respectively. Each 1°C rise in temperature corresponded to an increase of 14.98% (95% CI 13.65% to 16.33%) in the monthly number of scrub typhus cases, while a 1 hPa rise in atmospheric pressure corresponded to a decrease in the number of cases by 8.03% (95% CI -8.75% to -7.31%). Similarly, a 1 hour rise in sunshine corresponded to an increase of 0.17% or 0.54%, and a 1 millimeter rise in rainfall corresponded to an increase of 0.05% or 0.10%, in the monthly number of scrub typhus cases, depending on the variables considered in the model. Our study provided evidence that climatic factors were associated with occurrence of scrub typhus in Guangzhou city, China. Temperature, duration of sunshine, and rainfall were positively associated with scrub typhus incidence, while atmospheric pressure was inversely associated with scrub typhus incidence. These findings should be considered in the prediction of future patterns of scrub typhus transmission.

  3. Acute sensorineural hearing loss and severe otalgia due to scrub typhus

    Directory of Open Access Journals (Sweden)

    Kim Dong-Min

    2009-10-01

    Full Text Available Abstract Background Scrub typhus is an acute febrile illness caused by Orientia tsutsugamushi. Case presentations We encountered a patient with sensorineural hearing loss complicating scrub typhus, and three patients with scrub typhus who complained of otalgia, which was sudden onset, severe, paroxysmal, intermittent yet persistent pain lasting for several seconds, appeared within 1 week after the onset of fever and rash. The acute sensorineural hearing loss and otalgia were resolved after antibiotic administration. Conclusion When patients in endemic areas present with fever and rash and have sensorineural hearing loss or otalgia without otoscopic abnormalities, clinicians should suspect scrub typhus and consider empirical antibiotic therapy.

  4. The clinical characteristics of pleural effusion in scrub typhus.

    Science.gov (United States)

    Kim, Hyung Ho; Chung, Jong-Hoon; Kim, Dong-Min; Yun, Na Ra; Lee, Jun; Kwon, Yong Eun; Yoon, Sung Ho; Lee, Seung Il; Han, Mi Ah

    2016-06-11

    The aim of this study is to identify the factors associated with the occurrence of pleural effusion and to investigate the characteristics of pleural effusion in scrub typhus. We conducted a retrospective analysis of the medical records of scrub typhus patients between January 2004 and December 2011 at Chosun University Hospital in South Korea. A total of 445 scrub typhus patients were divided into the following two groups: without (n = 352) or with pleural effusion (n = 93). The data of 18 scrub typhus patients who underwent thoracentesis were summarized. Multivariate analysis demonstrated that the following factors were associated with the occurrence of pleural effusion in scrub typhus: older age (odds ratio [OR] = 1.029, P = 0.037, confidence interval [CI] = 1.002-1.056); male gender (OR = 1.924, P = 0.020, CI = 1.109-3.340); presence of heart failure (OR = 2.628, P = 0.039, CI = 1.052-6.565); and lower albumin (OR = 0.107, P ≤ 0.001, CI = 0.058-0.196). Most pleural effusion presentations were bilateral (88 %) and small (91 %). The effusion had transudate characteristics in 7 patients and exudate characteristics in 11 patients based on Light's criteria. This study provided the first data regarding the following four independent risk factors associated with the occurrence of pleural effusion: older age; male gender; the presence of heart failure; and lower albumin. The pleural effusion presentations in scrub typhus patients were bilateral and small in most cases, with transudate and/or exudate characteristics.

  5. Separation of iodine from mercury containing scrubbing solutions

    Science.gov (United States)

    Burger, Leland L.; Scheele, Randall D.

    1979-01-01

    Radioactive iodines can be recovered from a nitric acid scrub solution containing mercuric nitrate by passing a current through the scrub solution to react the iodine with the mercuric nitrate to form mercuric iodate which precipitates out. The mercuric iodate can then be reacted to recover the radioiodine for further processing into a form suitable for long-term storage and to recover the mercury for recycling.

  6. Estimated effects of interfacial vaporization on fission product scrubbing

    International Nuclear Information System (INIS)

    Moody, F.J.; Nagy, S.G.

    1983-01-01

    When bubbles containing non-condensible gas rise through a water pool, interfacial evaporation causes a flow of vapor into the bubbles. The inflow reduces the outward particle motion toward the bubble wall, diminishing the effectiveness of fission product particle removal. This analysis provides an estimate of evaporation on pool scrubbing effectiveness. It is shown that hot gas, which boils water at the bubble wall, reduces the effective scrubbing height by less than five centimeters. Although the evaporative humidification in a rising bubble containing non-condensible gas has a diminishing effect on scrubbing mechanisms, substantial decontamination is still expected even for the limiting case of a saturated pool

  7. Scrub Typhus: An Emerging Threat

    Science.gov (United States)

    Chakraborty, Sayantani; Sarma, Nilendu

    2017-01-01

    Scrub typhus is caused by Orientia tsutsugamushi (formerly Rickettsia) and is transmitted to humans by an arthropod vector of the Trombiculidae family (Leptotrombidium deliense and L. akamushi). It is the most common re-emerging Rickettsial infection in India and many other South East Asian countries. In fact, scrub typhus is confined geographically to the Asia Pacific region, a billion people are at risk and nearly a million cases are reported every year. Scrub typhus appears particularly to be distributed in the tsutsugamushi triangle which is distributed over a very wide area of 13 million km2 bound by Japan in the east, through China, the Philippines, tropical Australia in the south, and west through India, Pakistan, possibly to Tibet to Afghanistan, and southern parts of the USSR in the north. Eschar is the characteristic lesion that starts as a vesicular lesion at the site of mite feeding. Later, an ulcer forms with black necrotic center and an erythematous border along with regional lymphadenopathy. Other features are fever, maculopapular rash starting from the trunk, and spreading to the limbs. It may affect the central nervous system, cardiovascular system, renal, respiratory, and gastrointestinal systems. Serious complication in the form of myocarditis, pneumonia, meningoencephalitis, acute renal failure, gastrointestinal bleeding, and even acute respiratory distress syndrome may develop. Tetracycline or chloramphenicol remains the main stay of therapy. PMID:28979009

  8. Chest radiographic manifestations of scrub typhus.

    Science.gov (United States)

    Abhilash, Kpp; Mannam, P R; Rajendran, K; John, R A; Ramasami, P

    2016-01-01

    Respiratory system involvement in scrub typhus is seen in 20-72% of patients. In endemic areas, good understanding and familiarity with the various radiologic findings of scrub typhus are essential in identifying pulmonary complications. Patients admitted to a tertiary care center with scrub typhus between October 2012 and September 2013 and had a chest X ray done were included in the analysis. Details and radiographic findings were noted and factors associated with abnormal X-rays were analyzed. The study cohort contained 398 patients. Common presenting complaints included fever (100%), generalized myalgia (83%), headache (65%), dyspnea (54%), cough (24.3%), and altered sensorium (14%). Almost half of the patients (49.4%) had normal chest radiographs. Common radiological pulmonary abnormalities included pleural effusion (14.6%), acute respiratory distress syndrome (14%), airspace opacity (10.5%), reticulonodular opacities (10.3%), peribronchial thickening (5.8%), and pulmonary edema (2%). Cardiomegaly was noted in 3.5% of patients. Breathlessness, presence of an eschar, platelet counts of 2 mg/dL had the highest odds of having an abnormal chest radiograph. Patients with an abnormal chest X-ray had a higher requirement of noninvasive ventilation (odds ratio [OR]: 13.98; 95% confidence interval CI: 5.89-33.16), invasive ventilation (OR: 18.07; 95% CI: 6.42-50.88), inotropes (OR: 8.76; 95% CI: 4.35-17.62), higher involvement of other organ systems, longer duration of hospital stay (3.18 ± 3 vs. 7.27 ± 5.58 days; Pscrub typhus have abnormal chest radiographs. Chest radiography should be included as part of basic evaluation at presentation in patients with scrub typhus, especially in those with breathlessness, eschar, jaundice, and severe thrombocytopenia.

  9. Severe Fever with Thrombocytopenia Syndrome in Patients Suspected of Having Scrub Typhus.

    Science.gov (United States)

    Wi, Yu Mi; Woo, Hye In; Park, Dahee; Lee, Keun Hwa; Kang, Cheol-In; Chung, Doo Ryeon; Peck, Kyong Ran; Song, Jae-Hoon

    2016-11-01

    To determine prevalence of severe fever with thrombocytopenia syndrome in South Korea, we examined serum samples from patients with fever and insect bite history in scrub typhus-endemic areas. During the 2013 scrub typhus season, prevalence of this syndrome among patients suspected of having scrub typhus was high (23.0%), suggesting possible co-infection.

  10. Duodenal perforation precipitated by scrub typhus

    Directory of Open Access Journals (Sweden)

    Raghunath Rajat

    2015-01-01

    Full Text Available Scrub typhus is an acute febrile illness usually presenting with fever, myalgia, headache, and a pathognomonic eschar. Severe infection may lead to multiple organ failure and death. Gastrointestinal tract involvement in the form of gastric mucosal erosions and ulcerations owing to vasculitis resulting in gastrointestinal bleeding is common. This process may worsen a pre-existent asymptomatic peptic ulcer, causing duodenal perforation, and present as an acute abdomen requiring surgical exploration. We report the case of a patient with no previous symptoms or risk factors for a duodenal ulcer, who presented with an acute duodenal perforation, probably precipitated by scrub typhus infection.

  11. Risk factors associated with severe scrub typhus in Shandong, northern China.

    Science.gov (United States)

    Zhang, Luyan; Zhao, Zhongtang; Bi, Zhenwang; Kou, Zengqiang; Zhang, Meng; Yang, Li; Zheng, Li

    2014-12-01

    The aim of this study was to identify risk factors associated with severe scrub typhus, in order to provide a reference for clinical decision-making. A case-control study was conducted of scrub typhus patients who presented at local hospitals between 2010 and 2013. In total, 46 patients with severe scrub typhus complications (cases) and 194 without severe complications (controls) were included. There were significant differences in the duration of illness before effective antibiotic therapy, lymphadenopathy, rash, blood platelet count, white blood cell (WBC) count, percentage neutrophils, and percentage lymphocytes between the case and control groups. Multivariate analysis demonstrated that the following four factors were significantly associated with the severe complications of scrub typhus: (1) duration of illness before effective antibiotic therapy (odds ratio (OR) 2.287, 95% confidence interval (CI) 1.096-4.770); (2) the presence of a rash (OR 3.694, 95% CI 1.300-10.495); (3) lymphadenopathy (OR 2.438, 95% CI 1.090-5.458); (4) blood platelet count scrub typhus. When scrub typhus patients present with a rash, lymphadenopathy, or blood platelet count <100×10(9)/l, clinicians should be alert to the appearance of severe complications. Copyright © 2014 The Authors. Published by Elsevier Ltd.. All rights reserved.

  12. Spatial Distribution Analysis of Scrub Typhus in Korea

    OpenAIRE

    Jin, Hong Sung; Chu, Chaeshin; Han, Dong Yeob

    2013-01-01

    Objective: This study analyzes the spatial distribution of scrub typhus in Korea. Methods: A spatial distribution of Orientia tsutsugamushi occurrence using a geographic information system (GIS) is presented, and analyzed by means of spatial clustering and correlations. Results: The provinces of Gangwon-do and Gyeongsangbuk-do show a low incidence throughout the year. Some districts have almost identical environmental conditions of scrub typhus incidence. The land use change of districts does...

  13. Clinical Profile of Scrub Typhus in Pregnancy in Sub-Himalayan Region.

    Science.gov (United States)

    Kumar, Ritesh; Thakur, Surinder; Bhawani, Rajesh; Kanga, Anil; Ranjan, Asha

    2016-10-01

    Scrub typhus is rare in pregnancy, but it has now become an important cause of febrile illness in pregnancy in sub-Himalayan region of India. Only a few case reports have been published so far, and they show adverse maternal and fetal outcomes. No consensus has been reached till now regarding treatment. All the pregnant patients irrespective of period of gestation admitted with febrile illness with positive IgM ELISA for scrub typhus with or without eschar were included. The clinical profile was observed using a detailed history of symptoms, travel, recreation, agricultural activities, treatment record prior to admission, and a detailed examination, and the treatment outcome was noted. Fever workup including cultures, CXR, CSF analysis, serology for scrub was done. IgM scrub typhus was done by kit method manufactured by InBios Intertational, Inc. We observed in total 14 pregnant patients out of which eight were in the the second trimester and six were in the third trimester. The clinical features of the disease observed for pregnant females were the same as for nonpregnant females. There was no difference in the severity of scrub typhus between pregnant and nonpregnant women. No mortality was found in these patients. On follow-up, they had normal peripartum and postpartum periods. All were treated with azithromycin 500 mg once a day for 5 days. Although rare, scrub typhus should be considered in differential diagnosis of fever in pregnant patients especially in scrub season. Azithromycin should be the drug of choice in pregnancy as it has no adverse effect on fetus and pregnancy outcome.

  14. 29 CFR 1919.31 - Proof tests-loose gear.

    Science.gov (United States)

    2010-07-01

    ... 29 Labor 7 2010-07-01 2010-07-01 false Proof tests-loose gear. 1919.31 Section 1919.31 Labor... (CONTINUED) GEAR CERTIFICATION Certification of Vessels: Tests and Proof Loads; Heat Treatment; Competent Persons § 1919.31 Proof tests—loose gear. (a) Chains, rings, shackles and other loose gear (whether...

  15. Characterisation of plastic microbeads in facial scrubs and their estimated emissions in Mainland China.

    Science.gov (United States)

    Cheung, Pui Kwan; Fok, Lincoln

    2017-10-01

    Plastic microbeads are often added to personal care and cosmetic products (PCCPs) as an abrasive agent in exfoliants. These beads have been reported to contaminate the aquatic environment and are sufficiently small to be readily ingested by aquatic organisms. Plastic microbeads can be directly released into the aquatic environment with domestic sewage if no sewage treatment is provided, and they can also escape from wastewater treatment plants (WWTPs) because of incomplete removal. However, the emissions of microbeads from these two sources have never been estimated for China, and no regulation has been imposed on the use of plastic microbeads in PCCPs. Therefore, in this study, we aimed to estimate the annual microbead emissions in Mainland China from both direct emissions and WWTP emissions. Nine facial scrubs were purchased, and the microbeads in the scrubs were extracted and enumerated. The microbead density in those products ranged from 5219 to 50,391 particles/g, with an average of 20,860 particles/g. Direct emissions arising from the use of facial scrubs were estimated using this average density number, population data, facial scrub usage rate, sewage treatment rate, and a few conservative assumptions. WWTP emissions were calculated by multiplying the annual treated sewage volume and estimated microbead density in treated sewage. We estimated that, on average, 209.7 trillion microbeads (306.9 tonnes) are emitted into the aquatic environment in Mainland China every year. More than 80% of the emissions originate from incomplete removal in WWTPs, and the remaining 20% are derived from direct emissions. Although the weight of the emitted microbeads only accounts for approximately 0.03% of the plastic waste input into the ocean from China, the number of microbeads emitted far exceeds the previous estimate of plastic debris (>330 μm) on the world's sea surface. Immediate actions are required to prevent plastic microbeads from entering the aquatic environment

  16. Genotype Diversity and Distribution of Orientia tsutsugamushi Causing Scrub Typhus in Thailand

    Science.gov (United States)

    2011-07-01

    Society for Microbiology. All Rights Reserved. Genotype Diversity and Distribution of Orientia tsutsugamushi Causing Scrub Typhus in Thailand" Toon...2011 Scrub typhus , caused by antigenically disparate isolates of Orientia tsutsugamushi, is a widely distributed mite-borne human disease in the Asia...evaluation of scrub typhus - specific diagnostic assays and vaccines. Using indirect immunoHuorescence assays (IF A) and PCR assays, 0. tsutsugamushi

  17. Use of Multiplex Real-Time PCR To Diagnose Scrub Typhus.

    Science.gov (United States)

    Tantibhedhyangkul, Wiwit; Wongsawat, Ekkarat; Silpasakorn, Saowaluk; Waywa, Duangdao; Saenyasiri, Nuttawut; Suesuay, Jintapa; Thipmontree, Wilawan; Suputtamongkol, Yupin

    2017-05-01

    Scrub typhus, caused by Orientia tsutsugamushi , is a common cause of acute undifferentiated febrile illness in the Asia-Pacific region. However, its nonspecific clinical manifestation often prevents early diagnosis. We propose the use of PCR and serologic tests as diagnostic tools. Here, we developed a multiplex real-time PCR assay using hydrolysis (TaqMan) probes targeting O. tsutsugamushi 47-kDa, groEL , and human interferon beta (IFN-β gene) genes to improve early diagnosis of scrub typhus. The amplification efficiency was higher than 94%, and the lower detection limit was 10 copies per reaction. We used a human gene as an internal DNA quality and quantity control. To determine the sensitivity of this PCR assay, we selected patients with confirmed scrub typhus who exhibited a clear 4-fold increase in the level of IgG and/or IgM. The PCR assay result was positive in 45 of 52 patients, indicating a sensitivity of 86.5% (95% confidence interval [CI]: 74.2 to 94.4). The PCR assessment was negative for all 136 non-scrub typhus patients, indicating a specificity of 100% (95% CI: 97.3 to 100). In addition, this test helped diagnose patients with inconclusive immunofluorescence assay (IFA) results and using single blood samples. In conclusion, the real-time PCR assay proposed here is sensitive and specific in diagnosing scrub typhus. Combining PCR and serologic tests will improve the diagnosis of scrub typhus among patients presenting with acute febrile illness. Copyright © 2017 American Society for Microbiology.

  18. Scrub typhus infection presenting as acute heart failure: A case report and systematic review of literature of cardiopulmonary involvement in scrub typhus infection

    Directory of Open Access Journals (Sweden)

    Animesh Ray

    2016-01-01

    Full Text Available We describe a middle aged previoulsy healthy female patient who presented with clinical features suggestive of acute heart failure. Investigations revealed very high NT pro-BNP, right heart enlargement, bilateral pulmonary alveolar edema and bilateral pleural effusion. In view of falling platelet counts and exudative pleural effusion inflammatory/infective causes were considered. Her Weil Felix test was strongly positive and IgM for scrub typhus also returned positive. She was started on doxycycline to which there was dramatic improvement. Thus in this case scrub typhus infection presented as acute right heart failure and the cause seemed elusive at the outset.We also systematically reviewed the existing literature on cardio-pulmonary manifestations of scrub typhus infection.

  19. Scrub typhus islands in the Taiwan area and the association between scrub typhus disease and forest land use and farmer population density: geographically weighted regression

    Science.gov (United States)

    2013-01-01

    Background The Taiwan area comprises the main island of Taiwan and several small islands located off the coast of the Southern China. The eastern two-thirds of Taiwan are characterized by rugged mountains covered with tropical and subtropical vegetation. The western region of Taiwan is characterized by flat or gently rolling plains. Geographically, the Taiwan area is diverse in ecology and environment, although scrub typhus threatens local human populations. In this study, we investigate the effects of seasonal and meteorological factors on the incidence of scrub typhus infection among 10 local climate regions. The correlation between the spatial distribution of scrub typhus and cultivated forests in Taiwan, as well as the relationship between scrub typhus incidence and the population density of farm workers is examined. Methods We applied Pearson’s product moment correlation to calculate the correlation between the incidence of scrub typhus and meteorological factors among 10 local climate regions. We used the geographically weighted regression (GWR) method, a type of spatial regression that generates parameters disaggregated by the spatial units of analysis, to detail and map each regression point for the response variables of the standardized incidence ratio (SIR)-district scrub typhus. We also applied the GWR to examine the explanatory variables of types of forest-land use and farm worker density in Taiwan in 2005. Results In the Taiwan Area, scrub typhus endemic areas are located in the southeastern regions and mountainous townships of Taiwan, as well as the Pescadore, Kinmen, and Matou Islands. Among these islands and low-incidence areas in the central western and southwestern regions of Taiwan, we observed a significant correlation between scrub typhus incidence and surface temperature. No similar significant correlation was found in the endemic areas (e.g., the southeastern region and the mountainous area of Taiwan). Precipitation correlates positively

  20. Underwater Coatings for Contamination Control

    International Nuclear Information System (INIS)

    Julia L. Tripp; Kip Archibald; Ann-Marie Phillips; Joseph Campbell

    2004-01-01

    was selected to be applied by divers after scrubbing loose contamination off the basin walls and floors using a ship hull scrubber and vacuuming up the sludge. A special powered roller with two separate heated hoses that allowed the epoxy to mix at the roller surface was used to eliminate pot time concerns. The walls were successfully coated and water was removed from the pool with no airborne contamination problems

  1. Human Factors Risk Analyses of a Doffing Protocol for Ebola-Level Personal Protective Equipment: Mapping Errors to Contamination.

    Science.gov (United States)

    Mumma, Joel M; Durso, Francis T; Ferguson, Ashley N; Gipson, Christina L; Casanova, Lisa; Erukunuakpor, Kimberly; Kraft, Colleen S; Walsh, Victoria L; Zimring, Craig; DuBose, Jennifer; Jacob, Jesse T

    2018-03-05

    Doffing protocols for personal protective equipment (PPE) are critical for keeping healthcare workers (HCWs) safe during care of patients with Ebola virus disease. We assessed the relationship between errors and self-contamination during doffing. Eleven HCWs experienced with doffing Ebola-level PPE participated in simulations in which HCWs donned PPE marked with surrogate viruses (ɸ6 and MS2), completed a clinical task, and were assessed for contamination after doffing. Simulations were video recorded, and a failure modes and effects analysis and fault tree analyses were performed to identify errors during doffing, quantify their risk (risk index), and predict contamination data. Fifty-one types of errors were identified, many having the potential to spread contamination. Hand hygiene and removing the powered air purifying respirator (PAPR) hood had the highest total risk indexes (111 and 70, respectively) and number of types of errors (9 and 13, respectively). ɸ6 was detected on 10% of scrubs and the fault tree predicted a 10.4% contamination rate, likely occurring when the PAPR hood inadvertently contacted scrubs during removal. MS2 was detected on 10% of hands, 20% of scrubs, and 70% of inner gloves and the predicted rates were 7.3%, 19.4%, 73.4%, respectively. Fault trees for MS2 and ɸ6 contamination suggested similar pathways. Ebola-level PPE can both protect and put HCWs at risk for self-contamination throughout the doffing process, even among experienced HCWs doffing with a trained observer. Human factors methodologies can identify error-prone steps, delineate the relationship between errors and self-contamination, and suggest remediation strategies.

  2. Clear Liquor Scrubbing with Anhydrite Production

    International Nuclear Information System (INIS)

    Hargrove, O. W.; Carey, T. R.; Lowell, P. S.; Meserole, F. B.; Rhudy, R. G.; Feeley, Thomas J.

    1997-01-01

    The objective of this project to develop an advanced flue gas desulfurization (FGD) process that has decreased capital and operating costs, higher SO 2 removal efficiency, and better by-product solids quality than existing, commercially available technology. A clear liquor process (which uses a scrubbing liquid with no solids) will be used to accomplish this objective rather than a slurry liquor process (which contains solids). This clear liquor scrubbing (CLS) project is focused on three research areas: (1) Development of a clear liquor scrubbing process that uses a clear solution to remove SO 2 from flue gas and can be operated under inhibited-oxidation conditions; (2) Development of an anhydrite process that converts precipitated calcium sulfite to anhydrous calcium sulfate (anhydrite); and (3) Development of an alkali/humidification process to remove HCl from flue gas upstream of the FGD system. The anhydrite process also can be retrofit into existing FGD systems to produce a valuable by-product as an alternative to gypsum. This fits well into another of FETC's PRDA objectives of developing an advanced byproduct recovery subsystem capable of transforming SO 2 into a useable byproduct or high-volume valuable commodities of interest. This paper describes the proposed processes, outlines the test approach, and preliminary Phase I test results

  3. A Spatiotemporal Database to Track Human Scrub Typhus Using the VectorMap Application.

    Directory of Open Access Journals (Sweden)

    Daryl J Kelly

    2015-12-01

    Full Text Available Scrub typhus is a potentially fatal mite-borne febrile illness, primarily of the Asia-Pacific Rim. With an endemic area greater than 13 million km2 and millions of people at risk, scrub typhus remains an underreported, often misdiagnosed febrile illness. A comprehensive, updatable map of the true distribution of cases has been lacking, and therefore the true risk of disease within the very large endemic area remains unknown. The purpose of this study was to establish a database and map to track human scrub typhus. An online search using PubMed and the United States Armed Forces Pest Management Board Literature Retrieval System was performed to identify articles describing human scrub typhus cases both within and outside the traditionally accepted endemic regions. Using World Health Organization guidelines, stringent criteria were used to establish diagnoses for inclusion in the database. The preliminary screening of 181 scrub typhus publications yielded 145 publications that met the case criterion, 267 case records, and 13 serosurvey records that could be georeferenced, describing 13,739 probable or confirmed human cases in 28 countries. A map service has been established within VectorMap (www.vectormap.org to explore the role that relative location of vectors, hosts, and the pathogen play in the transmission of mite-borne scrub typhus. The online display of scrub typhus cases in VectorMap illustrates their presence and provides an up-to-date geographic distribution of proven scrub typhus cases.

  4. A Spatiotemporal Database to Track Human Scrub Typhus Using the VectorMap Application.

    Science.gov (United States)

    Kelly, Daryl J; Foley, Desmond H; Richards, Allen L

    2015-12-01

    Scrub typhus is a potentially fatal mite-borne febrile illness, primarily of the Asia-Pacific Rim. With an endemic area greater than 13 million km2 and millions of people at risk, scrub typhus remains an underreported, often misdiagnosed febrile illness. A comprehensive, updatable map of the true distribution of cases has been lacking, and therefore the true risk of disease within the very large endemic area remains unknown. The purpose of this study was to establish a database and map to track human scrub typhus. An online search using PubMed and the United States Armed Forces Pest Management Board Literature Retrieval System was performed to identify articles describing human scrub typhus cases both within and outside the traditionally accepted endemic regions. Using World Health Organization guidelines, stringent criteria were used to establish diagnoses for inclusion in the database. The preliminary screening of 181 scrub typhus publications yielded 145 publications that met the case criterion, 267 case records, and 13 serosurvey records that could be georeferenced, describing 13,739 probable or confirmed human cases in 28 countries. A map service has been established within VectorMap (www.vectormap.org) to explore the role that relative location of vectors, hosts, and the pathogen play in the transmission of mite-borne scrub typhus. The online display of scrub typhus cases in VectorMap illustrates their presence and provides an up-to-date geographic distribution of proven scrub typhus cases.

  5. Successfully Managed Acute Transverse Myelitis Related to Scrub Typhus and Serial Image Findings.

    Science.gov (United States)

    Yun, Jae Sung; Song, Ji Soo; Choi, Eun Jung; Hwang, Jeong-Hwan; Lee, Chang-Seop; Park, Eun Hae

    2017-03-01

    AbstractCentral nervous system involvement manifesting as meningitis or meningoencephalitis is a known complication of scrub typhus, but very few spinal cord lesions such as acute transverse myelitis (ATM) have been reported in association with this disease. Scrub typhus patients with a spinal lesion present with neurologic symptoms including dysuria, motor, and sensory weakness. Herein, we describe a rare case of ATM associated with scrub typhus. Clinical characteristics, cerebrospinal fluid cytology, Orientia tsutsugamushi serum antibody titer, and serial magnetic resonance imaging scans resulted in a diagnosis of ATM associated with scrub typhus.

  6. Diagnostic validation of selected serological tests for detecting scrub typhus.

    Science.gov (United States)

    Koraluru, Munegowda; Bairy, Indira; Varma, Muralidhar; Vidyasagar, Sudha

    2015-07-01

    Clinical diagnosis of scrub typhus is often difficult because the symptoms are very similar to those of other febrile illness such as dengue, leptospirosis, malaria and other viral hemorrhagic fevers. Though better diagnostic tests are available for rickettsial diseases and scrub typhus elsewhere, the Weil-Felix test is still commonly used in India, mainly because microimmunofluorescence assays (M-IFA) were not available in India till recently and relevant staff had insufficient training. The present study was performed to investigate the performance of M-IFA, IgM ELISA, and Weil-Felix test on 546 non-repeated serum samples from subjects suspected of having scrub typhus. One hundred and forty-three of these 546 samples were positive by M-IFA; these cases were also confirmed clinically to have scrub typhus based on their dramatic responses to doxycycline therapy. IgM ELISA was positive in 122 of the 143 M-IFA positive cases and the Weil-Felix test in 96. Though the Weil-Felix test is a heterophile agglutination test, it was found in this study to have good specificity but far too little sensitivity to use as a routine diagnostic test. IgM ELISA can be a good substitute for M-IFA. Incorporation of multiple prototype antigens on M-IFA slides is likely one of the reasons for its superior performance. As newer and better diagnostic assays become available for scrub typhus diagnosis in developed countries, it will be imperative to also use such tests in other endemic countries to prevent over- or under-diagnosis of scrub typhus. © 2015 The Societies and Wiley Publishing Asia Pty Ltd.

  7. A Systematic Review of Mortality from Untreated Scrub Typhus (Orientia tsutsugamushi.

    Directory of Open Access Journals (Sweden)

    Andrew J Taylor

    Full Text Available Scrub typhus, a bacterial infection caused by Orientia tsutsugamushi, is increasingly recognized as an important cause of fever in Asia, with an estimated one million infections occurring each year. Limited access to health care and the disease's non-specific symptoms mean that many patients are undiagnosed and untreated, but the mortality from untreated scrub typhus is unknown. This review systematically summarizes the literature on the untreated mortality from scrub typhus and disease outcomes.A literature search was performed to identify patient series containing untreated patients. Patients were included if they were symptomatic and had a clinical or laboratory diagnosis of scrub typhus and excluded if they were treated with antibiotics. The primary outcome was mortality from untreated scrub typhus and secondary outcomes were total days of fever, clinical symptoms, and laboratory results. A total of 76 studies containing 89 patient series and 19,644 patients were included in the final analysis. The median mortality of all patient series was 6.0% with a wide range (min-max of 0-70%. Many studies used clinical diagnosis alone and had incomplete data on secondary outcomes. Mortality varied by location and increased with age and in patients with myocarditis, delirium, pneumonitis, or signs of hemorrhage, but not according to sex or the presence of an eschar or meningitis. Duration of fever was shown to be long (median 14.4 days Range (9-19.Results show that the untreated mortality from scrub typhus appears lower than previously reported estimates. More data are required to clarify mortality according to location and host factors, clinical syndromes including myocarditis and central nervous system disease, and in vulnerable mother-child populations. Increased surveillance and improved access to diagnostic tests are required to accurately estimate the untreated mortality of scrub typhus. This information would facilitate reliable quantification of

  8. A Systematic Review of Mortality from Untreated Scrub Typhus (Orientia tsutsugamushi).

    Science.gov (United States)

    Taylor, Andrew J; Paris, Daniel H; Newton, Paul N

    2015-01-01

    Scrub typhus, a bacterial infection caused by Orientia tsutsugamushi, is increasingly recognized as an important cause of fever in Asia, with an estimated one million infections occurring each year. Limited access to health care and the disease's non-specific symptoms mean that many patients are undiagnosed and untreated, but the mortality from untreated scrub typhus is unknown. This review systematically summarizes the literature on the untreated mortality from scrub typhus and disease outcomes. A literature search was performed to identify patient series containing untreated patients. Patients were included if they were symptomatic and had a clinical or laboratory diagnosis of scrub typhus and excluded if they were treated with antibiotics. The primary outcome was mortality from untreated scrub typhus and secondary outcomes were total days of fever, clinical symptoms, and laboratory results. A total of 76 studies containing 89 patient series and 19,644 patients were included in the final analysis. The median mortality of all patient series was 6.0% with a wide range (min-max) of 0-70%. Many studies used clinical diagnosis alone and had incomplete data on secondary outcomes. Mortality varied by location and increased with age and in patients with myocarditis, delirium, pneumonitis, or signs of hemorrhage, but not according to sex or the presence of an eschar or meningitis. Duration of fever was shown to be long (median 14.4 days Range (9-19)). Results show that the untreated mortality from scrub typhus appears lower than previously reported estimates. More data are required to clarify mortality according to location and host factors, clinical syndromes including myocarditis and central nervous system disease, and in vulnerable mother-child populations. Increased surveillance and improved access to diagnostic tests are required to accurately estimate the untreated mortality of scrub typhus. This information would facilitate reliable quantification of DALYs and

  9. Hematogenously disseminated Orientia tsutsugamushi-infected murine model of scrub typhus [corrected].

    Directory of Open Access Journals (Sweden)

    Thomas R Shelite

    2014-07-01

    Full Text Available Orientia tsutsugamushi, the etiologic agent of scrub typhus, is a mite-borne rickettsia transmitted by the parasitic larval stage of trombiculid mites. Approximately one-third of the world's population is at risk of infection with Orientia tsutsugamushi, emphasizing its importance in global health. In order to study scrub typhus, Orientia tsutsugamushi Karp strain has been used extensively in mouse studies with various inoculation strategies and little success in inducing disease progression similar to that of human scrub typhus. The objective of this project was to develop a disease model with pathology and target cells similar to those of severe human scrub typhus. This study reports an intravenous infection model of scrub typhus in C57BL/6 mice. This mouse strain was susceptible to intravenous challenge, and lethal infection occurred after intravenous inoculation of 1.25 × 10(6 focus (FFU forming units. Signs of illness in lethally infected mice appeared on day 6 with death occurring ∼ 6 days later. Immunohistochemical staining for Orientia antigens demonstrated extensive endothelial infection, most notably in the lungs and brain. Histopathological analysis revealed cerebral perivascular, lymphohistiocytic infiltrates, focal hemorrhages, meningoencephalitis, and interstitial pneumonia. Disseminated infection of endothelial cells with Orientia in C57BL/6 mice resulted in pathology resembling that of human scrub typhus. The use of this model will allow detailed characterization of the mechanisms of immunity to and pathogenesis of O. tsutsugamushi infection.

  10. Differential diagnosis of scrub typhus meningitis from tuberculous meningitis using clinical and laboratory features.

    Science.gov (United States)

    Valappil, Ashraf V; Thiruvoth, Sohanlal; Peedikayil, Jabir M; Raghunath, Praveenkumar; Thekkedath, Manojan

    2017-12-01

    The involvement of the central nervous system in the form of meningitis or meningoencephalitis is common in scrub typhus and is an important differential diagnosis of other lymphocytic meningitis like tuberculous meningitis (TBM). The aim of this study was to identify the clinical and laboratory parameters that may be helpful in differentiating scrub typhus meningitis from TBM. We compared of the clinical and laboratory features of 57 patients admitted with scrub typhus meningitis or TBM during a 3-year period. Patients who had abnormal cerebrospinal fluid (CSF) and positive scrub typhus enzyme-linked immunosorbent assay serology (n=28) were included in the scrub typhus meningitis group, while the TBM group included those who satisfied the consensus diagnostic criteria of TBM (n=29). Compared with the TBM group, the mean duration of symptoms was less in patients with scrub typhus meningitis, who also had a lower magnitude of neurological deficits, such as altered mental status and cranial nerve and motor deficits. Patients with scrub typhus meningitis had a lower CSF white blood-cell count (WBC) than the TBM group (130.8±213 195±175 cells/mm 3 , P=0.002), lower CSF protein elevation (125±120 vs. 195.2±108.2mg/dl, P=0.002), and higher CSF sugar (70.1±32.4 vs. 48.7±23.4mg/dl, P=0.006). Features predictive of the diagnosis of scrub typhus meningitis included the absence of neurological impairment at presentation, blood serum glutamic-oxaloacetic transaminase>40 international units (IU)/L, serum glutamic-pyruvic transaminase>60 IU/L, total blood leukocyte count>10,000/mm 3 , CSF protein50mg/dl, CSF WBC<100 cells/mm 3 . All patients with scrub typhus meningitis recovered completely following doxycycline therapy CONCLUSIONS: This study suggests that, clinical features, including duration of fever, neurological deficits at presentation and laboratory parameters such as CSF pleocytosis,CSF protein elevation, CSF sugar levels and liver enzyme values are helpful in

  11. Meteorological factors and risk of scrub typhus in Guangzhou, southern China, 2006–2012

    Science.gov (United States)

    2014-01-01

    Background Scrub typhus is becoming the most common vector born disease in Guangzhou, southern China. In this study, we aimed to examine the effect of weather patterns on the incidence of Scrub typhus in the subtropical city of Guangzhou for the period 2006–2012, and assist public health prevention and control measures. Methods Scrub typhus reported cases during the period of 2006–2012 in Guangzhou were obtained from National Notifiable Disease Report System (NNDRS). Simultaneous meteorological data including temperature, relative humidity, atmospheric pressure, sunshine, and rainfall were obtained from the documentation of the Guangzhou Meteorological Bureau. A negative binomial regression was used to identify the relationship between meteorological variables and scrub typhus. Results Annual incidence rates of scrub typhus from 2006 to 2012 were 3.25, 2.67, 3.81, 4.22, 4.41, 5.12, and 9.75 (per 100 000) respectively. Each 1°C rise in temperature corresponded to an increase of 14.98% (95% CI 13.65% to 16.33%) in the monthly number of scrub typhus cases, while a 1 hPa rise in atmospheric pressure corresponded to a decrease in the number of cases by 8.03% (95% CI −8.75% to −7.31%). Similarly, a 1 hour rise in sunshine corresponded to an increase of 0.17% or 0.54%, and a 1 millimeter rise in rainfall corresponded to an increase of 0.05% or 0.10%, in the monthly number of scrub typhus cases, depending on the variables considered in the model. Conclusion Our study provided evidence that climatic factors were associated with occurrence of scrub typhus in Guangzhou city, China. Temperature, duration of sunshine, and rainfall were positively associated with scrub typhus incidence, while atmospheric pressure was inversely associated with scrub typhus incidence. These findings should be considered in the prediction of future patterns of scrub typhus transmission. PMID:24620733

  12. Prevalence of scrub typhus in pyrexia of unknown origin and assessment of interleukin-8, tumor necrosis factor-alpha, and interferon-gamma levels in scrub typhus-positive patients.

    Science.gov (United States)

    Rizvi, Meher; Sultan, Asfia; Chowdhry, Madhav; Azam, Mohd; Khan, Fatima; Shukla, Indu; Khan, Haris M

    2018-01-01

    Scrub typhus is lesser known cause of fever of unknown origin in India. Even if there have been reports documenting the prevalence of scrub typhus in different parts of India, it is still an unknown entity, and clinicians usually do not consider it as differential diagnosis. The present study was performed to document the prevalence of scrub typhus among febrile patients in western part of Uttar Pradesh and to assess the clinical profile of infected patients on the one hand and knowledge, attitude, and practices among clinicians on the other. A total of 357 adult patients with fever of more than 5-day duration were recruited. All patients underwent complete physical examination, and detailed clinical history was elicited as per predesigned pro forma. After primary screening to rule out malaria, enteric fever, and leptospirosis infection, secondary screening for scrub typhus was done by rapid screen test and IgM ELISA. Scrub typhus infection was positive in 91 (25.5%) cases. The most common symptoms among the patients were fever (100%), pain in abdomen (79.1%), pedal edema 56 (61.5%), rash 44 (48.3%), headache 44 (48.3%), vomiting 42 (46.1%), constipation 33 (36.2%), cough 28 (30.7%), and lymphadenopathy 20 (21.9%). The median values of interleukin-8, interferon-gamma, and tumor necrosis factor-alpha in healthy controls were 15.54 pg/ml, 7.77 pg/ml, and 54.1 pg/ml, respectively, while the median values of these cytokines in scrub typhus-positive patients were 21.04 pg/ml, 8.74 pg/ml, and 73.8 pg/ml, respectively. Our results highlight that scrub typhus infection is an important cause of pyrexia of unknown origin, and active surveillance is necessary to assess the exact magnitude and distribution of the disease.

  13. [Epidemiology of scrub typhus and influencing factors in Yunnan province, 2006-2013].

    Science.gov (United States)

    Sun, Y; Shi, C; Li, X L; Fang, L Q; Cao, W C

    2018-01-10

    Objective: To understand the epidemiological characteristics of scrub typhu s and influencing factors in Yunnan province, and provide further information for the prevention and control of scrub typhus. Methods: Based on the incidence data of scrub typhus reported in Yunnan from 2006 to 2013, the epidemiological characteristics of scrub typhus were analyzed and related environmental factors were identified with panel negative binomial regression model. Results: A total of 8 980 scrub typhus cases were reported during 2006-2013 in Yunnan. The average annual incidence was 2.46/100 000, with an uptrend observed. Natural focus expansion was found, affecting 71.3% of the counties in 2013. The epidemic mainly occurred in summer and autumn with the incidence peak during July-October. The annual incidence was higher in females than in males. More cases occurred in children and farmers, the proportions of cases in farmers and pre-school aged children showed an obvious increase. Panel negative binomial regression model indicated that the transmission risk of scrub typhus was positive associated with monthly temperature and monthly relative humidity. Furthermore, an "U" pattern between the risk and the increased coverage of cropland and grassland as well as an "inverted-U" pattern between the risk and increased coverage of shrub were observed. Conclusion: It is necessary to strengthen the scrub typhus surveillance in warm and moist areas as well as the areas with high coverage of cropland and grassland in Yunnan, and the health education in children and farmers who are at high risk.

  14. Advanced loose parts detection system for nuclear power plants

    International Nuclear Information System (INIS)

    Por, G.; Szappanos, G.

    2000-01-01

    The importance of loose part detection is discussed. The consequences of a relatively big (7.7 kg) loose part found in a WWER-440 NPP are discussed. A portable loose part monitoring system is presented, which is based on sequential probability ratio test. (author)

  15. Management of Florida Scrub for Threatened and Endangered Species

    Science.gov (United States)

    1998-12-01

    for Florida scrub: 1. The exotic species, cogon grass ( Imperata cylindrica), may become common in degraded scrubs. This is an aggressive, invasive...34Cogongrass, Imperata cylindrica (L.) Beauv.: A good grass gone bad!" Botany Circular No. 28, Florida Dept. Agric. & Consumer Services, Division of Plant...Industry, Gainesville, FL. Colvin, D.L., Gaffney, J., and Shilling, D. G. 1994. "Cogongrass ( Imperata cylindrica (L.) Beauv.) Biology, ecology and

  16. Meniscal root entrapment of an osteochondritis dissecans loose body.

    Science.gov (United States)

    Jones, Christopher R; McMonagle, Joseph S; Garrett, William E

    2014-09-01

    Loose bodies are relatively common in the knee. On radiographs they can often be seen in the medial and lateral gutters, intercondylar notch, and the posterior compartment. At times an apparent loose body is not free to move in the knee because it has been covered by synovium and is no longer mobile. It is uncommon for an osteochondral loose body to become incorporated into meniscal tissue. We report a case of an apparent loose body becoming incorporated into the posterior horn and root of the medial meniscus. We are not aware that this condition has been previously reported. Because removing the entire loose body would have destabilized the posterior root of the medial meniscus, it is important to be aware of this potential occurrence.

  17. Surface contamination technology in decommissioning of nuclear fuel cycle

    International Nuclear Information System (INIS)

    Ishiguro, Hideharu

    2012-01-01

    Surface contamination measurement is the most basic technology in radiation control of the nuclear and radiation facilities. Loose surface contamination causes internal exposure through airborne contamination. Surface contamination measurement is recently more important in the waste management such as confirmation of decontamination factor, contamination survey of carried-out materials from radioactive control area, and application of clearance level. This report describes the base of surface contamination standards, meaning of contamination in decommissioning, relationship between clearance level and surface contamination, and current technology of surface contamination measurement. (author)

  18. Factors that influence the non-technical skills performance of scrub nurses: a prospective study.

    Science.gov (United States)

    Kang, Evelyn; Massey, Debbie; Gillespie, Brigid M

    2015-12-01

    To identify and describe the factors that impact on the performance of scrub nurses' non-technical skills performance during the intra-operative phase of surgery. Non-technical skills have been identified as important precursors to errors in the operating room. However, few studies have investigated factors influencing non-technical skills of scrub nurses. Prospective observational study. Structured observations were performed on a sample of 182 surgical procedures across eight specialities by two trained observers from August 2012-April 2013 at two hospital sites. Participants were purposively selected scrub nurses. Bivariate correlations and a multiple linear regression model were used to identify associations among length of surgery, patients' acuity using the American Society of Anesthesiologists classification system, team familiarity, number of occasions scout nurses leave the operating room, change of scout nurse and the outcome, the non-technical skills performance of scrub nurses. Patient acuity and team familiarity were the strongest predictors of scrub nurses' non-technical skills performance at hospital site A. There were no correlations between the predictors and the performance of scrub nurses at hospital site B. A dedicated surgical team and patient acuity potentially influence the performance of scrub nurses' non-technical skills. Familiarity with team members foster advanced planning, thus minimizing distractions and interruptions that impact on scrub nurses' performance. Development of interventions aimed at improving non-technical skills has the potential to make a substantial difference and enhance patient care. © 2015 John Wiley & Sons Ltd.

  19. Simulation of pool scrubbing experiments using BUSCA

    International Nuclear Information System (INIS)

    Dehbi, A.; Guentay, S.

    1994-01-01

    BUSCA-PSI is a computer code which predicts the aerosol scrubbing taking place when gas bubbles containing fission products rise through stagnant pools of water after a postulated severe accident. A Lagrangian formulation is adopted to follow the path of a bubble as it rises toward the surface of the pool. The BUSCA model includes most aerosol removal mechanisms which are thought to be significant, namely: Jet Impaction at tile orifice, Convection/Diffusiophoresis during steam condensation, Thermophoresis, Sedimentation, Centrifugal Impaction during bubble rise, and Brownian Diffusion. The hydraulic modelling offers a variety of options for the initial globule volume, the stable bubble size, tile bubble rise velocity, and the bubble shape. The heat and mass transfer part of tile model uses correlations found in the relevant literature. BUSCA simulations were performed to determine the decontamination factor (DF) dependence on key aerosol and thermal hydraulic parameters. The decontamination factor increases with height, pool temperature subcooling, and steam content. The decontamination factor exhibits a parabolic dependence on the particle radius. At low particle sizes, the DF is high due to Brownian Diffusion which is the dominant removal mechanism. The DF hits a minimum and then increases with particle size as Centrifugal Impaction and Sedimentation become important. In separate calculations, BUSCA was used to the simulate the aerosol scrubbing experiments performed by EPRI. For cold pool tests, the predicted scrubbing efficiencies were in a good, conservative agreement with the data for both Tin and CsI, and the discrepancies were within the reported measurement errors. For hot pool tests, the code systematically underpredicted the scrubbing DF's; this is potentially due to condensation in the gas space above the pool, a situation not currently modelled by BUSCA. The code was also tested against data produced by the Tepco-Toshiba-Hitachi experiments. The

  20. Risk factors associated with severe scrub typhus in Shandong, northern China

    Directory of Open Access Journals (Sweden)

    Luyan Zhang

    2014-12-01

    Conclusions: This study indicates that improved diagnosis and timely treatment are important factors for the prevention of severe scrub typhus. When scrub typhus patients present with a rash, lymphadenopathy, or blood platelet count <100 × 109/l, clinicians should be alert to the appearance of severe complications.

  1. Scrub-shrub bird habitat associations at multiple spatial scales in beaver meadows in Massachusetts

    Science.gov (United States)

    Chandler, R.B.; King, D.I.; DeStefano, S.

    2009-01-01

    Most scrub-shrub bird species are declining in the northeastern United States, and these declines are largely attributed to regional declines in habitat availability. American Beaver (Castor canadensis; hereafter “beaver”) populations have been increasing in the Northeast in recent decades, and beavers create scrub-shrub habitat through their dam-building and foraging activities. Few systematic studies have been conducted on the value of beaver-modified habitats for scrub-shrub birds, and these data are important for understanding habitat selection of scrub-shrub birds as well as for assessing regional habitat availability for these species. We conducted surveys in 37 beaver meadows in a 2,800-km2 study area in western Massachusetts during 2005 and 2006 to determine the extent to which these beaver-modified habitats are used by scrub-shrub birds, as well as the characteristics of beaver meadows most closely related to bird use. We modeled bird abundance in relation to microhabitat-, patch-, and landscape-context variables while adjusting for survey-specific covariates affecting detectability using N-mixture models. We found that scrub-shrub birds of regional conservation concern occupied these sites and that birds responded differently to microhabitat, patch, and landscape characteristics of beaver meadows. Generally, scrub-shrub birds increased in abundance along a gradient of increasing vegetation complexity, and three species were positively related to patch size. We conclude that these habitats can potentially play an important role in regional conservation of scrub-shrub birds and recommend that conservation priority be given to larger beaver meadows with diverse vegetation structure and composition.

  2. Tsutsugamushi Disease (Scrub Typhus) Meningoencephalitis in North Eastern India: A Prospective Study.

    Science.gov (United States)

    Sharma, S R; Masaraf, H; Lynrah, K G; Lyngdoh, M

    2015-01-01

    Scrub typhus is rampant in northern, eastern, and southern India. Central nervous system involvement in the form of meningitis or meningoencephalitis is common in scrub typhus. As specific laboratory methods remain inadequate or inaccessible in developing countries, prompt diagnosis is often difficult. The aim of this study was to characterize neurological complications in scrub typhus from northeastern region of India. We did a prospective study of scrub meningoencephalitis at North Eastern Indira Gandhi Regional Institute of Medical Sciences among patients admitted to hospital between October 2009 and November 2011. The diagnosis was made based on the clinical pictures, presence of an eschar, and a positive Weil-Felix test (WFT) with a titer of >1:160 and if required a positive scrub IgM enzyme-linked immunosorbent assay. Lumbar puncture was performed in patients with headache, nuchal rigidity, altered sensorium or cranial nerve deficits, and magnetic resonance imaging (MRI) brain performed if needed. Twenty-three patients of scrub typhus meningitis that were serologically confirmed were included in the study. There were 13 males and 10 females. Fever ≥1 week was the most common manifestation (39.1%). Interestingly, none had an eschar. Median cerebrospinal fluid (CSF) cell count, lymphocyte percentage, CSF protein, CSF glucose/blood glucose, CSF ADA were 17 cells/μL, 90%, 86 mg/dL, 0.6605 and 3.6 U/mL, respectively. All patients were treated with doxycycline. There was no mortality in our study. Absence of Eschar does not rule out scrub typhus. Clinical features and CSF findings can mimic tuberculous meningitis so misdiagnosis may lead to unwarranted prolonged empirical antituberculous therapy in cases of lymphocytic meningoencephalitis. Delay in treatment can be potentially fatal. WFT still serves as a useful and affordable diagnostic tool for this disease in resource-poor countries.

  3. Estimated effects of interfacial vaporization on fission product scrubbing: Chapter 11

    International Nuclear Information System (INIS)

    Moody, F.J.; Nagy, S.G.

    1983-01-01

    When bubbles containing non-condensible gas rise through a water pool, interfacial evaporation causes a flow of vapor into the bubbles. The inflow reduces the outward particle motion toward the bubble wall, diminishing the effectiveness of fission product particle removal. This analysis provides an estimate of evaporation on pool scrubbing effectiveness. It is shown that hot gas, which boils water at the bubble wall, reduces the effective scrubbing height by less than five centimeters. Although the evaporative humidification in a rising bubble containing non-condensible gas has a diminishing effect on scrubbing mechanisms, substantial decontamination is still expected even for the limiting case of a saturated pool

  4. Adaptation of a tool to assess non-technical skills of scrub practitioners in Denmark.

    Science.gov (United States)

    Mundt, Anna Sofie; Spanager, Lene; Lyk-Jensen, Helle Teglgaard; Østergaard, Doris

    2017-09-01

    The aim of this study was to adapt the Scottish tool, Scrub Practitioners List of Intraoperative Non-Technical Skills, to Danish organisation and culture. With an explorative and qualitative approach, four group interviews with scrub practitioners, surgeons and anaesthesia staff were conducted. The main differences found were related to communication and teamwork regarding scrub practitioners focus on the team and speaking up. Differences in the non-technical skills described in the behavioural markers are perhaps explained by cultural differences between Scotland and Denmark. A new tool for scrub practitioners in Denmark was adapted. Copyright the Association for Perioperative Practice.

  5. Bilateral Symmetrical Brachial Plexopathy in Association with Scrub Typhus: A Rare Presentation

    Directory of Open Access Journals (Sweden)

    Mittal M

    2015-10-01

    Full Text Available Scrub typhus is a commonly encountered rickettsial disease of the Indian subcontinent caused by Orientia tsutsugamushi. It can be associated with various neurological manifestations. We report a case of 50 year old man with bilateral symmetrical brachial plexopathy associated with scrub typhus from the Garhwal region of Uttarakhand state. The initial manifestations were fever, bodyaches and weakness in both upper limbs. Laboratory reports confirmed the diagnosis of scrub typhus. EMG and NCV were strongly suggestive of upper brachial plexopathy. Patient was discharged in satisfactory condition

  6. Molecular detection of Orientia tsutsugamushi from suspected scrub typhus cases.

    Science.gov (United States)

    Srinivasan, Seethalakshmi; Menon, Thangam

    2017-01-01

    Scrub typhus is an acute febrile illness caused by Orientia tsutsugamushi. The disease is under-diagnosed in India, because of low index of suspicion and also due to its nonspecific presentation, and lack of confirmatory diagnostic tests. This study was undertaken to diagnose scrub typhus in patients with undifferentiated fevers by serology and molecular methods. A total of 68 blood samples were collected from patients clinically suspected to have scrub typhus. After transportation to the laboratory, the serum was separated from the blood and subjected to rapid card test. The ethylenediaminetetraacetic acid blood samples were subjected to DNA extraction using QIAamp DNA Mini Kit followed by nested polymerase chain reaction (nPCR). 24/68 (35.29%) cases showed the presence of antibody against scrub typhus by serology. 6/68 (8.8%) patients showed the presence of outer membrane protein antigen gene 56 kDa by nPCR. 5/24 serology positive cases showed the presence of 56 kDa outer membrane protein antigen gene by nPCR. A large number of cases positive by serology were negative by PCR which may indicate a low sensitivity of this test either due to low copy numbers or due to excess host DNA. Delay in treatment may increase disease severity and leads to higher mortality. Thus, molecular methods of diagnosis may aid in the early diagnosis of infection and enable prompt treatment. This is the first report on the diagnosis of scrub typhus in the suburbs of Chennai using molecular methods and reemphasizes the need for increased awareness of rickettsial infections in rural areas.

  7. Scrub typhus re-emergence in India: Contributing factors and way forward.

    Science.gov (United States)

    Ranjan, Jai; Prakash, John Antony Jude

    2018-06-01

    Scrub typhus is a mite borne infectious disease which has re-emerged in India in the 3rd millennium after years of quiescence. In this review, the authors hypothesize the various factors responsible for resurgence of this disease. The main drivers that could have contributed to the upsurge in scrub typhus cases in past two decades are changes in land use land cover (LULC) and urbanisation which are; as a result of the population explosion, causing a strain on sanitation and also increased diversion of forest land for agricultural use. In addition, the availability of better tests, changes in antimicrobial use, climate change also could have impacted the epidemiology, which is showing an upward trend as is evidenced by increasing reports and concomitant publications from India on scrub typhus. Scrub typhus cases are supposed to increase in the coming years as factors like global warming, urbanisation, changes in LULC and rise in AMR (anti-microbial resistance) will be difficult or impossible to control. Therefore, increasing awareness of public and health care professionals regarding scrub typhus coupled with availability of rapid diagnostic assays and implementation of appropriate treatment protocols for control of AFI (acute febrile illness) especially at the community level will help mitigate the scenario in the long run. Copyright © 2018. Published by Elsevier Ltd.

  8. Acute transverse myelitis following scrub typhus: A case report and review of the literature.

    Science.gov (United States)

    Ryu, Hyun-Seung; Moon, Bong Ju; Park, Jae-Young; Kim, Sang-Deok; Seo, Seung-Kwon; Lee, Jung-Kil

    2018-01-19

    Context Scrub typhus is an acute febrile disease caused by Orientia tsutsugamushi. The disease can usually involve the lungs, heart, liver, spleen and brain through hematogenous dissemination. However, very rarely, acute transverse myelitis in the spinal cord develops from scrub typhus. We present a case of acute transverse myelitis following scrub typhus with a review of the literature. Findings A 66-year-old male visited a hospital for general myalgia, mild headache, and fever in October. He was noted to have thick, black papule skin on his abdomen, which was highly suggestive of scrub typhus. To confirm the diagnosis, O. tsutsugamushi antibody titers were examined and detected highly in serum by an indirect fluorescence antibody assay. Doxycycline, the standard treatment for scrub typhus, was administered. However, after seven days of treatment, he rapidly developed weakness in the right leg, paresthesia in both lower limbs, and voiding difficulty. Spinal magnetic resonance imaging (MRI) revealed lesions with high signal intensity involving the spinal cord at the thoracolumbar junction. Paraparesis gradually improved following steroid pulse therapy for five days. At one-year follow-up, he could walk without cane. Conclusions Orientia tsutsugamushi causes scrub typhus, which can affect not only the brain, but also the spinal cord. Although acute transverse myelitis develops rarely from scrub typhus, this should be considered as differential diagnosis in patients of fever with neurological deficit in endemic areas.

  9. Evaluation of decontamination during dismantling of plutonium-contaminated glove boxes

    International Nuclear Information System (INIS)

    Kinugasa, Manabu; Taguchi, Seigi; Ohzeki, Satoru; Inoue, Yoshiaki; Kashima, Sadamitsu

    1981-01-01

    The dismantling work of plutonium-contaminated glove boxes was carried out. These glove boxes had been used for the R and D of plutonium-uranium mixed oxide fuel for 15 years. The work was carried out in a pressure-controlled greenhouse, and the contamination of air in the greenhouse was monitored continuously. In order to reduce the contamination of air during dismantling, the decontamination and fixation of loose contaminants on the surfaces of glove boxes were very important. The correlation between decontamination and the contamination of air regarding dismantling is reported in this paper. The surface contamination density of the glove boxes was measured utilizing the smear method before and after the decontamination, and the decontamination effects were estimated. The contamination of air during dismantling was continuously measured with a plutonium dust monitor. It was found that loose contamination exponentially decreased by the decontamination process. When the so-called wet glove boxes, which contained wet recovery and waste disposal apparatus, were dismantled, the contamination of air did not exceed 500 (MPC) a. However, the contamination of air exceeded 500 (MPC) a several times in the present work of dismantling the so-called dry glove boxes which had been used for the fabrication of plutonium-uranium mixed oxide pellets. (Kato, T.)

  10. Assessing the effectiveness of scrub management at the landscape scale using rapid field assessment and remote sensing.

    Science.gov (United States)

    Redhead, John; Cuevas-Gonzales, Maria; Smith, Geoffrey; Gerard, France; Pywell, Richard

    2012-04-30

    Controlling scrub encroachment is a major challenge for conservation management on chalk grasslands. However, direct comparisons of scrub removal methods have seldom been investigated, particularly at the landscape scale. Effective monitoring of grassland scrub is problematic as it requires simultaneous information on large scale patterns in scrub cover and fine-scale changes in the grassland community. This study addressed this by combining analysis of aerial imagery with rapid field surveys in order to compare the effectiveness of four scrub management strategies on Defence Training Estate Salisbury Plain, UK. Study plots were sited within areas undergoing management and in unmanaged controls. Controls showed dramatic increases in scrub cover, with encroachment of a mean 1096 m(2) per hectare over ten years. Whilst all management strategies were effective in reducing scrub encroachment, they differed in their ability to influence regeneration of scrub and grassland quality. There was a general trend, evident in both the floral community and scrub levels, of increased effectiveness with increasing management intensity. The dual methodology proved highly effective, allowing rapid collection of data over a range of variables and spatial scales unavailable to each method individually. The methodology thus demonstrates potential for a useful monitoring tool. Copyright © 2011 Elsevier Ltd. All rights reserved.

  11. Loose parts monitoring system

    International Nuclear Information System (INIS)

    Wakasa, Kohji; Nishida, Eiichi; Ishii, Kazuo; Yamanaka, Hiroto.

    1987-01-01

    In the loose parts monitoring system (LPMS), installed for integrity monitoring of the nuclear power plants; when there occur foreign metallic objects in the reactor primary system, including a steam generator and the piping, the sounds caused by them moving with the cooling water and thereby getting in contact with various structures are detected. Its purpose is, therefore, to detect any abnormality in the reactor plant system through such abnormal sounds due to loose or fallen supports etc., and so provide this information to the reactor operators. In principle, accelerometers are distributed in such as reactor vessel, steam generator, coolant pumps, etc., so that various sounds are collected and converted into electrical signals, followed by analysis of the data. Described are the LPMS configuration/functions, the course taken in LPMS development, future problems, etc. (Mori, K.)

  12. STATUS OF SCRUB TYPHUS RESEARCH IN INDONESIA (Based on published reports

    Directory of Open Access Journals (Sweden)

    Lim Boo Liat

    2012-09-01

    Full Text Available Scrub typhus merupakan penyakit yang endemis di Indonesia. Akan tetapi laporan mengenai hal tersebut sangat sedikit. Penelusuran hasil penelitian menunjukkan bahwa sebelum tahun 1945 pernah dilaporkan hasil isolasi Rickettsia tsutsugamushi dari penderita demam di beberapa tempat di Indonesia. Setelah tahun 1970 beberapa penelitian seroepidemiologi dilakukan di beberapa daerah di Indonesia terutama daerah transmigrasi dengan hasil prevalensi antibodi terhadap scrub typhus tertinggi di daerah Biak dan Owi, Irian Jaya dan yang terendah di Flores dan Jakarta. Selain itu dilakukan pula penelitian mengenai vektor scrub typhus dan hospesnya dengan hasil di­temukannya 7 species tungau Leptotrombidium termasuk 2 jenis yang merupakan vektor. Saran untuk penelitian di masa yang akan datang diberikan dalam laporan ini.

  13. Arthroscopic treatment of bony loose bodies in the subacromial space

    Directory of Open Access Journals (Sweden)

    Wei Li

    2015-01-01

    Conclusion: The mechanism of formation of bony loose bodies is not clear, may be associated with synovial cartilage metaplasia. Arthroscopic removal of loose bodies and bursa debridement is a good option for treatment of the loose body in the subacromial space, which can receive good function.

  14. Differences between tight and loose cultures : A 33-nation study

    NARCIS (Netherlands)

    Gelfand, M.J.; Raver, R.L.; Nishii, L.; Leslie, L.M.; Lun, J.; Lim, B.C.; Van de Vliert, E.

    2011-01-01

    With data from 33 nations, we illustrate the differences between cultures that are tight (have many strong norms and a low tolerance of deviant behavior) versus loose (have weak social norms and a high tolerance of deviant behavior). Tightness-looseness is part of a complex, loosely integrated

  15. The Story of Closely and Loosely Coupled Organisations.

    Science.gov (United States)

    Plowman, Travis S.

    1998-01-01

    Examines five types of collegiate organizations (collegial, bureaucratic, political, anarchical, cybernetic) in terms of their interactiveness within closely and loosely coupled organizations. The terminology of closely and loosely coupled organizations is examined and existing definitions are refined. Examples are drawn from contemporary…

  16. Protection against radioactive contamination of food and agricultural products

    International Nuclear Information System (INIS)

    Szabo, A.; Kovacs, Z.

    1977-01-01

    Due to contaminating effects from nuclear explosions and nuclear power plants, the systematic investigation of environmental radioactive contamination is absolutely necessary. In order to reduce the artificial radiation dose to which the human body is exposed, isotope content of foods and agricultural products should be known. The authors evaluate the decontamination possibilities of food produced from vegetable and animal products, starting from the contamination of some products. For vegetable product decontamination the use of suitable fertilizers, thorough scrubbing in excess water and, for cereals, milling is proposed. As the most effective preventive measure of radiation contamination of food products of animal origin, appropriate packing is proposed. The storage and preservation problems are emphasized for short half-life radiation contamination. (P.J.)

  17. Molecular detection of Orientia tsutsugamushi from suspected scrub typhus cases

    Directory of Open Access Journals (Sweden)

    Seethalakshmi Srinivasan

    2017-01-01

    Full Text Available Context: Scrub typhus is an acute febrile illness caused by Orientia tsutsugamushi. The disease is under-diagnosed in India, because of low index of suspicion and also due to its nonspecific presentation, and lack of confirmatory diagnostic tests. Aims: This study was undertaken to diagnose scrub typhus in patients with undifferentiated fevers by serology and molecular methods. Materials and Methods: A total of 68 blood samples were collected from patients clinically suspected to have scrub typhus. After transportation to the laboratory, the serum was separated from the blood and subjected to rapid card test. The ethylenediaminetetraacetic acid blood samples were subjected to DNA extraction using QIAamp DNA Mini Kit followed by nested polymerase chain reaction (nPCR. Results: 24/68 (35.29% cases showed the presence of antibody against scrub typhus by serology. 6/68 (8.8% patients showed the presence of outer membrane protein antigen gene 56 kDa by nPCR. 5/24 serology positive cases showed the presence of 56 kDa outer membrane protein antigen gene by nPCR. A large number of cases positive by serology were negative by PCR which may indicate a low sensitivity of this test either due to low copy numbers or due to excess host DNA. Conclusion: Delay in treatment may increase disease severity and leads to higher mortality. Thus, molecular methods of diagnosis may aid in the early diagnosis of infection and enable prompt treatment. This is the first report on the diagnosis of scrub typhus in the suburbs of Chennai using molecular methods and reemphasizes the need for increased awareness of rickettsial infections in rural areas.

  18. Prevalence and risk factors for scrub typhus in South India.

    Science.gov (United States)

    Trowbridge, Paul; P, Divya; Premkumar, Prasanna S; Varghese, George M

    2017-05-01

    To determine the prevalence and risk factors of scrub typhus in Tamil Nadu, South India. We performed a clustered seroprevalence study of the areas around Vellore. All participants completed a risk factor survey, with seropositive and seronegative participants acting as cases and controls, respectively, in a risk factor analysis. After univariate analysis, variables found to be significant underwent multivariate analysis. Of 721 people participating in this study, 31.8% tested seropositive. By univariate analysis, after accounting for clustering, having a house that was clustered with other houses, having a fewer rooms in a house, having fewer people living in a household, defecating outside, female sex, age >60 years, shorter height, lower weight, smaller body mass index and smaller mid-upper arm circumference were found to be significantly associated with seropositivity. After multivariate regression modelling, living in a house clustered with other houses, female sex and age >60 years were significantly associated with scrub typhus exposure. Overall, scrub typhus is much more common than previously thought. Previously described individual environmental and habitual risk factors seem to have less importance in South India, perhaps because of the overall scrub typhus-conducive nature of the environment in this region. © 2017 John Wiley & Sons Ltd.

  19. Factors Associated with Prosthetic Looseness in Lower Limb Amputees.

    Science.gov (United States)

    Phonghanyudh, Thong; Sutpasanon, Taweesak; Hathaiareerug, Chanasak; Devakula, M L Buddhibongsa; Kumnerddee, Wipoo

    2015-12-01

    To determine the factors associated with prosthetic looseness in lower limb amputees in Sisaket province. The present was a cross-sectional descriptive study. Subjects were lower limb amputees who previously obtained prostheses and required prosthetic replacements at the mobile prosthetic laboratory unit under the Prostheses Foundation of H.R.H. the Princess Mother at Khun Han Hospital, Sisaket province, in February 2013. Data including participant characteristics, prosthetic looseness data, and various variables were collected by direct semi-structured interview. Energy expenditures in physical activities were measured using the Thai version of the short format international physical activity questionnaire. Data between participants with and without prosthetic looseness were compared to determine prosthetic loosening associated factors. Among 101 participants enrolled, 33 (32.7%) had prosthetic looseness with average onset of 1.76 ± 1.67 years. Diabetes mellitus was the only significant factor associated with prosthetic looseness from both univariate and multivariate analyses (HR = 7.05, p = 0.002 and HR = 5.93, p = 0.007 respectively). Among the lower limb amputees in Sisaket province, diabetes mellitus was the only factor associated with prosthetic looseness. Therefore, diabetic screening should be supplemented in lower limb amputee assessment protocol. In addition, we recommend that amputees with diabetes mellitus should receive prosthesis check out at approximately

  20. Uncommon manifestations of scrub typhus encephalitis in two cases: Clinical and magnetic resonance imaging findings

    Energy Technology Data Exchange (ETDEWEB)

    Heo, Young Jin; Jeong, Hae Woong [Dept. of Radiology, Inje University Busan Paik Hospital, Busan (Korea, Republic of)

    2015-11-15

    Scrub typhus is a well-known acute febrile illness caused by Orientia tsutsugamushi. This disease has multiorgan involvement, which includes the lungs, heart, liver, spleen, and the central or peripheral nervous system. Scrub typhus involving the central nervous system (CNS) is not rare. However, meningitis and meningoencephalitis can cause changes in mentation and death and are therefore associated with a poor prognosis. We report two consecutive cases of scrub typhus with CNS involvement. One patient presented with extensive white matter involvement, similar to that observed in acute disseminated encephalomyelitis, whereas the other patient presented with subependymal enhancement along the lateral ventricles. To the best of our knowledge, scrub typhus encephalitis, with extensive white matter involvement and subependymal enhancement, are very rarely described findings in the previous literature. Our patients did not show complete recovery, but the symptoms resolved with treatment. Recognizing these uncommon radiologic findings of scrub typhus may be helpful in the early diagnosis of scrub typhus with CNS involvement, which may alter the prognoses of patients.

  1. Uncommon manifestations of scrub typhus encephalitis in two cases: Clinical and magnetic resonance imaging findings

    International Nuclear Information System (INIS)

    Heo, Young Jin; Jeong, Hae Woong

    2015-01-01

    Scrub typhus is a well-known acute febrile illness caused by Orientia tsutsugamushi. This disease has multiorgan involvement, which includes the lungs, heart, liver, spleen, and the central or peripheral nervous system. Scrub typhus involving the central nervous system (CNS) is not rare. However, meningitis and meningoencephalitis can cause changes in mentation and death and are therefore associated with a poor prognosis. We report two consecutive cases of scrub typhus with CNS involvement. One patient presented with extensive white matter involvement, similar to that observed in acute disseminated encephalomyelitis, whereas the other patient presented with subependymal enhancement along the lateral ventricles. To the best of our knowledge, scrub typhus encephalitis, with extensive white matter involvement and subependymal enhancement, are very rarely described findings in the previous literature. Our patients did not show complete recovery, but the symptoms resolved with treatment. Recognizing these uncommon radiologic findings of scrub typhus may be helpful in the early diagnosis of scrub typhus with CNS involvement, which may alter the prognoses of patients

  2. Tsutsugamushi Disease (Scrub Typhus) Meningoencephalitis in ...

    African Journals Online (AJOL)

    Conclusions: Absence of Eschar does not rule out scrub typhus. Clinical features and CSF findings can mimic tuberculous meningitis so misdiagnosis may lead to unwarranted prolonged empirical antituberculous therapy in cases of lymphocytic meningoencephalitis. Delay in treatment can be potentially fatal. WFT still ...

  3. Scrub typhus in rural Rajasthan and a review of other Indian studies.

    Science.gov (United States)

    Masand, Rupesh; Yadav, Ritesh; Purohit, Alok; Tomar, Balvir Singh

    2016-05-01

    Scrub typhus is an acute febrile illness which has been reported from various parts of India with Rajasthan recently joining the list of affected states. To report a series of paediatric scrub typhus cases from rural Rajasthan. Retrospective review of children with scrub typhus admitted to the wards and paediatric intensive care unit (PICU) of a tertiary-care hospital. The study was undertaken over an 8-month period from May to December 2013. All patients with a clinical presentation and/or serological confirmation of scrub typhus who tested negative for malaria, enteric fever, dengue, leptospirosis and urinary tract infection (UTI) were included. A range of investigations were undertaken including IgM-ELISA for scrub typhus, followed by appropriate medical management. Thirty patients satisfied the inclusion criteria. The mean (SD, range) age of the patients was 8·56 (3·43, 3-16) years. The most common clinical features were fever (n = 30, 100%), headache (n = 20, 66%), myalgia (n = 15, 50%), hepatosplenomegaly (n = 18, 60%) and pallor (n = 5, 16%). Typical features such as eschar and rash were observed in only one (3·3%) and three (10%) patients, respectively; none had generalised lymphadenopathy or conjunctival congestion. IgM-ELISA for scrub typhus was positive in 28 patients (93·3%) and 27 responded to doxycycline within 24-72 hours. One of the three patients who required PICU support responded to intravenous chloramphenicol and, of the other two (6·6%), one died of acute respiratory distress syndrome and the other owing to acute renal failure. A high index of suspicion is essential for early diagnosis and prevention of complications in scrub typhus together with prompt referral from rural areas to a higher centre. Awareness of the disease manifestations may further help to prevent excessive investigations in patients presenting with non-specific febrile illness and reduce the economic burden to the family and society in resource

  4. Epidemiology & risk factors of scrub typhus in south India

    Directory of Open Access Journals (Sweden)

    George M Varghese

    2016-01-01

    Full Text Available Background & objectives: Scrub typhus is a major public health threat in South and Southeastern Asian countries including India. Understanding local patterns of disease and factors that place individuals at risk is pivotal to future preventive measures against scrub typhus. The primary aim of this study was to identify specific epidemiological and geographical factors associated with an increased risk of developing scrub typhus in this region. Methods: We mapped 709 patients from Tamil Nadu, Andhra Pradesh and Telangana who were admitted to the Christian Medical College (CMC Hospital, Vellore, Tamil Nadu, India, for the period 2006-2011, assessed seasonality using monthly counts of scrub typhus cases, and conducted a case-control study among a subset of patients residing in Vellore. Results: The geographic distribution of cases at CMC Hospital clusters around the Tamil Nadu-Andhra Pradesh border. However, distinct hotspots clearly exist distal to this area, near Madurai and the coast in Tamil Nadu, and in the Northeast of Andhra Pradesh. Seasonally, the highest numbers of cases were observed in the cooler months of the year, i.e. September to January. In the case-control analysis, cases were more likely to be agricultural laborers (OR 1.79, 95% CI 1.01 - 3.15, not wear a shirt at home (OR 4.23, 95% CI 1.12 - 16.3, live in houses adjacent to bushes or shrubs (OR 1.95, 95% CI 1.08 - 3.53, and live in a single room home (OR 1.75, 95% CI 1.02 - 3.01. On binary logistic regression, the first three of these variables were statistically significant. Interpretation & conclusions: With the growing number of cases detected in India, scrub typhus is fast emerging as a public health threat and further research to protect the population from this deadly infection is essential. Health education campaigns focusing on the agricultural workers of Southern India, especially during the cooler months of the year, can serve as an important public health measure to

  5. Thinking ahead of the surgeon. An interview study to identify scrub nurses' non-technical skills.

    Science.gov (United States)

    Mitchell, Lucy; Flin, Rhona; Yule, Steven; Mitchell, Janet; Coutts, Kathy; Youngson, George

    2011-07-01

    Efforts to reduce adverse event rates in healthcare have revealed the importance of identifying the essential non-technical (cognitive and social) skills for safe and effective performance. Previous research on non-technical skills for operating theatre staff has concentrated on doctors rather than nursing professionals. The aim of the study was to identify the critical non-technical skills that are essential for safe and effective performance as an operating theatre scrub nurse. Experienced scrub nurses (n = 25) and consultant surgeons (n = 9) from four Scottish hospitals were interviewed using a semi-structured format. The protocols were designed to identify the main social and cognitive skills required by scrub nurses. Interviews were digitally recorded, transcribed verbatim and independently coded to extract behaviours in order to produce a list of the main non-technical skills for safe and effective scrub nurse performance. The non-technical skills of situation awareness, communication, teamwork, task management and coping with stress were identified as key to successful scrub nurse task performance. Component sets of behaviours for each of these categories were also noted. The interviews with subject matter experts from scrub nursing and surgery produced preliminary evidence that situation awareness, communication, teamwork and coping with stress are the principal non-technical skills required for effective performance as a scrub nurse. Copyright © 2010 Elsevier Ltd. All rights reserved.

  6. New advances in wet scrubbing improvement efficiencies

    Energy Technology Data Exchange (ETDEWEB)

    Keen, A.R. [Altech Group, Toronto, ON (Canada)

    2000-07-01

    Wet scrubbing systems are the most versatile and cost efficient of all air pollution abatement technologies. This paper presented System REITHER{sup TM} which is a new generation of venturi scrubber. The advantages of this design are that it is simple and compact, has high removal efficiencies for sub-micron dusts or aerosols and it is flexible to handle any mass flow rate. It also provides high and constant reliability, is easy to control and has the potential to absorb gaseous pollutants. Another advantage is that it can handle corrosive streams through corrosion resistant materials. Innovations in wet scrubbing have made it possible to provide reliable and efficient separation of fine particles, corrosive aerosols and gases. New technology provides industrial engineers with a cost effective option when control air emissions is required. 1 fig.

  7. FLY ASH RECYCLE IN DRY SCRUBBING

    Science.gov (United States)

    The paper describes the effects of fly ash recycle in dry scrubbing. (Previous workers have shown that the recycle of product solids improves the utilization of slaked lime--Ca(OH)2--for sulfur dioxide (SO2) removal by spray dryers with bag filters.) In laboratory-scale experimen...

  8. Improved Purex solvent scrubbing methods

    International Nuclear Information System (INIS)

    Mailen, J.C.; Tallent, O.K.

    1984-01-01

    Studies of hydrazine and hydroxylamine salts as solvent scrubbing agents that can be decomposed into gases are summarized. Results from testing of countercurrent scrubbers and solid sorber columns that produce lesser amounts of permanent salts are reported. The status of studies of the acid-degradation of paraffin diluent and the options for removal of long-chain organic acids is given

  9. Non-technical skills of the operating theatre scrub nurse: literature review.

    Science.gov (United States)

    Mitchell, Lucy; Flin, Rhona

    2008-07-01

    This paper is a report of a review to identify the non-technical (cognitive and social) skills used by scrub nurses. Recognition that failures in non-technical skills contributed to accidents in high-risk industries led to the development of research programmes to study the role of cognition and social interactions in operational safety. Recently, psychological research in operating theatres has revealed the importance of non-technical skills in safe and efficient performance. Most of the studies to date have focused on anaesthetists and surgeons. On-line sources and university library catalogues, publications of the Association for Perioperative Practice, National Association of Theatre Nurses and Association of Peri-Operative Registered Nurses were searched in 2007. Studies were included in the review if they presented data from scrub nurses on one or more of their non-technical skills. These findings were examined in relation to an existing medical non-technical skills framework with categories of communication, teamwork, leadership, situation awareness and decision-making. Of 424 publications retrieved, 13 were reviewed in detail. Ten concerned communication and eight of those also had data on teamwork. In 11 papers teamwork was examined, and one focused on nurses' situation awareness, teamwork and communication. None of the papers we reviewed examined leadership or decision-making by scrub nurses. Further work is needed to identify formally the non-technical skills which are important to the role of scrub nurse and then to design training in the identified non-technical skills during the education and development of scrub nurses.

  10. Meteorological factors affecting scrub typhus occurrence: a retrospective study of Yamagata Prefecture, Japan, 1984-2014.

    Science.gov (United States)

    Seto, J; Suzuki, Y; Nakao, R; Otani, K; Yahagi, K; Mizuta, K

    2017-02-01

    Climate change, by its influence on the ecology of vectors might affect the occurrence of vector-borne diseases. This study examines the effects of meteorological factors in Japan on the occurrence of scrub typhus, a mite-borne zoonosis caused by Orientia tsutsugamushi. Using negative binomial regression, we analysed the relationships between meteorological factors (including temperature, rainfall, snowfall) and spring-early summer cases of scrub typhus in Yamagata Prefecture, Japan, during 1984-2014. The average temperature in July and August of the previous year, cumulative rainfall in September of the previous year, snowfall throughout the winter, and maximum depth of snow cover in January and February were positively correlated with the number of scrub typhus cases. By contrast, cumulative rainfall in July of the previous year showed a negative relationship to the number of cases. These associations can be explained by the life-cycle of Leptotrombidium pallidum, a predominant vector of spring-early summer cases of scrub typhus in northern Japan. Our findings show that several meteorological factors are useful to estimate the number of scrub typhus cases before the endemic period. They are applicable to establish an early warning system for scrub typhus in northern Japan.

  11. Giant peritoneal loose bodies

    African Journals Online (AJOL)

    2015-03-27

    Mar 27, 2015 ... not be familiar with the entity, can potentially be confused with malignant or parasitic lesions. Familiarity with their characteristic computed tomographic ... preventing unnecessary surgical intervention in an asymptomatic patient.3,4 It is important to differentiate giant peritoneal loose bodies from lesions such ...

  12. Surveillance of potential hosts and vectors of scrub typhus in Taiwan.

    Science.gov (United States)

    Kuo, Chi-Chien; Lee, Pei-Lung; Chen, Chun-Hsung; Wang, Hsi-Chieh

    2015-12-01

    Scrub typhus is a lethal infectious disease vectored by larval trombiculid mites (i.e. chiggers) infected with Orientia tsutsugamushi (OT) and recent decades have witnessed an emergence of scrub typhus in several countries. Identification of chigger species and their vertebrate hosts is fundamental for the assessment of human risks to scrub typhus under environmental changes, but intensive and extensive survey of chiggers and their hosts is still lacking in Taiwan. Chiggers were collected from shrews and rodents in nine counties of Taiwan and were assayed for OT infections with nested polymerase chain reaction (PCR). PCR products were further sequenced to reveal probable OT strains. Rodents were assessed for OT exposure by immunofluorescent antibody assay. Lastly, incidence rate of scrub typhus in each county was associated with loads and prevalence of chigger infestations, seropositivity rate in rodents, and OT positivity rate in chiggers. Rattus losea was the most abundant (48.7% of 1,285 individuals) and widespread (occurred in nine counties) small mammal species and hosted the majority of chiggers (76.4% of 128,520 chiggers). Leptotrombidium deliense was the most common (64.9% of all identified chiggers) and widespread (occurred in seven counties) chigger species but was replaced by Leptotrombidium pallidum or Leptotrombidium scutellare during the cold seasons in two counties (Matsu and Kinmen) where winter temperatures were lower than other study sites. Seropositivity rate for OT exposure in 876 assayed rodents was 43.0% and OT positivity rate in 347 pools of chiggers was 55.9%, with 15 OT strains identified in the 107 successfully sequenced samples. Incidence rate of scrub typhus was positively correlated with chigger loads, prevalence of chigger infestations, seropositivity rate but not OT positivity rate in chiggers. Our study reveals R. losea as the primary host for chiggers and there exists a geographical and seasonal variation in chigger species in

  13. Scrub typhus meningitis in a renal transplant recipient

    Directory of Open Access Journals (Sweden)

    J Dhanapriya

    2017-01-01

    Full Text Available Scrub typhus is a rickettsial infection commonly seen in Asia. The clinical presentation ranges from nonspecific febrile illness to potentially fatal multiorgan involvement such as liver, kidney, or lung. Central nervous system involvement is uncommon. We report a 45-year-old female renal transplant recipient who presented with fever, headache, meningeal signs, graft dysfunction, and eschar. IgM antibodies against Orientia tsutsugamushi were positive by enzyme-linked immunosorbent assay. Despite oral doxycycline therapy for 5 days, she did not improve but responded well to intravenous azithromycin. To the best of our knowledge, scrub typhus as a cause of meningitis in a renal transplant recipient has not been reported so far.

  14. Creep of granulated loose-fill insulation

    DEFF Research Database (Denmark)

    Rasmussen, Torben Valdbjørn

    This report presents a proposal for a standardised method for creep tests and the necessary theoretical framework that can be used to describe creep of a granulated loose-fill material. Furthermore results from a round robin test are shown. The round robin test was carried out in collaboration...... with SP-Building Physics in Sweden and VTT Building Technology in Finland. For the round robin test a cellulosic fibre insulation material was used. The proposed standardised method for creep tests and theories are limited to cases when the granulated loose-fill material is exposed to a constant...

  15. Clinical indicators for severe prognosis of scrub typhus

    Directory of Open Access Journals (Sweden)

    Sriwongpan P

    2013-10-01

    Full Text Available Pamornsri Sriwongpan,1,2 Pornsuda Krittigamas,3 Pacharee Kantipong,4 Naowarat Kunyanone,5 Jayanton Patumanond,1 Sirianong Namwongprom1,61Clinical Epidemiology Program, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand; 2Department of Social Medicine, Chiang Rai Prachanukroh Hospital, Chiang Rai, Thailand; 3Department of General Pediatrics, Nakornping Hospital, Chiang Mai, Thailand; 4Department of Internal Medicine, 5Department of Medical Technology, Chiang Rai Prachanukroh Hospital, Chiang Rai, Thailand; 6Department of Radiology, Faculty of Medicine, Chiang Mai University, Chiang Mai, ThailandBackground: The study explored clinical risk characteristics that may be used to forecast scrub typhus severity under routine clinical practices.Methods: Retrospective data were collected from patients registered at two university-affiliated tertiary care hospitals in the north of Thailand, from 2004 to 2010. Key information was retrieved from in-patient records, out patient cards, laboratory reports and registers. Patients were classified into three severity groups: nonsevere, severe (those with at least one organ involvement, and deceased. Prognostic characteristics for scrub typhus severity were analyzed by a multivariable ordinal continuation ratio regression.Results: A total of 526 patients were classified into nonsevere (n = 357, severe (n = 100, and deceased (n = 69. The significant multivariable prognostic characteristics for scrub typhus severity were increased body temperature (odds ratio [OR] = 0.58, 95% confidence interval [CI] = 0.45–0.74, P < 0.001, increased pulse rate (OR = 1.03, 95% CI = 1.01–1.05, P < 0.001, presence of crepitation (OR = 3.25, 95% CI = 1.52–6.96, P = 0.001, increased percentage of lymphocytes (OR = 0.97, 95% CI = 0.95–0.98, P = 0.001, increased aspartate aminotransferase (every 10 IU/L (OR = 1.04, 95% CI = 1.02–1.06, P < 0.001, increased serum albumin (OR = 0.47, 95% CI = 0.27–0.80, P = 0

  16. Bayesian spatial modelling and the significance of agricultural land use to scrub typhus infection in Taiwan.

    Science.gov (United States)

    Wardrop, Nicola A; Kuo, Chi-Chien; Wang, Hsi-Chieh; Clements, Archie C A; Lee, Pei-Fen; Atkinson, Peter M

    2013-11-01

    Scrub typhus is transmitted by the larval stage of trombiculid mites. Environmental factors, including land cover and land use, are known to influence breeding and survival of trombiculid mites and, thus, also the spatial heterogeneity of scrub typhus risk. Here, a spatially autoregressive modelling framework was applied to scrub typhus incidence data from Taiwan, covering the period 2003 to 2011, to provide increased understanding of the spatial pattern of scrub typhus risk and the environmental and socioeconomic factors contributing to this pattern. A clear spatial pattern in scrub typhus incidence was observed within Taiwan, and incidence was found to be significantly correlated with several land cover classes, temperature, elevation, normalized difference vegetation index, rainfall, population density, average income and the proportion of the population that work in agriculture. The final multivariate regression model included statistically significant correlations between scrub typhus incidence and average income (negatively correlated), the proportion of land that contained mosaics of cropland and vegetation (positively correlated) and elevation (positively correlated). These results highlight the importance of land cover on scrub typhus incidence: mosaics of cropland and vegetation represent a transitional land cover type which can provide favourable habitats for rodents and, therefore, trombiculid mites. In Taiwan, these transitional land cover areas tend to occur in less populated and mountainous areas, following the frontier establishment and subsequent partial abandonment of agricultural cultivation, due to demographic and socioeconomic changes. Future land use policy decision-making should ensure that potential public health outcomes, such as modified risk of scrub typhus, are considered.

  17. Re-caching by Western scrub-jays (Aphelocoma californica cannot be attributed to stress.

    Directory of Open Access Journals (Sweden)

    James M Thom

    Full Text Available Western scrub-jays (Aphelocoma californica live double lives, storing food for the future while raiding the stores of other birds. One tactic scrub-jays employ to protect stores is "re-caching"-relocating caches out of sight of would-be thieves. Recent computational modelling work suggests that re-caching might be mediated not by complex cognition, but by a combination of memory failure and stress. The "Stress Model" asserts that re-caching is a manifestation of a general drive to cache, rather than a desire to protect existing stores. Here, we present evidence strongly contradicting the central assumption of these models: that stress drives caching, irrespective of social context. In Experiment (i, we replicate the finding that scrub-jays preferentially relocate food they were watched hiding. In Experiment (ii we find no evidence that stress increases caching. In light of our results, we argue that the Stress Model cannot account for scrub-jay re-caching.

  18. The genotypes of Orientia tsutsugamushi, identified in scrub typhus patients in northern Vietnam.

    Science.gov (United States)

    Nguyen, Hang L K; Pham, Hang T T; Nguyen, Tinh V; Hoang, Phuong Vm; Le, Mai T Q; Takemura, Taichiro; Hasebe, Futoshi; Hayasaka, Daisuke; Yamada, Akio; Hotta, Kozue

    2017-03-01

    There are an estimated one million patients with scrub typhus in the Asia-Pacific region. There are few reports describing the incidence of scrub typhus in Vietnam. Blood samples collected from 63 patients clinically diagnosed as having scrub typhus from July 2015 to September 2016 were subjected to genotyping of Orientia tsutsugamushi. Of these patients, 42 (67%) tested positive for O. tsutsugamushi, and the most common genotype was identified to be Karp (55%). Other genotypes, TA763, Gilliam type in Japan variant, and Kato were also found in 17%, 17% and 12% of patients, respectively. To better understand the epidemiological landscape of scrub typhus in Vietnam, a countrywide study is needed. LC110330-LC110333, LC110336-LC110351 and LC214804-LC214825. © The Author 2017. 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.

  19. Adaptation of a tool to assess non-technical skills of scrub practitioners in Denmark

    DEFF Research Database (Denmark)

    Mundt, Anna Sofie; Spanager, Lene; Lyk-Jensen, Helle Teglgaard

    2017-01-01

    The aim of this study was to adapt the Scottish tool, Scrub Practitioners List of Intraoperative Non-Technical Skills, to Danish organisation and culture. With an explorative and qualitative approach, four group interviews with scrub practitioners, surgeons and anaesthesia staff were conducted....... The main differences found were related to communication and teamwork regarding scrub practitioners focus on the team and speaking up. Differences in the non-technical skills described in the behavioural markers are perhaps explained by cultural differences between Scotland and Denmark. A new tool...

  20. Epidemiology of scrub typhus and the eschars patterns in South Korea from 2008 to 2012.

    Science.gov (United States)

    Park, Ji-Hyuk; Kim, Sun-Ja; Youn, Seung-Ki; Park, Kisoo; Gwack, Jin

    2014-01-01

    In South Korea, scrub typhus is the most common acute febrile illness in autumn. We analyzed scrub typhus cases reported from 2008 to 2012 to describe the epidemiology of scrub typhus as well as eschar patterns. A total of 30,478 cases were reported from 2008 to 2012; the incidence rates were higher in the southern and western regions of South Korea. The common clinical symptoms of confirmed scrub typhus cases from 2010 to 2012 were fever/chills (95.2%), eschars (78.9%), and myalgia (61.7%). The primary sites of eschars were the lower extremities (19.0%), abdomen/waist (13.4%), and axilla (11.5%) in men and the shoulder/frontal chest (15.1%), lower extremities (14.5%), and abdomen/waist (13.6%) in women. Regardless of gender, eschars tended to be more on the lower extremities among the leisure activities group. Among the occupational farm work group, who usually lived in rural areas, eschars appeared most frequently on the abdomen/waist in men and on the shoulder/frontal chest in women. Eschar patterns were influenced by gender and activities. These results could facilitate the prevention of scrub typhus and clarify the current status of scrub typhus in South Korea.

  1. Brushes and picks used on nails during the surgical scrub to reduce bacteria: a randomised trial.

    Science.gov (United States)

    Tanner, J; Khan, D; Walsh, S; Chernova, J; Lamont, S; Laurent, T

    2009-03-01

    Though brushes are no longer used on the hands and forearms during the surgical scrub, they are still widely used on the nails. The aim of this study was to determine whether nail picks and nail brushes are effective in providing additional decontamination during a surgical hand scrub. A total of 164 operating department staff were randomised to undertake one of the following three surgical hand-scrub protocols: chlorhexidine only; chlorhexidine and a nail pick; or chlorhexidine and a nail brush. Bacterial hand sampling was conducted before and 1h after scrubbing using a modified version of the glove juice method. No statistically significant differences in bacterial numbers were found between any two of the three intervention groups. Nail brushes and nail picks used during surgical hand scrubs do not decrease bacterial numbers and are unnecessary.

  2. THE KNOWLEDGE OF HEALTH CARE WORKERS AND DOCTORS REGARDING HAND SCRUB

    Directory of Open Access Journals (Sweden)

    Rahul Sanjeev Chaudhary

    2016-08-01

    Full Text Available BACKGROUND Hand hygiene practices of health care workers has been shown to be an effective measure in preventing hospital acquired infections. This concept has been aptly used to improve understanding, training, monitoring, and reporting hand hygiene among healthcare workers. We conducted this study to assess the knowledge of doctors and health care workers regarding hand scrub. METHODS A study was conducted among doctors and health care workers in a tertiary care hospital. Knowledge was evaluated by using self-structured questionnaire based on the guidelines of hand hygiene prescribed by WHO. RESULTS The awareness and knowledge of preoperative surgical hand scrubbing was moderate in doctors, but unfortunately poor in HCWs. CONCLUSION Our study highlights the need for introducing measures in order to increase the knowledge of preoperative hand scrub in teaching hospital which may translate into good practices.

  3. Factors that affect scrub practitioner non-technical skills: A literature review.

    Science.gov (United States)

    McClelland, Guy

    2018-04-01

    Non-technical skills are the cognitive and interpersonal behaviours that compliment clinical competence in surgery. Effective use of non-technical skills is essential for scrub practice, because they facilitate anticipation of the surgeon's requirements and promote appropriate communication behaviours. This literature review analyses the factors that may influence a scrub practitioner's use of non-technical skills during surgery. Recommendations are made that are intended to improve their use by reducing behavioural variations during surgery.

  4. Scrub typhus in Uttarakhand & adjoining Uttar Pradesh: Seasonality, clinical presentations & predictors of mortality.

    Science.gov (United States)

    Bhargava, Anurag; Kaushik, Reshma; Kaushik, Rajeev Mohan; Sharma, Anita; Ahmad, Sohaib; Dhar, Minakshi; Mittal, Garima; Khanduri, Sushant; Pant, Priyannk; Kakkar, Rajesh

    2016-12-01

    Scrub typhus is a re-emerging mite-borne rickettsiosis, which continues to be underdiagnosed, with lethal consequences. The present study was conducted to determine the seasonality, clinical presentation and predictors of mortality in patients with scrub typhus at a tertiary care teaching hospital in northern India. Scrub typhus was suspected in patients attending the hospital as per the standard case definition and serological evidence was obtained by performing an IgM ELISA. A total of 284 patients with scrub typhus from urban and rural areas were seen, predominantly from July to November. The most common clinical presentation was a bilateral community-acquired pneumonia (CAP), which resembled pneumonia due to atypical pathogens and often progressed to acute respiratory distress syndrome (ARDS). An acute undifferentiated febrile illness (AUFI) or a febrile illness associated with altered sensorium, aseptic meningitis, shock, abdominal pain, gastrointestinal bleeding or jaundice was also seen. Eschars were seen in 17 per cent of patients, and thrombocytopenia, transaminitis and azotaemia were frequent. There were 24 deaths (8.5%) caused predominantly by ARDS and multi-organ dysfunction. The mortality in patients with ARDS was high (37%). ARDS [odds ratio (OR)=38.29, 95% confidence interval (CI): 9.93, 147.71] and acute kidney injury (OR=8.30, 95% CI: 2.21, 31.21) were the major predictors of death. The present findings indicate that scrub typhus may be considered a cause of CAP, ARDS, AUFI or a febrile illness with multisystem involvement, in Uttarakhand and Uttar Pradesh, especially from July to November. Empiric therapy of CAP may include doxycycline or azithromycin to ensure coverage of underlying unsuspected scrub typhus.

  5. Scrub typhus in Uttarakhand & adjoining Uttar Pradesh: Seasonality, clinical presentations & predictors of mortality

    Directory of Open Access Journals (Sweden)

    Anurag Bhargava

    2016-01-01

    Full Text Available Background & objectives: Scrub typhus is a re-emerging mite-borne rickettsiosis, which continues to be underdiagnosed, with lethal consequences. The present study was conducted to determine the seasonality, clinical presentation and predictors of mortality in patients with scrub typhus at a tertiary care teaching hospital in northern India. Methods: Scrub typhus was suspected in patients attending the hospital as per the standard case definition and serological evidence was obtained by performing an IgM ELISA. Results: A total of 284 patients with scrub typhus from urban and rural areas were seen, predominantly from July to November. The most common clinical presentation was a bilateral community-acquired pneumonia (CAP, which resembled pneumonia due to atypical pathogens and often progressed to acute respiratory distress syndrome (ARDS. An acute undifferentiated febrile illness (AUFI or a febrile illness associated with altered sensorium, aseptic meningitis, shock, abdominal pain, gastrointestinal bleeding or jaundice was also seen. Eschars were seen in 17 per cent of patients, and thrombocytopenia, transaminitis and azotaemia were frequent. There were 24 deaths (8.5% caused predominantly by ARDS and multi-organ dysfunction. The mortality in patients with ARDS was high (37%. ARDS [odds ratio (OR=38.29, 95% confidence interval (CI: 9.93, 147.71] and acute kidney injury (OR=8.30, 95% CI: 2.21, 31.21 were the major predictors of death. Interpretation & conclusions: The present findings indicate that scrub typhus may be considered a cause of CAP, ARDS, AUFI or a febrile illness with multisystem involvement, in Uttarakhand and Uttar Pradesh, especially from July to November. Empiric therapy of CAP may include doxycycline or azithromycin to ensure coverage of underlying unsuspected scrub typhus.

  6. Software support for irregular and loosely synchronous problems

    Science.gov (United States)

    Choudhary, A.; Fox, G.; Hiranandani, S.; Kennedy, K.; Koelbel, C.; Ranka, S.; Saltz, J.

    1992-01-01

    A large class of scientific and engineering applications may be classified as irregular and loosely synchronous from the perspective of parallel processing. We present a partial classification of such problems. This classification has motivated us to enhance FORTRAN D to provide language support for irregular, loosely synchronous problems. We present techniques for parallelization of such problems in the context of FORTRAN D.

  7. Geochemical modeling of magmatic gas scrubbing

    Directory of Open Access Journals (Sweden)

    B. Gambardella

    2005-06-01

    Full Text Available The EQ3/6 software package, version 7.2 was successfully used to model scrubbing of magmatic gas by pure water at 0.1 MPa, in the liquid and liquid-plus-gas regions. Some post-calculations were necessary to account for gas separation effects. In these post-calculations, redox potential was considered to be fixed by precipitation of crystalline a-sulfur, a ubiquitous and precocious process. As geochemical modeling is constrained by conservation of enthalpy upon water-gas mixing, the enthalpies of the gas species of interest were reviewed, adopting as reference state the liquid phase at the triple point. Our results confirm that significant emissions of highly acidic gas species (SO2(g, HCl(g, and HF(g are prevented by scrubbing, until dry conditions are established, at least locally. Nevertheless important outgassing of HCl(g can take place from acid, HCl-rich brines. Moreover, these findings support the rule of thumb which is generally used to distinguish SO2-, HCl-, and HF-bearing magmatic gases from SO2-, HCl-, and HF-free hydrothermal gases.

  8. First case of scrub typhus with meningoencephalitis from Kerala: An emerging infectious threat

    Directory of Open Access Journals (Sweden)

    K Saifudheen

    2012-01-01

    Full Text Available Scrub typhus is a rickettsial disease caused by Orientia tsutsugamushi, one of the most common infectious diseases in the Asia-Pacific region. It has been reported from northern, eastern, and southern India, and its presence has been documented in at least 11 Indian states. However, scrub typhus meningoencephalitis has not been well documented in Kerala. We report two cases of scrub typhus meningoencephalitis from northern Kerala. The diagnosis was made based on the clinical pictures, presence of eschar, and a positive Weil-Felix test with a titer of > 1:320. The first patient succumbed to illness due to respiratory failure and the second patient improved well.

  9. Infrared thermography of loose hangingwalls

    CSIR Research Space (South Africa)

    Kononov, VA

    2002-09-01

    Full Text Available This project is the continuation of GAP706 “Pre-feasibility investigation of infrared thermography for the identification of loose hangingwall and impending falls of ground”. The main concept behind the infrared thermography method...

  10. Increased level and interferon-γ production of circulating natural killer cells in patients with scrub typhus.

    Science.gov (United States)

    Kang, Seung-Ji; Jin, Hye-Mi; Cho, Young-Nan; Kim, Seong Eun; Kim, Uh Jin; Park, Kyung-Hwa; Jang, Hee-Chang; Jung, Sook-In; Kee, Seung-Jung; Park, Yong-Wook

    2017-07-01

    Natural killer (NK) cells are essential immune cells against several pathogens. Not much is known regarding the roll of NK cells in Orientia tsutsugamushi infection. Thus, this study aims to determine the level, function, and clinical relevance of NK cells in patients with scrub typhus. This study enrolled fifty-six scrub typhus patients and 56 health controls (HCs). The patients were divided into subgroups according to their disease severity. A flow cytometry measured NK cell level and function in peripheral blood. Circulating NK cell levels and CD69 expressions were significantly increased in scrub typhus patients. Increased NK cell levels reflected disease severity. In scrub typhus patients, tests showed their NK cells produced higher amounts of interferon (IFN)-γ after stimulation with interleukin (IL)-12 and IL-18 relative to those of HCs. Meanwhile, between scrub typhus patients and HCs, the cytotoxicity and degranulation of NK cells against K562 were comparable. CD69 expressions were recovered to the normal levels in the remission phase. This study shows that circulating NK cells are activated and numerically increased, and they produced more IFN-γ in scrub typhus patients.

  11. Increased level and interferon-γ production of circulating natural killer cells in patients with scrub typhus.

    Directory of Open Access Journals (Sweden)

    Seung-Ji Kang

    2017-07-01

    Full Text Available Natural killer (NK cells are essential immune cells against several pathogens. Not much is known regarding the roll of NK cells in Orientia tsutsugamushi infection. Thus, this study aims to determine the level, function, and clinical relevance of NK cells in patients with scrub typhus.This study enrolled fifty-six scrub typhus patients and 56 health controls (HCs. The patients were divided into subgroups according to their disease severity. A flow cytometry measured NK cell level and function in peripheral blood. Circulating NK cell levels and CD69 expressions were significantly increased in scrub typhus patients. Increased NK cell levels reflected disease severity. In scrub typhus patients, tests showed their NK cells produced higher amounts of interferon (IFN-γ after stimulation with interleukin (IL-12 and IL-18 relative to those of HCs. Meanwhile, between scrub typhus patients and HCs, the cytotoxicity and degranulation of NK cells against K562 were comparable. CD69 expressions were recovered to the normal levels in the remission phase.This study shows that circulating NK cells are activated and numerically increased, and they produced more IFN-γ in scrub typhus patients.

  12. Temperature dependent fission product removal efficiency due to pool scrubbing

    Energy Technology Data Exchange (ETDEWEB)

    Uchida, Shunsuke, E-mail: suchida@iae.or.jp [Institute of Applied Energy, 1-14-2, Nishi-Shimbashi, Minato-ku, Tokyo 105-0003 (Japan); Itoh, Ayumi; Naitoh, Masanori; Okada, Hidetoshi; Suzuki, Hiroyuki [Institute of Applied Energy, 1-14-2, Nishi-Shimbashi, Minato-ku, Tokyo 105-0003 (Japan); Hanamoto, Yukio [KAKEN, Inc., 1044, Hori-machi, Mito 310-0903 (Japan); Osakabe, Masahiro [Tokyo University of Marine Science & Technology, Koutou-ku, Tokyo 135-8533 (Japan); Fujikawa, Masahiro [Japan Broadcasting Corporation, 2-2-1, Jinnan, Shibuya-ku, Tokyo 150-8001 (Japan)

    2016-03-15

    Highlights: • Pool temperature effects on the FP removal were not clearly concluded in the previous publications. • It was confirmed that the removal efficiency decreased with temperature around the boiling point. • A modified empirical formula for FP removal was proposed as a function of sub-cooling temperature. • DF could be predicted with an accuracy within a factor of 2 with the proposed formula. - Abstract: The wet-well of boiling water reactors plays important roles not only to suppress the pressure in the primary containment vessel due to steam scrubbing effects during severe accidents but also to mitigate release of radioactive fission products (FP), aerosols and particulates, into the environment. The effects of steam scrubbing in the wet-well on FP removal have been well studied and reported by changing major parameters determining the removal efficiencies, e.g., aerosol diameters, submergence (depth of scrubbing nozzles) and steam/non-condensable gas volume fraction. Unfortunately, the effects of pool temperature on the FP removal were not clearly concluded in the previous publications, though it would be easily expected that boiling in the pool resulted in reduced aerosol removal efficiency. In order to determine the temperature effects on FP removal efficiency, amounts of cesium in aerosols released from scrubbing pool were measured by changing pool temperature in mini and medium scale scrubbing experiments, and then, it was confirmed that the removal efficiency clearly decreased with temperature around the boiling point. Then, a modified empirical formula to express the FP removal around the boiling point temperature was proposed as a function of sub-cooling temperature by applying the effective steam volume fraction, which was designated as the volume ratio of condensed steam in the pool versus the sum of input steam and non-condensable gas. By comparing the measured removal efficiency with the calculated, it was validated that the

  13. Temperature dependent fission product removal efficiency due to pool scrubbing

    International Nuclear Information System (INIS)

    Uchida, Shunsuke; Itoh, Ayumi; Naitoh, Masanori; Okada, Hidetoshi; Suzuki, Hiroyuki; Hanamoto, Yukio; Osakabe, Masahiro; Fujikawa, Masahiro

    2016-01-01

    Highlights: • Pool temperature effects on the FP removal were not clearly concluded in the previous publications. • It was confirmed that the removal efficiency decreased with temperature around the boiling point. • A modified empirical formula for FP removal was proposed as a function of sub-cooling temperature. • DF could be predicted with an accuracy within a factor of 2 with the proposed formula. - Abstract: The wet-well of boiling water reactors plays important roles not only to suppress the pressure in the primary containment vessel due to steam scrubbing effects during severe accidents but also to mitigate release of radioactive fission products (FP), aerosols and particulates, into the environment. The effects of steam scrubbing in the wet-well on FP removal have been well studied and reported by changing major parameters determining the removal efficiencies, e.g., aerosol diameters, submergence (depth of scrubbing nozzles) and steam/non-condensable gas volume fraction. Unfortunately, the effects of pool temperature on the FP removal were not clearly concluded in the previous publications, though it would be easily expected that boiling in the pool resulted in reduced aerosol removal efficiency. In order to determine the temperature effects on FP removal efficiency, amounts of cesium in aerosols released from scrubbing pool were measured by changing pool temperature in mini and medium scale scrubbing experiments, and then, it was confirmed that the removal efficiency clearly decreased with temperature around the boiling point. Then, a modified empirical formula to express the FP removal around the boiling point temperature was proposed as a function of sub-cooling temperature by applying the effective steam volume fraction, which was designated as the volume ratio of condensed steam in the pool versus the sum of input steam and non-condensable gas. By comparing the measured removal efficiency with the calculated, it was validated that the

  14. SPS: scrubbing or coating ?

    CERN Document Server

    Jimenez, J M

    2012-01-01

    The operation of the SPS with high intensity bunched beams is limited by the electron cloud building-up in both the arcs and long straight sections. Two consolidation options have been considered: mitigation of the electron cloud using coatings or relying, as before, on the scrubbing runs. A status report on both options will be given with a particular emphasis on measurements plans for 2012 and pending issues. The testing needs, corresponding beam parameters and MD time in 2012 will be addressed. The criteria for the decision making and the corresponding schedule will be discussed.

  15. Clinico - Laboratory Profile of Scrub Typhus - An Emerging Rickettsiosis in India.

    Science.gov (United States)

    Narayanasamy, Dinesh Kumar; Arunagirinathan, Arul Kumaran; Kumar, Revathi Krishna; Raghavendran, V D

    2016-11-01

    To study the clinical and laboratory profile of pediatric scrub typhus in rural south India. This is a descriptive study of the clinical and laboratory features of 117 children with IgM ELISA proven scrub typhus out of 448 children, who were admitted in the Pediatric ward of a tertiary care hospital, during the study period of November 2014 through March 2015. Fever was present in all 117 children, with mean duration of fever at admission as 9 d. Gastrointestinal tract was the most commonly affected system, seen in 51 % of children. Cough (82 %), myalgia (70 %), vomiting (68 %), headache (45 %) and pain abdomen (42 %) were the most common symptoms of scrub typhus. Hepatomegaly (70), splenomegaly (53 %), pallor (50 %) and eschar (41 %) were the common clinical findings in children with scrub typhus. Out of 49 children with eschar, 32 were associated with regional lymphadenopathy, which was commonly seen in axillary, neck and groin regions. Leucocytosis (50 %), anemia (56 %), increased SGOT / SGPT (47 %), thrombocytopenia (41 %), hypoalbuminemia (40 %) and hyponatremia (40 %) were the common lab features. Shock (46 %), myocarditis (24 %) and pneumonia (16 %) were the common complications seen in these children. This study showed that early treatment for scrub typhus results in a good outcome in terms of early recovery and nil mortality. Regional lymphadenopathy is a marker of hidden or developing eschar. Total count and differential count should be interpreted on the background of the duration of fever. Since IgM ELISA, which is diagnostic of scrub typhus may not be widely available, any febrile child coming from rural area with hepatosplenomegaly, pallor, eschar, generalised / regional lymphadenopathy, anemia, leucocytosis, thrombocytopenia and increased Aspartate transaminase (AST) /Alanine aminotransferase (ALT) should be started on empirical Doxycycline or Azithromycin in order to prevent life threatening complications secondary to delay in

  16. [Spatio-temporal distribution of scrub typhus and related influencing factors in coastal beach area of Yancheng, China].

    Science.gov (United States)

    Chen, Y Z; Li, F; Xu, H; Huang, L C; Gu, Z G; Sun, Z Y; Yan, G J; Zhu, Y J; Tang, C

    2016-02-01

    In order to provide better programs on monitoring, early warning and prevention of Scrub Typhus in the coastal beach area, temporal-spatial distribution characteristics of scrub typhus were summarized. Relationships between temporal-spatial clustering of Scrub Typhus, meteorological factors, rodent distribution and the biological characteristics in coastal beach area of Yancheng city, were studied. Reports on network-based Scrub Typhus epidemics and information on population, weather situation through monitoring those stations, from 2005 to 2014 were collected and processed, in the coastal beach area of Yancheng city. Distribution, density of the population concerned and seasonal fluctuation on rodents were monitored in coastal beach area, from April 2011 to December, 2013. METHODS as descriptive statistics, space-time permutation scantistics, autocorrelation and Cross-correlation analysis etc, were used to analyze the temporal-spatial distribution of Scrub Typhus and correlation with rodent distribution, density fluctuation and meteorological indexes. Zero-inflated Pearson (ZIP) regression model was contributed according to the distribution of related data. All methods were calculated under Excel 2003, SPSS 16.0, Mapinfo 11.0, Satscan 9.0 and Stata/SE 10.0 softwares. (1) The incidence of Scrub Typhus was gradually increasing and the highest incidence of the year was seen in 2014, as 5.81/10 million. There was an autumn peak of Scrub typhus, with the highest incidence rate as 12.02/10 million in November. The incidence rate of Scrub typhus appeared high in Binhai, Dafeng and Xiangshui, with the average incidence rates appeared as 3.30/10 million, 3.21/10 million and 2.79/10 million, respectively. There were 12 towns with high incidence rates in the coastal beach area, with incidence rate showed between 4.41/10 and 10.03/10 million. (2) There were three incidence clusters of Scrub typhus seen in 25 towns, between October 2012 and November 2012 in Dongtai, Dafeng

  17. Radiopharmacy contamination in nuclear medicine - a survey report

    International Nuclear Information System (INIS)

    Ghai, Anchal; Mardi, Somnath; Kumar, Pradeep; Sarika; Mittal, B.R.; Singh, B.

    2011-01-01

    To conduct the radiation survey of the category IV Nuclear Medicine department and to further measure and compare the level of loose contamination in areas with high levels of exposure at two different time points (morning and evening) using wipe test

  18. Gulf-Wide Information System, Environmental Sensitivity Index Scrub-Shrub and Wetlands, Geographic NAD83, LDWF (2001) [esi_scrub-shrub_wetland_LDWF_2001

    Data.gov (United States)

    Louisiana Geographic Information Center — This data set contains Environmental Sensitivity Index (ESI) scrub-shrub and wetlands data of coastal Louisiana. The ESI is a classification and ranking system,...

  19. Severe scrub typhus infection: Clinical features, diagnostic challenges and management

    Science.gov (United States)

    Peter, John Victor; Sudarsan, Thomas I; Prakash, John Anthony J; Varghese, George M

    2015-01-01

    Scrub typhus infection is an important cause of acute undifferentiated fever in South East Asia. The clinical picture is characterized by sudden onset fever with chills and non-specific symptoms that include headache, myalgia, sweating and vomiting. The presence of an eschar, in about half the patients with proven scrub typhus infection and usually seen in the axilla, groin or inguinal region, is characteristic of scrub typhus. Common laboratory findings are elevated liver transaminases, thrombocytopenia and leukocytosis. About a third of patients admitted to hospital with scrub typhus infection have evidence of organ dysfunction that may include respiratory failure, circulatory shock, mild renal or hepatic dysfunction, central nervous system involvement or hematological abnormalities. Since the symptoms and signs are non-specific and resemble other tropical infections like malaria, enteric fever, dengue or leptospirosis, appropriate laboratory tests are necessary to confirm diagnosis. Serological assays are the mainstay of diagnosis as they are easy to perform; the reference test is the indirect immunofluorescence assay (IFA) for the detection of IgM antibodies. However in clinical practice, the enzyme-linked immuno-sorbent assay is done due to the ease of performing this test and a good sensitivity and sensitivity when compared with the IFA. Paired samples, obtained at least two weeks apart, demonstrating a ≥ 4 fold rise in titre, is necessary for confirmation of serologic diagnosis. The mainstay of treatment is the tetracycline group of antibiotics or chloramphenicol although macrolides are used alternatively. In mild cases, recovery is complete. In severe cases with multi-organ failure, mortality may be as high as 24%. PMID:26261776

  20. Loose parts monitoring in light water reactor cooling systems

    International Nuclear Information System (INIS)

    Santos, A.; Alma, B.J.

    1982-01-01

    The work related to loose monitoring system for light water reactor, developed at GRS - Munique, are described. The basic problems due to the exact localization and detection of the loose part as well the research activities and development necessary aiming to obtain the best techniques in this field. (E.G.) [pt

  1. A comparative study of hepatitis caused by scrub typhus and viral hepatitis A in South Korea.

    Science.gov (United States)

    Lee, Jun; Kim, Dong-Min; Yun, Na Ra; Byeon, Yu Mi; Kim, Young Dae; Park, Chan Guk; Kim, Man Woo; Han, Mi Ah

    2011-11-01

    We compared clinical features and laboratory findings of 104 patients with hepatitis A and 197 patients with scrub typhus. Nausea, vomiting, abdominal pain, hepatomegaly, and jaundice were common in patient with hepatitis A, and fever and headache were significantly more common in patients with scrub typhus. At presentation, an alanine aminotransferase (ALT) level ≥ 500 U/L was observed in 1% of scrub typhus patients and in 87.5% of hepatitis A patients (P hepatitis A patients. The ALT:lactate dehydrogenase ratio was ≤ 5 in 97.4% of the patients with scrub typhus and > 5 in 95.2% of those with hepatitis A (P 5, and hepatomegaly are indications of viral hepatitis A.

  2. A Comparative Study of Hepatitis Caused by Scrub Typhus and Viral Hepatitis A in South Korea

    Science.gov (United States)

    Lee, Jun; Kim, Dong-Min; Yun, Na Ra; Byeon, Yu Mi; Kim, Young Dae; Park, Chan Guk; Kim, Man Woo; Han, Mi Ah

    2011-01-01

    We compared clinical features and laboratory findings of 104 patients with hepatitis A and 197 patients with scrub typhus. Nausea, vomiting, abdominal pain, hepatomegaly, and jaundice were common in patient with hepatitis A, and fever and headache were significantly more common in patients with scrub typhus. At presentation, an alanine aminotransferase (ALT) level ≥ 500 U/L was observed in 1% of scrub typhus patients and in 87.5% of hepatitis A patients (P hepatitis A patients. The ALT:lactate dehydrogenase ratio was ≤ 5 in 97.4% of the patients with scrub typhus and > 5 in 95.2% of those with hepatitis A (P 5, and hepatomegaly are indications of viral hepatitis A. PMID:22049041

  3. Clinical Evaluation of Rapid Diagnostic Test Kit for Scrub Typhus with Improved Performance.

    Science.gov (United States)

    Kim, Young-Jin; Park, Sungman; Premaratna, Ranjan; Selvaraj, Stephen; Park, Sang-Jin; Kim, Sora; Kim, Donghwan; Kim, Min Soo; Shin, Dong Hoon; Choi, Kyung-Chan; Kwon, Soon-Hwan; Seo, Wonjun; Lee, Nam Taek; Kim, Seung-Han; Kang, Heui Keun; Kim, Yoon-Won

    2016-08-01

    Diagnosis of scrub typhus is challenging due to its more than twenty serotypes and the similar clinical symptoms with other acute febrile illnesses including leptospirosis, murine typhus and hemorrhagic fever with renal syndrome. Accuracy and rapidity of a diagnostic test to Orientia tsutsugamushi is an important step to diagnose this disease. To discriminate scrub typhus from other diseases, the improved ImmuneMed Scrub Typhus Rapid Diagnostic Test (RDT) was evaluated in Korea and Sri Lanka. The sensitivity at the base of each IgM and IgG indirect immunofluorescent assay (IFA) in Korean patients was 98.6% and 97.1%, and the specificity was 98.2% and 97.7% respectively. The sensitivity and specificity for retrospective diagnosis at the base of IFA in Sri Lanka was 92.1% and 96.1%. ImmuneMed RDT was not reactive to any serum from seventeen diseases including hemorrhagic fever with renal syndrome (n = 48), leptospirosis (n = 23), and murine typhus (n = 48). ImmuneMed RDT shows superior sensitivity (98.6% and 97.1%) compared with SD Bioline RDT (84.4% at IgM and 83.3% at IgG) in Korea. The retrospective diagnosis of ImmuneMed RDT exhibits 94.0% identity with enzyme-linked Immunosorbent assay (ELISA) using South India patient serum samples. These results suggest that this RDT can replace other diagnostic tests and is applicable for global diagnosis of scrub typhus. This rapid and accurate diagnosis will be beneficial for diagnosing and managing scrub typhus.

  4. Young Nearby Loose Associations

    Science.gov (United States)

    Torres, C. A. O.; Quast, G. R.; Melo, C. H. F.; Sterzik, M. F.

    2008-12-01

    A significant population of stars with ages younger than the Pleiades exists in the solar neighborhood. They are grouped in loose young associations, sharing similar kinematical and physical properties, but, due to their vicinity to the Sun, they are dispersed in the sky, and hard to identify. Their strong stellar coronal activity, causing enhanced X-ray emission, allows them to be identified as counterparts of X-ray sources. The analysis presented here is based mainly on the SACY project, aimed to survey in a systematic way counterparts of ROSAT all-sky X-ray sources in the Southern Hemisphere for which proper motions are known. We give the definition, main properties, and lists of high-probability members of nine confirmed loose young associations that do not belong directly to the well-known Oph-Sco-Cen complex. The youth and vicinity of many members of these new associations make them ideal targets for follow-up studies, specifically geared towards the understanding of planetary system formation. Searches for very low-mass and brown dwarf companions are ongoing, and it will be promising to search for planetary companions with next generation instruments.

  5. SCRUB versus trade: Enemies or allies?

    International Nuclear Information System (INIS)

    Platt, J.B.

    1992-01-01

    Under the 1990 Clean Air Act Amendments (CAAA), scrubbing and emission allowance trading will play complementary roles. This paper reviews Phase I announced strategies and presents projections of technology controls, coal switching and industry-wide SO 2 removal costs under different assumptions about trading. The principal uncertainties characterizing today's planning environment are discussed -- ranging from changing expectations for fuel costs to swings in allowance prices and questions about regulation and new operating procedures. Economic forecasting is difficult. A clearer picture of Phase 2 strategies is emerging from EPRI's integrated analysis of fuel, technology and allowance markets -- based on collaboration between A. Van Horn and K. White (management consultants) and T. Hewson (Energy Ventures Analysis). About half the SO 2 reductions required in Phase 2 are likely to come from technology controls and half from coal switching. With trading, the highest cost open-quotes scrubsclose quotes and open-quotes switchesclose quotes can be avoided, more upgrading of low-cost scrubbing is expected, and the role of switching grows to a small extent. Additional benefits from trading, averaging and banking allowances are: better sequencing of technology controls, less stringent specs for equipment, and added flexibility/risk-sharing opportunities in contract arrangements

  6. SPS: scrubbing or coating?

    International Nuclear Information System (INIS)

    Jimenez, J.M.

    2012-01-01

    The operation of the SPS with high intensity bunched beams is limited by the electron cloud building-up in both the arcs and long straight sections. Two consolidation options have been considered: suppression of the electron cloud build-up using coatings or relying, as before, on the scrubbing mitigation. A status report on both options will be given with a particular emphasis on measurements plans for 2012 and pending issues. The testing needs, corresponding beam parameters and MD time in 2012 will be addressed. The criteria for the decision making and the corresponding schedule will be discussed. (author)

  7. Electro-scrubbing volatile organic carbons in the air stream with a gas diffusion electrode

    Energy Technology Data Exchange (ETDEWEB)

    Yang Ji, E-mail: yangji@ecust.edu.cn [School of Resources and Environmental Engineering, State Environmental Protection Key Laboratory of Environmental Risk Assessment and Control on Chemical Process, East China University of Science and Technology, Shanghai 200237 (China); School of Environmental Science and Engineering, Shanghai Jiao Tong University, Shanghai 200240 (China); Liu Kaichen; Jia Jinping; Cao Limei [School of Environmental Science and Engineering, Shanghai Jiao Tong University, Shanghai 200240 (China)

    2011-04-15

    It is demonstrated that exposing the VOC air streams to the electro-scrubbing reactor with a gas diffusion electrode leads to an efficient removal of organics. The importance order of the influence factors on the electro-scrubbing reactor performance is: conductivity, voltage and air stream flow-rate. The effective conductivity and high voltages generally are beneficial to the removal process and the air flow-rate is not a significant factor compared with the other two, indicating that the reactor might have a consistently satisfying performance within a wide range of gas volumetric load. The mass transfer of both organics and oxygen in the reactor is estimated by mathematical model, and the calculation determines the concentration boundary conditions for the 2-ethoxyethyl acetate removal: if the 2-ethoxyethyl acetate concentration in the inflow air stream holds C{sub G,i} {<=} 0.7198 % , the removal in the electro-scrubbing reactor is electrochemical reaction controlled; if C{sub G,i} > 0.7198 % , the controlling step will be the oxygen mass transfer from the air to the liquid in the electro-scrubbing reactor. The Apparent Current Efficiency of the electro-scrubbing reactor was also determined using COD data, which is significantly higher than some commercial metal oxide electrodes, showing that the reactor is energy efficient and has the promise for the future scale-up.

  8. [Spatial analysis of autumn-winter type scrub typhus in Shandong province, 2006-2014].

    Science.gov (United States)

    Yang, H; Bi, Z W; Kou, Z Q; Zheng, L; Zhao, Z T

    2016-05-01

    To discuss the spatial-temporal distribution and epidemic trends of autumn-winter type scrub typhus in Shandong province, and provide scientific evidence for further study for the prevention and control of the disease. The scrub typhus surveillance data during 2006-2014 were collected from Shandong Disease Reporting Information System. The data was analyzed by using software ArcGIS 9.3(ESRI Inc., Redlands, CA, USA), GeoDa 0.9.5-i and SatScan 9.1.1. The Moran' s I, log-likelihood ratio(LLR), relative risk(RR)were calculated and the incidence choropleth maps, local indicators of spatial autocorrelation cluster maps and space scaning cluster maps were drawn. A total of 4 453 scrub typhus cases were reported during 2006-2014, and the annual incidence increased with year. Among the 17 prefectures(municipality)in Shandong, 13 were affected by scrub typhus. The global Moran's I index was 0.501 5(Pscrub typhus in Shandong. Since 2006, the epidemic area of the disease has expanded and the number of high-risk areas has increased. Moreover, the eastward moving and periodically expanding trends of high-risk clusters were detected.

  9. Predictors of acute myocarditis in complicated scrub typhus: an endemic province in the Republic of Korea.

    Science.gov (United States)

    Chin, Jung Yeon; Kang, Ki-Woon; Moon, Kyung Min; Kim, Jongwoo; Choi, Yu Jeong

    2018-03-01

    Scrub typhus is known as a self-limited infectious disease. Cardiac complication is uncommon and usually not life-threatening. Until now, few cases of fulminant myocarditis by scrub typhus have been reported. So, we investigated incidence and predictors of acute myocarditis in severe scrub typhus. We retrospectively reviewed 89 patients among 91 scrub typhus confirmed patients who examined an echocardiogram and cardiac biomarkers from 2005 to 2015 in the intensive care unit at our hospital. We excluded two patients who didn't have electrocardiography. Patients were divided into two groups and compared between scrub typhus with (n = 13) and without (n = 76) acute myocarditis. Age, sex, and underlying diseases were similar between the groups. The existence of eschar and duration of general ache and fever were similar between the groups. However, patients with acute myocarditis had more elevated total bilirubin, high incidence of ST elevations and paroxysmal atrial fibrillation (PAF) than those without acute myocarditis. Receiver operating characteristic analysis showed that the PAF was a predictor of myocarditis with a sensitivity of 70% and specificity of 84%. Predictive power of combination of ST-segment elevation and PAF was significantly associated with myocarditis in the multivariate analysis (odds ratio, 1.57; 95% confidence interval [CI], 1.21 to 11.7; p = 0.041) and area under the curve was 0.947 (95% CI, 0.878 to 0.983; p scrub typhus may be more common than previously reported. Patients with high bilirubin and PAF are at increased risk of acute myocarditis with scrub typhus. These patients warrant closer follow-up and echocardiogram would be needed.

  10. Clinical and paraclinical profile, and predictors of outcome in 90 cases of scrub typhus, Meghalaya, India.

    Science.gov (United States)

    Sivarajan, Sunuraj; Shivalli, Siddharudha; Bhuyan, Debomallya; Mawlong, Michael; Barman, Rittwick

    2016-10-05

    India is an integral component of "tsutsugamushi triangle" which depicts a part of the globe endemic to scrub typhus. Owing to frequent outbreaks witnessed in different parts of the country in the recent past, scrub typhus is described as a re-emerging infectious disease in India. The present study aimed to study the clinical and paraclinical profile, complications and predictors of outcome among 90 cases of scrub typhus diagnosed in a hospital of north-eastern India from Sept 2011 to Aug 2012. A longitudinal study was conducted in a hospital of Meghalaya, India between Sept 2011 and Aug 2012. Diagnosis of scrub typhus was arrived by SD BIOLINE tsutsugamushi (solid phase immunochromatographic assay) rapid diagnostic test for antibodies (IgM, IgG or IgA). Descriptive analyses of age, gender, geographic area, symptoms and signs, treatment, laboratory findings, complications, and outcome were conducted. Relative risk (RR) with 95 % confidence interval (CI) was computed for Multiple Organ Dysfunction Syndrome (MODS) and mortality. Binary logistic regression was applied to the significant correlates (P scrub typhus. As many as 662 clinically suspected scrub typhus patients were tested and 90 (13.6 %) were diagnosed to have scrub typhus. Out of 90 patients, 52.2 % (n = 47) were males and their mean (SD) age was 36.29 (13.38) years. Fever of 1.5 mg/dl, and transaminase (AST, ALT or both) >500 U/L were associated with MODS (P 3 mg/dl was also associated with MODS (P 1.5 mg/dl was a predictor of MODS (OR: 76.1, 95 % CI: 4.9-1175.6) and mortality (OR: 18.03, 95 % CI: 1.38-235.1). In this study setting, approximately one-seventh (13.6 %) of the acute undifferentiated febrile illness were due to scrub typhus. Systemic complications were common (33.3 %). Serum creatinine >1.5 mg/dl was a predictor of MODS and mortality.

  11. BIONOMIK TUNGAU VEKTOR SCRUB TYPHUS DAN HOSPESNYA DI DAERAH TRANSMIGRASI KUMPEH, JAMBI

    Directory of Open Access Journals (Sweden)

    Ima Nurisa

    2012-09-01

    Full Text Available A study on bionomics of scrub typhus vector and its host species was conducted in a transmigration scheme of Kumpeh, Jambi, Sumatera. Ten species of trombiculid mites were collected from 6 species of rats and 2 species of squirrels. Leptotrombidium (L. deliense, a known vectorof scrub typhus vector elsewhere, was found mostly on Rattus tiomanicus. This rat species was widely distributed in forest, disturbed land and cultivated land habitations found in the study area. Chigger infestations on R. tioma­nicus trapped in disturbed land were 63.6% — 81.8%. The average number of chigger collected from disturbed land was highest in December, from forest habitation was in October and from the cultivated land habitation was in November. Rattus tiomanicus was found to be a potential rat species for main­taining the natural cycle of scrub typhus in the study area.

  12. Simultaneous stack-gas scrubbing and waste water treatment

    Science.gov (United States)

    Poradek, J. C.; Collins, D. D.

    1980-01-01

    Simultaneous treatment of wastewater and S02-laden stack gas make both treatments more efficient and economical. According to results of preliminary tests, solution generated by stack gas scrubbing cycle reduces bacterial content of wastewater. Both processess benefit by sharing concentrations of iron.

  13. Etiologies of Acute Undifferentiated Fever and Clinical Prediction of Scrub Typhus in a Non-Tropical Endemic Area

    Science.gov (United States)

    Jung, Ho-Chul; Chon, Sung-Bin; Oh, Won Sup; Lee, Dong-Hyun; Lee, Ho-Jin

    2015-01-01

    Scrub typhus usually presents as acute undifferentiated fever. This cross-sectional study included adult patients presenting with acute undifferentiated fever defined as any febrile illness for ≤ 14 days without evidence of localized infection. Scrub typhus cases were defined by an antibody titer of a ≥ fourfold increase in paired sera, a ≥ 1:160 in a single serum using indirect immunofluorescence assay, or a positive result of the immunochromatographic test. Multiple regression analysis identified predictors associated with scrub typhus to develop a prediction rule. Of 250 cases with known etiology of acute undifferentiated fever, influenza (28.0%), hepatitis A (25.2%), and scrub typhus (16.4%) were major causes. A prediction rule for identifying suspected cases of scrub typhus consisted of age ≥ 65 years (two points), recent fieldwork/outdoor activities (one point), onset of illness during an outbreak period (two points), myalgia (one point), and eschar (two points). The c statistic was 0.977 (95% confidence interval = 0.960–0.994). At a cutoff value ≥ 4, the sensitivity and specificity were 92.7% (79.0–98.1%) and 90.9% (86.0–94.3%), respectively. Scrub typhus, the third leading cause of acute undifferentiated fever in our region, can be identified early using the prediction rule. PMID:25448236

  14. Clinical significance of hypoalbuminemia in outcome of patients with scrub typhus

    Directory of Open Access Journals (Sweden)

    Kwon Keun-Sang

    2010-07-01

    Full Text Available Abstract Background This study was designed to investigate the clinical significance of hypoalbuminemia as a marker of severity and mortality in patients with Scrub typhus. Methods The patients with scrub typhus were divided into two groups based on the serum albumin levels; Group I (serum albumin Results Of the total 246 patients who underwent the study, 84 patients (34.1% were categorized as Group I and 162 patients were (65.9% as Group II. Group I showed significantly higher incidence of confusion (24.6% vs. 5.3%, p p = 0.002, pleural effusion (22.8% vs. 11.1%, p = 0.03, arrhythmia (12.3% vs. 2.6%, p = 0.008 and non-oliguric acute renal failure (40.4% vs. 11.1%, p p p = 0.012, and higher hospital cost compared to Group II. Conclusions This study showed hypoalbuminemia in scrub typhus was closely related to the frequency of various complication, longer hospital stay, consequently the higher medical cost, necessitating more efficient management of patients, including medical resources.

  15. Temperature impact on SO2 removal efficiency by ammonia gas scrubbing

    International Nuclear Information System (INIS)

    He Boshu; Zheng Xianyu; Wen Yan; Tong Huiling; Chen Meiqian; Chen Changhe

    2003-01-01

    Emissions reduction in industrial processes, i.e. clean production, is an essential requirement for sustainable development. Fossil fuel combustion is the main emission source for gas pollutants, such as NO X , SO 2 and CO 2 , and coal is now a primary energy source used worldwide with coal combustion being the greatest atmospheric pollution source in China. This paper analyzes flue gas cleaning by ammonia scrubbing (FGCAS) for power plants to remove gaseous pollutants, such as NO X , SO 2 and CO 2 , and presents the conceptual zero emission design for power plants. The byproducts from the FGCAS process can be used in agriculture or for gas recovery. Experimental results presented for SO 2 removal from the simulated flue gas in a continuous flow experiment, which was similar to an actual flue gas system, showed that the effectiveness of the ammonia injection or scrubbing depends on the temperature. The FGCAS process can effectively remove SO 2 , but the process temperature should be below 60 deg. C or above 80 deg. C for SO 2 reduction by NH 3 scrubbing

  16. Cytokine network in scrub typhus: high levels of interleukin-8 are associated with disease severity and mortality.

    Science.gov (United States)

    Astrup, Elisabeth; Janardhanan, Jeshina; Otterdal, Kari; Ueland, Thor; Prakash, John A J; Lekva, Tove; Strand, Øystein A; Abraham, O C; Thomas, Kurien; Damås, Jan Kristian; Mathews, Prasad; Mathai, Dilip; Aukrust, Pål; Varghese, George M

    2014-02-01

    Scrub typhus, caused by Orientia tsutsugamushi, is endemic in the Asia-Pacific region. Mortality is high if untreated, and even with treatment as high as 10-20%, further knowledge of the immune response during scrub typhus is needed. The current study was aimed at comparing plasma levels of a variety of inflammatory mediators in scrub typhus patients and controls in South India in order to map the broader cytokine profile and their relation to disease severity and clinical outcome. We examined plasma levels of several cytokines in scrub typhus patients (n = 129) compared to healthy controls (n = 31) and infectious disease controls (n = 31), both in the acute phase and after recovery, by multiplex technology and enzyme immunoassays. Scrub typhus patients were characterized by marked changes in the cytokine network during the acute phase, differing not only from healthy controls but also from infectious disease controls. While most of the inflammatory markers were raised in scrub typhus, platelet-derived mediators such as RANTES were markedly decreased, probably reflecting enhanced platelet activation. Some of the inflammatory markers, including various chemokines (e.g., interleukin-8, monocyte chemoattractant peptide-1 and macrophage inflammatory protein-1β) and downstream markers of inflammation (e.g., C-reactive protein and pentraxin-3), were also associated with disease severity and mortality during follow-up, with a particular strong association with interleukin-8. Our findings suggest that scrub typhus is characterized by a certain cytokine profile that includes dysregulated levels of a wide range of mediators, and that this enhanced inflammation could contribute to disease severity and clinical outcome.

  17. Development of an enhanced loose parts monitoring system (LPMS)

    International Nuclear Information System (INIS)

    Choi, Y. C.; Park, J. H.; Yoon, D. B.; Choi, K. S.; Sohn, C. H.

    2006-01-01

    LPMS (loose parts monitoring system) is one of the most important structural integrity monitoring systems. It is operated for a early detection of the impacts by loosened or detached metallic, objects on the primary pressure boundary in a nuclear power plant. The impacted parts might cause flow blockage in the fuel channel, prevent the control rod from moving properly, damage the pump impeller, and give rise to cracks on the steam generator tube sheet, etc. In Korea, The LPMS is currently operating in all of the nuclear power plants as a subsystem in the NIMS (NSSS Integrity Monitoring System), However the performances are being deteriorated in both the hardware and software since it was designed in 1980's. In particular the system is not capable of promptly responding to the continuously triggered impacts in a short period failing to monitor the real loose parts. Also the diagnostic tools to estimate the location and the mass or energy of the impact source have not been reflected. Therefore, a new loose parts monitoring system has been developed to improve the capabilities of the current one and ultimately to replace it. An enhanced Loose Parts Monitoring System(LPMS) has been developed by KAERI(Korea Atomic Energy Research Inst.), not only to improve the performance of an on-line signal processing for a monitoring system but also to enhance the evaluation technique of the true impact signals by loose parts. This new system has taken into account the state-of-the-art technology to cover the problems with the conventional system. (authors)

  18. The Correlation of Endoscopic Findings and Clinical Features in Korean Patients with Scrub Typhus: A Cohort Study.

    Science.gov (United States)

    Lee, Jun; Kim, Dong-Min; Yun, Na Ra; Kim, Young Dae; Park, Chan Guk; Kim, Man Woo

    2016-01-01

    Scrub typhus is an infectious disease caused by Orientia tsutsugamushi-induced systemic vasculitis, but the involvement of the gastrointestinal tract and the endoscopic findings associated with scrub typhus are not well understood. We performed a prospective study and recommend performing esophagogastroduodenoscopy (EGD) for all possible scrub typhus patients, regardless of gastrointestinal symptoms. Gastrointestinal symptoms, endoscopic findings and clinical severity based on organ involvement and ICU admission were analyzed. Gastrointestinal symptoms occurred in up to 76.4% of scrub typhus patients. The major endoscopic findings were ulcers (43/127, 33.9%). Interestingly, 7.1% (9/127) of the patients presented with esophageal candidiasis. There was no correlation between the presence or absence of gastrointestinal symptoms and the endoscopic grade (P = 0.995). However, there was a positive correlation between the clinical severity and the endoscopic findings (P = 0.001). Sixty-three percent of the patients presented with erosion or ulcers on prospectively performed endoscopic evaluations, irrespective of gastrointestinal symptoms. Gastrointestinal symptoms did not reflect the need for endoscopy. Scrub typhus patients could have significant endoscopic abnormalities even in the absence of gastrointestinal symptoms.

  19. Development of remote operated floor contamination monitor

    International Nuclear Information System (INIS)

    Sreekumar, K.; Gangamohan, M.; Kannan, R.K.; Rajan, S.

    2005-01-01

    Contamination check of floors and walkways in and around Reactor building areas forms an integral part of Radiation Protection Program in Power Stations. Though random swipe check method is adopted for the detection of loose contamination, this method has the disadvantage of leaving the fixed contamination and hotspots undetected. Hence, scanning the area with a sensitive detector, held close to the surface provides positive means for the detection of contamination. Checking large areas and walkways by holding the detector close to the surface involves physical work. Also, areas which are unapproachable due to congestion of equipment, may go uncovered by contamination monitoring in order to eliminate the physical strain involved in such contamination monitoring and to cover unapproachable areas, a small size prototype device that can be operated remotely was fabricated. This device detects contamination instantaneously and accurately. This paper describes design and fabrication of the device used for floor contamination monitoring. (author)

  20. The pathologic splenic rupture of a patient with scrub typhus: a case report

    International Nuclear Information System (INIS)

    Kim, Kum Rae; Park, Won Kyu; Chang, Jay Chun; Cho, Jae Ho; Kim, Jae Woon; Hwang, Mi Soo; Park, Bok Hwan

    2008-01-01

    A pathologic splenic rupture is rare, occurring primarily in a spleen affected by infective, hematological, and neoplastic disease. To the best of our knowledge, no prior reports of a pathologic splenic rupture due to scrub typhus exist. Intrasplenic pseudoaneurysms and focal infarctions are visible on an initial CT scan. Moreover, the spontaneous splenic rupture occurred a week later. We report a case of nontraumatic-splenic rupture in a patient with scrub typhus

  1. The pathologic splenic rupture of a patient with scrub typhus: a case report

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Kum Rae; Park, Won Kyu; Chang, Jay Chun; Cho, Jae Ho; Kim, Jae Woon; Hwang, Mi Soo; Park, Bok Hwan [College of Medicine, Yeungnam University, Daegu (Korea, Republic of)

    2008-01-15

    A pathologic splenic rupture is rare, occurring primarily in a spleen affected by infective, hematological, and neoplastic disease. To the best of our knowledge, no prior reports of a pathologic splenic rupture due to scrub typhus exist. Intrasplenic pseudoaneurysms and focal infarctions are visible on an initial CT scan. Moreover, the spontaneous splenic rupture occurred a week later. We report a case of nontraumatic-splenic rupture in a patient with scrub typhus.

  2. Non-technical skills for scrub practitioners.

    Science.gov (United States)

    McClelland, Guy

    2012-12-01

    The non-technical skills of situational awareness and the formation of effective interpersonal relationships are essential to enhance surgical outcomes. However, most scrub practitioners demonstrate only tacit awareness of these skills and develop such qualities on an informal basis. Application of non-technical skills may be assessed formally, using a structured framework, to transform normative behaviour and to strengthen barriers against the latent threats that may result from fallible humans working in inadequate organisational systems.

  3. Cytokine Network in Scrub Typhus: High Levels of Interleukin-8 Are Associated with Disease Severity and Mortality

    Science.gov (United States)

    Astrup, Elisabeth; Janardhanan, Jeshina; Otterdal, Kari; Ueland, Thor; Prakash, John A. J.; Lekva, Tove; Strand, Øystein A.; Abraham, O. C.; Thomas, Kurien; Damås, Jan Kristian; Mathews, Prasad; Mathai, Dilip; Aukrust, Pål; Varghese, George M.

    2014-01-01

    Background Scrub typhus, caused by Orientia tsutsugamushi, is endemic in the Asia-Pacific region. Mortality is high if untreated, and even with treatment as high as 10–20%, further knowledge of the immune response during scrub typhus is needed. The current study was aimed at comparing plasma levels of a variety of inflammatory mediators in scrub typhus patients and controls in South India in order to map the broader cytokine profile and their relation to disease severity and clinical outcome. Methodology/Principal Findings We examined plasma levels of several cytokines in scrub typhus patients (n = 129) compared to healthy controls (n = 31) and infectious disease controls (n = 31), both in the acute phase and after recovery, by multiplex technology and enzyme immunoassays. Scrub typhus patients were characterized by marked changes in the cytokine network during the acute phase, differing not only from healthy controls but also from infectious disease controls. While most of the inflammatory markers were raised in scrub typhus, platelet-derived mediators such as RANTES were markedly decreased, probably reflecting enhanced platelet activation. Some of the inflammatory markers, including various chemokines (e.g., interleukin-8, monocyte chemoattractant peptide-1 and macrophage inflammatory protein-1β) and downstream markers of inflammation (e.g., C-reactive protein and pentraxin-3), were also associated with disease severity and mortality during follow-up, with a particular strong association with interleukin-8. Conclusions/Significance Our findings suggest that scrub typhus is characterized by a certain cytokine profile that includes dysregulated levels of a wide range of mediators, and that this enhanced inflammation could contribute to disease severity and clinical outcome. PMID:24516677

  4. Cytokine network in scrub typhus: high levels of interleukin-8 are associated with disease severity and mortality.

    Directory of Open Access Journals (Sweden)

    Elisabeth Astrup

    2014-02-01

    Full Text Available BACKGROUND: Scrub typhus, caused by Orientia tsutsugamushi, is endemic in the Asia-Pacific region. Mortality is high if untreated, and even with treatment as high as 10-20%, further knowledge of the immune response during scrub typhus is needed. The current study was aimed at comparing plasma levels of a variety of inflammatory mediators in scrub typhus patients and controls in South India in order to map the broader cytokine profile and their relation to disease severity and clinical outcome. METHODOLOGY/PRINCIPAL FINDINGS: We examined plasma levels of several cytokines in scrub typhus patients (n = 129 compared to healthy controls (n = 31 and infectious disease controls (n = 31, both in the acute phase and after recovery, by multiplex technology and enzyme immunoassays. Scrub typhus patients were characterized by marked changes in the cytokine network during the acute phase, differing not only from healthy controls but also from infectious disease controls. While most of the inflammatory markers were raised in scrub typhus, platelet-derived mediators such as RANTES were markedly decreased, probably reflecting enhanced platelet activation. Some of the inflammatory markers, including various chemokines (e.g., interleukin-8, monocyte chemoattractant peptide-1 and macrophage inflammatory protein-1β and downstream markers of inflammation (e.g., C-reactive protein and pentraxin-3, were also associated with disease severity and mortality during follow-up, with a particular strong association with interleukin-8. CONCLUSIONS/SIGNIFICANCE: Our findings suggest that scrub typhus is characterized by a certain cytokine profile that includes dysregulated levels of a wide range of mediators, and that this enhanced inflammation could contribute to disease severity and clinical outcome.

  5. Contamination of incinerator at Tokai Reprocessing Plant

    International Nuclear Information System (INIS)

    Takahashi, Mutsuo

    1994-01-01

    Originally, at Tokai Reprocessing Plant an incinerator was provided in the auxiliary active facility(waste treatment building). This incinerator had treated low level solid wastes generated every facilities in the Tokai Reprocessing Plant since 1974 and stopped the operation in March 1992 because of degeneration. The radioactivity inventory and distribution was evaluated to break up incinerator, auxiliary apparatuses(bag filter, air scrubbing tower, etc.), connecting pipes and off-gas ducts. This report deals with the results of contamination survey of incinerator and auxiliary apparatuses. (author)

  6. Investigation of CT picture in so-called loose shoulder

    International Nuclear Information System (INIS)

    Kuroda, Shigehito; Sakamaki, Hiroshi; Matsuoka, Akira; Moriishi, Takeji; Takada, Keiichi.

    1985-01-01

    CT picture of the shoulder joint was analyzed in 124 shoulders (114 patients). A line perpendicular to a given line between the precornu of acetabular tegmen (A) and the postcornu of acetabular tegmen (B) was drawn and the intersection where the line and the caput humeri meet (C) was obtained. The angle of CAB was defined as the backward angular aperture of the acetabular tegmen. The angular aperture was 26.2 0 +-1.9 in 16 so-called loose shoulders, 17.3 0 +-1.0 in 28 loose shoulders restricted to the inward rotation, and 12.2 0 +-0.4 in 80 normal shoulders, showing a distinct correlation between the angular aperture and the degree of loose shoulder. An increased backward angular aperture of the acetabular tegmen was considered greatly attributable to the forward glenohumeral movement resulting from malformation of the acetabular tegmen and flaccidity of the joint. Glenoid osteotomy was thus performed in 9 patients, 6 of whom underwent CT scanning before and after osteotomy. Coronal and transverse CT images of the shoulder joint disclosed a noticeable improvement of the glenohumeral alignment. The angular aperture shown on CT seems to be of major importance not only in the diagnosis of so-called loose shoulder but also in surgical choice. (Namekawa, K.)

  7. Diagnostic evaluation of rapid tests for scrub typhus in the Indian population is needed.

    Science.gov (United States)

    Shivalli, Siddharudha

    2016-05-12

    Owing to frequent outbreaks witnessed in different parts of the country in the recent past, scrub typhus is being described as a re-emerging infectious disease in India. Differentiating scrub typhus from other endemic diseases like malaria, leptospirosis, dengue fever, typhoid, etc. is difficult due to overlapping clinical features and a lower positivity for eschars in Asian populations. Hence, the diagnosis heavily relies on laboratory tests. Costs and the need of technical expertise limit the wide use of indirect immunoperoxidase or immunofluorescence assays, ELISA and PCR. The Weil-Felix test is the most commonly used and least expensive serological test, but lacks both sensitivity and specificity. Hence, the diagnosis of scrub typhus is often delayed or overlooked. With due consideration of the cost, rapidity, single test result and simplicity of interpretation, rapid diagnostic tests have come into vogue. However, evaluation of rapid diagnostic tests for scrub typhus in the Indian population is needed to justify or discourage their use. Research studies are needed to find the most suitable test in terms of the rapidity of the result, simplicity of the procedure, ease of interpretation and cost to be used in the Indian populace.

  8. ACUTE CHOLECYSTITIS AS AN UNUSUAL PRESENTATION OF SCRUB TYPHUS: A REPORT OF TWO CASES AND REVIEW OF THE LITERATURE.

    Science.gov (United States)

    Charoenphak, Sirima; Rattanawong, Pattara; Sungkanuparph, Somnuek

    2017-01-01

    Scrub typhus rarely presents with acute cholecystitis. We present 2 cases of scrub typhus with cholecystitis. The first patient is a 62 year old female who presented to the hospital with fever and body aches for 1 week and right upper quadrant abdominal pain for 3 days. She gave a history of an insect bite 2 weeks previously. She was diagnosed as having acute cholecystitis and underwent cholecystectomy. She continued with fever post-operatively and physical examination revealed an eschar. She had an immunofluorescence assay (IFA) performed that revealed a high IgM titer for Orientia tsutsugamushi. She was diagnosed as having scrub typhus, treated with doxycycline and she recovered completely. The second patient also presented to the hospital with a 1 week history of fever and upper quadrant abdominal pain. She was diagnosed with having cholecystitis. Her symptoms did not improve with intravenous antibiotics and further investigation revealed elevated titers for O. tsutsugamushi and Leptospira interrogans. She was diagnosed as having a co-infection of scrub typhus and leptospirosis and treated with doxycycline. She recovered completely. Patients from scrub typhus endemic regions who present with acute cholecystitis but do not respond to traditional treatment should be tested for scrub typhus and leptospirosis and should have a careful admission physical examination looking for eschar formation, since scrub typhus may present with acute cholecystitis.

  9. The Influence on Modal Parameters of Thin Cylindrical Shell under Bolt Looseness Boundary

    Directory of Open Access Journals (Sweden)

    Hui Li

    2016-01-01

    Full Text Available The influence on modal parameters of thin cylindrical shell (TCS under bolt looseness boundary is investigated. Firstly, bolt looseness boundary of the shell is divided into two types, that is, different bolt looseness numbers and different bolt looseness levels, and natural frequencies and mode shapes are calculated by finite element method to roughly master vibration characteristics of TCS under these conditions. Then, the following measurements and identification techniques are used to get precise frequency, damping, and shape results; for example, noncontact laser Doppler vibrometer and vibration shaker with excitation level being precisely controlled are used in the test system; “preexperiment” is adopted to determine the required tightening torque and verify fixed constraint boundary; the small-segment FFT processing technique is employed to accurately measure nature frequency and laser rotating scanning technique is used to get shape results with high efficiency. Finally, based on the measured results obtained by the above techniques, the influence on modal parameters of TCS under two types of bolt looseness boundaries is analyzed and discussed. It can be found that bolt looseness boundary can significantly affect frequency and damping results which might be caused by changes of nonlinear stiffness and damping and in bolt looseness positions.

  10. Development of a behavioural marker system for scrub practitioners' non-technical skills (SPLINTS system).

    Science.gov (United States)

    Mitchell, Lucy; Flin, Rhona; Yule, Steven; Mitchell, Janet; Coutts, Kathy; Youngson, George

    2013-04-01

    Adverse events still occur despite ongoing efforts to reduce harm to patients. Contributory factors to adverse events are often due to limitations in clinicians' non-technical skills (e.g. communication, situation awareness), rather than deficiencies in technical competence. We developed a behavioural rating system to provide a structured means for teaching and assessing scrub practitioners' (i.e. nurse, technician, operating department practitioner) non-technical skills. Psychologists facilitated focus groups (n = 4) with experienced scrub practitioners (n = 16; 4 in each group) to develop a preliminary taxonomy. Focus groups reviewed lists of non-technical-skill-related behaviours that were extracted from an interview study. The focus groups labelled skill categories and elements and also provided examples of good and poor behaviours for those skills. An expert panel (n = 2 psychologists; n = 1 expert nurse) then used an iterative process to individually and collaboratively review and refine those data to produce a prototype skills taxonomy. A preliminary taxonomy containing eight non-technical skill categories with 28 underlying elements was produced. The expert panel reduced this to three categories (situation awareness, communication and teamwork, task management), each with three underlying elements. The system was called the Scrub Practitioners' List of Intraoperative Non-Technical Skills system. A scoring system and a user handbook were also developed. A prototype behavioural rating system for scrub practitioners' non-technical skills was developed, to aid in teaching and providing formative assessment. This important aspect of performance is not currently explicitly addressed in any educational route to qualify as a scrub practitioner. © 2012 Blackwell Publishing Ltd.

  11. Scrub typhus caused by Orientia tsutsugamushi Kawasaki-related genotypes in Shandong Province, northern China.

    Science.gov (United States)

    Zhang, Luyan; Bi, Zhenwang; Kou, Zengqiang; Yang, Huili; Zhang, Aihua; Zhang, Shoufeng; Meng, Xiangpeng; Zheng, Li; Zhang, Meng; Yang, Hui; Zhao, Zhongtang

    2015-03-01

    Orientia tsutsugamushi, the causative agent of scrub typhus, is an obligate intracellular bacterium and characterized by dramatic genetic diversity. To elucidate the genotypes of O. tsutsugamushi populating in patients in Shandong Province, a new epidemic zone in China, we sequenced partial of the 56-kDa type-specific antigen gene (TSA) and identified the genotypes of 43 O. tsutsugamushi samples from human patients confirmed with scrub typhus from 2010 to 2013. All of the 43 sequences are in the same clade, 39 of them are in one branch and the other four sequences, nominated as SH1002, SH1306, SH1309, and SH1307 are in four separate branches. To clarify the clinical characterizations caused by Kawasaki-related genotypes, we studied the clinical profiles of these 43 scrub typhus patients. Most patients (88.1%) were farmers lived in rural areas. They presented with fever (100.0%), headache (79.1%), dizziness (32.6%), generalized myalgia (48.8%), fatigue (53.5%), anorexia (53.5%), facial flushing (23.3%), conjunctival congestion (11.6%), skin rashes (58.1%) and lymphadenopathy (23.3%). Eschar (97.7%) was quite common in patients, which provided doctors with a luminous clue for diagnosis of scrub typhus. Thrombocytopenia was seen in 23.1% of patients, and three patients (7.0%) had bronchopneumonia. There was no death report in Shandong Province during the study period. The present study provides beneficial data for clinical, serological, and molecular diagnosis of scrub typhus infections, and also provides foundations for subsequent studies. Copyright © 2015 Elsevier B.V. All rights reserved.

  12. Effects of clarithromycin treatment in scrub typhus in children: comparison with chloramphenicol and azithromycin.

    Science.gov (United States)

    Lee, Min; Kim, June; Jo, Dae Sun

    2017-04-01

    Chloramphenicol and tetracycline are not recommended for treating scrub typhus in pediatric patients because of potential side effects, such as aplastic anemia or tooth discoloration. While clarithromycin has recently been used in adults, few reports have been published on its effects in pediatric patients. We report the clinical profiles of pediatric scrub typhus and the effects of clarithromycin on scrub typhus in children. We retrospectively analyzed medical records of 56 children with scrub typhus who were admitted between 2004 and 2013 to Chonbuk National University Hospital, Jeonju, Korea. Cases were divided into 3 groups based on thetreatment drug (chloramphenicol, azithromycin, and clarithromycin). We compared their clinical manifestations and laboratory findings. All patients exhibited fever and rash. Other common clinical manifestations were eschars (66%), lymphadenopathy (48%), upper respiratory symptoms (42%), abdominal pain (32%), and hepatosplenomegaly (14%). Elevated levels of C-reactive protein, erythrocyte sedimentation rates, aspartate transaminase, and alanine transaminase were detected in 95%, 96%, 84%, and 77% of patients, respectively. Additionally, decreased platelet and white blood cell levels were observed in 43% and 36% of patients, respectively. There were no statistical differences between the treatment groups in mean age ( P =0.114) or sex ( P =0.507). However, time to defervescence after the treatments differed significantly, being the shortest in the clarithromycin group ( P =0.019). All patients recovered without complications related to the disease or drugs. Clarithromycin was as effective as chloramphenicol and azithromycin in pediatric scrub typhus patients and may be used as a first-line treatment drug.

  13. Scrub typhus causing neonatal hepatitis with acute liver failure-A case series.

    Science.gov (United States)

    Vajpayee, Shailja; Gupta, R K; Gupta, M L

    2017-05-01

    Neonatal hepatitis with acute liver failure due to varied etiology including various infections is reported in the past. Scrub typhus as a cause of neonatal hepatitis has rarely been reported in literature. A high index of clinical suspicion is required for early diagnosis and timely treatment. Severity and prognosis of the disease varies widely because several different strains of Orientia tsutsugamushi exist with different virulence. Delayed diagnosis can result in complication and significant morbidity and mortality. Here, we report three cases of neonatal hepatitis with acute liver failure caused by scrub typhus to increase awareness.

  14. Determination of cutoff of ELISA and immunofluorescence assay for scrub typhus

    Directory of Open Access Journals (Sweden)

    Nitin Gupta

    2016-01-01

    Full Text Available Background: The most common method employed for diagnosis of scrub typhus is serology. It is widely known that demonstration of ≥4-fold rise in titers of antibody in paired sera is required for diagnosis. However, for guidance of initial treatment, there is a need for rapid diagnosis at the time of admission. Therefore, there is a need for standardized region specific cutoff titers at the time of admission. Materials and Methods: A total of 258 patients of all age groups with clinically suspected scrub typhus over a period of 24 months (October 2013-October 2015 were enrolled. Serum samples of these patients were subjected to immunofluorescent antibody (IFA for immunoglobulin M (IgM (Fuller Labs, USA with dilutions of 1:64, 1:128, 1:256, and 1:512. Serum samples of all 258 patients were subjected to IgM ELISA (Inbios Inc., USA. Any patient with response to antibiotics within 48 h accompanied by either presence of an eschar or positivity by polymerase chain reaction was taken as positive. Receiver operating characteristic (ROC curve was drawn to generate cutoff for these tests. Results: A total of 20 patients were diagnosed as cases of scrub typhus. The ROC curve analysis revealed a cutoff optical density value of 0.87 with sensitivity and specificity of 100% and 94.12%, respectively. ROC curve analysis of IFA revealed sensitivity and specificity of 100% and 93.5%, respectively at 1:64 dilution. Conclusion: Considering cost constraints, centers in and around New Delhi region can use the cutoffs we determined for the diagnosis of scrub typhus.

  15. High-resolution computed tomography findings of swine-origin influenza A (H1N1) virus (S-OIV) infection: comparison with scrub typhus

    Energy Technology Data Exchange (ETDEWEB)

    Jo, Bang Sil; Lee, In Jae; Lee, Kwanseop [Dept. of Radiology, Hallym Univ. College of Medicine, Seoul (Korea, Republic of)], E-mail: ijlee2003@medimail.co.kr; Im, Hyoung June [Dept. of Occupational Medicine, Hallym Univ. College of Medicine, Seoul (Korea, Republic of)

    2012-07-15

    Background. Swine-origin influenza A (H1N1) virus (S-OIV) infection and scrub typhus, also known as tsutsugamushi disease can manifest as acute respiratory illnesses, particularly during the late fall or early winter, with similar radiographic findings, such as a predominance of ground-glass opacity (GGO). Purpose. To differentiate S-OIV infection from scrub typhus using high-resolution computed tomography (HRCT). Material and Methods. We retrospectively reviewed the HRCT findings of 14 patients with S-OIV infection and 10 patients with scrub typhus. We assessed the location, cross-sectional distribution, and the presence of a peribronchovascular distribution of GGO and consolidations on HRCT. We also assessed the presence of interlobular septal thickening, bronchial wall thickening, pneumothorax, pneumomediastinum, pleural effusion, and mediastinal or axillary lymph node enlargement. Results. Scrub typhus was more common than S-OIV in elderly patients (P < 0.001). The monthly incidences of S-OIV and scrub typhus infection reached a peak between October and November. About 86% of S-OIV patients and 80% of scrub typhus patients presented with GGO. About 67% of the GGO lesions in S-OIV had a peribronchovascular distribution, but this was absent in scrub typhus (P = 0.005). Consolidation (93% vs. 10%, P < 0.001) and bronchial wall thickening (43% vs. 0%, P = 0.024) were more frequent in S-OIV infection than scrub typhus. Interlobular septal thickening (90% vs. 36%, P = 0.013) and axillary lymphadenopathy (90% vs. 0%, P < 0.001) were more common in scrub typhus than S-OIV infection. Conclusion. There was considerable overlap in HRCT findings between S-OIV infection and scrub typhus. However, S-OIV showed a distinctive peribronchovascular distribution of GGO lesions. Consolidation and bronchial wall thickening were seen more frequently in S-OIV infection, whereas interlobular septal thickening and axillary lymphadenopathy were more common in scrub typhus. Thus, CT could

  16. High-resolution computed tomography findings of swine-origin influenza A (H1N1) virus (S-OIV) infection: comparison with scrub typhus

    International Nuclear Information System (INIS)

    Jo, Bang Sil; Lee, In Jae; Lee, Kwanseop; Im, Hyoung June

    2012-01-01

    Background. Swine-origin influenza A (H1N1) virus (S-OIV) infection and scrub typhus, also known as tsutsugamushi disease can manifest as acute respiratory illnesses, particularly during the late fall or early winter, with similar radiographic findings, such as a predominance of ground-glass opacity (GGO). Purpose. To differentiate S-OIV infection from scrub typhus using high-resolution computed tomography (HRCT). Material and Methods. We retrospectively reviewed the HRCT findings of 14 patients with S-OIV infection and 10 patients with scrub typhus. We assessed the location, cross-sectional distribution, and the presence of a peribronchovascular distribution of GGO and consolidations on HRCT. We also assessed the presence of interlobular septal thickening, bronchial wall thickening, pneumothorax, pneumomediastinum, pleural effusion, and mediastinal or axillary lymph node enlargement. Results. Scrub typhus was more common than S-OIV in elderly patients (P < 0.001). The monthly incidences of S-OIV and scrub typhus infection reached a peak between October and November. About 86% of S-OIV patients and 80% of scrub typhus patients presented with GGO. About 67% of the GGO lesions in S-OIV had a peribronchovascular distribution, but this was absent in scrub typhus (P = 0.005). Consolidation (93% vs. 10%, P < 0.001) and bronchial wall thickening (43% vs. 0%, P = 0.024) were more frequent in S-OIV infection than scrub typhus. Interlobular septal thickening (90% vs. 36%, P = 0.013) and axillary lymphadenopathy (90% vs. 0%, P < 0.001) were more common in scrub typhus than S-OIV infection. Conclusion. There was considerable overlap in HRCT findings between S-OIV infection and scrub typhus. However, S-OIV showed a distinctive peribronchovascular distribution of GGO lesions. Consolidation and bronchial wall thickening were seen more frequently in S-OIV infection, whereas interlobular septal thickening and axillary lymphadenopathy were more common in scrub typhus. Thus, CT could

  17. A viable on-chip FPGA configuration memory scrubbing approach for CBM-ToF

    Energy Technology Data Exchange (ETDEWEB)

    Oancea, Andrei-Dumitru; Stuellein, Christian; Manz, Sebastian; Gebelein, Jano; Kebschull, Udo [Infrastruktur und Rechnersysteme in der Informationsverarbeitung (IRI), Goethe-Universitaet, Senckenberganlage 31, 60325 Frankfurt am Main (Germany); Collaboration: CBM-Collaboration

    2015-07-01

    The ToF Detector of the CBM Experiment will be equipped with FPGA-based read-out boards (ROBs). These ROBs will be operated in a radiation environment, and therefore need a mitigation mechanism against soft errors in the SRAM-based configuration memories of the FPGAs. The proposed approach combines intrinsic on-chip single upset correction with extrinsic selective frame scrubbing for multiple-bit upsets. The slow control is realized using the GBT-SCA, which is capable of handling interrupts. This enables the new approach of event-driven configuration frame correction. While conventional blind scrubbing leads to a continuous load on the control path, the selective frame scrubbing reduces this load to a minimum. For verification purposes, radiation tests with a proton beam were performed at COSY, Juelich. The occurred soft errors were classified into single and multiple- bit upsets, enabling an estimation of the rate at which extrinsic intervention is necessary.

  18. Density of loose-fill insulation material exposed to cyclic humidity conditions

    DEFF Research Database (Denmark)

    Rasmussen, Torben Valdbjørn

    the granulated loose-fill material is exposed to a climate that is characterised as cyclic humidity conditions (a constant temperature and a relative humidity alternating between two predetermined constant relative humidity levels). A better understanding of the behaviour of granulated loose-fill material...

  19. Scrub typhus point-of-care testing: A systematic review and meta-analysis.

    Directory of Open Access Journals (Sweden)

    Kartika Saraswati

    2018-03-01

    Full Text Available Diagnosing scrub typhus clinically is difficult, hence laboratory tests play a very important role in diagnosis. As performing sophisticated laboratory tests in resource-limited settings is not feasible, accurate point-of-care testing (POCT for scrub typhus diagnosis would be invaluable for patient diagnosis and management. Here we summarise the existing evidence on the accuracy of scrub typhus POCTs to inform clinical practitioners in resource-limited settings of their diagnostic value.Studies on POCTs which can be feasibly deployed in primary health care or outpatient settings were included. Thirty-one studies were identified through PubMed and manual searches of reference lists. The quality of the studies was assessed with the Quality Assessment of Diagnostic Accuracy Studies 2 (QUADAS-2. About half (n = 14/31 of the included studies were of moderate quality. Meta-analysis showed the pooled sensitivity and specificity of commercially available immunochromatographic tests (ICTs were 66.0% (95% CI 0.37-0.86 and 92.0% (95% CI 0.83-0.97, respectively. There was a significant and high degree of heterogeneity between the studies (I2 value = 97.48%, 95% CI 96.71-98.24 for sensitivity and I2 value = 98.17%, 95% CI 97.67-98.67 for specificity. Significant heterogeneity was observed for total number of samples between studies (p = 0.01, study design (whether using case-control design or not, p = 0.01, blinding during index test interpretation (p = 0.02, and QUADAS-2 score (p = 0.01.There was significant heterogeneity between the scrub typhus POCT diagnostic accuracy studies examined. Overall, the commercially available scrub typhus ICTs demonstrated better performance when 'ruling in' the diagnosis. There is a need for standardised methods and reporting of diagnostic accuracy to decrease between-study heterogeneity and increase comparability among study results, as well as development of an affordable and accurate antigen-based POCT to tackle the

  20. Renal Manifestation in Scrub Typhus during a Major Outbreak in Central Nepal.

    Science.gov (United States)

    Sedhain, A; Bhattarai, G R

    2017-01-01

    Renal involvement and acute kidney injury (AKI) are common clinical manifestations seen in scrub typhus, a vector-borne tropical disease. There are no data on renal manifestation in scrub typhus in Nepal. We conducted a prospective study to analyze the incidence, urinary abnormalities, course, severity, outcome, and the predictors of AKI in patients with scrub typhus during a major outbreak in Central Nepal. Total 1398 patients admitted with acute febrile illness were subjected for Scrub Typhus Detect™ Immunoglobulin M (IgM) enzyme-linked immunosorbent assay (ELISA) test, of which 502 (35.90%) patients tested positive and were included in the study. Mean age of the patients was 30.37 ± 18.81 years (range, 1-79 years) with 26.29% in the pediatric age group. Female-to-male ratio was 1.26:1. Mean duration of fever was 6.8 ± 3.1 days. Mean IgM ELISA value for scrub typhus was 2.17 ± 1.70 without difference in AKI and non-AKI groups (2.17 ± 1.76 vs. 2.16 ± 1.62; P = 0.94). Urinary abnormalities were seen in 42.3% of patients. Mean serum creatinine was 1.37 ± 0.69 mg/dl with significant difference in two groups (1.85 ± 0.87 vs. 1.03 ± 0.17; P = 0.003). AKI was seen in 35.8% of patients with majority having Stage 1 AKI (68.3%) followed by Stage 2 (34.1%) and Stage 3 (1.2%). Hemodialysis was required for 3.94% of patients. In 54% of patients, AKI occurred in fifth and sixth day of fever. ICU admission was required for 18.73% of patients and 8.57% required ventilator support. Mortality rate was 1.79%, which was higher among patients with AKI (2.96% vs. 1.0%; P = 0.106). Multivariate analysis revealed that the presence of pneumonia, shock, and acute respiratory distress syndrome predicted the development of AKI.

  1. Renal manifestation in scrub typhus during a major outbreak in central Nepal

    Directory of Open Access Journals (Sweden)

    A Sedhain

    2017-01-01

    Full Text Available Renal involvement and acute kidney injury (AKI are common clinical manifestations seen in scrub typhus, a vector-borne tropical disease. There are no data on renal manifestation in scrub typhus in Nepal. We conducted a prospective study to analyze the incidence, urinary abnormalities, course, severity, outcome, and the predictors of AKI in patients with scrub typhus during a major outbreak in Central Nepal. Total 1398 patients admitted with acute febrile illness were subjected for Scrub Typhus Detect™ Immunoglobulin M (IgM enzyme-linked immunosorbent assay (ELISA test, of which 502 (35.90% patients tested positive and were included in the study. Mean age of the patients was 30.37 ± 18.81 years (range, 1–79 years with 26.29% in the pediatric age group. Female-to-male ratio was 1.26:1. Mean duration of fever was 6.8 ± 3.1 days. Mean IgM ELISA value for scrub typhus was 2.17 ± 1.70 without difference in AKI and non-AKI groups (2.17 ± 1.76 vs. 2.16 ± 1.62; P = 0.94. Urinary abnormalities were seen in 42.3% of patients. Mean serum creatinine was 1.37 ± 0.69 mg/dl with significant difference in two groups (1.85 ± 0.87 vs. 1.03 ± 0.17; P = 0.003. AKI was seen in 35.8% of patients with majority having Stage 1 AKI (68.3% followed by Stage 2 (34.1% and Stage 3 (1.2%. Hemodialysis was required for 3.94% of patients. In 54% of patients, AKI occurred in fifth and sixth day of fever. ICU admission was required for 18.73% of patients and 8.57% required ventilator support. Mortality rate was 1.79%, which was higher among patients with AKI (2.96% vs. 1.0%; P = 0.106. Multivariate analysis revealed that the presence of pneumonia, shock, and acute respiratory distress syndrome predicted the development of AKI.

  2. Clinical significance of NGAL and KIM-1 for acute kidney injury in patients with scrub typhus.

    Science.gov (United States)

    Sun, In O; Shin, Sung Hye; Cho, A Young; Yoon, Hyun Ju; Chang, Mi Yok; Lee, Kwang Young

    2017-01-01

    The aim of this study is to investigate the clinical significance of neutrophil gelatinase-associated lipocalin (NGAL) and kidney injury molecule-1 (KIM-1) for acute kidney injury (AKI) in patients with scrub typhus. From 2014 to 2015, 145 patients were diagnosed with scrub typhus. Of these, we enrolled 138 patients who were followed up until renal recovery or for at least 3 months. We measured serum and urine NGAL and KIM-1 levels and evaluated prognostic factors affecting scrub typhus-associated AKI. Of the 138 patients, 25 had scrub typhus-associated AKI. The incidence of AKI was 18.1%; of which 11.6%, 4.3%, and 2.2% were classified as risk, injury, and failure, respectively, according to RIFLE criteria. Compared with patients in the non-AKI group, patients in the AKI group were older and showed higher total leukocyte counts and hypoalbuminemia or one or more comorbidities such as hypertension (72% vs 33%, pscrub typhus-associated AKI.

  3. Milder clinical manifestation of scrub typhus in Kinmen, Taiwan

    Directory of Open Access Journals (Sweden)

    Tung-Hung Su

    2013-04-01

    Conclusion: A unique summer-autumn type of scrub typhus with milder disease manifestations is identified in Kinmen. The younger patient population, rapid diagnosis, and prompt treatment may be associated with a shortened disease course and lead to a better outcome.

  4. Molecular characterization of Orientia tsutsugamushi serotypes causing scrub typhus outbreak in southern region of Andhra Pradesh, India.

    Science.gov (United States)

    Usha, K; Kumar, E; Kalawat, Usha; Kumar, B Siddhartha; Chaudhury, A; Gopal, D V R Sai

    2016-10-01

    Scrub typhus is a vector-borne zoonotic infection caused by Orientiatsutsugamushi. Local epidemiology of the circulating serotypes of scrub typhus is not available from most parts of India. We conducted this study for the diagnosis of scrub typhus using IgM ELISA and to detect O. tsutsugamushi serotypes circulating in southern Andhra Pradesh, India. Samples were collected from patients clinically suspected to have scrub typhus and were subjected to IgM ELISA to measure IgM antibodies against O. tsutsugamushi. Nested polymerase chain reaction (PCR) was performed targeting strain-specific regions in ELISA-positive samples. Of a total of 663 samples, 258 (38.91%) were found to be positive by IgM ELISA. Serotypes could be detected in 230 (34.69%) samples only. Only two serotypes, Karp and Kawasaki, were found in the serum samples, with the former being predominant. The dual infection of Karp and Kawasaki serotypes was found in seven patients. Other serotypes such as Gilliam, Kuroki and Kato were not detected in the samples. The nested PCR products proved useful in presumptively identifying the endemic O. tsutsugamushi serotypes. The present study could be significant in understanding scrub typhus epidemiology in this region.

  5. Changes in the decontamination factor of cesium iodide on evaporation of a scrubbing solution in the Filtered Containment Venting System

    Energy Technology Data Exchange (ETDEWEB)

    Na, Young Su; Ha, Kwang Soon; Kim, Sungil; Cho, Song-Won [Korea Atomic Energy Research Institute, Daejeon (Korea, Republic of)

    2015-10-15

    When the pressure in the containment building approaches a setting value, the FCVS(Filtered Containment Venting System) operates. The amount of steam and gas mixtures generated during a severe accident can be released into the FCVS. Non-condensable gases and fine aerosols can pass a scrubbing solution and the filters in the FCVS vessel. The decontaminated gases are finally discharged from the FCVS to the outside environment. Previous study observed that a scrubbing solution in the FCVS vessel was constantly evaporating owing to high-temperature steam released continuously from the containment building. A scrubbing solution in the FCVS vessel was completely evaporated at about 31 hours after the FCVS operation. Pool evaporation in the FCVS vessel can negatively affect the decontamination feature of the FCVS because it reduces the scrubbing depth for fission products in an aerosol form. This study carefully evaluated the decontamination factor of metal iodide aerosols especially cesium iodide (CsI), on a scrubbing solution in the FCVS. This paper summarizes the calculated results on the decontamination factor of CsI in the FCVS vessel, which was presented at the international OECD-NEA/NUGENIA-SARNET workshop. This study estimated the decontamination factor of CsI on a scrubbing solution in the FCVS. The MELCOR computer code simulated that an SBO occurred in the OPR 1000. The FCVS consists of a cylindrical vessel with a 3 m diameter and 6.5 m height, and it includes a scrubbing solution of 21 tons. Accumulated mass of CsI aerosol was calculated in a scrubbing solution and the atmosphere in the FCVS vessel and the outside environment. In the early FCVS operation, the decontamination factor of CsI aerosol rapidly increased owing to steam condensation in a scrubbing solution. When the temperature of a pool approached its saturation temperature, the decontamination factor of CsI aerosol started to decrease.

  6. Assessment of risks of loose landslide deposits formed by the 2008 Wenchuan earthquake

    Science.gov (United States)

    Zhang, S.; Zhang, L. M.; Peng, M.; Zhang, L. L.; Zhao, H. F.; Chen, H. X.

    2012-05-01

    A Geographic Information System (GIS)-based quantitative risk assessment methodology was adopted to evaluate the risks of loose deposits formed by the 2008 Wenchuan earthquake along a highway near the epicenter. A total of 305 loose deposits with a total volume of 4.0 × 107 m3 has been identified. A physical model was used to determine the failure probability of these loose deposits under six rainfall scenarios, assuming the loose deposits as infinite slopes. The calculated probability of rain-induced slope failures is verified by the recorded landslides at the same site during a storm in 2010. Seventy-nine out of the 112 rain-induced loose deposit failures are predicted by the reliability analysis, with an accuracy of 71%. The results of reliability analysis and information on the consequence of these rain-induced landslides enable the estimation of the annual societal and individual risks of the loose deposits. Under the rainfall scenarios of 30 mm/12 h and 70 mm/12 h, the estimated annual societal risks reach 8.8 and 7.5, respectively, and the individual risks reach 0.05 and 0.04, respectively, which are very high compared with present risk acceptance criteria. The preliminary assessment provides a benchmark for studying the long-term risks of these loose deposits and engineering decision.

  7. Activation of cytotoxic lymphocytes in patients with scrub typhus

    NARCIS (Netherlands)

    de Fost, Maaike; Chierakul, Wirongrong; Pimda, Kriangsak; Dondorp, Arjen M.; White, Nicholas J.; van der Poll, Tom

    2005-01-01

    Thai patients with scrub typhus caused by the intracellular pathogen Orientia tsutsugamushi displayed elevated plasma concentrations of granzymes A and B, interferon-gamma (IFN)-gamma-inducible protein 10, and monokine induced by IFN-gamma. These data suggest that activation of cytotoxic lymphocytes

  8. CLINICAL PROFILE, EPIDEMIOLOGY AND PROGNOSTIC FACTORS IN SCRUB TYPHUS

    Directory of Open Access Journals (Sweden)

    Priyadarshini B

    2017-03-01

    Full Text Available BACKGROUND Scrub typhus is an underdiagnosed disease, but potentially treatable, if diagnosis is made with high index of suspicion. Deaths are attributable to late presentation, delayed diagnosis and drug resistance. MATERIALS AND METHODS The study was an observational study of prospective design conducted in the Department of General Medicine, Government Medical College, Kozhikode, over a period of one year. History, physical examination and relevant lab investigations were done in 70 patients in the study. RESULTS Majority of patients were in working class. Most common physical finding was lymphadenopathy. Eschar was present in 46% of patients. Majority responded to doxycycline. Case fatality was 14.3%. CONCLUSION 1. Most cases occurred during cooler months of the year (Oct-Feb. 2. Fever and headache were the most common symptoms. 3. Lymphadenopathy was the most common sign followed by splenomegaly. 4. Eschar was present in 46% cases. 5. Leucocytosis was associated with poor prognosis and increased complication like meningoencephalitis. 6. Hypoalbuminaemia was associated with increased incidence of complications like myocarditis and encephalitis. 7. More than 2 times, elevation of transaminases was a poor prognostic marker. 8. Most common and important complication was Acute Kidney Injury (AKI. 9. Microangiopathic haemolysis could possibly be a contributory factor for high incidence of AKI associated with scrub typhus. 10. Rampant NSAID use is another contributory factor for high incidence of AKI associated with scrub typhus. 11. Resistance to doxycycline is emerging in our community and we should consider this possibility in cases with strong suspicion with no response to doxycycline.

  9. Noise analysis and mimic experiments for loose part accident in the primary coolant loop of PWR

    International Nuclear Information System (INIS)

    Yang Xiuzhou; Cheng Tingxiang; Zhang Bin

    1994-01-01

    The basic principle of loose part monitoring is to detect and measure the structure transfer sound generated by impacting of metal loose part with accelerators and to identify and diagnose by the micro-processor. This paper introduces the theoretical base of loose part monitoring, the location and mass estimation of loose part, and three mimic experiment applying noise analysis techniques. It provides some useful preparations for the development of loose part monitoring system

  10. Immunohistochemical Study of Scrub Typhus: A Report of Two Cases

    Directory of Open Access Journals (Sweden)

    Bo-Yuan Tseng

    2008-02-01

    Full Text Available Scrub typhus is a zoonotic disease caused by Orientia tsutsugamushi, which is transmitted by chiggers. The target cells of this rickettsia are poorly defined in humans. Immunohistochemical staining of tissue sections of patients with scrub typhus is helpful in investigating the target cells of this rickettsia in different organs. We studied two autopsy specimens by immunohistochemical staining using a specific antibody against O. tsutsugamushi. Rickettsiae were located in endothelial cells in all of the organs evaluated, namely heart, lung, brain, kidney, appendix and skin, within cardiac muscle cells and renal tubular epithelial cells, and in macrophages located in the lymph node, liver and spleen. In conclusion, O. tsutsugamushi may disseminate into multiple organs through endothelial cells and macrophages, resulting in the development of fatal complications.

  11. 50 CFR 21.46 - Depredation order for depredating scrub jays and Steller's jays in Washington and Oregon.

    Science.gov (United States)

    2010-10-01

    ..., without a permit, take scrub jays (Aphelocoma coerulescens) and Steller's jays (Cyanocitta stelleri) when... transported or sold or offered for sale except that, such transportation within the area, as may be necessary... the State agricultural department, college, or other public institution may requisition such scrub...

  12. Dynawave froth scrubbing technology

    International Nuclear Information System (INIS)

    McLean, J.E.

    1989-01-01

    The DynaWave family of scrubbers was developed and patented by DuPont in the 1970's and is used extensively within the company. Because the technology was treated as confidential, information about the scrubbers was not published outside of DuPont. In 1986 Monsanto Enviro-Chem was asked to install a Reverse Jet scrubber at DuPont's Burnside spent acid recovery pant to replace an aging spray humidifying tower. Enviro-Chem was impressed with the technology and entered into a licensing agreement with DuPont in late 1987. This paper addresses the application of DynaWave froth scrubbing technology to metallurgical plant process and effluent gas streams. Froth scrubber design principles an sampling results from pilot plant trails on fluid bed roaster off-gas are presented

  13. Epidemic characteristics and spatio-temporal patterns of scrub typhus during 2006-2013 in Tai'an, Northern China.

    Science.gov (United States)

    Zheng, L; Yang, H-L; Bi, Z-W; Kou, Z-Q; Zhang, L-Y; Zhang, A-H; Yang, L; Zhao, Z-T

    2015-08-01

    Tai'an, a famous cultural tourist district, is a new endemic foci of scrub typhus in northern China. Frequent reports of travel-acquired cases and absence of effective vaccine indicated a significant health problem of scrub typhus in Tai'an. Thus, descriptive epidemiological methods and spatial-temporal scan statistics were used to describe the epidemic characteristics and detect the significant clusters of the high incidence of scrub typhus at the town level in Tai'an. Results of descriptive epidemiological analysis showed a total of 490 cases were reported in Tai'an with the annual average incidence ranging from 0·48 to 2·27/100 000 during 2006-2013. Females, the elderly and farmers are the high-risk groups. Monthly changes of scrub typhus cases indicated an obvious epidemic period in autumn. Spatial-temporal distribution analysis, showed significant clusters of high incidence mainly located in eastern and northern Tai'an. Our study suggests that more effective, targeted measures for local residents should be implemented in the eastern and northern areas of Tai'an in autumn. Meanwhile, it may prove beneficial for health policy makers to advise travellers to take preventive measures in order to minimize the risk of infection of scrub typhus in Tai'an.

  14. Clinical profile and outcome of children with scrub typhus from Chennai, South India.

    Science.gov (United States)

    Ganesh, Ramaswamy; Suresh, Natarajan; Pratyusha, L L; Janakiraman, Lalitha; Manickam, Mani; Andal, A

    2018-06-01

    Scrub typhus is an acute febrile illness caused by Orientia tsutsugamushi. We prospectively studied the clinico-laboratory profile and outcome of 358 children aged 1 day to 18 years diagnosed with scrub typhus from Chennai, South India. All children (100%) had fever. Eschar was seen in 67%. All children were treated with oral doxycycline and those with complications were treated with intravenous chloramphenicol/azithromycin. Rapid defervescence (within 48 h) after initiation of doxycline was seen in 306 (85%) and 52 (14.5%) developed complications. Multivariate logistic regression analysis revealed that children who had an elevated aspartate amino transferase (> 120 IU/L) and the presence of thrombocytopenia (platelet count less than 1 lac cells/mm 3 ) at admission had high risk of developing complications. The overall mortality rate in this series was 0.8%. Our 4-year study highlights the clinico-laboratory profile of Scrub typhus in children from Chennai, South India. Early recognition and prompt treatment reduces the complication and mortality. What is Known: • Scrub typhus is endemic to tsutsugamushi triangle, a geographical triangle extending from northern Japan in the east to Pakistan and Afghanistan in the west and northern Australia in the south. • There is paucity of data regarding its clinico-laboratory profile in neonates as well as its predictors of outcome. What is New: • Children who had an elevated AST and the presence of thrombocytopenia at admission had high risk of developing complications.

  15. Certain Type Turbofan Engine Whole Vibration Model with Support Looseness Fault and Casing Response Characteristics

    Directory of Open Access Journals (Sweden)

    H. F. Wang

    2014-01-01

    Full Text Available Support looseness fault is a type of common fault in aeroengine. Serious looseness fault would emerge under larger unbalanced force, which would cause excessive vibration and even lead to rubbing fault, so it is important to analyze and recognize looseness fault effectively. In this paper, based on certain type turbofan engine structural features, a rotor-support-casing whole model for certain type turbofan aeroengine is established. The rotor and casing systems are modeled by means of the finite element beam method; the support systems are modeled by lumped-mass model; the support looseness fault model is also introduced. The coupled system response is obtained by numerical integral method. In this paper, based on the casing acceleration signals, the impact characteristics of symmetrical stiffness and asymmetric stiffness models are analyzed, finding that the looseness fault would lead to the longitudinal asymmetrical characteristics of acceleration time domain wave and the multiple frequency characteristics, which is consistent with the real trial running vibration signals. Asymmetric stiffness looseness model is verified to be fit for aeroengine looseness fault model.

  16. Bacterial contamination of surgeons' gloves during shunt insertion; a pilot study

    DEFF Research Database (Denmark)

    Sørensen, Preben; Ejlertsen, Tove; Aaen, Dorte

    2008-01-01

    antibiotics and double gloving, by surgeons experienced in shunt surgery. Surgical incision, dissection and tunnelling were done. Then the surgeon, the scrub-nurse and, in three cases, the assistant made an imprint of their outer gloves on agar plates. Hereafter, they changed the outer pair of gloves before...... handling the shunt and completing the operation. The plates were cultured for 6 days in both aerobic and anaerobic environment. In all cases the surgeons gloves were contaminated, and in six cases also the nurses' gloves were contaminated, as well as all three assistants. Propionebacterium acnes were...... nurse and assistant were contaminated with micro-organisms less than 15 min after surgery has been commenced and before the shunts were handled. This study offers a feasible, simple and logical explanation of how shunts may become contaminated and infected. A simple measure would be to change the outer...

  17. Mass estimation of loose parts in nuclear power plant based on multiple regression

    International Nuclear Information System (INIS)

    He, Yuanfeng; Cao, Yanlong; Yang, Jiangxin; Gan, Chunbiao

    2012-01-01

    According to the application of the Hilbert–Huang transform to the non-stationary signal and the relation between the mass of loose parts in nuclear power plant and corresponding frequency content, a new method for loose part mass estimation based on the marginal Hilbert–Huang spectrum (MHS) and multiple regression is proposed in this paper. The frequency spectrum of a loose part in a nuclear power plant can be expressed by the MHS. The multiple regression model that is constructed by the MHS feature of the impact signals for mass estimation is used to predict the unknown masses of a loose part. A simulated experiment verified that the method is feasible and the errors of the results are acceptable. (paper)

  18. Self-Scrubbing Coal -- an integrated approach to clean air

    Energy Technology Data Exchange (ETDEWEB)

    Harrison, K.E. [Custom Coals Corp., Pittsburgh, PA (United States)

    1997-12-31

    Carefree Coal is coal cleaned in a proprietary dense-media cyclone circuit, using ultrafine magnetite slurries, to remove noncombustible material, including up to 90% of the pyritic sulfur. Deep cleaning alone, however, cannot produce a compliance fuel from coals with high organic sulfur contents. In these cases, Self-Scrubbing Coal will be produced. Self-Scrubbing Coal is produced in the same manner as Carefree Coal except that the finest fraction of product from the cleaning circuit is mixed with limestone-based additives and briquetted. The reduced ash content of the deeply-cleaned coal will permit the addition of relatively large amounts of sorbent without exceeding boiler ash specifications or overloading electrostatic precipitators. This additive reacts with sulfur dioxide (SO{sub 2}) during combustion of the coal to remove most of the remaining sulfur. Overall, sulfur reductions in the range of 80--90% are achieved. After nearly 5 years of research and development of a proprietary coal cleaning technology coupled with pilot-scale validation studies of this technology and pilot-scale combustion testing of Self-Scrubbing Coal, Custom Coals Corporation organized a team of experts to prepare a proposal in response to DOE`s Round IV Program Opportunity Notice for its Clean Coal Technology Program under Public Law 101-121 and Public Law 101-512. The main objective of the demonstration project is the production of a coal fuel that will result in up to 90% reduction in sulfur emissions from coal-fired boilers at a cost competitive advantage over other technologies designed to accomplish the same sulfur emissions and over naturally occurring low sulfur coals.

  19. High seroprevalence of antibodies against spotted fever and scrub typhus bacteria in patients with febrile Illness, Kenya.

    Science.gov (United States)

    Thiga, Jacqueline W; Mutai, Beth K; Eyako, Wurapa K; Ng'ang'a, Zipporah; Jiang, Ju; Richards, Allen L; Waitumbi, John N

    2015-04-01

    Serum samples from patients in Kenya with febrile illnesses were screened for antibodies against bacteria that cause spotted fever, typhus, and scrub typhus. Seroprevalence was 10% for spotted fever group, typhus group, and 5% for scrub typhus group. Results should help clinicians expand their list of differential diagnoses for undifferentiated fevers.

  20. Clinical Predictors of Multiple Organ Dysfunction Syndromes in Pediatric patients with Scrub Typhus.

    Science.gov (United States)

    Zhao, Dongying; Zhang, Yongjun; Yin, Zhaoqing; Zhao, Jing; Yang, Defeng; Zhou, Qun

    2017-06-01

    Scrub typhus can produce multiple organ dysfunction syndrome (MODS). Early recognition of the patients at risk of MODS would be helpful in providing timely management and reducing the mortality. In all, 449 children with scrub typhus were enrolled at three hospitals in Yunnan, China from January 2010 to January 2015. The patients' clinical status of organ system dysfunction was evaluated on the day of discharge from hospital by using standard criteria. The patients were classified into MODS present (64 cases, 14.3%) or MODS absent (385 cases, 85.7%). Multivariate logistic regression analyses revealed that the prognostic factors for MODS included skin rash (odds ratio, OR = 3.3, p = 0.037), time interval form treatment to defervescence (OR = 1.2, p = 0.035), hemoglobin (OR = 0.54, p = 0.041), platelet counts (OR = 0.06, p scrub typhus, our study provides clinicians with important information to improve the clinical monitoring and prognostication of MODS. © The Author [2016]. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

  1. Comparison of minocycline and azithromycin for the treatment of mild scrub typhus in northern China.

    Science.gov (United States)

    Zhao, Minxing; Wang, Ting; Yuan, Xiaoyu; Du, Weiming; Lin, Miaoxin; Shen, Yanbo

    2016-09-01

    Scrub typhus, caused by Orientia tsutsugamushi, has recently emerged in northern China where the disease had not been known to exist. Although doxycycline and azithromycin are the recommended agents for the treatment of scrub typhus, clinical responses depend both on the susceptibilities of various O. tsutsugamushi strains and the severity of the disease. A retrospective analysis was conducted on patients diagnosed with mild scrub typhus from August 2013 to January 2016 in the Affiliated Hospital of Nantong University, northern China. A total of 40 patients who received minocycline treatment and 34 patients who received azithromycin treatment were included in the analysis. All patients except one defervesced within 120 h after initiating antimicrobial therapy. Kaplan-Meier curves in association with log-rank test showed that the median time to defervescence was significantly shorter for the minocycline-treated group than the azithromycin-treated group (P = 0.003). There were no serious adverse events during treatment. No relapse occurred in either group during the 1-month follow-up period. In conclusion, both minocycline and azithromycin are effective and safe for the treatment of mild scrub typhus, but minocycline is more active than azithromycin against O. tsutsugamushi infection acquired in northern China. Copyright © 2016 Elsevier B.V. and International Society of Chemotherapy. All rights reserved.

  2. Extraction, scrub, and strip test results for the solvent transfer to salt waste processing facility

    Energy Technology Data Exchange (ETDEWEB)

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

    2017-09-07

    The Savannah River National Laboratory (SRNL) prepared approximately 240 gallons of Caustic-Side Solvent Extraction (CSSX) solvent for use at the Salt Waste Processing Facility (SWPF). An Extraction, Scrub, and Strip (ESS) test was performed on a sample of the prepared solvent using a salt solution prepared by Parsons to determine cesium distribution ratios (D(Cs)), and cesium concentration in the strip effluent (SE) and decontaminated salt solution (DSS) streams. This data will be used by Parsons to help qualify the solvent for use at the SWPF. The ESS test showed acceptable performance of the solvent for extraction, scrub, and strip operations. The extraction D(Cs) measured 15.5, exceeding the required value of 8. This value is consistent with results from previous ESS tests using similar solvent formulations. Similarly, scrub and strip cesium distribution ratios fell within acceptable ranges.

  3. Development of loose part signal location estimating technique in high pressured structure

    Energy Technology Data Exchange (ETDEWEB)

    Rhee, Ill Keun; Choi, Jae Won; Kim, Yong Up; Kim, Taek Hwan; Song, Young Joong [Hannam University, Taejon (Korea, Republic of)

    1997-07-01

    The main purpose of this project is to develop the metallic loose parts monitoring and diagnosis technology. This will contribute to the development of the domestic technology, and, at the some time, to the development of related domestic industries. This study has been performed as 3-year-project,= to provide to basic requirements in developing the integrated and intelligent loose part monitoring and diagnosis system for Reactor Pressure Vessel (RPV). The results from this project is expected to be applied to the development of the integrated and intelligent loose part monitoring and diagnosis system which can be used to analyze the main cause of the malfunctioning of the system under the worst circumstance - high temperature, high pressure and high speed of the flow of reactor coolant, with the efficient software package that could classify the characteristics of the metallic loose parts occurred inside the RPV of the nuclear steam supply system. (Author) 39 refs., 7 tabs., 74 figs.

  4. Temperature of loose coated particles in irradiation tests

    International Nuclear Information System (INIS)

    Conlin, J.A.

    1975-04-01

    An analysis is presented of the temperature of a monolayer bed of loose High-Temperature Gas-Cooled Reactor (HTGR) type fissioning fuel particles in an annular cavity. Both conduction and radiant heat transfer are taken into account, and the effect of particle contact with the annular cavity surfaces is evaluated. Charts are included for the determination of the maximum surface temperature of the particle coating for any size particle or power generation rate in a fuel bed of this type. The charts are intended for the design and evaluation of irradiation experiments on loose beds of coated fuel particles of the type used in HTGRs. Included in an Appendix is a method for estimating the temperature of a particle in circular hole. (U.S.)

  5. ALPS, Advanced Loose Parts System for Paks NPP

    International Nuclear Information System (INIS)

    Por, G.; Szappanos, G.

    2001-01-01

    Advanced Loose Parts System has two unique features to improve the missed alarm and false alarm rates, which are the major drawbacks of all existing loose parts system. Event selection is based on sequential probability ratio test of whitened signal by auto-regressive modelling, and the classification (as well as localisation) of the events is based on a selflearning artificial intelligence method. Examples of rather good sensitivity of events detection are presented in case of very weak signals, for bursts half-buried in background. Burst found in recorded signals were partly identified having origin in motor operated valve (MOV) vibration. The new feature of the system, namely, automatic recording during start up of main coolant pumps had been successfully tested in this year.(author)

  6. An Assessment of Fission Product Scrubbing in Sodium Pools Following a Core Damage Event in a Sodium Cooled Fast Reactor

    Energy Technology Data Exchange (ETDEWEB)

    Bucknor, M.; Farmer, M.; Grabaskas, D.

    2017-06-26

    The U.S. Nuclear Regulatory Commission has stated that mechanistic source term (MST) calculations are expected to be required as part of the advanced reactor licensing process. A recent study by Argonne National Laboratory has concluded that fission product scrubbing in sodium pools is an important aspect of an MST calculation for a sodium-cooled fast reactor (SFR). To model the phenomena associated with sodium pool scrubbing, a computational tool, developed as part of the Integral Fast Reactor (IFR) program, was utilized in an MST trial calculation. This tool was developed by applying classical theories of aerosol scrubbing to the decontamination of gases produced as a result of postulated fuel pin failures during an SFR accident scenario. The model currently considers aerosol capture by Brownian diffusion, inertial deposition, and gravitational sedimentation. The effects of sodium vapour condensation on aerosol scrubbing are also treated. This paper provides details of the individual scrubbing mechanisms utilized in the IFR code as well as results from a trial mechanistic source term assessment led by Argonne National Laboratory in 2016.

  7. Use of face masks by non-scrubbed operating room staff: a randomized controlled trial.

    Science.gov (United States)

    Webster, Joan; Croger, Sarah; Lister, Carolyn; Doidge, Michelle; Terry, Michael J; Jones, Ian

    2010-03-01

    Ambiguity remains about the effectiveness of wearing surgical face masks. The purpose of this study was to assess the impact on surgical site infections (SSIs) when non-scrubbed operating room staff did not wear surgical face masks. Eight hundred twenty-seven participants undergoing elective or emergency obstetric, gynecological, general, orthopaedic, breast or urological surgery in an Australian tertiary hospital were enrolled. Complete follow-up data were available for 811 patients (98.1%). Operating room lists were randomly allocated to a 'Mask group' (all non-scrubbed staff wore a mask) or 'No Mask group' (none of the non-scrubbed staff wore masks). The primary end point, SSI was identified using in-patient surveillance; post discharge follow-up and chart reviews. The patient was followed for up to six weeks. Overall, 83 (10.2%) surgical site infections were recorded; 46/401 (11.5%) in the Masked group and 37/410 (9.0%) in the No Mask group; odds ratio (OR) 0.77 (95% confidence interval (CI) 0.49 to 1.21), p = 0.151. Independent risk factors for surgical site infection included: any pre-operative stay (adjusted odds ratio [aOR], 0.43 (95% CI, 0.20; 0.95), high BMI aOR, 0.38 (95% CI, 0.17; 0.87), and any previous surgical site infection aOR, 0.40 (95% CI, 0.17; 0.89). Surgical site infection rates did not increase when non-scrubbed operating room personnel did not wear a face mask.

  8. Coincidence between geographical distribution of Leptotrombidium scutellare and scrub typhus incidence in South Korea.

    Directory of Open Access Journals (Sweden)

    Jong Yul Roh

    Full Text Available To clarify the geographical distribution of scrub typhus vectors in Korea, a survey of larval trombiculid mites was conducted from 2005 to 2007 by collecting wild small mammals twice a year (spring and autumn at 24 sites nationwide. A total of 67,325 mites representing 4 genera and 14 species were collected from 783 trapped rodents, corresponding to a chigger index (number of chigger mites per rodent of 86.0. The predominant mite species were Leptotrombidium pallidum (52.6%, Leptotrombiduim scutellare (27.1%, Leptotrombidium palpale (8.2%, Leptotrombidium orientale (5.6%, and Neotrombicula tamiyai (1.7%. However, the proportions of L. scutellare in southern areas, including endemic provinces such as Jeollabuk-Do (34.3%, Jeollanam-Do (49.0%, and Gyeongsangnam-Do (88%, were relatively higher than in central Korean regions where L. pallidum was predominant. In autumn, the ratio of L. scutellare increased to 42% while the ratio of L. pallidum decreased. The geographical distribution map of the L. scutellare chigger index was identical to the incidence pattern of scrub typhus, whereas those of overall mites and L. pallidum showed no relationship with case incidence patterns. Distribution mapping analysis shows an identical geographical distribution of L. scutellare and epidemic incidence of scrub typhus in South Korea. L. pallidum could be another vector at all other parts of the Korean peninsula, including the eastern and northern regions that have a low level of scrub typhus incidence.

  9. Scrub typhus masquerading as HELLP syndrome and puerperal sepsis in an asymptomatic malaria patient.

    Science.gov (United States)

    Karim, Habib Md Reazaul; Bhattacharyya, Prithwis; Kakati, Sonai Datta; Borah, Tridip Jyoti; Yunus, Md

    2016-01-01

    Scrub typhus and malaria can involve multiple organ systems and are notoriously known for varied presentations. However, clinical malaria or scrub typhus is unusual without fever. On the other hand, altered sensorium with or without fever, dehydration, hemorrhage and hemolysis may lead to low blood pressure. Presence of toxic granules and elevated band forms in such patients can even mimic sepsis. When such a patient is in the peripartum period, it creates a strong clinical dilemma for the physician especially in unbooked obstetric cases. We present such a case where a 26-year-old unbooked female presented on second postpartum day with severe anemia, altered sensorium, difficulty in breathing along with jaundice and gum bleeding without history of fever. Rapid diagnostic test for malaria was negative and no eschar was seen. These parameters suggested a diagnosis of HELLP (Hemolysis, Elevated Liver enzymes, Low Platelet) syndrome with or without puerperal sepsis. Subsequently she was diagnosed as having asymptomatic malaria and scrub typhus and responded to the treatment of it. The biochemical changes suggestive of HELLP syndrome also subsided. We present this case to emphasize the fact that mere absence of fever and eschar does not rule out scrub typhus. It should also be considered as a differential diagnosis in patients with symptoms and signs suggesting HELLP syndrome. Asymptomatic malaria can complicate case scenario towards puerperal sepsis by giving false toxic granules and band form in such situations.

  10. Assessment of ASTEC-CPA pool scrubbing models against POSEIDON-II and SGTR-ARTIST data

    International Nuclear Information System (INIS)

    Herranz, Luis E.; Fontanet, Joan

    2009-01-01

    Aerosol scrubbing in pools mitigates the potential source term in key severe accident scenarios in PWRs and BWRs. Even though models were extensively validated in the past, a thorough and systematic validation under key challenging conditions is missing. Some of those conditions are high injection velocity, high pool temperature and/or presence of submerged structures. In particular, in-code models have been neither updated nor validated based on the most recent experimental data. The POSEIDON-II and the SGTR-ARTIST projects produced sets of data under conditions of utmost interest for pool scrubbing validation: high temperature and submerged structures. This paper investigates the response of models encapsulated in the CPA module of the ASTEC code in the simulation of those experimental set-ups. The influence of key pool scrubbing variables like steam fraction, water depth, gas flow-rate and particle size has been analyzed. Additionally, comparisons to stand-alone code (i.e., SPARC90) responses have also been obtained, so that prediction-to-data deviations can be discussed and attributed to either model grounds and/or model implementation in integral accident codes. This work has demonstrated that ASTEC-CPA limitations to capture fundamental trends of aerosol pool scrubbing are substantial (although the SGTR scenarios should not be properly considered within the CPA scope) and they stem from both original models (i.e., SPARC90) and model implementation. This work has been carried out within the European SARNET project of the VI Framework Program of EURATOM. (author)

  11. Burden of Disease Measured by Disability-Adjusted Life Years and a Disease Forecasting Time Series Model of Scrub Typhus in Laiwu, China

    Science.gov (United States)

    Yang, Li-Ping; Liang, Si-Yuan; Wang, Xian-Jun; Li, Xiu-Jun; Wu, Yan-Ling; Ma, Wei

    2015-01-01

    Background Laiwu District is recognized as a hyper-endemic region for scrub typhus in Shandong Province, but the seriousness of this problem has been neglected in public health circles. Methodology/Principal Findings A disability-adjusted life years (DALYs) approach was adopted to measure the burden of scrub typhus in Laiwu, China during the period 2006 to 2012. A multiple seasonal autoregressive integrated moving average model (SARIMA) was used to identify the most suitable forecasting model for scrub typhus in Laiwu. Results showed that the disease burden of scrub typhus is increasing yearly in Laiwu, and which is higher in females than males. For both females and males, DALY rates were highest for the 60–69 age group. Of all the SARIMA models tested, the SARIMA(2,1,0)(0,1,0)12 model was the best fit for scrub typhus cases in Laiwu. Human infections occurred mainly in autumn with peaks in October. Conclusions/Significance Females, especially those of 60 to 69 years of age, were at highest risk of developing scrub typhus in Laiwu, China. The SARIMA (2,1,0)(0,1,0)12 model was the best fit forecasting model for scrub typhus in Laiwu, China. These data are useful for developing public health education and intervention programs to reduce disease. PMID:25569248

  12. Modern diagnostic systems for loose parts, vibration and leakage monitoring

    International Nuclear Information System (INIS)

    Kunze, U.

    1997-01-01

    The modern diagnostic systems for loose parts, vibration and leakage monitoring of Siemens marked improvements in signal detection, ease of operation, and the display of information. The paper gives an overview on: Loose parts monitoring system KUeS '95 - a computer-based system. The knowledge and experience about loose parts detection incorporated into this system can be characterized as ''intelligence''. Vibration monitoring system SUeS '95 - a fully automated system for early detection of changes in the vibration patterns of the reactor coolant system components and reactor pressure vessel internals. Leak detection system FLUeS - a system that detects even small leaks in steam-carrying components and very accurately determines their location. Leaks are detected on the moisture distribution in a sample air column into which the escaping steam locally diffuses. All systems described represent the latest state of technology. Nevertheless a considerable amount of operational experience can be reported. (author). 5 refs, 10 figs

  13. Clinical characteristics of the autumn-winter type scrub typhus cases in south of Shandong province, northern China

    Directory of Open Access Journals (Sweden)

    Min Jing-Si

    2009-06-01

    Full Text Available Abstract Background Before 1986, scrub typhus was only found endemic in southern China. Because human infections typically occur in the summer, it is called "summer type". During the autumn-winter period of 1986, a new type of scrub typhus was identified in Shandong and northern Jiangsu province of northern China. This newly recognized scrub typhus was subsequently reported in many areas of northern China and was then called "autumn-winter type". However, clinical characteristics of associated cases have not been reported. Methods From 1995 to 2006, all suspected scrub typhus cases in five township hospitals of Feixian county, Shandong province were enrolled. Indirect immunofluorescent assay (IFA was used as confirmatory serodiagnosis test. Polymerase chain reaction (PCR connected with restriction fragment length polymorphism (RFLP and sequence analyses were used for genotyping of O. tsutsugamushi DNAs. Clinical symptoms and demography of confirmed cases were analyzed. Results A total of 480 scrub typhus cases were confirmed. The cases occurred every year exclusively between September and December with a peak occurrence in October. The case numbers were relatively higher in 1995, 1996, 1997, and 2000 than in other years. 57.9% of cases were in the group aged 21–50. More cases occurred in male (56% than in female (44%. The predominant occupational group of the cases was farmers (85.0%. Farm work was reported the primary exposure to infection in 67.7% of cases. Fever, rash, and eschar were observed in 100.0%, 90.4%, and 88.5% of cases, respectively. Eschars formed frequently on or around umbilicus, abdomen areas, and front and back of waist (34.1% in both genders. Normal results were observed in 88.7% (WBC counts, 84.5% (PLT counts, and 89.7% (RBC counts of cases, respectively. Observations from the five hospitals were compared and no significant differences were found. Conclusion The autumn-winter type scrub typhus in northern China occurred

  14. Scrub Typhus: A Clinico-Laboratory Differentiation of Children with and without Meningitis.

    Science.gov (United States)

    Bhat, Nowneet Kumar; Pandita, Neerul; Saini, Manju; Dhar, Minakshi; Ahmed, Sohaib; Shirazi, Nadia; Wasim, Sanober; Shirke, Rupali; Chandar, Vipan

    2016-06-01

    Neurological involvement in the form of meningitis or meningoencephalitis, although well documented in scrub typhus, has not been extensively studied in the pediatric population. We report the clinical and laboratory profile of 96 children with scrub typhus and compared those with and without meningitis. Twenty seven (28%) children had clinical and laboratory evidence of meningitis. The most frequent presenting features were fever (100%), meningeal signs (66.6%), nausea and vomiting (56.3%), seizures (55.5%) and altered sensorium (51.8%). The children with meningitis presented early and had significantly lower respiratory and renal impairments when compared with the non-meningitis group. Cerebrospinal fluid (CSF) analysis revealed elevated total leukocyte count (86.73 ± 94.50 cells/mm(3)), mononuclear pleocytosis (lymphocyte percentage of 76.85 ± 15.86), elevated proteins (108.33 ± 52.63 mg%) and normal CSF glucose (64.18 ± 15.92 mg%). We conclude that meningitis is a common and early complication of childhood scrub typhus. The CSF reveals a lymphocytic pleocytosis, raised proteins and a normal glucose level. These children respond promptly to appropriate antibiotics as do children without meningitis. © The Author [2016]. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

  15. Scrub Typhus Leading to Acute Encephalitis Syndrome, Assam, India.

    Science.gov (United States)

    Khan, Siraj A; Bora, Trishna; Laskar, Basanta; Khan, Abdul M; Dutta, Prafulla

    2017-01-01

    To determine the contribution of Orientia tsutsugamushi, the agent of scrub typhus, as a cause of acute encephalitis syndrome (AES) in Assam, India, we conducted a retrospective study of hospital patients with symptoms of AES during 2013-2015. Our findings suggest that O. tsutsugamushi infection leads to AES and the resulting illness and death.

  16. Activation, Impaired Tumor Necrosis Factor-α Production, and Deficiency of Circulating Mucosal-Associated Invariant T Cells in Patients with Scrub Typhus.

    Science.gov (United States)

    Kang, Seung-Ji; Jin, Hye-Mi; Won, Eun Jeong; Cho, Young-Nan; Jung, Hyun-Ju; Kwon, Yong-Soo; Kee, Hae Jin; Ju, Jae Kyun; Kim, Jung-Chul; Kim, Uh Jin; Jang, Hee-Chang; Jung, Sook-In; Kee, Seung-Jung; Park, Yong-Wook

    2016-07-01

    Mucosal-associated invariant T (MAIT) cells contribute to protection against certain microorganism infections. However, little is known about the role of MAIT cells in Orientia tsutsugamushi infection. Hence, the aims of this study were to examine the level and function of MAIT cells in patients with scrub typhus and to evaluate the clinical relevance of MAIT cell levels. Thirty-eight patients with scrub typhus and 53 health control subjects were enrolled in the study. The patients were further divided into subgroups according to disease severity. MAIT cell level and function in the peripheral blood were measured by flow cytometry. Circulating MAIT cell levels were found to be significantly reduced in scrub typhus patients. MAIT cell deficiency reflects a variety of clinical conditions. In particular, MAT cell levels reflect disease severity. MAIT cells in scrub typhus patients displayed impaired tumor necrosis factor (TNF)-α production, which was restored during the remission phase. In addition, the impaired production of TNF-α by MAIT cells was associated with elevated CD69 expression. This study shows that circulating MAIT cells are activated, numerically deficient, and functionally impaired in TNF-α production in patients with scrub typhus. These abnormalities possibly contribute to immune system dysregulation in scrub typhus infection.

  17. Co-infection of scrub typhus and leptospirosis in patients with pyrexia of unknown origin in Longding district of Arunachal Pradesh in 2013.

    Science.gov (United States)

    Borkakoty, Biswajyoti; Jakharia, Aniruddha; Biswas, Dipankar; Mahanta, Jagadish

    2016-01-01

    Scrub typhus and leptospirosis are bacterial zoonotic disease causing high morbidity and mortality. The seasonal outbreak of pyrexia is common in Arunachal Pradesh (AP); many times the disease remains undiagnosed. An outbreak of pyrexia of unknown origin (PUO) occurred in Longding district of Arunachal Pradesh in 2013, with 108 deaths, which was investigated to elucidate the cause of illness. Blood samples from the affected region with acute pyrexia were collected, and screened for the malaria parasite, scrub typhus IgM and leptospira IgM. Scrub typhus IgM was reactive in 97% (30/31), and 25% (8/31) cases were co-infected with leptospira. Incidentally, scrub typhus reactive (67%) and leptospira co-infection (62.7%) were higher in females. Record of previous 3 years (2011-2013) from Longding, Community Health Centre showed an increase in indoor pyrexia cases by 2-fold or more during October and November. The present study is the first report of co-infection of scrub typhus with leptospirosis from Northeast India. Medical officers in this region should take scrub typhus and leptospirosis in their differential diagnosis of patients with PUO for early diagnosis and effective treatment.

  18. Human factors related to time-dependent infection control measures: "Scrub the hub" for venous catheters and feeding tubes.

    Science.gov (United States)

    Caspari, Lindsay; Epstein, Elizabeth; Blackman, Amy; Jin, Li; Kaufman, David A

    2017-06-01

    The use of catheter hub decontamination protocols is a common practice to reduce central line-associated bloodstream infections. However, few data exist on the most effective disinfection procedure prior to hub access accounting for human factors and time-dependent practices in real time in the clinical setting. An observational design with a multimodal intervention was used in this study in a neonatal intensive care unit. Direct observations on nurse compliance of scrub times with decontamination when accessing of venous catheter and feeding tube hubs were conducted during 3 phases: (1) baseline period prior to any interventions; (2) during an educational intervention phase; and (3) during a timer intervention period when using a timing device, either an actual timer or music button. Overall, both education and the timing device interventions increased the mean scrub time ± SD of venous catheter hubs. Mean baseline scrub times of 10 ± 5 seconds were lower compared with 23 ± 12 seconds after educational intervention (P music button use (P observed with scrub times of feeding tubes. Time-based infection control measures, such as scrubbing the hub, must be implemented with aids that qualify specific times to account for human factors, to ensure adherence to time-dependent measures aimed at decreasing nosocomial infections. Copyright © 2017 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.

  19. Ethanol emission from loose corn silage and exposed silage particles

    Science.gov (United States)

    Hafner, Sasha D.; Montes, Felipe; Rotz, C. Alan; Mitloehner, Frank

    2010-11-01

    Silage on dairy farms has been identified as a major source of volatile organic compound (VOC) emissions. However, rates of VOC emission from silage are not accurately known. In this work, we measured ethanol (a dominant silage VOC) emission from loose corn silage and exposed corn silage particles using wind tunnel systems. Flux of ethanol was highest immediately after exposing loose silage samples to moving air (as high as 220 g m -2 h -1) and declined by as much as 76-fold over 12 h as ethanol was depleted from samples. Emission rate and cumulative 12 h emission increased with temperature, silage permeability, exposed surface area, and air velocity over silage samples. These responses suggest that VOC emission from silage on farms is sensitive to climate and management practices. Ethanol emission rates from loose silage were generally higher than previous estimates of total VOC emission rates from silage and mixed feed. For 15 cm deep loose samples, mean cumulative emission was as high as 170 g m -2 (80% of initial ethanol mass) after 12 h of exposure to an air velocity of 5 m s -1. Emission rates measured with an emission isolation flux chamber were lower than rates measured in a wind tunnel and in an open setting. Results show that the US EPA emission isolation flux chamber method is not appropriate for estimating VOC emission rates from silage in the field.

  20. Experimental analysis and simulation calculation of the inductances of loosely coupled transformer

    Science.gov (United States)

    Kerui, Chen; Yang, Han; Yan, Zhang; Nannan, Gao; Ying, Pei; Hongbo, Li; Pei, Li; Liangfeng, Guo

    2017-11-01

    The experimental design of iron-core wireless power transmission system is designed, and an experimental model of loosely coupled transformer is built. Measuring the air gap on both sides of the transformer 15mm inductor under the parameters. The feasibility and feasibility of using the finite element method to calculate the coil inductance parameters of the loosely coupled transformer are analyzed. The system was modeled by ANSYS, and the magnetic field was calculated by finite element method, and the inductance parameters were calculated. The finite element method is used to calculate the inductive parameters of the loosely coupled transformer, and the basis for the accurate compensation of the capacitance of the wireless power transmission system is established.

  1. A Review of Scrub Typhus (Orientia tsutsugamushi and Related Organisms: Then, Now, and Tomorrow

    Directory of Open Access Journals (Sweden)

    Alison Luce-Fedrow

    2018-01-01

    Full Text Available Scrub typhus and the rickettsial diseases represent some of the oldest recognized vector-transmitted diseases, fraught with a rich historical aspect, particularly as applied to military/wartime situations. The vectors of Orientia tsutsugamushi were once thought to be confined to an area designated as the Tsutsugamushi Triangle. However, recent reports of scrub typhus caused by Orientia species other than O. tsutsugamushi well beyond the limits of the Tsutsugamushi Triangle have triggered concerns about the worldwide presence of scrub typhus. It is not known whether the vectors of O. tsutsugamushi will be the same for the new Orientia species, and this should be a consideration during outbreak/surveillance investigations. Additionally, concerns surrounding the antibiotic resistance of O. tsutsugamushi have led to considerations for the amendment of treatment protocols, and the need for enhanced public health awareness in both the civilian and medical professional communities. In this review, we discuss the history, outbreaks, antibiotic resistance, and burgeoning genomic advances associated with one of the world’s oldest recognized vector-borne pathogens, O. tsutsugamushi.

  2. A case-control study of risk factors associated with scrub typhus infection in Beijing, China.

    Directory of Open Access Journals (Sweden)

    Yanning Lyu

    Full Text Available To investigate the risk factors of scrub typhus infection in Beijing, China, a case-control study was carried out. Cases (n = 56 were defined as persons who were diagnosed by PCR and serological method within three years. Three neighborhood control subjects were selected by matching for age and occupation. Living at the edge of the village, living in the houses near grassland, vegetable field or ditch, house yard without cement floor, piling weeds in the house or yard, all of these were risk factors for scrub typhus infection. Working in vegetable fields and hilly areas, and harvesting in autumn posed the highest risks, with odds ratios (ORs and 95% confidence intervals (CIs of 3.7 (1.1-11.9, 8.2 (1.4-49.5, and 17.2 (5.1-57.9, respectively. These results would be useful for the establishment of a detail control strategy for scrub typhus infection in Beijing, China.

  3. Chest radiographic findings of scrub typhus: an analysis of 160 cases occurred in Ulsan area

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Ok Hwa; Oh, Dong Heon; Kim, Ki Sung; Woo, Je Ho; Kwon, Jung Hyeok [Dong Kang General Hospital, Ulsan (Korea, Republic of)

    1993-03-15

    Scrub typhus (Tsutsugamushi disease) is an acute febrile systemic illness caused by Rickettsia Tsutsugamushi that is transmitted to humans by the bite of larval-stage trombiculid mites (chiggers). The authors analyzed chest radiographic findings of scrub typhus in 160 patients in Ulsan area. One hundred and eight (67.5%) of 160 patients showed abnormal findings which included lung lesions in 108 patients (67.5%), cardiomegaly in 37 patients (23.1%), lymphadenopathy in 25 patients (15.6%) and pleural effusion in 11 patients (6.9%). Among the lung lesions, interstitial patterns were seen in 107 patients (66.9%), mostly fine or medium reticulonodular, and air-space patterns in 14 patients (8.8%) and combined interstitial and air-space patterns in 13 patients (8.1%). Sixty-four patients (40%) had combined chest radiographic findings. The typical chest radiographic findings of scrub typhus would be helpful in evaluation of the causes of acute febrile illness that occur during late fall in the endemic area.

  4. Chest radiographic findings of scrub typhus: an analysis of 160 cases occurred in Ulsan area

    International Nuclear Information System (INIS)

    Kim, Ok Hwa; Oh, Dong Heon; Kim, Ki Sung; Woo, Je Ho; Kwon, Jung Hyeok

    1993-01-01

    Scrub typhus (Tsutsugamushi disease) is an acute febrile systemic illness caused by Rickettsia Tsutsugamushi that is transmitted to humans by the bite of larval-stage trombiculid mites (chiggers). The authors analyzed chest radiographic findings of scrub typhus in 160 patients in Ulsan area. One hundred and eight (67.5%) of 160 patients showed abnormal findings which included lung lesions in 108 patients (67.5%), cardiomegaly in 37 patients (23.1%), lymphadenopathy in 25 patients (15.6%) and pleural effusion in 11 patients (6.9%). Among the lung lesions, interstitial patterns were seen in 107 patients (66.9%), mostly fine or medium reticulonodular, and air-space patterns in 14 patients (8.8%) and combined interstitial and air-space patterns in 13 patients (8.1%). Sixty-four patients (40%) had combined chest radiographic findings. The typical chest radiographic findings of scrub typhus would be helpful in evaluation of the causes of acute febrile illness that occur during late fall in the endemic area

  5. Increased Nucleosomes and Neutrophil Activation Link to Disease Progression in Patients with Scrub Typhus but Not Murine Typhus in Laos.

    Science.gov (United States)

    Paris, Daniel H; Stephan, Femke; Bulder, Ingrid; Wouters, Diana; van der Poll, Tom; Newton, Paul N; Day, Nicholas P J; Zeerleder, Sacha

    2015-01-01

    Cell-mediated immunity is essential in protection against rickettsial illnesses, but the role of neutrophils in these intracellular vasculotropic infections remains unclear. This study analyzed the plasma levels of nucleosomes, FSAP-activation (nucleosome-releasing factor), and neutrophil activation, as evidenced by neutrophil-elastase (ELA) complexes, in sympatric Lao patients with scrub typhus and murine typhus. In acute scrub typhus elevated nucleosome levels correlated with lower GCS scores, raised respiratory rate, jaundice and impaired liver function, whereas neutrophil activation correlated with fibrinolysis and high IL-8 plasma levels, a recently identified predictor of severe disease and mortality. Nucleosome and ELA complex levels were associated with a 4.8-fold and 4-fold increased risk of developing severe scrub typhus, beyond cut off values of 1,040 U/ml for nucleosomes and 275 U/ml for ELA complexes respectively. In murine typhus, nucleosome levels associated with pro-inflammatory cytokines and the duration of illness, while ELA complexes correlated strongly with inflammation markers, jaundice and increased respiratory rates. This study found strong correlations between circulating nucleosomes and neutrophil activation in patients with scrub typhus, but not murine typhus, providing indirect evidence that nucleosomes could originate from neutrophil extracellular trap (NET) degradation. High circulating plasma nucleosomes and ELA complexes represent independent risk factors for developing severe complications in scrub typhus. As nucleosomes and histones exposed on NETs are highly cytotoxic to endothelial cells and are strongly pro-coagulant, neutrophil-derived nucleosomes could contribute to vascular damage, the pro-coagulant state and exacerbation of disease in scrub typhus, thus indicating a detrimental role of neutrophil activation. The data suggest that increased neutrophil activation relates to disease progression and severe complications, and

  6. Development of estimation algorithm of loose parts and analysis of impact test data

    International Nuclear Information System (INIS)

    Kim, Jung Soo; Ham, Chang Sik; Jung, Chul Hwan; Hwang, In Koo; Kim, Tak Hwane; Kim, Tae Hwane; Park, Jin Ho

    1999-11-01

    Loose parts are produced by being parted from the structure of the reactor coolant system or by coming into RCS from the outside during test operation, refueling, and overhaul time. These loose parts are mixed with reactor coolant fluid and collide with RCS components. When loose parts are occurred within RCS, it is necessary to estimate the impact point and the mass of loose parts. In this report an analysis algorithm for the estimation of the impact point and mass of loose part is developed. The developed algorithm was tested with the impact test data of Yonggwang-3. The estimated impact point using the proposed algorithm in this report had 5 percent error to the real test data. The estimated mass was analyzed within 28 percent error bound using the same unit's data. We analyzed the characteristic frequency of each sensor because this frequency effected the estimation of impact point and mass. The characteristic frequency of the background noise during normal operation was compared with that of the impact test data. The result of the comparison illustrated that the characteristic frequency bandwidth of the impact test data was lower than that of the background noise during normal operation. by the comparison, the integrity of sensor and monitoring system could be checked, too. (author)

  7. Differences in agricultural activities related to incidence of scrub typhus between Korea and Japan

    Directory of Open Access Journals (Sweden)

    Chang-Jin Ma

    2017-11-01

    Full Text Available OBJECTIVES The purpose of this study was to establish a basis for improving or strengthening the preventive strategy against scrub typhus in Korea by comparing and analyzing the difference of prevention behaviors contributing to the occurrence of scrub typhus in Japan and Korea. METHODS The survey was carried out in Jeollabuk-do, which is a high risk and high incidence area, and Fukuoka Prefecture, which is a high risk and low incidence area. The study included 406 Korean farmers and 216 Japanese farmers. Data were collected through face-to-face surveys by interviewers who had completed standardized education. RESULTS Korean farmers have a higher percentage of agricultural working posture that involved contact with weeds than Japanese farmers (p<0.05. The frequency and proportion of weeding were lower in Korean farmers than in Japanese farmers (p<0.05. The level of knowledge about scrub typhus was significantly higher among Korean farmers than among Japanese farmers (p<0.05. Mostly, the behavior of agriculture work was more appropriate for Japanese farmers than for Korean farmers (p<0.05. The total average level of agricultural work was lower in Korea than in Japan, lower in men than women, and lower in part-time farmers than full-time farmers (p<0.05. CONCLUSIONS This study suggests that it is reasonable to develop and provide a program that can improve the level of preventive behavior taking into consideration the characteristics of the subject in order to reduce the incidence of diseases in high-risk areas for scrub typhus.

  8. Scrub typhus, a disease with increasing threat in Guangdong, China.

    Directory of Open Access Journals (Sweden)

    Wu De

    Full Text Available There has been a rapid increase in the number of scrub typhus cases in Guangdong Province, China. For this reason, an epidemiologic study was conducted to understand the characteristics of scrub typhus epidemics in Guangdong. From 2006 to 2013, the incidence of human cases increased from 0.4321 to 3.5917 per 100,000 with a bimodal peak in human cases typically occurring between May and November. To detect the prevalence of Orientia tsutsugamushi among suspected human cases and rodents, we performed ELISA tests of IgM/IgG and nested PCR tests on 59 whole blood samples from the suspected cases and 112 spleen samples from the rodents. Suspected cases tested positive for anti-O. tsutsugamushi IgM and IgG 66.1% (39/59 and 50.8% (30/59 of the time, respectively. Additionally, 20.3% (12/59 of blood samples and 13.4% (15/112 of spleen samples were positive for PCR. Phylogenetic analysis revealed that there were four definable clusters among the 27 nucleotide sequences of the 56-kDa antigen genes: 44.4% Karp (12/27, 25.9% Kato (7/27, 22.2% Gilliam (6/27 and 7.4% TA763 (2/27. We concluded many suspected cases may result in diagnostic errors; therefore, it is necessary to perform laboratory tests on suspected cases in hospitals. The high infection rate of O. tsutsugamushi among the limited rodents tested suggested that further rodent sampling throughout the province is necessary to further define high-risk areas. Furthermore, the multiple co-circulating genotypes of O. tsutsugamushi play a key role in the pervasiveness of scrub typhus in the Guangdong area.

  9. The media of sociology: tight or loose translations?

    Science.gov (United States)

    Guggenheim, Michael

    2015-06-01

    Sociologists have increasingly come to recognize that the discipline has unduly privileged textual representations, but efforts to incorporate visual and other media are still only in their beginning. This paper develops an analysis of the ways objects of knowledge are translated into other media, in order to understand the visual practices of sociology and to point out unused possibilities. I argue that the discourse on visual sociology, by assuming that photographs are less objective than text, is based on an asymmetric media-determinism and on a misleading notion of objectivity. Instead, I suggest to analyse media with the concept of translations. I introduce several kinds of translations, most centrally the distinction between tight and loose ones. I show that many sciences, such as biology, focus on tight translations, using a variety of media and manipulating both research objects and representations. Sociology, in contrast, uses both tight and loose translations, but uses the latter only for texts. For visuals, sociology restricts itself to what I call 'the documentary': focusing on mechanical recording technologies without manipulating either the object of research or the representation. I conclude by discussing three rare examples of what is largely excluded in sociology: visual loose translations, visual tight translations based on non-mechanical recording technologies, and visual tight translations based on mechanical recording technologies that include the manipulation of both object and representation. © London School of Economics and Political Science 2015.

  10. Generalized Skyrme model with the loosely bound potential

    Science.gov (United States)

    Gudnason, Sven Bjarke; Zhang, Baiyang; Ma, Nana

    2016-12-01

    We study a generalization of the loosely bound Skyrme model which consists of the Skyrme model with a sixth-order derivative term—motivated by its fluidlike properties—and the second-order loosely bound potential—motivated by lowering the classical binding energies of higher-charged Skyrmions. We use the rational map approximation for the Skyrmion of topological charge B =4 , calculate the binding energy of the latter, and estimate the systematic error in using this approximation. In the parameter space that we can explore within the rational map approximation, we find classical binding energies as low as 1.8%, and once taking into account the contribution from spin-isospin quantization, we obtain binding energies as low as 5.3%. We also calculate the contribution from the sixth-order derivative term to the electric charge density and axial coupling.

  11. Subsidence estimation of breakwater built on loosely deposited sandy seabed foundation: Elastic model or elasto-plastic model

    Directory of Open Access Journals (Sweden)

    Jianhua Shen

    2017-07-01

    Full Text Available In offshore area, newly deposited Quaternary loose seabed soils are widely distributed. There are a great number of offshore structures has been built on them in the past, or will be built on them in the future due to the fact that there would be no very dense seabed soil foundation could be chosen at planed sites sometimes. However, loosely deposited seabed foundation would bring great risk to the service ability of offshore structures after construction. Currently, the understanding on wave-induced liquefaction mechanism in loose seabed foundation has been greatly improved; however, the recognition on the consolidation characteristics and settlement estimation of loose seabed foundation under offshore structures is still limited. In this study, taking a semi-coupled numerical model FSSI-CAS 2D as the tool, the consolidation and settlement of loosely deposited sandy seabed foundation under an offshore breakwater is investigated. The advanced soil constitutive model Pastor-Zienkiewics Mark III (PZIII is used to describe the quasi-static behavior of loose sandy seabed soil. The computational results show that PZIII model is capable of being used for settlement estimation problem of loosely deposited sandy seabed foundation. For loose sandy seabed foundation, elastic deformation is the dominant component in consolidation process. It is suggested that general elastic model is acceptable for subsidence estimation of offshore structures on loose seabed foundation; however, Young's modulus E must be dependent on the confining effective stress, rather than a constant in computation.

  12. Automatic characterization of loose parts impact damage risk parameters

    International Nuclear Information System (INIS)

    Glass, S.W.; Phillips, J.M.

    1985-01-01

    Loose parts caught in the high-velocity flows of the reactor coolant fluid strike against nuclear steam supply system (NSSS) components and can cause significant damage. Loose parts monitor systems (LPMS) have been available for years to detect metal-to-metal impacts. Once detected, however, an assessment of the damage risk potential for leaving the part in the system versus shutting it down and removing the part must be made. The principal parameters used in the damage risk assessment are time delays between the first and subsequent sensor indications (used to assess the impact location) and a correlation between the waveform and the impact energy of the part (how hard the part impacted). These parameters are not well suited to simple automatic techniques. The task has historically been performed by loose parts diagnostic experts who base much of their evaluation on experience and subjective interpretation of impact data waveforms. Three of the principal goals in developing the Babcock and Wilcox (B and W) LPMS-III were (a) to develop an accurate automatic assessment for the time delays, (b) to develop an automatic estimate of the impact energy, and (c) to present the data in a meaningful manner to the operator

  13. Clinical significance of NGAL and KIM-1 for acute kidney injury in patients with scrub typhus.

    Directory of Open Access Journals (Sweden)

    In O Sun

    Full Text Available The aim of this study is to investigate the clinical significance of neutrophil gelatinase-associated lipocalin (NGAL and kidney injury molecule-1 (KIM-1 for acute kidney injury (AKI in patients with scrub typhus.From 2014 to 2015, 145 patients were diagnosed with scrub typhus. Of these, we enrolled 138 patients who were followed up until renal recovery or for at least 3 months. We measured serum and urine NGAL and KIM-1 levels and evaluated prognostic factors affecting scrub typhus-associated AKI.Of the 138 patients, 25 had scrub typhus-associated AKI. The incidence of AKI was 18.1%; of which 11.6%, 4.3%, and 2.2% were classified as risk, injury, and failure, respectively, according to RIFLE criteria. Compared with patients in the non-AKI group, patients in the AKI group were older and showed higher total leukocyte counts and hypoalbuminemia or one or more comorbidities such as hypertension (72% vs 33%, p<0.01, diabetes (40% vs 14%, p<0.01, or chronic kidney disease (32% vs 1%, p<0.01. In addition, serum NGAL values (404± 269 vs 116± 78 ng/mL, P<0.001, KIM-1 values (0.80± 0.52 vs 0.33± 0.68 ng/mL, P<0.001, urine NGAL/creatinine values (371± 672 vs 27± 39 ng/mg, P<0.001 and urine KIM-1/creatinine values (4.04± 2.43 vs 2.38± 1.89 ng/mg, P<0.001 were higher in the AKI group than in the non-AKI group. By multivariate logistic regression, serum NGAL and the presence of chronic kidney disease were significant predictors of AKI.Serum NGAL might be an additive predictor for scrub typhus-associated AKI.

  14. Clinical profile and improving mortality trend of scrub typhus in South India.

    Science.gov (United States)

    Varghese, George M; Trowbridge, Paul; Janardhanan, Jeshina; Thomas, Kurien; Peter, John V; Mathews, Prasad; Abraham, Ooriapadickal C; Kavitha, M L

    2014-06-01

    Scrub typhus, a bacterial zoonosis caused by Orientia tsutsugamushi, may cause multiorgan dysfunction syndrome (MODS) and is associated with significant mortality. This study was undertaken to document the clinical and laboratory manifestations and complications and to study time trends and factors associated with mortality in patients with scrub typhus infection. This retrospective study, done at a university teaching hospital, included 623 patients admitted between 2005 and 2010 with scrub typhus. The diagnosis was established by a positive IgM ELISA and/or pathognomonic eschar with PCR confirmation where feasible. The clinical and laboratory profile, course in hospital, and outcome were documented. Factors associated with mortality were analyzed using multivariate logistic regression analysis. The most common presenting symptoms were fever (100%), nausea/vomiting (54%), shortness of breath (49%), headache (46%), cough (38%), and altered sensorium (26%). An eschar was present in 43.5% of patients. Common laboratory findings included elevated transaminases (87%), thrombocytopenia (79%), and leukocytosis (46%). MODS was seen in 34% of patients. The overall case-fatality rate was 9.0%. Features of acute lung injury were observed in 33.7%, and 29.5% required ventilatory support. On multivariate analysis, shock requiring vasoactive agents (relative risk (RR) 10.5, 95% confidence interval (CI) 4.2-25.7, p<0.001), central nervous system (CNS) dysfunction (RR 5.1, 95% CI 2.4-10.7, p<0.001), and renal failure (RR 3.6, 95% CI 1.7-7.5, p=0.001) were independent predictors of mortality. Over 4 years, a decreasing trend was observed in the mortality rate. Scrub typhus can manifest with potentially life-threatening complications such as lung injury, shock, and meningoencephalitis. MODS occurred in a third of our patients. The overall case-fatality rate was 9%, with shock, renal failure, and CNS associated with a higher mortality. Copyright © 2014 The Authors. Published by

  15. Understanding Contamination; Twenty Years of Simulating Radiological Contamination

    Energy Technology Data Exchange (ETDEWEB)

    Emily Snyder; John Drake; Ryan James

    2012-02-01

    . The interaction of the contaminant/substrate with the particular decontamination technology is also very important. Results of decontamination testing from hundreds of contaminated coupons have lead to certain conclusions about the contamination and the type of decontamination methods being deployed. A recent addition to the DARPA initiated methodology simulates the deposition of nuclear fallout. This contamination differs from previous tests in that it has been developed and validated purely to simulate a 'loose' type of contamination. This may represent the first time that a radiologically contaminated 'fallout' stimulant has been developed to reproducibly test decontamination methods. While no contaminant/methodology may serve as a complete example of all aspects that could be seen in the field, the study of this family of simulation methods provides insight into the nature of radiological contamination.

  16. Moyamoya syndrome in a patient with Noonan-like syndrome with loose anagen hair.

    Science.gov (United States)

    Choi, Jin-Ho; Oh, Moon-Yeon; Yum, Mi-Sun; Lee, Beom Hee; Kim, Gu-Hwan; Yoo, Han-Wook

    2015-03-01

    Noonan-like syndrome with loose anagen hair is one of the RASopathies characterized by Noonan syndrome-like features with unique ectodermal abnormalities. This syndrome is caused by mutations in the SHOC2 gene. We encountered a patient with moyamoya syndrome associated with Noonan-like syndrome with loose anagen hair presenting with transient ischemic attacks. A 6-year-old girl was diagnosed with Noonan-like syndrome with loose anagen hair because of profound short stature and ectodermal anomalies such as sparse and easily pluckable hair. A heterozygous mutation of c.4A>G (p.S2G) in the SHOC2 gene was identified, and recombinant human growth hormone therapy was initiated at 8 years of age. At age 10, she manifested recurrent left hemiplegia. Moreover, cerebrovascular imaging revealed occlusion or narrowing of both internal carotid arteries and both middle cerebral arteries with distal moyamoya-like vessels. She is treated with aspirin and calcium channel blocker. We describe the first case of Noonan-like syndrome with loose anagen hair associated with moyamoya syndrome, although it has been reported to be associated with a few cases of other RASopathies, including Noonan, cardiofaciocutaneous, and Costello syndromes. This report emphasizes the associations between cerebrovascular anomalies and Noonan-like syndrome with loose anagen hair. Copyright © 2015 Elsevier Inc. All rights reserved.

  17. More loosely bound hadron molecules at CDF?

    CERN Document Server

    Bignamini, C; Piccinini, F; Polosa, A D; Riquer, V; Sabelli, C

    2010-01-01

    In a recent paper we have proposed a method to estimate the prompt production cross section of X(3872) at the Tevatron assuming that this particle is a loosely bound molecule of a D and a D*bar meson. Under this hypothesis we find that it is impossible to explain the high prompt production cross section found by CDF at sigma(X(3872)) \\sim 30-70 nb as our theoretical prediction is about 300 times smaller than the measured one. Following our work, Artoisenet and Braaten, have suggested that final state interactions in the DD*bar system might be so strong to push the result we obtained for the cross section up to the experimental value. Relying on their conclusions we show that the production of another very narrow loosely bound molecule, the X_s=D_s D_s*bar, could be similarly enhanced. X_s should then be detectable at CDF with a mass of 4080 MeV and a prompt production cross section of sigma(X_s) \\sim 1-3 nb.

  18. Extraction, scrub, and strip test results for the salt waste processing facility caustic side solvent extraction solvent example

    Energy Technology Data Exchange (ETDEWEB)

    Peters, T. B. [Savannah River Site (SRS), Aiken, SC (United States). Savannah River National Lab. (SRNL)

    2017-08-01

    An Extraction, Scrub, and Strip (ESS) test was performed on a sample of Salt Waste Processing Facility (SWPF) Caustic-Side Solvent Extraction (CSSX) solvent and salt simulant to determine cesium distribution ratios (D(Cs)), and cesium concentration in the strip effluent (SE) and decontaminated salt solution (DSS) streams; this data will be used by Parsons to help determine if the solvent is qualified for use at the SWPF. The ESS test showed acceptable performance of the solvent for extraction, scrub, and strip operations. The extraction D(Cs) measured 12.9, exceeding the required value of 8. This value is consistent with results from previous ESS tests using similar solvent formulations. Similarly, scrub and strip cesium distribution ratios fell within acceptable ranges.

  19. Immune thrombocytopenia with multi-organ dysfunction syndrome as a rare presentation of scrub typhus: a case report.

    Science.gov (United States)

    Ittyachen, Abraham M; Abraham, Saramma P; Krishnamoorthy, Smitha; Vijayan, Anuroopa; Kokkat, Jayamohan

    2017-10-06

    Scrub typhus is an acute infectious illness caused by Orientia tsutsugamushi. It is endemic to a part of the world known as the "tsutsugamushi triangle". Humans are accidental hosts in this zoonotic disease. About a third of patients admitted with scrub typhus have evidence of multi-organ dysfunction. Multi-organ dysfunction secondary to scrub typhus carries a high mortality rate. We report a 65-year old lady who was admitted in a Tertiary Care Center in the state of Kerala in India, with 7 day history of fever, myalgia and reduced urine output. Head to foot examination revealed the presence of an eschar on her chest. One week prior to the onset of her illness she had gone trekking through a hilly forest area. She was clinically suspected to have scrub typhus, which was later confirmed with laboratory tests. She developed multi-organ dysfunction syndrome secondary to this illness. Though there was an improvement in the multi-organ dysfunction, thrombocytopenia alone failed to improve. Bone marrow study was done which was suggestive of immune thrombocytopenia. Patient was given a course of steroids with which the thrombocytopenia improved. Failure of platelet count to normalize even after there has been a general improvement of other markers of multi-organ dysfunction in scrub typhus should prompt the clinician to consider other potential causes of thrombocytopenia. An unusual finding as this calls for further research to understand the molecular mechanisms behind such an event. Further, considering the close similarity in clinical presentation of several tropical illnesses, meticulous history taking and a detailed physical examination needs to be emphasized.

  20. Distributed Interior-point Method for Loosely Coupled Problems

    DEFF Research Database (Denmark)

    Pakazad, Sina Khoshfetrat; Hansson, Anders; Andersen, Martin Skovgaard

    2014-01-01

    In this paper, we put forth distributed algorithms for solving loosely coupled unconstrained and constrained optimization problems. Such problems are usually solved using algorithms that are based on a combination of decomposition and first order methods. These algorithms are commonly very slow a...

  1. Physico-Chemical Properties of Personal Care Products Containing Guava Scrub Granules as Exfoliating Agent

    International Nuclear Information System (INIS)

    Zahariah Ismail; Mohd Fadlly Jumadi; Nurdiyana Mohamed Johari

    2015-01-01

    Treated guava scrub granules (GSG) as an exfoliating agent were obtained from the decanter waste at Sime Darby Food and Beverages, Sungai Wangi, Perak (SDFB). The treated GSG and tocotrienol were the main active ingredients incorporated in a basic formulation containing 87 % palm-based derivatives. Guava body scrub (GBS) and guava facial scrub (GFS) lotions were developed at skin pH 5.5 and pH 5.6 respectively. Both products were found to be stable for three years due to the liquid crystalline structure in the emulsion system , having small particle size (490 nm and 880 nm) and high zeta potential values (-54 mv and -39 mv). The rheological properties showed that the GBS lotion had a viscosity at 900 Pas and a yield value at 98 Pa, whereas the GFS lotion 60 Pas and 6 Pa viscosity and yield values respectively. The formulations were designed to be soft and flowable, with the firmness force indicated at 111 g and 66 g for GBS lotion and GFS lotion respectively. Efficacy testing on 20 healthy subjects showed a significant decrease of 21 % and 22 % in skin sebum removal for GBS lotion and GFS lotion respectively. (author)

  2. Differences in agricultural activities related to incidence of scrub typhus between Korea and Japan.

    Science.gov (United States)

    Ma, Chang-Jin; Oh, Gyung-Jae; Kang, Gong-Unn; Lee, Jeong Mi; Lee, Da-Un; Nam, Hae-Sung; Ryu, So Yeon; Lee, Young-Hoon

    2017-01-01

    The purpose of this study was to establish a basis for improving or strengthening the preventive strategy against scrub typhus in Korea by comparing and analyzing the difference of prevention behaviors contributing to the occurrence of scrub typhus in Japan and Korea. The survey was carried out in Jeollabuk-do, which is a high risk and high incidence area, and Fukuoka Prefecture, which is a high risk and low incidence area. The study included 406 Korean farmers and 216 Japanese farmers. Data were collected through face-to-face surveys by interviewers who had completed standardized education. Korean farmers have a higher percentage of agricultural working posture that involved contact with weeds than Japanese farmers (pwork was more appropriate for Japanese farmers than for Korean farmers (pwork was lower in Korea than in Japan, lower in men than women, and lower in part-time farmers than full-time farmers (p<0.05). This study suggests that it is reasonable to develop and provide a program that can improve the level of preventive behavior taking into consideration the characteristics of the subject in order to reduce the incidence of diseases in high-risk areas for scrub typhus.

  3. Pool scrubbing and hydrodynamic experiments on jet injection regime

    International Nuclear Information System (INIS)

    Peyres, V.; Espigares, M.M.; Polo, J.; Escudero, M.J.; Herranz, L.E.; Lopez-Jimenez, J.

    1995-01-01

    Plant analyses have shown that pool scrubbing can play an important role in source term during PWR risk dominant sequences. An examination ofboundary conditions governing fission products and aerosols transport through aqueous beds revealed that most of radioactivity is discharged into the pool under jet injection regime. This fact and the lack of experimental data under such conditions pointed the need of setting out an experimental programme which provided reliable experimental data to validate code models. In this report the major results of a pool scrubbing experimental programme carried out in PECA facility are presented. One of the major findings was that a remarkable fraction of particle absorption was not a function of the residence time of bubbles rising through the pool. Such a contribution was assumed to be associated to aerosol removal mechanisms acting at the pool entrance. As a consequence, a hydrodynamic experimental plan was launched to examine the gas behaviour during the initial stages in the pool. Size and shape of gas nuclei the pool were measured and fitted to a long normal distribution. Particularly, size was found to be quite sensitive to inletgas flow and at minor extent to gas composition and pool temperature. SPARC90 and BUSCA-AUG92 were used to simulate the retention tests. Whereas SPARC90 showed a pretty good agreement with experimental data, BUSCA-AUG92 results were far away from measurements in all the cases. SPARC90consistency apparently pointed out the important role of fission products and aerosols retention at the injection zone; nonetheless, a peer examination of pool scrubbing phenomenology at the pool entrance should be carried out to test both hydrodynamic and removal models. Hence, one of the major highlights drawn from this work was the need of further research under representative severe accident conditions (i.e., saturated pools, jet injection regimes, etc.), as well as separate effect tests to validate, improve and

  4. Pool scrubbing and hydrodynamic experiment on jet injection regime

    Energy Technology Data Exchange (ETDEWEB)

    Peyres, V.; Espigares, M.M.; Polo, J.; Escudero, M.J.; Herranz, L.E.; Lopez, J.

    1995-07-01

    Plant analyses nave shown that pool scrubbing can play an important role in source term during PWR risk dominant sequences. An examination of boundary conditions governing fission products and aerosols transport through aqueous beds revealed that most of radioactivity is discharged into the pool under jet injection regime. This fact and the lack of experimental data under such conditions pointed the need of setting out an experimental programme which provided reliable experimental data to validate code models. In this report the major results of a pool scrubbing experimental programme carried out in PECA facility are presented. One of the major findings was that a remarkable fraction of particle absorption was not a function of the residence time of bubbles rising through the pool. Such a contribution was assumed to be associated to aerosol removal mechanism acting at the pool entrance. As a consequence. a hydrodynamic experimental plan was launched to examine the gas behaviour during the initial stages in the pool. Size and shape of gas nuclei in the pool were measured and fitted to a lognormal distribution. Particularly, size was found to be quite sensitive to inlet gas flow and at minor extent to gas composition and pool temperature. SPARC90 and BUSCA-AUG92 were used to simulate the retention tests. Whereas SPARC90 showed a pretty good agreement with experimental data, BUSCA-AUG92 results were far away from measurements in all the cases. SPARC90 consistency apparently pointed out the important role of fission products and aerosols retention at the injection zone; nonetheless, a peer examination of pool scrubbing phenomenology at the pool entrance should be carried out to test both hydrodynamic and removal models. Hence, one of the major high lights drawn from this work was the need of further research under representative severe accident conditions (i.e., saturated pools, jet injection regimes, etc.), as well as separate effect tests to validate, improve and

  5. Pool scrubbing and hydrodynamic experiment on jet injection regime

    International Nuclear Information System (INIS)

    Peyres, V.; Espigares, M.M.; Polo, J.; Escudero, M.J.; Herranz, L.E.; Lopez, J.

    1995-01-01

    Plant analyses nave shown that pool scrubbing can play an important role in source term during PWR risk dominant sequences. An examination of boundary conditions governing fission products and aerosols transport through aqueous beds revealed that most of radioactivity is discharged into the pool under jet injection regime. This fact and the lack of experimental data under such conditions pointed the need of setting out an experimental programme which provided reliable experimental data to validate code models. In this report the major results of a pool scrubbing experimental programme carried out in PECA facility are presented. One of the major findings was that a remarkable fraction of particle absorption was not a function of the residence time of bubbles rising through the pool. Such a contribution was assumed to be associated to aerosol removal mechanism acting at the pool entrance. As a consequence. a hydrodynamic experimental plan was launched to examine the gas behaviour during the initial stages in the pool. Size and shape of gas nuclei in the pool were measured and fitted to a lognormal distribution. Particularly, size was found to be quite sensitive to inlet gas flow and at minor extent to gas composition and pool temperature. SPARC90 and BUSCA-AUG92 were used to simulate the retention tests. Whereas SPARC90 showed a pretty good agreement with experimental data, BUSCA-AUG92 results were far away from measurements in all the cases. SPARC90 consistency apparently pointed out the important role of fission products and aerosols retention at the injection zone; nonetheless, a peer examination of pool scrubbing phenomenology at the pool entrance should be carried out to test both hydrodynamic and removal models. Hence, one of the major high lights drawn from this work was the need of further research under representative severe accident conditions (i.e., saturated pools, jet injection regimes, etc.), as well as separate effect tests to validate, improve and

  6. Fuzzy logic utilization for the diagnosis of metallic loose part impact in nuclear power plant

    International Nuclear Information System (INIS)

    Oh, Y.-G.; Hong, H.-P.; Han, S.-J.; Chun, C.S.; Kim, B.-K.

    1996-01-01

    In consideration of the fuzzy nature of impact signals detected from the complex mechanical structures in a nuclear power plant under operation. Loose Part Monitoring System with a signal processing technique utilizing fuzzy logic is proposed. In the proposed Fuzzy Loose Part Monitoring System design, comprehensive relations among the impact signal features are taken into account in the fuzzy rule bases for the alarm discrimination and impact event diagnosis. Through the performance test with a mock-up facility, the proposed approach for the loose parts monitoring and diagnosis has been revealed to be effective not only in suppressing the false alarm generation but also in characterizing the metallic loose-part impact event, from the points of Possible Impacted-Area and Degree of Impact Magnitude

  7. NOx retention in scrubbing column

    International Nuclear Information System (INIS)

    Nakazone, A.K.; Costa, R.E.; Lobao, A.S.T.; Matsuda, H.T.; Araujo, B.F.

    1988-07-01

    During the UO 2 dissolution in nitric acid, some different species of NO x are released. The off gas can either be refluxed to the dissolver or be released and retained on special columns. The final composition of the solution is the main parameter to take in account. A process for nitrous gases retention using scubber columns containing H 2 O or diluted HNO 3 is presented. Chemiluminescence measurement was employed to NO x evalution before and after scrubbing. Gas flow, temperature, residence time are the main parameters considered in this paper. For the dissolution of 100g UO 2 in 8M nitric acid, a 6NL/h O 2 flow was the best condition for the NO/NO 2 oxidation with maximum adsorption in the scrubber columns. (author) [pt

  8. Gamma-irradiated scrub typhus immunogens: analysis for residual replicating rickettsiae

    International Nuclear Information System (INIS)

    Eisenberg, G.H. Jr.; Osterman, J.V.; Stephenson, E.H.

    1980-01-01

    Scrub thyphus immunogens that received inadequate gamma radiation contained residual, viable rickettsiae. The presence of these organisms in the host was masked by the rapid immune response elicited by the large number of inactivated rickettsiae. Transfer of homogenized spleen cells from immunized mice to normal syngeneic recipients provided a sensitive technique for the detection of these viable, replicating organisms

  9. Hydraulic mechanism and time-dependent characteristics of loose gully deposits failure induced by rainfall

    Directory of Open Access Journals (Sweden)

    Yong Wu

    2015-12-01

    Full Text Available Failure of loose gully deposits under the effect of rainfall contributes to the potential risk of debris flow. In the past decades, researches on hydraulic mechanism and time-dependent characteristics of loose deposits failure are frequently reported, however adequate measures for reducing debris flow are not available practically. In this context, a time-dependent model was established to determine the changes of water table of loose deposits using hydraulic and topographic theories. In addition, the variation in water table with elapsed time was analyzed. The formulas for calculating hydrodynamic and hydrostatic pressures on each strip and block unit of deposit were proposed, and the slope stability and failure risk of the loose deposits were assessed based on the time-dependent hydraulic characteristics of established model. Finally, the failure mechanism of deposits based on infinite slope theory was illustrated, with an example, to calculate sliding force, anti-sliding force and residual sliding force applied to each slice. The results indicate that failure of gully deposits under the effect of rainfall is the result of continuously increasing hydraulic pressure and water table. The time-dependent characteristics of loose deposit failure are determined by the factors of hydraulic properties, drainage area of interest, rainfall pattern, rainfall duration and intensity.

  10. Determination of the thermophysical properties of loose rocks; Bestimmung der thermophysikalischen Kennwerte von Lockergesteinen

    Energy Technology Data Exchange (ETDEWEB)

    Stegner, Johannes; Seehaus, Rainer; Sass, Ingo [Technische Univ. Darmstadt (Germany). Fachgebiet Angewandte Geothermie

    2012-10-16

    The heat conductivity as well as the temperature conductivity of loose rocks are the most important properties for the quantification of the yields of near-surface geothermal power plants. The more details on the heat conductivity are available, the more economical and sustainable is the dimensioning of a plant. The heat conductivity of loose rocks depends on the heat conductivity of the individual grain size fractions, water content, air pore volume, dry density, pressure conditions and temperature. Actually, a standardized procedure for the determination of geothermal parameters is missing. Thus, a measurement device for the investigation of the heat conductivity and thermal conductivity is developed. This measurement device enables a reproducible investigation of loose rocks optionally at a pressure consistency of up to 7.6 MPa, or at a volume consistency in the temperature range from -10 to +80 Celsius. The functionality of this measurement device can be validated by means of a comparison of measurements and finite element method simulations using loose rock standards. Additionally, the results of the field tests were correlated with in-situ values. In addition to validation of measurement devices, the measurement results are used to create calculation models for the geothermal parameters of loose rocks based on soil mechanical properties.

  11. Power requirements of biogas upgrading by water scrubbing and biomethane compression: Comparative analysis of various plant configurations

    International Nuclear Information System (INIS)

    Budzianowski, Wojciech M.; Wylock, Christophe E.; Marciniak, Przemysław A.

    2017-01-01

    Highlights: • Insights into power requirements of biomethane production from biogas are provided. • Process model is constructed, validated and simulated. • High-pressure and low-pressure plant operation in different configurations is compared. - Abstract: Biogas upgrading by water scrubbing followed by biomethane compression is an environmentally benign process. It may be achieved using various plant configurations characterised by various power requirements with associated effects on biomethane sustainability. Therefore, the current study has been undertaken to systematically investigate the power requirements of a range of water scrubbing options. Two groups of water scrubbing are analysed: (1) high pressure water scrubbing (HPWS) and (2) near-atmospheric pressure water scrubbing (NAPWS). A water scrubbing plant model is constructed, experimentally validated and simulated for seven upgrading plant configurations. Simulation results show that the power requirement of biogas upgrading in HPWS plants is mainly associated with biogas compression. In contrast, in NAPWS plants the main power is required for water pumping. In both plants the compression of the biomethane from atmosphereic pressure to 20 MPa also contributes remarkably. It is observed that the lowest specific power requirement can be obtained for a NAPWS plant without water regeneration (0.24 kW h/Nm"3 raw biogas) but this plant requires cheap water supply, e.g. outlet water from a sewage treatment plant or river. The second is HPWS without flash (0.29 kW h/Nm"3 raw biogas). All other HPWS with flash and NAPWS with water regeneration plants have specific power requirements between 0.30 and 0.33 kW h/Nm"3 raw biogas. Biogas compression without upgrading requires about 0.29 kW h/Nm"3 raw biogas. The thermodynamic efficiency of biogas upgrading is between 2.2% and 9.8% depending on the plant configuration while biomethane compression efficiency is higher, about 55%. This result implies that the

  12. Process for the restoration of solids contaminated with hydrocarbons and heavy organic compounds

    International Nuclear Information System (INIS)

    Bala, G.A.; Thomas, C.P.; Jackson, J.D.; McMillin, R.A.

    1994-01-01

    Processes have been developed for the restoration of environments contaminated with hydrocarbons and heavy organics. The intended product is a field deployable materials handling system and phase separation process ranging in size from 1 yd 3 /hr to 50 yd 3 /hr for commercial application to environmental problems associated with the exploration, production, refining and transport of petroleum, petroleum products and organic chemicals. Effluents from contaminated sites will be clean solids (classified by size if appropriate), and the concentrated contaminant. The technology is based on biochemical solvation, liquid/liquid and liquid/solid extractions, materials classification, mechanical and hydraulic scrubbing, and phase separation of organic and aqueous phases. Fluid use is minimized through utilization of closed-loop (recycle) systems. Contaminants that are removed from the solid materials may be destroyed, disposed of using existing technologies, or used on-site for cogeneration of /power for plant operations. Additionally, if the contaminant is a valued product, the material may be recovered for application or sale. Clean solid material is not sterilized and may be returned to normal agricultural, commercial, residential or recreational use in most instances

  13. Clinical and Epidemiological Characteristics of Scrub Typhus and Murine Typhus among Hospitalized Patients with Acute Undifferentiated Fever in Northern Vietnam

    Science.gov (United States)

    Hamaguchi, Sugihiro; Cuong, Ngo Chi; Tra, Doan Thu; Doan, Yen Hai; Shimizu, Kenta; Tuan, Nguyen Quang; Yoshida, Lay-Myint; Mai, Le Quynh; Duc-Anh, Dang; Ando, Shuji; Arikawa, Jiro; Parry, Christopher M.; Ariyoshi, Koya; Thuy, Pham Thanh

    2015-01-01

    A descriptive study on rickettsiosis was conducted at the largest referral hospital in Hanoi, Vietnam, to identify epidemiological and clinical characteristics of specific rickettsiosis. Between March 2001 and February 2003, we enrolled 579 patients with acute undifferentiated fever (AUF), excluding patients with malaria, dengue fever, and typhoid fever, and serologically tested for Orientia tsutsugamushi and Rickettsia typhi. Of the patients, 237 (40.9%) and 193 (33.3%) had scrub and murine typhus, respectively, and 149 (25.7%) had neither of them (non–scrub and murine typhus [non-ST/MT]). The proportion of murine typhus was highest among patients living in Hanoi whereas that of scrub typhus was highest in national or regional border areas. The presence of an eschar, dyspnea, hypotension, and lymphadenopathy was significantly associated with a diagnosis of scrub typhus (OR = 46.56, 10.90, 9.01, and 7.92, respectively). Patients with murine typhus were less likely to have these findings but more likely to have myalgia, rash, and relative bradycardia (OR = 1.60, 1.56, and 1.45, respectively). Scrub typhus and murine typhus were shown to be common causes of AUF in northern Vietnam although the occurrence of spotted fever group rickettsiae was not determined. Clinical and epidemiological information may help local clinicians make clinical diagnosis of specific rickettsioses in a resource-limited setting. PMID:25778504

  14. Scrub typhus meningoencephalitis, a diagnostic challenge for clinicians: A hospital based study from North-East India

    Directory of Open Access Journals (Sweden)

    M D Jamil

    2015-01-01

    Full Text Available Central nervous system (CNS involvement is a known complication of scrub typhus which range from mild meningitis to frank meninigoencephalitis.Aims and objectives: To study the clinical feature, laboratory parameters and response to treatment of scrub typhus meningitis/meningoencephalitis.Methods and Materials: This is a hospital based prospective observational study from North Eastern India. Diagnosis was based on clinical features and positive serological test (Weil's Felix test and IgM antibody card test.Results: 13 patients of scrub typhus with features of meningitis/meningoencephalitis were included. The mean duration of fever before presentation was 5.61±3.08 days and 4 (30.76 % patients had eschar. Altered sensorium, headache, seizure and meningeal sign were present in 13 (100%, 13 (100%, 6 (46.15% and 10 (76.92% patients respectively. Mean CSF protein, glucose and Adenosine deaminase was 152.16±16.88mg/dl, 55.23±21.7mg/dl, and 16.98±7.37U/L respectively. Mean total count of CSF leukocyte and lymphocyte percentage was 46.07±131 cell/cumm and 98.66±3.09% respectively. Tablet doxycycline with or without injection azithromycin was used and that shows good response 15.38% of patients died and all of them had multi organ dysfunction. Conclusion: Meningoencephalitis is a common manifestation of scrub typhus and diagnosis requires high degree of clinical suspicion which if diagnosed early and specific treatment started, patients usually recover completely with few complications.

  15. Diagnostic performance of serological tests to detect antibodies against acute scrub typhus infection in central India

    Directory of Open Access Journals (Sweden)

    Kiran Pote

    2018-01-01

    Full Text Available Background: Differentiating scrub typhus from other acute febrile illness is difficult due to non specificity of clinical symptoms and relative absence of eschar in Indian population. The diagnosis thus relies mainly on laboratory tests. Antibody based serological tests are mainstay of scrub typhus diagnosis. Here, we evaluated the diagnostic performance of IgM ELISA, IgM IFA and ICT to detect antibodies against O. tsutsugamushi in acute serum of febrile patients. Methodology: The serum samples from 600 randomly selected patients suffering from acute undifferentiated fever were tested by all the three tests mentioned above. We used latent class analysis to generate unbiased results as all the tests for scrub typhus diagnosis are imperfect and none of them can be considered as reference standard. Results: We found that IgM ELISA with cutoff titer 0.5 OD has high diagnostic accuracy (sensitivity 99.9% and specificity 99.15 than IgM IFA (sensitivity 96.8% and specificity 99.7% for scrub typhus diagnosis. ICT used in our study had very high specificity 100% but low sensitivity (38% which would limit its use for acute serum samples. ICT being a screening or point of care test, has to be more sensitive while some compromise with specificity is affordable. Hence, optimal cutoff for ICT should be evaluated under different settings. Conclusion: IgM ELISA being simple and affordable could be an alternative diagnostic test to IgM IFA which is subjective and costly.

  16. Diagnostic performance of serological tests to detect antibodies against acute scrub typhus infection in central India.

    Science.gov (United States)

    Pote, Kiran; Narang, Rahul; Deshmukh, Pradeep

    2018-01-01

    Differentiating scrub typhus from other acute febrile illness is difficult due to non specificity of clinical symptoms and relative absence of eschar in Indian population. The diagnosis thus relies mainly on laboratory tests. Antibody based serological tests are mainstay of scrub typhus diagnosis. Here, we evaluated the diagnostic performance of IgM ELISA, IgM IFA and ICT to detect antibodies against O. tsutsugamushi in acute serum of febrile patients. The serum samples from 600 randomly selected patients suffering from acute undifferentiated fever were tested by all the three tests mentioned above. We used latent class analysis to generate unbiased results as all the tests for scrub typhus diagnosis are imperfect and none of them can be considered as reference standard. We found that IgM ELISA with cutoff titer 0.5 OD has high diagnostic accuracy (sensitivity 99.9% and specificity 99.15) than IgM IFA (sensitivity 96.8% and specificity 99.7%) for scrub typhus diagnosis. ICT used in our study had very high specificity 100% but low sensitivity (38%) which would limit its use for acute serum samples. ICT being a screening or point of care test, has to be more sensitive while some compromise with specificity is affordable. Hence, optimal cutoff for ICT should be evaluated under different settings. IgM ELISA being simple and affordable could be an alternative diagnostic test to IgM IFA which is subjective and costly.

  17. Effects of Width, Edge and Habitat on the Abundance and Nesting Success of Scrub-shrub Birds in Powerline Corridors

    Science.gov (United States)

    David I. King; Richard B. Chandler; Jeffrey M. Collins; Wayne R. Petersen; Thomas E. Lautzenheiser

    2009-01-01

    Concern about declines in scrub–shrub bird populations has resulted in efforts to create and maintain habitat for these species. Vegetation within powerline corridors is managed to prevent contact of vegetation with transmission lines, and comprises approximately 2% of all of habitat for scrub–shrub birds in southern New England. Although previous studies have...

  18. Simultaneous removal of nitrogen oxide/nitrogen dioxide/sulfur dioxide from gas streams by combined plasma scrubbing technology.

    Science.gov (United States)

    Chang, Moo Been; Lee, How Ming; Wu, Feeling; Lai, Chi Ren

    2004-08-01

    Oxides of nitrogen (NOx) [nitrogen oxide (NO) + nitrogen dioxide (NO2)] and sulfur dioxide (SO2) are removed individually in traditional air pollution control technologies. This study proposes a combined plasma scrubbing (CPS) system for simultaneous removal of SO2 and NOx. CPS consists of a dielectric barrier discharge (DBD) and wet scrubbing in series. DBD is used to generate nonthermal plasmas for converting NO to NO2. The water-soluble NO2 then can be removed by wet scrubbing accompanied with SO2 removal. In this work, CPS was tested with simulated exhausts in the laboratory and with diesel-generator exhausts in the field. Experimental results indicate that DBD is very efficient in converting NO to NO2. More than 90% removal of NO, NOx, and SO2 can be simultaneously achieved with CPS. Both sodium sulfide (Na2S) and sodium sulfite (Na2SO3) scrubbing solutions are good for NO2 and SO2 absorption. Energy efficiencies for NOx and SO2 removal are 17 and 18 g/kWh, respectively. The technical feasibility of CPS for simultaneous removal of NO, NO2, and SO2 from gas streams is successfully demonstrated in this study. However, production of carbon monoxide as a side-product (approximately 100 ppm) is found and should be considered.

  19. Parasites of domestic and wild animals in South Africa. XXXII. Ixodid ticks on scrub hares in the Transvaal.

    Science.gov (United States)

    Horak, I G; Spickett, A M; Braack, L E; Penzhorn, B L

    1993-09-01

    A total of 264 scrub hares (Lepus saxatilis) were examined for ixodid ticks at various localities in the Kruger National Park, eastern Transvaal Lowveld. Thirteen tick species were recovered from these hares. The seasonal abundances of the immature stages of Amblyomma hebraeum, Amblyomma marmoreum, Hyalomma truncatum, Rhipicephalus appendiculatus, Rhipicephalus evertsi evertsi, Rhipicephalus simus and Rhipicephalus zambeziensis and all stages of a Rhipicephalus sp. (near R. pravus) were determined. Three scrub hares, examined in the north-western Transvaal Bushveld, were infested with five ixodid tick species. Ten hares examined in the eastern Transvaal Highveld harboured three species. A total of 15 ixodid tick species were recovered from the scrub hares examined in the three regions of the Transvaal. No haematozoa were found in blood smears made from the hares examined in the southern region of the Kruger National Park.

  20. Revelations of an overt water contamination.

    Science.gov (United States)

    Singh, Gurpreet; Kaushik, S K; Mukherji, S

    2017-07-01

    Contaminated water sources are major cause of water borne diseases of public health importance. Usually, contamination is suspected after an increase in patient load. Two health teams investigated the episode. First team conducted sanitary survey, and second team undertook water safety and morbidity survey. On-site testing was carried out from source till consumer end. Investigation was also undertaken to identify factors which masked the situation. Prevention and control measures included super chlorination, provision of alternate drinking water sources, awareness campaign, layout of new water pipeline bypassing place of contamination, repair of sewers, flushing and cleaning of water pipelines, and repeated water sampling and testing. Multiple sources of drinking water supply were detected. Water samples from consumer end showed 18 coliforms per 100 ml. Sewer cross connection with active leakage in water pipeline was found and this was confirmed by earth excavation. Water safety and morbidity survey found majority of households receiving contaminated water supply. This survey found no significant difference among households receiving contaminated water supply and those receiving clean water. Average proportion of household members with episode of loose motions, pain abdomen, vomiting, fever, and eye conditions was significantly more among households receiving contaminated water. The present study documents detailed methodology of investigation and control measures to be instituted on receipt of contaminated water samples. Effective surveillance mechanisms for drinking water supplies such as routine testing of water samples can identify water contamination at an early stage and prevent an impending outbreak.

  1. Loose Coupling of Wearable-Based INSs with Automatic Heading Evaluation

    Directory of Open Access Journals (Sweden)

    Dina Bousdar Ahmed

    2017-11-01

    Full Text Available Position tracking of pedestrians by means of inertial sensors is a highly explored field of research. In fact, there are already many approaches to implement inertial navigation systems (INSs. However, most of them use a single inertial measurement unit (IMU attached to the pedestrian’s body. Since wearable-devices will be given items in the future, this work explores the implementation of an INS using two wearable-based IMUs. A loosely coupled approach is proposed to combine the outputs of wearable-based INSs. The latter are based on a pocket-mounted IMU and a foot-mounted IMU. The loosely coupled fusion combines the output of the two INSs not only when these outputs are least erroneous, but also automatically favoring the best output. This approach is named smart update. The main challenge is determining the quality of the heading estimation of each INS, which changes every time. In order to address this, a novel concept to determine the quality of the heading estimation is presented. This concept is subject to a patent application. The results show that the position error rate of the loosely coupled fusion is 10 cm/s better than either the foot INS’s or pocket INS’s error rate in 95% of the cases.

  2. Loose Coupling of Wearable-Based INSs with Automatic Heading Evaluation.

    Science.gov (United States)

    Bousdar Ahmed, Dina; Munoz Diaz, Estefania

    2017-11-03

    Position tracking of pedestrians by means of inertial sensors is a highly explored field of research. In fact, there are already many approaches to implement inertial navigation systems (INSs). However, most of them use a single inertial measurement unit (IMU) attached to the pedestrian's body. Since wearable-devices will be given items in the future, this work explores the implementation of an INS using two wearable-based IMUs. A loosely coupled approach is proposed to combine the outputs of wearable-based INSs. The latter are based on a pocket-mounted IMU and a foot-mounted IMU. The loosely coupled fusion combines the output of the two INSs not only when these outputs are least erroneous, but also automatically favoring the best output. This approach is named smart update. The main challenge is determining the quality of the heading estimation of each INS, which changes every time. In order to address this, a novel concept to determine the quality of the heading estimation is presented. This concept is subject to a patent application. The results show that the position error rate of the loosely coupled fusion is 10 cm/s better than either the foot INS's or pocket INS's error rate in 95% of the cases.

  3. Inventory assessment and determination of properties of dust contamination in the Shelter under-roof space

    International Nuclear Information System (INIS)

    Bogatov, S.A.

    2000-01-01

    Experimental results on study of radionuclide contamination of surfaces under the roof of Shelter have been analyzed. Values of 'loose' and fixed fuel contamination densities and aerodynamic diameters of dust particles capable of resuspension are obtained. Long term efficiency of dust suppression system under the Shelter roof has been estimated. On the base of retrospective analysis of the results, fuel dust inventory on the surfaces under the Shelter roof was evaluated. 14 refs., 5 tab., 3 figs

  4. Rapid monitoring for transuranic contaminants during buried waste retrieval

    International Nuclear Information System (INIS)

    McIsaac, C.V.; Sill, C.W.; Gehrke, R.J.; Shaw, P.G.; Randolph, P.D.; Amaro, C.R.; Pawelko, R.J.; Thompson, D.N.; Loomis, G.G.

    1991-03-01

    This document reports results of research performed in support of possible future transuranic waste retrieval operations at the Idaho National Engineering Laboratory Radioactive Waste Management Complex. The focus of this research was to evaluate various methods of performing rapid and, as much as possible, ''on-line'' quantitative measurements of 239 Pu or 241 Am, either as airborne or loose contamination. Four different alpha continuous air monitors were evaluated for lower levels of detection of airborne 239 Pu. All of the continuous air monitors were evaluated by sampling ambient air. In addition, three of the continuous air monitors were evaluated by sampling air synthetically laden with clean dust and dust spiked with 239 Pu. Six methods for making quantitative measurements of loose contamination were investigated. They were: (1) microwave digestion followed by counting in a photon electron rejecting alpha liquid scintillation spectrometer, (2) rapid radiochemical separation followed by alpha spectrometry, (3) measurement of the 241 Am 59 keV gamma ray using a thin window germanium detector, (4) measurement of uranium L-shell x-rays, (5) gross alpha counting using a large-area Ag activated ZnS scintillator, and (6) direct counting of alpha particles using a large-area ionization chamber. 40 refs., 42 figs., 24 tabs

  5. Structural looseness investigation in slow rotating permanent magnet generators

    DEFF Research Database (Denmark)

    Skrimpas, Georgios Alexandros; Mijatovic, Nenad; Sweeney, Christian Walsted

    2016-01-01

    Structural looseness in electric machines is a condition influencing the alignment of the machine and thus the overall bearing health. In this work, assessment of the above mentioned failure mode is tested on a slow rotating (running speed equal to 0.7Hz) permanent magnet generator (PMG), while...... collecting vibration and current data in order to cross-reference the indications from the two monitoring techniques. It is found that electric signature analysis shows no response even when two hold down bolts are untightened, whereas the analysis results from the vibration data exhibit superior performance....... The vibration-based condition indicators with the best response are the stator slot pass frequency, which can be directly related to the cogging torque in PMGs, and the 4th electric frequency harmonic, whose amplitudes increase due to the overall lower structure damping coefficient under looseness...

  6. An outbreak investigation of scrub typhus in Western Province, Solomon Islands, 2014

    Directory of Open Access Journals (Sweden)

    Michael Marks

    2016-01-01

    Full Text Available Objective: To identify the etiology and risk factors of undifferentiated fever in a cluster of patients in Western Province, Solomon Islands, May 2014. Methods: An outbreak investigation with a case control study was conducted. A case was defined as an inpatient in one hospital in Western Province, Solomon Islands with high fever (> 38.5 °C and a negative malaria microscopy test admitted between 1 and 31 May 2014. Asymptomatic controls matched with the cases residentially were recruited in a ratio of 1:2. Serum samples from the subjects were tested for rickettsial infections using indirect micro-immunofluorescence assay. Results: Nine cases met the outbreak case definition. All cases were male. An eschar was noted in five cases (55%, and one developed pneumonitis. We did not identify any environmental factors associated with illness. Serum samples of all five follow-up cases (100% had strong-positive IgG responses to scrub typhus. All but one control (10% had a moderate response against scrub typhus. Four controls had low levels of antibodies against spotted fever group rickettsia, and only one had a low-level response to typhus group rickettsia. Discussion: This outbreak represents the first laboratory-confirmed outbreak of scrub typhus in the Western Province of Solomon Islands. The results suggest that rickettsial infections are more common than currently recognized as a cause of an acute febrile illness. A revised clinical case definition for rickettsial infections and treatment guidelines were developed and shared with provincial health staff for better surveillance and response to future outbreaks of a similar kind.

  7. Epidemiological, clinical and laboratory profile of scrub typhus cases detected by serology and RT-PCR in Kumaon, Uttarakhand: a hospital-based study.

    Science.gov (United States)

    Rawat, Vinita; Singh, Rajesh Kumar; Kumar, Ashok; Saxena, Sandip R; Varshney, Umesh; Kumar, Mukesh

    2018-04-01

    We analysed the epidemiology, clinical and laboratory data of the 168 scrub typhus cases confirmed by a combination of any one of the following: real time polymerase chain reaction (RT-PCR) and/or immunofluorescence assay (IFA) (IgM and/or IgG). The peak season for scrub typhus was from July to October. By multivariate binary logistic regression analysis, the risk of scrub typhus was about four times in those working in occupation related to forest work. Major clinical manifestations were fever (100%), myalgia (65%), cough (51%) and vomiting (46%); major complications were meningitis/meningoencephatilitis (12.5%) and multi-organ failure (MOF) and pneumonia (5.3% each). Laboratory investigations revealed raised aminotranferase levels and thrombocytopenia in most confirmed cases. We conclude that scrub typhus is an important cause of febrile illness in the Kumaon hills of Uttarakhand where this disease had not previously been considered to exist.

  8. Outbreak of scrub typhus in the North East Himalayan region-Sikkim: An emerging threat

    Directory of Open Access Journals (Sweden)

    S Gurung

    2013-01-01

    Full Text Available Scrub typhus is an acute febrile illness that is known to be endemic in the South East Asian countries and the Western Pacific region. We here report an outbreak in the tiny Himalayan state of Sikkim. Patients with pyrexia of unknown origin were evaluated. They were screened by Weil-Felix test and the rapid immunochromatographic method. Samples that were positive by either Weil-Felix agglutination test or by rapid immunochromatography were confirmed by IgM enzyme-linked immunosorbent assay (ELISA. A total 204 samples were screened. Sixty-three patients were confirmed positive among which 42 were male and 21 were female. Effective management and early administration of antibiotics will help prevent the complications and mortality associated with scrub typhus.

  9. Scrub typhus in South India: clinical and laboratory manifestations, genetic variability, and outcome.

    Science.gov (United States)

    Varghese, George M; Janardhanan, Jeshina; Trowbridge, Paul; Peter, John V; Prakash, John A J; Sathyendra, Sowmya; Thomas, Kurien; David, Thambu S; Kavitha, M L; Abraham, Ooriapadickal C; Mathai, Dilip

    2013-11-01

    This study sought to document the clinical and laboratory manifestations, genetic variability, and outcomes of scrub typhus, an often severe infection caused by Orientia tsutsugamushi, in South India. Patients admitted to a large teaching hospital with IgM ELISA-confirmed scrub typhus were evaluated. Clinical examination with a thorough search for an eschar, laboratory testing, chest X-ray, and outcome were documented and analyzed. Additionally, a 410-bp region of the 56-kDa type-specific antigen gene of O. tsutsugamushi was sequenced and compared with isolates from other regions of Asia. Most of the 154 patients evaluated presented with fever and non-specific symptoms. An eschar was found in 86 (55%) patients. Mild hepatic involvement was seen in most, with other organ involvement including respiratory, cardiovascular, and renal. Multi-organ dysfunction was noted in 59 (38.3%), and the fatality rate was 7.8%. Hypotension requiring vasoactive agents was found to be an independent predictor of mortality (p<0.001). The phylogeny of 26 samples showed 17 (65%) clustering with the Kato-like group and eight (31%) with the Karp-like group. The presentation of scrub typhus can be variable, often non-specific, but with potentially severe multi-organ dysfunction. Prompt recognition is key to specific treatment and good outcomes. Further study of the circulating strains is essential for the development of a successful vaccine and sensitive point-of-care testing. Copyright © 2013 International Society for Infectious Diseases. Published by Elsevier Ltd. All rights reserved.

  10. An Intradermal Inoculation Mouse Model for Immunological Investigations of Acute Scrub Typhus and Persistent Infection.

    Directory of Open Access Journals (Sweden)

    Lynn Soong

    2016-08-01

    Full Text Available Scrub typhus is a neglected tropical disease, caused by Orientia tsutsugamushi, a Gram-negative bacterium that is transmitted to mammalian hosts during feeding by Leptotrombidium mites and replicates predominantly within endothelial cells. Most studies of scrub typhus in animal models have utilized either intraperitoneal or intravenous inoculation; however, there is limited information on infection by the natural route in murine model skin or its related early host responses. Here, we developed an intradermal (i.d. inoculation model of scrub typhus and focused on the kinetics of the host responses in the blood and major infected organs. Following ear inoculation with 6 x 104 O. tsutsugamushi, mice developed fever at 11-12 days post-infection (dpi, followed by marked hypothermia and body weight loss at 14-19 dpi. Bacteria in blood and tissues and histopathological changes were detected around 9 dpi and peaked around 14 dpi. Serum cytokine analyses revealed a mixed Th1/Th2 response, with marked elevations of MCP-1/CCL2, MIP-1α/CCL3 and IL-10 at 9 dpi, followed by increased concentrations of pro-inflammatory markers (IL-6, IL-12, IFN-γ, G-CSF, RANTES/CCL5, KC/CCL11, IL-1α/β, IL-2, TNF-α, GM-CSF, as well as modulatory cytokines (IL-9, IL-13. Cytokine levels in lungs had similar elevation patterns, except for a marked reduction of IL-9. The Orientia 47-kDa gene and infectious bacteria were detected in several organs for up to 84 dpi, indicating persistent infection. This is the first comprehensive report of acute scrub typhus and persistent infection in i.d.-inoculated C57BL/6 mice. This is a significant improvement over current murine models for Orientia infection and will permit detailed studies of host immune responses and infection control interventions.

  11. Tapping and listening: a new approach to bolt looseness monitoring

    Science.gov (United States)

    Kong, Qingzhao; Zhu, Junxiao; Ho, Siu Chun Michael; Song, Gangbing

    2018-07-01

    Bolted joints are among the most common building blocks used across different types of structures, and are often the key components that sew all other structural parts together. Monitoring and assessment of looseness in bolted structures is one of the most attractive topics in mechanical, aerospace, and civil engineering. This paper presents a new percussion-based non-destructive approach to determine the health condition of bolted joints with the help of machine learning. The proposed method is very similar to the percussive diagnostic techniques used in clinical examinations to diagnose the health of patients. Due to the different interfacial properties among the bolts, nuts and the host structure, bolted joints can generate unique sounds when it is excited by impacts, such as from tapping. Power spectrum density, as a signal feature, was used to recognize and classify recorded tapping data. A machine learning model using the decision tree method was employed to identify the bolt looseness level. Experiments demonstrated that the newly proposed method for bolt looseness detection is very easy to implement by ‘listening to tapping’ and the monitoring accuracy is very high. With the rapid in robotics, the proposed approach has great potential to be implemented with intimately weaving robotics and machine learning to produce a cyber-physical system that can automatically inspect and determine the health of a structure.

  12. The milk quality and feasebility analysis of loose housing dairy cows - a case study

    Directory of Open Access Journals (Sweden)

    Marjan Janžekovič

    2006-03-01

    Full Text Available The aim of the study was technological and economical analysis of free range cow breeding. The case study analyzed two different systems of holstein-friesian dairy cows breeding. The model total costs enterprise budget was developed for evaluation of economic feasibility of loose housing dairy cows in comparison with tied cow breeding system. Computer supported calculation enabled estimation of the most important economical parameters (net return, total cost, and coefficient of economics. Results obtained show that (at observed input parameters loose housing system is economically feasible, if there is a minimum of 41 dairy cows with an average milk production of 8610 kg per cow. It was also established that cows need approximately 6 months to fully adapt to the loose housing system.

  13. Nanofiltration vs. reverse osmosis for the removal of emerging organic contaminants in water reuse

    KAUST Repository

    Yangali-Quintanilla, Victor

    2011-10-01

    Reverse osmosis (RO) in existing water reuse facilities is a water industry standard. However, that approach may be questioned taking into consideration that "tight" NF can be equal or "better" than RO. NF can achieve the same removals of RO membranes when dealing with emerging organic contaminants (pharmaceuticals, pesticides, endocrine disruptors and others). Experiments using 18 emerging contaminants were performed using membranes NF200 and NF90 at bench-scale units, and for a more complete study, results of NF and RO pilot and full-scale experiments where compared to our experimental results. The removal results showed that NF can remove many emerging contaminants. The average removal by tight NF was 82% for neutral contaminants and 97% for ionic contaminants. The average removal by RO was 85% for neutral contaminants and 99% for ionic contaminants. Aquifer recharge and recovery (ARR) followed by NF can effectively remove emerging contaminants with removals over 90% when loose NF membranes are used.

  14. Nanofiltration vs. reverse osmosis for the removal of emerging organic contaminants in water reuse

    KAUST Repository

    Yangali-Quintanilla, Victor

    2011-01-01

    Reverse osmosis (RO) in existing water reuse facilities is a water industry standard. However, that approach may be questioned taking into consideration that "tight" NF can be equal or "better" than RO. NF can achieve the same removals of RO membranes when dealing with emerging organic contaminants (pharmaceuticals, pesticides, endocrine disruptors and others). Experiments using 18 emerging contaminants were performed using membranes NF200 and NF90 at bench-scale units, and for a more complete study, results of NF and RO pilot and fullscale experiments where compared to our experimental results. The removal results showed that NF can remove many emerging contaminants. The average removal by tight NF was 82% for neutral contaminants and 97% for ionic contaminants. The average removal by RO was 85% for neutral contaminants and 99% for ionic contaminants. Aquifer recharge and recovery (ARR) followed by NF can effectively remove emerging contaminants with removals over 90% when loose NF membranes are used. © 2011 2011 Desalination Publications. All rights reserved.

  15. Evaluation of indigenously developed plastic scintillator sheet detector for surface radioactive contamination monitoring application

    International Nuclear Information System (INIS)

    Sahani, R.M.; Chaudhary, H.S.; Mahala, V.K.; Senwar, K.R.; Meena, J.P.

    2018-01-01

    Radioactive contamination may be caused by release of radioactivity in the environment due to accident at nuclear plant/reactor or spillage of loose radioactive materials in a laboratory. The protection of workers from potentially hazardous radiations emitted by the contaminants is a matter of prime concern. The detection of such radiations requires a monitoring system capable of measuring the level of radioactivity at the contaminated site. Plastic scintillators are widely used for large area radiation monitoring due to the ease of preparation in different shape and sizes. These detectors are sensitive to beta and gamma radiation therefore can be used for monitoring of beta and gamma contamination. In this paper, performance results of indigenously developed plastic scintillator sheet of area 800 cm 2 are reported

  16. Molecular epidemiology and genetic diversity of Orientia tsutsugamushi from patients with scrub typhus in 3 regions of India.

    Science.gov (United States)

    Varghese, George M; Janardhanan, Jeshina; Mahajan, Sanjay K; Tariang, David; Trowbridge, Paul; Prakash, John A J; David, Thambu; Sathendra, Sowmya; Abraham, O C

    2015-01-01

    Scrub typhus, an acute febrile illness that is widespread in the Asia-Pacific region, is caused by the bacterium Orientia tsutsugamushi, which displays high levels of antigenic variation. We conducted an investigation to identify the circulating genotypes of O. tsutsugamushi in 3 scrub typhus-endemic geographic regions of India: South India, Northern India, and Northeast India. Eschar samples collected during September 2010-August 2012 from patients with scrub typhus were subjected to 56-kDa type-specific PCR and sequencing to identify their genotypes. Kato-like strains predominated (61.5%), especially in the South and Northeast, followed by Karp-like strains (27.7%) and Gilliam and Ikeda strains (2.3% each). Neimeng-65 genotype strains were also observed in the Northeast. Clarifying the genotypic diversity of O. tsutsugamushi in India enhances knowledge of the regional diversity among circulating strains and provides potential resources for future region-specific diagnostic studies and vaccine development.

  17. Extraction, Scrub, and Strip Test Results for the Salt Waste Processing Facility Caustic Side Solvent Extraction Solvent Sample

    Energy Technology Data Exchange (ETDEWEB)

    Peters, T. B. [Savannah River Site (SRS), Aiken, SC (United States). Savannah River National Lab. (SRNL)

    2017-10-06

    An Extraction, Scrub, and Strip (ESS) test was performed on a sample of Salt Waste Processing Facility (SWPF) Caustic-Side Solvent Extraction (CSSX) solvent and salt simulant to determine cesium distribution ratios (D(Cs)), and cesium concentration in the strip effluent (SE) and decontaminated salt solution (DSS) streams; this data will be used by Parsons to help determine if the solvent is qualified for use at the SWPF. The ESS test showed acceptable performance of the solvent for extraction, scrub, and strip operations. The extraction D(Cs) measured 12.5, exceeding the required value of 8. This value is consistent with results from previous ESS tests using similar solvent formulations. Similarly, scrub and strip cesium distribution ratios fell within acceptable ranges. This revision was created to correct an error. The previous revision used an incorrect set of temperature correction coefficients which resulted in slight deviations from the correct D(Cs) results.

  18. Tricky typhus ticks two: A report of two sisters from North India presenting with acute respiratory distress syndrome due to scrub typhus

    Directory of Open Access Journals (Sweden)

    R Pai

    2016-01-01

    Full Text Available Scrub typhus is emerging as an important cause of acute febrile illness in Northern India. This is a report of two sisters presenting concurrently with acute respiratory distress syndrome. A diagnosis of scrub typhus was made in both the patients, and they were successfully treated with doxycycline.

  19. Plantar pressure distribution of ostrich during locomotion on loose sand and solid ground

    Directory of Open Access Journals (Sweden)

    Rui Zhang

    2017-07-01

    Full Text Available Background The ostrich is a cursorial bird with extraordinary speed and endurance, especially in the desert, and thus is an ideal large-scale animal model for mechanic study of locomotion on granular substrate. Methods The plantar pressure distributions of ostriches walking/running on loose sand/solid ground were recorded using a dynamic pressure plate. Results The center of pressure (COP on loose sand mostly originated from the middle of the 3rd toe, which differed from the J-shaped COP trajectory on solid ground. At mid-stance, a high-pressure region was observed in the middle of the 3rd toe on loose sand, but three high-pressure regions were found on solid ground. The gait mode significantly affected the peak pressures of the 3rd and 4th toes (p = 1.5 × 10−6 and 2.39 × 10−8, respectively, but not that of the claw (p = 0.041. The effects of substrate were similar to those of the gait mode. Discussion Ground reaction force trials of each functional part showed the 3rd toe bore more body loads and the 4th toe undertook less loads. The pressure distributions suggest balance maintenance on loose sand was provided by the 3rd and 4th toes and the angle between their length axes. On loose sand, the middle of the 3rd toe was the first to touch the sand with a smaller attack angle to maximize the ground reaction force, but on solid ground, the lateral part was the first to touch the ground to minimize the transient loading. At push-off, the ostrich used solidification properties of granular sand under the compression of the 3rd toe to generate sufficient traction.

  20. Single-nucleotide polymorphisms in Toll-like receptor (TLR)-2, TLR4 and heat shock protein 70 genes and susceptibility to scrub typhus.

    Science.gov (United States)

    Janardhanan, Jeshina; Joseph Martin, Sherry; Astrup, Elisabeth; Veeramanikandan, R; Aukrust, Pål; Abraham, Ooriapadickal C; Varghese, George M

    2013-11-01

    Scrub typhus is a highly prevalent bacterial infection in India and South Asia that is caused by Orientia tsutsugamushi. The innate immune response to infections is modulated by Toll-like receptors (TLRs) and heat shock proteins (HSPs). This study was done to assess the prevalence and possible association of TLR and HSP polymorphisms in scrub typhus. TLR4 Asp299Gly, TLR4 Thr399Ile, TLR2 Arg753Gln and HSP70-2 A1267G are single-nucleotide polymorphisms (SNPs) that may modulate their activities, and these SNPs were assessed in 137 scrub typhus patients and 134 controls by PCR restriction fragment length polymorphism. We found that the two TLR4 mutations, TLR4 D299G and TLR4T399I, were present in 19.5% and 22% of the study population, respectively, and was in significant linkage disequilibrium with a D' of 0.8. The TLR2 mutation was found to be rare, whereas the HSP A>G mutation was very common (77.5%). Compared with the controls, the prevalence of heterozygous genotype of the TLR4D299G SNP, but not any of the other SNPs, was significantly higher among scrub typhus patients. Further studies using a larger sample size and more candidate genes may better enable in determining the role of these associations in susceptibility and severity of scrub typhus.

  1. WIMS calculations for a model CAGR skip containing clusters and loose pins

    International Nuclear Information System (INIS)

    Halsall, M.J.

    1982-12-01

    Calculations using WIMSD4 and MONK5.3 assess the reactivity consequences of distributing loose fuel pins around a CAGR skip already loaded with 20 fuel clusters, indicated uncertainties in the accuracy of the WIMSD4 multicell option for establishing the worst distribution of loose pins. The present study was undertaken in an attempt to resolve this uncertainty by comparing WIMSD4 single cell and multicell calculations for a representative model problem with results derived from LWRWIMS using discrete ordinates transport theory TWOTRAN to give a more reliable estimate of inter-cell couplings. The study concludes that WIMSD4 is systematic in its treatment of single cells with loose pins added but that somewhat unpredictable discrepancies of the order of 1 per cent in k can arise in calculations of different arrangements of cell types in a multicell situation. This is, nevertheless, of comparable accuracy to the Monte Carlo calculations normally made for studies of this type and hence the relatively rapid WIMSD4 calculations should serve a useful function in deciding which situations to analyse in more detail. (U.K.)

  2. Rapid increase of scrub typhus incidence in Guangzhou, southern China, 2006-2014

    NARCIS (Netherlands)

    Y. Sun (Ye); Wei, Y.-H. (Yue-Hong); Yang, Y. (Yang); Ma, Y. (Yu); S.J. de Vlas (Sake); H.-W. Yao (Hong-Wu); Huang, Y. (Yong); Ma, M.-J. (Mai-Juan); K. Liu (Kun); Li, X.-N. (Xiao-Ning); X. Li (Xinlou); Zhang, W.-H. (Wen-Hui); Fang, L.-Q. (Li-Qun); Yang, Z.-C. (Zhi-Cong); Cao, W.-C. (Wu-Chun)

    2017-01-01

    textabstractBackground: In the last decade, scrub typhus (ST) has been emerging or re-emerging in some areas of Asia, including Guangzhou, one of the most affected endemic areas of ST in China. Methods: Based on the data on all cases reported in Guangzhou from 2006 to 2014, we characterized the

  3. Assessment of heavy metals in loose deposits in drinking water distribution system.

    Science.gov (United States)

    Liu, Quanli; Han, Weiqiang; Han, Bingjun; Shu, Min; Shi, Baoyou

    2018-06-09

    Heavy metal accumulation and potential releases from loose deposits in drinking water distribution system (DWDS) can have critical impacts on drinking water safety, but the associated risks have not been sufficiently evaluated. In this work, the potential biological toxicity of heavy metals in loose deposits was calculated based on consensus-based sediment quality guidelines, and the effects of some of the main water quality parameters, such as the pH and bicarbonate and phosphate content, on the release behaviors of pre-accumulated heavy metals were investigated. The results showed that heavy metals (Cu, As, Cr, Pb, and Cd) significantly accumulated in all the samples, but the contents of the heavy metals were multiple magnitudes lower than the Fe and Mn contents. The potential biotoxicity of As and Cu was relatively high, but the biotoxicity of Cd was negligible. The water quality can significantly influence the release of heavy metals from loose deposits. As the pH increased from 7.0 to 9.0, the release of As and Cr obviously increased. The release of As, Cu, Pb, and Cr also accelerated with the addition of phosphate (from 1 to 5 mg/L). In contrast to the trends for the pH and phosphate, variations in the bicarbonate content did not have a significant influence on the release of As and Cr. The release ratios of heavy metals in the samples were very low, and there was not a correlation between the release rate of the heavy metals in the loose deposits and their potential biotoxicity.

  4. On-line acoustic monitoring of EDF nuclear plants in operation and loose-part diagnosis

    International Nuclear Information System (INIS)

    Morel, J.L.; Puyal, C.

    1991-05-01

    In order to detect incipient failures in nuclear power plant components, EDF has now put into operation more than 50 loose-part monitoring systems, on its 900 MW and 1 300 MW units. This paper first reviews the experience gained on the 900 MW reactors in recent years. It then focuses on the 1 300 MW loose part monitoring system (IDEAL) and to the tools developed for the diagnosis off site within a specific Expertise Laboratory at the Research and Development Division. New studies have been undertaken within the Monitoring and Aid to Diagnosis Station (PSAD) in order to extend the capabilities of loose part diagnosis on site. The new tools here presented integrate the recent progress in acquisition technology (SMART system) and in artificial intelligence (MIGRE expert system)

  5. PENCITRAAN AMERICAN NIGHTMARE MELALUI PENGGUNAAN ARCHETYPEDAN LOOSE SENTENCE STRUCTUREDALAM “THE GREAT GATSBY” KARYA F. SCOTT. FIZGERALD

    Directory of Open Access Journals (Sweden)

    Tintin Susilowati

    2014-12-01

    Full Text Available Penelitian ini adalah penelitian stilistika yang mengkaji tentang penggunaan archetype dan loose sentence structure dalam membangun kesan mental pembaca tentang American Nightmare. Melalui penelitian ini, peneliti peneliti menggali pola-pola penggunaan archetype, loose sentence structure, serta konsep mental pembaca dalam memahami bacaan.Tujuan penelitian ini adalah untuk mengetahui efektifitas gaya penulisan Fizgerald dengan menggunakan ornamen berupa archetype, loose sentence structure guna membangun kesan mental pembaca tentang America Nightmare. Pendekatan penelitian ini adalah deskriptive kualitatif sedangkan desainnya adalah library research. Data yang digunakan adalah data primer berupa kutipankutipan yang dicari dari novel, selain itu juga data sekunder berupa referensireferensi pendukung. Peneliti juga menggunakan coding dalam proses koleksi data. Teknik ini digunakan untuk membantu peneliti dalam mengklasifikasikan data. Lebih lanjut, penelitian ini merupakan penelitian dokumentasi maka dalam analisis peneliti menggunakan pendekatan content analysis selain itu interactive analysis juga digunakan peneliti dalam tahap analisis data. Dalam penelitian ini diperoleh data sebagai berikut, 1.ditemukan data tentang penggunaan archetype sejumlah 851 data/ 70.79%; 2. ditemukan data tentang penggunaan loose sentence structure sejumlah 351 data/ 29.20 %; 3. ditemukan data tentang penggunaan archetype dan loose sentence structure secara bersamaan sejumlah 1202 data/ 100%. Sedangkan kesimpulan dari penelitian ini adalah:penggunaan kedua ornamen khususnya berupa archetype didukung juga oleh penggunaan loose sentence structure membuat kontek dari sebuah teks mudah dipahami, Kedua ornamen tersebut meminimalis kesulitan pembaca dalam berinteraksi dengan teks.

  6. Differences in the clinical presentation and the frequency of complications between elderly and non-elderly scrub typhus patients.

    Science.gov (United States)

    Jang, Mi-Ok; Kim, Ji Eun; Kim, Uh Jin; Ahn, Joon Hwan; Kang, Seung-Ji; Jang, Hee-Chang; Jung, Sook-In; Park, Kyung-Hwa

    2014-01-01

    Age can affect the clinical features and severity of infectious disorders, such as scrub typhus. We performed this study to examine differences between elderly and non-elderly scrub typhus patients, and to identify risk factors predictive of disease outcomes. This retrospective study included patients admitted to a tertiary hospital with scrub typhus between 2001 and 2011. A total of 615 patients were enrolled in this study, 328 of which were >65 years of age. Of the elderly patients, 46.0% (151/328) experienced at least one complication compared to only 23.0% (66/287) in younger patients. A linear trend was observed between age and complication rates (p=0.002). The most common complication in elderly patients was acute kidney injury (75, 22.9%). Treatment failure was reported in 10 elderly patients (3.0%) compared to one non-elderly patient (0.3%). Mental confusion and dyspnea of clinical manifestations at admission were common in elderly patients. Frequency of fever, rash, and eschar were similar in both groups. The following four factors were significantly associated with severe scrub typhus in elderly patients: (1) white blood cell (WBC) counts>10,000/mm(3) (OR=2.569, CI=1.298-5.086), (2) MDRD GFR10 points (OR=3.304, CI=1.793-60.87). Complications and mortality were more common in elderly patients, often associated with delays in diagnosis and treatment. Copyright © 2013 Elsevier Ireland Ltd. All rights reserved.

  7. Spontaneous resolution of posterior ankle joint loose bodies after total ankle replacement: A case report.

    Science.gov (United States)

    Lee, Raymond P; Cheng, Sally H S

    2017-06-01

    Late stage ankle osteoarthritis often presents with debilitating pain. It is common to find osteophytes and loose body formation around the joint. Total ankle arthroplasty can preserve joint mobility and pain relieve for such patient. However, when trying to remove the osteophytes and loose bodies at the posterior ankle joint, there is risk of damaging posterior structures such as the neurovascular bundle during the procedure. We are presenting a case where the posterior loose bodies remained untouched during the operation, and patient showed spontaneous resolution of the lesions with time. Patient enjoyed good function outcome after the surgery. Copyright © 2016 European Foot and Ankle Society. Published by Elsevier Ltd. All rights reserved.

  8. Outcome of Intravenous Azithromycin Therapy in Patients with Complicated Scrub Typhus Compared with That of Doxycycline Therapy Using Propensity-Matched Analysis

    Science.gov (United States)

    Jang, Mi-Ok; Jang, Hee-Chang; Kim, Uh Jin; Ahn, Joon Hwan; Kang, Seung-Ji; Jung, Sook-In; Shin, Hee-Young

    2014-01-01

    There are no well-matched, controlled studies comparing azithromycin with doxycycline for the treatment of complicated scrub typhus. A retrospective propensity score-matched case-control study was performed for patients who presented with complicated scrub typhus and were treated with doxycycline or azithromycin between 2001 and 2011. Data on comorbidities, clinical manifestations, laboratory studies, treatments, and outcomes were extracted for analysis. The clinical characteristics and outcomes of the azithromycin-treated group (n = 73) were compared to those of the doxycycline-treated group (n = 108). Of 181 patients, 73 from each group were matched by propensity scores. There were no significant differences in baseline characteristics between the matched groups. The treatment success and survival rates were not significantly different (89% [65/73 patients] versus 96% [70/73 patients] and 96% [70/73 patients] versus 96% [70/73 patients], respectively [P > 0.05]). No difference was observed in the time to defervescence or length of hospital stay between the two groups (P > 0.05). In complicated scrub typhus patients (n = 181), multivariate analysis showed that only APACHE II score was an independent risk factor for mortality (95% confidence interval, 1.11 to 1.56; P scrub typhus. PMID:24366734

  9. Scrub Typhus - A Major Cause of Pediatric Intensive Care Admission and Multiple Organ Dysfunction Syndrome: A Single-Center Experience from India.

    Science.gov (United States)

    Giri, Prabahs Prasun; Roy, Joydeb; Saha, Agnisekhar

    2018-02-01

    Scrub typhus has been globally recognized as an emerging infectious disease contributing significantly to pyrexia of unknown origin (PUO) and a potential cause of multiorgan dysfunction syndrome (MODS). We studied the incidence of scrub typhus as a cause of pediatric intensive care unit (PICU) admission and MODS in our hospital and its clinical and laboratory characteristics to measure the incidence of MODS caused by scrub typhus. This study was done in a pediatric teaching hospital in Kolkata, India. Records of patients admitted with PUO from March 2012 to December 2015 were reviewed. Rathi-Goodman-Aghai scoring system was used to identify potential ST patients and confirmed by serological testing. Clinical characteristics, laboratory findings, and treatment response were noted of those needing PICU admissions. Ninety-seven cases of scrub typhus have been identified during that period. PICU admission was needed in 30 of them (31%) which contributed 8.43% of total PICU admissions. Among these 30 patients, 16 (53%) developed MODS which contributed 18.29% of total MODS admitted in PICU. Septic shock was the most common manifestation in as many as 18 (60%) patients followed by encephalopathy in 13 (43%). Patients were treated with either doxycycline alone or in combination with azithromycin. Mean time to complete defervescence was 32 h after first dose of doxycycline. The outcome was excellent without a single mortality. Scrub typhus is an important cause of MODS in this part of the world, especially in fevers associated with features as identified and not responding to conventional antibiotics.

  10. A rapid, sensitive and reliable diagnostic test for scrub typhus in China

    Directory of Open Access Journals (Sweden)

    Zhang Lijuan

    2011-01-01

    Full Text Available Purpose: To evaluate the performances for detection of IgM and IgG antibodies to Orientia. tsutsugamushi (Ot using a gold conjugate-based rapid diagnostic test (RDT. Materials and Methods: The RDT employing mixture recombinant 56-kDa proteins of O. tsutsugamushi and the mIFA assay was performed on 33 patients from Fujian and Yunnan province respectively and 94 positive sera (36 from Hainan province and 58 from Jiangsu province from convalescent stages of the patients with scrub typhus respectively and 82 negative sera from healthy farmers from Anhui province and Beijing City respectively in 2009. A comparison of the RDT and mIFA assay was performed by using the c2 test and the P level of ≤0.05 was considered to be significant. Results: Among these 94 positive sera from convalescent stages of the illness and 82 sera from control farmers, the specificity of RDT was 100% for both IgM and IgG tests. In 33 cases with scrub typhus, 5 cases were positively detected earlier by RDT than by mIFA for the IgM test, and 2 cases were positive for the IgG test. The sensitivities of RDT were 93.9% and 90.9% for IgM and IgG, respectively. Considering IgM and IgG together, the sensitivity was 100%. The geometric mean titre (GMT of IFA and the RDT assay in diluted sera from confirmed cases were 1:37 versus 1:113 respectively (P<0.001 for IgM test and 1:99 versus 1:279 respectively (P<0.016 for IgG. Conclusions: The RDT was more sensitive than the traditional IFA for the early diagnosis of scrub typhus and was particularly suitable for use in rural areas.

  11. Markov chain-based mass estimation method for loose part monitoring system and its performance

    Directory of Open Access Journals (Sweden)

    Sung-Hwan Shin

    2017-10-01

    Full Text Available A loose part monitoring system is used to identify unexpected loose parts in a nuclear reactor vessel or steam generator. It is still necessary for the mass estimation of loose parts, one function of a loose part monitoring system, to develop a new method due to the high estimation error of conventional methods such as Hertz's impact theory and the frequency ratio method. The purpose of this study is to propose a mass estimation method using a Markov decision process and compare its performance with a method using an artificial neural network model proposed in a previous study. First, how to extract feature vectors using discrete cosine transform was explained. Second, Markov chains were designed with codebooks obtained from the feature vector. A 1/8-scaled mockup of the reactor vessel for OPR1000 was employed, and all used signals were obtained by impacting its surface with several solid spherical masses. Next, the performance of mass estimation by the proposed Markov model was compared with that of the artificial neural network model. Finally, it was investigated that the proposed Markov model had matching error below 20% in mass estimation. That was a similar performance to the method using an artificial neural network model and considerably improved in comparison with the conventional methods.

  12. Decontamination process development for gravels contaminated with uranium

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Gye Nam; Park, Uk Ryang; Kim, Seung Su; Kim, Won Suk; Moon, Jei Kwon [Korea Atomic Energy Research Institute, Daejeon (Korea, Republic of)

    2013-10-15

    It is impossible to scrub gravels in a washing tank, because gravels sinks to the bottom of the washing tank. In addition, when electrokinetic decontamination technology is applied to gravels larger than 10 cm, the removal efficiency of uranium from the gravels is reduced, because electro-osmotic flux at the surface of the gravel in electrokinetic cell reduces owing to a reduction of the particle surface area attributable to large-sized gravel. The volume ratio of gravel larger than10 cm in total volume of the soil in KAERI was about 20%. Therefore, it is necessary to study the decontamination process of gravels contaminated with radionuclides. The optimum number of washings for contaminated gravels is considered to be two. In addition, the removal efficiency of contaminated gravel was not related to its weight. For an electrokinetic-electrodialytic decontamination period of 5 days, 10 days, 15 days, and 20 days, {sup 238}U in gravel was removed by about 42%, 64%, 74%, and 80%, respectively. The more the decontamination time elapsed, the greater the reduction of the removal efficiency ratio of {sup 238}U. The decontamination process for gravels was generated on the basis of the results of washing and electrokinetic electrodialtic experiments.

  13. Waterless Hand Rub Versus Traditional Hand Scrub Methods for Preventing the Surgical Site Infection in Orthopedic Surgery.

    Science.gov (United States)

    Iwakiri, Kentaro; Kobayashi, Akio; Seki, Masahiko; Ando, Yoshiyuki; Tsujio, Tadao; Hoshino, Masatoshi; Nakamura, Hiroaki

    2017-11-15

    MINI: Fourteen hundred consecutive patients were investigated for evaluating the utility of waterless hand rub before orthopaedic surgery. The risk in the surgical site infection incidence was the same, but costs of liquids used for hand hygiene were cheaper and the hand hygiene time was shorter for waterless protocol, compared with traditional hand scrub. A retrospective cohort study with prospectively collected data. The aim of this study was to compare SSI incidences, the cost of hand hygiene agents, and hand hygiene time between the traditional hand scrub and the waterless hand rub protocols before orthopedic surgery. Surgical site infections (SSI) prolong hospitalization and are a leading nosocomial cause of morbidity and a source of excess cost. Recently, a waterless hand rub protocol comprising alcohol based chlorhexidine gluconate for use before surgery was developed, but no studies have yet examined its utility in orthopedic surgery. Fourteen hundred consecutive patients who underwent orthopedic surgery (spine, joint replacement, hand, and trauma surgeries) in our hospital since April 1, 2012 were included. A total of 712 cases underwent following traditional hand scrub between April 1, 2012 and April 30, 2013 and 688 cases underwent following waterless hand rub between June 1, 2013 and April 30, 2014. We compared SSI incidences within all and each subcategory between two hand hygiene protocols. All patients were screened for SSI within 1 year after surgery. We compared the cost of hand hygiene agents and hand hygiene time between two groups. The SSI incidences were 1.3% (9 of 712) following the traditional protocol (2 deep and 7 superficial infections) and 1.1% (8 of 688) following the waterless protocol (all superficial infections). There were no significant differences between the two groups. The costs of liquids used for one hand hygiene were about $2 for traditional hand scrub and less than $1 for waterless hand rub. The mean hand hygiene time was 264

  14. Effect of 4% chlorhexidine gluconate predisinfection skin scrub prior to hepatectomy: a double-blinded, randomized control study.

    Science.gov (United States)

    Hsieh, Ching-Shui; Cheng, Hsiu-Chi; Lin, Jen-Shiou; Kuo, Shou-Jen; Chen, Yao-Li

    2014-01-01

    This trial was designed to compare the efficacy of 4% chlorhexidine gluconate (CHG) with normal saline (NS) as a predisinfection skin-scrub solution prior to standard presurgical skin preparation. Data was collected at a single transplantation center where patients electing resection of hepatic tumors were recruited between October 2011 and September 2012. In total, 100 patients were consecutively enrolled for random assignment to either 4% CHG or NS as a predisinfection skin-scrub solution prior to surgery. Our aim was to assess the comparative antiseptic efficacy of CHG in this setting, focusing on cutaneous microbial colonization (at baseline, preoperatively, and postoperatively) and postsurgical site infections as primary outcome measures. Positivity rates of baseline, preoperative, and postoperative cultures were similar for both groups, showing significant declines (relative to baseline) after skin preparation and no significant postsurgical rebound. Rates of surgical site infection were also similar in both groups (CHG, 6.0%; NS, 4.1%; P = 1.0). For patients with hepatic tumors undergoing hepatectomy, the effect of 4% CHG as a predisinfection scrub solution was similar to that of NS in terms of skin decontamination and surgical site infections.

  15. Evaluation of arklone for the decontamination of non-combustible plutonium contaminated materials

    International Nuclear Information System (INIS)

    Gaudie, S.C.; Wilkins, J.D.; Turner, A.D.

    1986-04-01

    The use of Arklone (1,1,2 trichloro-, 1,2,2 trifluoroethane) as a decontamination reagent for plutonium contaminated non-combustible wastes has been investigated on a laboratory scale. Arklone has been found to be effective for the removal of loose Pu0 2 contamination - in particular from organic surfaces - from both synthetic and genuine waste. Of the range of contacting techniques investigated, ultrasonics was the best, though vibrocleaning and low pressure spraying performed well. For painted mild steel, paint stripping followed by treatment with Marshall's solution (an aqueous solution of oxalic acid and hydrogen peroxide) cleaned the surface to below 10 -4 μCi/cm 2 . Alternatively , electrochemical techniques could be used - particularly electrodissolution in nitric acid for stainless steel - to reduce contamination levels to 10 -5 μCi/cm 2 . (author)

  16. Realizing Loose Communication with Tangible Avatar to Facilitate Recipient’s Imagination

    Directory of Open Access Journals (Sweden)

    Shinichi Endo

    2018-02-01

    Full Text Available Social network services (SNSs allow users to share their daily experiences and significant life events with family, friends, and colleagues. However, excessive use of SNSs or dependence upon them can cause a problem known as “SNS fatigue” that is associated with feelings of anxiety and loneliness. In other words, the tighter and stronger the social bonds are through SNSs, the more users feel anxiety and loneliness. We propose a method for providing users with a sense of security and connectedness with others by facilitating loose communication. Loose communication is defined by the presentation of abstract information and passive (one-way communication. By focusing on the physicality and anthropomorphic characteristics of tangible avatars, we investigated a communication support system, Palco, that displays three types of contextual information with respect to the communication partner—emotional state, activity, and location—in a loose manner. Our approach contrasts with typical SNS interaction methods characterized by tight communication with interactivity and concrete information. This paper describes the design and implementation of Palco, as well as its usefulness as a communication tool. The emotional effects on the users are evaluated through a user study with 10 participants over four days. The results imply that Palco can effectively communicate the context of the communication partner, and provide a sense of security.

  17. Diagnostic accuracy of a loop-mediated isothermal PCR assay for detection of Orientia tsutsugamushi during acute Scrub Typhus infection.

    Science.gov (United States)

    Paris, Daniel H; Blacksell, Stuart D; Nawtaisong, Pruksa; Jenjaroen, Kemajittra; Teeraratkul, Achara; Chierakul, Wirongrong; Wuthiekanun, Vanaporn; Kantipong, Pacharee; Day, Nicholas P J

    2011-09-01

    There is an urgent need to develop rapid and accurate point-of-care (POC) technologies for acute scrub typhus diagnosis in low-resource, primary health care settings to guide clinical therapy. In this study we present the clinical evaluation of loop-mediated isothermal PCR assay (LAMP) in the context of a prospective fever study, including 161 patients from scrub typhus-endemic Chiang Rai, northern Thailand. A robust reference comparator set comprising following 'scrub typhus infection criteria' (STIC) was used: a) positive cell culture isolate and/or b) an admission IgM titer ≥1∶12,800 using the 'gold standard' indirect immunofluorescence assay (IFA) and/or c) a 4-fold rising IFA IgM titer and/or d) a positive result in at least two out of three PCR assays. Compared to the STIC criteria, all PCR assays (including LAMP) demonstrated high specificity ranging from 96-99%, with sensitivities varying from 40% to 56%, similar to the antibody based rapid test, which had a sensitivity of 47% and a specificity of 95%. The diagnostic accuracy of the LAMP assay was similar to realtime and nested conventional PCR assays, but superior to the antibody-based rapid test in the early disease course. The combination of DNA- and antibody-based detection methods increased sensitivity with minimal reduction of specificity, and expanded the timeframe of adequate diagnostic coverage throughout the acute phase of scrub typhus.

  18. Derived surface contamination limits for the uranium mining and milling industry

    International Nuclear Information System (INIS)

    Ching, S.H.

    1984-10-01

    Derived Surface Contamination Limits (DSCL) are proposed for the control of surface contamination at the work place for the uranium mining and milling industry. They have been derived by a method incorporating recent ICRP recommendations and consideration of the radiation exposure pathways of ingestion, inhalation and external irradiation of the basal layer of skin. A generalized DSCL of 10 5 Bq/m 2 of beta activity is recommended for all contaminants likely to be found in uranium mine and mill workplaces except for fresh uranium concentrates. In the latter case, the DSCL is expressed in terms of alpha activity because the ratio of beta to alpha activities for fresh uranium concentrates is variable; the beta activity increases with the ingrowth of U-238 daughter products (Th-234 and Pa-234m) until secular equilibrium is re-established in about six months. A surface contamination limit of 10 4 Bq/m 2 of beta activity is proposed for the release of non-porous materials and equipment with no detectable loose contamination to the public domain

  19. Giant Peritoneal Loose Bodies | van Zyl | SA Journal of Radiology

    African Journals Online (AJOL)

    Giant peritoneal loose bodies are rare lesions, originating from auto-amputated appendices epiploicae. They may cause urinary or gastrointestinal obstruction and, should the radiologist not be familiar with the entity, can potentially be confused with malignant or parasitic lesions. Familiarity with their characteristic computed ...

  20. Sacral Herpes Zoster Associated with Voiding Dysfunction in a Young Patient with Scrub Typhus.

    Science.gov (United States)

    Hur, Jian

    2015-06-01

    When a patient presents with acute voiding dysfunction without a typical skin rash, it may be difficult to make a diagnosis of herpes zoster. Here, we present a case of scrub typhus in a 25-year-old man with the complication of urinary dysfunction. The patient complained of loss of urinary voiding sensation and constipation. After eight days, he had typical herpes zoster eruptions on the sacral dermatomes and hypalgesia of the S1-S5 dermatomes. No cases of dual infection with varicella zoster virus and Orientia tsutsugamushi were found in the literature. In the described case, scrub typhus probably induced sufficient stress to reactivate the varicella zoster virus. Early recognition of this problem is imperative for prompt and appropriate management, as misdiagnosis can lead to long-term urinary dysfunction. It is important that a diagnosis of herpes zoster be considered, especially in patients with sudden onset urinary retention.

  1. Setting of loose-fill insulation materials in walls; Saetningsfri indblaesning af loesfyldsisolering i vaegge

    Energy Technology Data Exchange (ETDEWEB)

    Rasmussen, T.V.

    2001-07-01

    The report describes material behaviour, which significantly influences the settling of loose-fill insulation materials. The specific application presented here is loose-fill insulation material injected in walls as thermal insulation. The physical formulation of the issue to be discussed is that the mass is kept in position in the cavity by frictional forces, which counteracts the settling but complicates injection. The purpose of this study is to investigate whether there is a possibility that decreased friction will be able to release settling. Cellulose loose-fill material injected in a 0.1 m thick and 1 m wide gypsum wall with a minimum density of 48 kg/m3 was found not to settle if kept at a constant relative humidity, RH 50 %. A minimum density of 53 kg/m3 is necessary if the thickness of the wall is increased from 0.1 m to 0.3 m. If changing the constant environment from RH 50 % to RH 80 % a minimum density of 63 kg/m3 is necessary. Furthermore, results so far show that cellulose loose-fill material spread on the attic floor will have a density after settling of 48 kg /M3 for a constant RH 50 %, corresponding to 43 kg/m3 dry material. The results were found by using a model and tests. (au)

  2. A comparative hospital-based observational study of mono- and co-infections of malaria, dengue virus and scrub typhus causing acute undifferentiated fever.

    Science.gov (United States)

    Ahmad, S; Dhar, M; Mittal, G; Bhat, N K; Shirazi, N; Kalra, V; Sati, H C; Gupta, V

    2016-04-01

    Positive serology for dengue and/or scrub typhus infection with/without positive malarial smear (designated as mixed or co-infection) is being increasingly observed during epidemics of acute undifferentiated febrile illnesses (AUFIs). We planned to study the clinical and biochemical spectrum of co-infections with Plasmodium sp., dengue virus and scrub typhus and compare these with mono-infection by the same organisms. During the period from December 2012 to December 2013, all cases presenting with AUFIs to a single medical unit of a referral centre in Garhwal region of the north Indian state of Uttarakhand were retrospectively selected and categorised aetiologically as co-infections, malaria, dengue or scrub typhus. The groups thus created were compared in terms of demographic, clinical, biochemical and outcome parameters. The co-infection group (n = 49) was associated with milder clinical manifestations, fewer, milder and non-progressive organ dysfunction, and lesser need for intensive care, mechanical ventilation and dialysis as compared to mono-infections. When co-infections were sub-grouped and compared with the relevant mono-infections, there were differences in certain haematological and biochemical parameters; however, this difference did not translate into differential outcomes. Scrub typhus mono-infection was associated with severe disease in terms of both morbidity and mortality. Malaria, dengue and scrub typhus should be routinely tested in all patients with AUFIs. Co-infections, whether true or due to serological cross-reactivity, appear to be a separate entity so far as presentation and morbidity is concerned. Further insight is needed into the mechanism and identification of the protective infection.

  3. Composite bulk Heat Insulation Made of loose Mineral and Organic Aggregate

    Directory of Open Access Journals (Sweden)

    Namsone Eva

    2015-12-01

    Full Text Available The task of building energy-efficiency is getting more important. Every house owner wishes to save up exploitation costs of heating, cooling, hot water production, ventilation, etc. and find cost-effective investments. One of the ways to reduce greenhouse gas emissions (GHGE is to minimize the heat transfer through the building by insulating it. Loose heat insulation is a good alternative to traditional board insulation, it is simple in use and cost-effective. Main drawback of this insulation is tendency to compact during exploitation. In the frame of this research composite loose heat insulation is elaborated, consisting on porous mineral foamed glass aggregate and local organic fiber materials (hemp and flaxen shives. Composite bulk insulation is an alternative solution which combines heat insulating properties and mechanical stability.

  4. Q Fever, Scrub Typhus, and Rickettsial Diseases in Children, Kenya, 2011-2012.

    Science.gov (United States)

    Maina, Alice N; Farris, Christina M; Odhiambo, Antony; Jiang, Ju; Laktabai, Jeremiah; Armstrong, Janice; Holland, Thomas; Richards, Allen L; O'Meara, Wendy P

    2016-05-01

    To increase knowledge of undifferentiated fevers in Kenya, we tested paired serum samples from febrile children in western Kenya for antibodies against pathogens increasingly recognized to cause febrile illness in Africa. Of patients assessed, 8.9%, 22.4%, 1.1%, and 3.6% had enhanced seroreactivity to Coxiella burnetii, spotted fever group rickettsiae, typhus group rickettsiae, and scrub typhus group orientiae, respectively.

  5. Loose anagen hair syndrome associated with colobomas and dysmorphic features

    DEFF Research Database (Denmark)

    Hansen, Lars Kjaersgård; Brandrup, Flemming; Clemmensen, Ole

    2004-01-01

    Loose anagen hair syndrome is an uncommon congenital disorder. It may occur in association with other syndromes and dysmorphic features. We report a girl who fulfilled the diagnostic criteria for this syndrome as proposed by Tosti (Arch Dermatol 2002, 138: 521-522). She also had several other...

  6. Scrub Typhus in Northeastern Thailand: Eschar Distribution, Abnormal Electrocardiographic Findings, and Predictors of Fatal Outcome.

    Science.gov (United States)

    Thipmontree, Wilawan; Tantibhedhyangkul, Wiwit; Silpasakorn, Saowaluk; Wongsawat, Ekkarat; Waywa, Duangdao; Suputtamongkol, Yupin

    2016-10-05

    Scrub typhus is endemic in Thailand. Of the 495 patients with acute undifferentiated fever studied in Maharat Nakhon Ratchasima Hospital, Nakhon Ratchasima, Thailand, from June 1, 2011, to December 31, 2012, 146 patients (29.5%) had confirmed scrub typhus. The majority of cases were male, farmers, with the mean (±standard deviation) age of 54.1 ± 15.2 years. A total of 59 patients (40.4%) had eschar lesion. The commonest sites for an eschar in male patients were the perineum, inguinal, and buttock area; whereas in females, it was the head and neck area. Abnormal electrocardiogram was found in 39 of 79 patients (49.4%) with sinus tachycardia being the most frequent finding (17, 21.5%). A total of 73 patients (50%) had at least one complication. Myocarditis was the cause of complete heart block in a scrub typhus patient, and he fully recovered after receiving intravenous chloramphenicol treatment. The case fatality rate was 6.2% (nine deaths).The independent predictors for fatal outcome were age over 65 years (odds ratio [OR] = 14.49, 95% confidence interval [CI] = 1.26-166.44, P = 0.03), acute kidney injury (OR = 12.75, 95% CI = 1.77-92.07, P = 0.01), and hyperbilirubinemia (OR = 24.82, 95% CI = 2.12-286.61, P = 0.01). Early diagnosis and prompt appropriate treatment can improve the patient's outcome. © The American Society of Tropical Medicine and Hygiene.

  7. Increased endothelial and macrophage markers are associated with disease severity and mortality in scrub typhus.

    Science.gov (United States)

    Otterdal, Kari; Janardhanan, Jeshina; Astrup, Elisabeth; Ueland, Thor; Prakash, John A J; Lekva, Tove; Abraham, O C; Thomas, Kurien; Damås, Jan Kristian; Mathews, Prasad; Mathai, Dilip; Aukrust, Pål; Varghese, George M

    2014-11-01

    Scrub typhus is endemic in the Asia-Pacific region. Mortality is high even with treatment, and further knowledge of the immune response during this infection is needed. This study was aimed at comparing plasma levels of monocyte/macrophage and endothelial related inflammatory markers in patients and controls in South India and to explore a possible correlation to disease severity and clinical outcome. Plasma levels of ALCAM, VCAM-1, sCD163, sCD14, YKL-40 and MIF were measured in scrub typhus patients (n = 129), healthy controls (n = 31) and in infectious disease controls (n = 31), both in the acute phase and after recovery, by enzyme immunoassays. Patients had markedly elevated levels of all mediators in the acute phase, differing from both healthy and infectious disease controls. During follow-up levels of ALCAM, VCAM-1, sCD14 and YKL-40 remained elevated compared to levels in healthy controls. High plasma ALCAM, VCAM-1, sCD163, sCD14, and MIF, and in particular YKL-40 were all associated with disease severity and ALCAM, sCD163, MIF and especially YKL-40, were associated with mortality. Our findings show that scrub typhus is characterized by elevated levels of monocyte/macrophage and endothelial related markers. These inflammatory markers, and in particular YKL-40, may contribute to disease severity and clinical outcome. Copyright © 2014 The British Infection Association. Published by Elsevier Ltd. All rights reserved.

  8. Scrub typhus: risks, diagnostic issues, and management challenges

    Directory of Open Access Journals (Sweden)

    Prakash JAJ

    2017-08-01

    Full Text Available John Antony Jude Prakash Department of Clinical Microbiology, Christian Medical College, Vellore, Tamil Nadu, India Abstract: Scrub typhus is an acute febrile illness in the “tsutsugamushi triangle”, transmitted by chiggers that can be treated effectively if detected early. Laboratory testing, including molecular and serological assays, is needed for confirming the diagnosis, especially in the absence of the pathognomonic eschar. In this review, factors that play a role in disease occurrence and clinical clues for diagnosis, in addition to risk factors contributing to disease severity, including mortality, are discussed in detail. Moreover, issues related to diagnostic assays, treatment, and mixed infections are also enumerated and described. Keywords: Orientia tsutsugamushi, disease severity, mortality predictors, diagnosis, coinfections, treatment

  9. A VAX-FPS Loosely-Coupled Array of Processors

    International Nuclear Information System (INIS)

    Grosdidier, G.

    1987-03-01

    The main features of a VAX-FPS Loosely-Coupled Array of Processors (LCAP) set-up and the implementation of a High Energy Physics tracking program for off-line purposes will be described. This LCAP consists of a VAX 11/750 host and two FPS 64 bit attached processors. Before analyzing the performances of this LCAP, its characteristics will be outlined, especially from a user's point of vue, and will be briefly compared to those of the IBM-FPS LCAP

  10. Results from Tight and Loose Coupled Multiphysics in Nuclear Fuels Performance Simulations using BISON

    Energy Technology Data Exchange (ETDEWEB)

    S. R. Novascone; B. W. Spencer; D. Andrs; R. L. Williamson; J. D. Hales; D. M. Perez

    2013-05-01

    The behavior of nuclear fuel in the reactor environment is affected by multiple physics, most notably heat conduction and solid mechanics, which can have a strong influence on each other. To provide credible solutions, a fuel performance simulation code must have the ability to obtain solutions for each of the physics, including coupling between them. Solution strategies for solving systems of coupled equations can be categorized as loosely-coupled, where the individual physics are solved separately, keeping the solutions for the other physics fixed at each iteration, or tightly coupled, where the nonlinear solver simultaneously drives down the residual for each physics, taking into account the coupling between the physics in each nonlinear iteration. In this paper, we compare the performance of loosely and tightly coupled solution algorithms for thermomechanical problems involving coupled thermal and mechanical contact, which is a primary source of interdependence between thermal and mechanical solutions in fuel performance models. The results indicate that loosely-coupled simulations require significantly more nonlinear iterations, and may lead to convergence trouble when the thermal conductivity of the gap is too small. We also apply the tightly coupled solution strategy to a nuclear fuel simulation of an experiment in a test reactor. Studying the results from these simulations indicates that perhaps convergence for either approach may be problem dependent, i.e., there may be problems for which a loose coupled approach converges, where tightly coupled won’t converge and vice versa.

  11. Results from tight and loose coupled multiphysics in nuclear fuels performance simulations using BISON

    International Nuclear Information System (INIS)

    Novascone, S. R.; Spencer, B. W.; Andrs, D.; Williamson, R. L.; Hales, J. D.; Perez, D. M.

    2013-01-01

    The behavior of nuclear fuel in the reactor environment is affected by multiple physics, most notably heat conduction and solid mechanics, which can have a strong influence on each other. To provide credible solutions, a fuel performance simulation code must have the ability to obtain solutions for each of the physics, including coupling between them. Solution strategies for solving systems of coupled equations can be categorized as loosely-coupled, where the individual physics are solved separately, keeping the solutions for the other physics fixed at each iteration, or tightly coupled, where the nonlinear solver simultaneously drives down the residual for each physics, taking into account the coupling between the physics in each nonlinear iteration. In this paper, we compare the performance of loosely and tightly coupled solution algorithms for thermomechanical problems involving coupled thermal and mechanical contact, which is a primary source of interdependence between thermal and mechanical solutions in fuel performance models. The results indicate that loosely-coupled simulations require significantly more nonlinear iterations, and may lead to convergence trouble when the thermal conductivity of the gap is too small. We also apply the tightly coupled solution strategy to a nuclear fuel simulation of an experiment in a test reactor. Studying the results from these simulations indicates that perhaps convergence for either approach may be problem dependent, i.e., there may be problems for which a loose coupled approach converges, where tightly coupled won't converge and vice versa. (authors)

  12. Minoxidil 5% solution for topical treatment of loose anagen hair syndrome.

    Science.gov (United States)

    Chandran, Nisha S; Oranje, Arnold P

    2014-01-01

    A 2-year-old girl with a diagnosis of loose anagen hair syndrome was treated with a tapering regime of minoxidil 5% solution over 28 months, resulting in quick, significant clinical improvement with no adverse effects. © 2014 Wiley Periodicals, Inc.

  13. The Influence of Slowly Varying Mass on Severity of Dynamics Nonlinearity of Bearing-Rotor Systems with Pedestal Looseness

    Directory of Open Access Journals (Sweden)

    Mian Jiang

    2018-01-01

    Full Text Available Nonlinearity measure is proposed to investigate the influence of slowly varying mass on severity of dynamics nonlinearity of bearing-rotor systems with pedestal looseness. A nonlinear mathematical model including the effect of slowly varying disk mass is developed for a bearing-rotor system with pedestal looseness. The varying of equivalent disk mass is described by a cosine function, and the amplitude coefficient is used as a control parameter. Then, nonlinearity measure is employed to quantify the severity of dynamics nonlinearity of bearing-rotor systems. With the increasing of looseness clearances, the curves that denote the trend of nonlinearity degree are plotted for each amplitude coefficient of mass varying. It can be concluded that larger amplitude coefficients of the disk mass varying will have more influence on the severity of dynamics nonlinearity and generation of chaotic behaviors in rotor systems with pedestal looseness.

  14. Molecular Identification of Bacteria from Aseptically Loose Implants

    Science.gov (United States)

    Kobayashi, Naomi; Procop, Gary W.; Krebs, Viktor; Kobayashi, Hideo

    2008-01-01

    Polymerase chain reaction (PCR) assays have been used to detect bacteria adherent to failed orthopaedic implants, but some PCR assays have had problems with probable false-positive results. We used a combination of a Staphylococcus species-specific PCR and a universal PCR followed by DNA sequencing to identify bacteria on implants retrieved from 52 patients (92 implants) at revision arthroplasty. We addressed two questions in this study: (1) Is this method able to show the existence of bacterial DNA on presumed aseptic loosed implants?; and (2) What proportion of presumed aseptic or culture-negative implants was positive for bacterial DNA by PCR? Fourteen implants (15%) were believed infected, whereas 74 implants (85%) were believed aseptic. Each implant was sonicated and the resulting solution was submitted for dual real-time PCR assay and culture. All implants believed aseptically loose were culture-negative, but nine of the 74 (12%) had bacterial DNA by PCR; two (2.7%) were PCR-positive and also showed histologic findings suggestive of infection. Uniquely developed PCR and bacterial sequencing assays showed bacterial DNA on 12% of implants removed for presumed aseptic loosening. Additional studies are needed to determine the clinical importance of bacterial DNA detected by PCR but not by conventional culture. Level of Evidence: Level III, diagnostic study. See the Guidelines for Authors for a complete description of levels of evidence. PMID:18438724

  15. [Effect of Transcutaneous Acupoint Electrical Stimulation on Hemodynamic Fluctuation Caused by Loosing Tourniquet in Elderly Patients Undergoing Knee Joint Replacement].

    Science.gov (United States)

    Liang, Han-Sheng; Feng, Yi

    2017-12-25

    To observe the effect of transcutaneous acupoint electrical stimulation (TAES) on hemodynamic fluctuation caused by loosing tourniquet in the elderly patients undergoing knee joint replacement. A total of 60 ASA (America Society Anesthesiologist) I or II elderly patients for elective knee joint replacement surgery were randomly divided into control group (30 cases) and TAES group (30 cases). Patients of both groups were treated by intravenous anesthesia, and monitored with bispectral index (BIS, between 45-60) for anesthesia depth, stroke volume variation (SVV) for fluid management, mean arterial pressure (MAP) and cardiac index (CI) for hemodynamic fluctuation evaluation, and with analgesia nociception index (ANI, between 50-70) for remifentanil dosage adjustment. TAES (2 Hz/100 Hz, 8-20 mA) was applied to bilateral Xinshu (BL 15), Feishu (BL 13), Neiguan (PC 6) and Hegu (LI 4) acupoints for 30 min first (followed by anesthesia induction and operation), and given continuously until 15 min after tourniquet loosing. Patients of the control group were only given with electrodes attachment without electrical stimulation. The levels of MAP, CI, and arterial blood pH, PaCO 2 , PaO 2 , base excess (BE) and lactic acid (Lac) 1 min before, and 5 and 15 min after tourniquet loosing, and the dosages of remifentanil and ephedrine after tourniquet loosing were recorded. The changed levels of MAP, CI and blood Lac at 5 min after tourniquet loosing (relevant to the baseline levels), and blood Lac content at 15 min after tourniquet loosing (relevant to 5 min after tourniquet loosing) were significantly lower in the TAES group than in the control group ( P 0.05). TAES has a positive effect on hemodynamics fluctuation caused by loosing tourniquet in the aged patients undergoing knee joint replacement.

  16. Applications of the monitor of loose parts in the cycle 6 of the Laguna Verde Unit 2 power plant

    International Nuclear Information System (INIS)

    Calleros, G.; Mendez, A.; Gomez, R.A.; Castillo, R.; Bravo, J.M.

    2004-01-01

    The monitor of loose parts (Loose Parts Monitoring System) installed in the Unit 2 of the Laguna Verde Central is a tool to detect strange objects or parts loose in the system of refrigeration of the reactor that could be impacted in the walls of the recirculation knots or in the internal of the reactor. In this work two applications are shown carried out with the Monitor of Loose Parts, determining the characteristics of the stable nominal conditions, those which when changing, they are used to diagnose during the Cycle 6 of the Unit 2, failures in the components of the the recirculation circuits or to identify mechanical vibrations of the recirculation knots induced by a flow of recirculation bistable associated to operative conditions of the reactor. (Author)

  17. Coagulation and inflammation in scrub typhus and murine typhusu-a prospective comparative study from Laos

    NARCIS (Netherlands)

    Paris, D. H.; Chansamouth, V.; Nawtaisong, P.; Löwenberg, E. C.; Phetsouvanh, R.; Blacksell, S. D.; Lee, S. J.; Dondorp, A. M.; van der Poll, T.; Newton, P. N.; Levi, M. [=Marcel M.; Day, N. P. J.

    2012-01-01

    Scrub typhus (caused by Orientia tsutsugamushi) and murine typhus (caused by Rickettsia typhi) cause up to 28% of febrile episodes in Thailand and Laos. The current understanding of coagulation and inflammation in the pathogenesis of these clinically very similar vasculotropic diseases is limited.

  18. Pre-feasibility investigation of infrared thermography for the identification of loose hanging wall and impending falls of ground.

    CSIR Research Space (South Africa)

    Kononov, VA

    2000-09-01

    Full Text Available on the temperature difference (gradient) between solid rock and the tip of loose rock due to the heat exchange between loose rock and ventilation air. Early attempts to introduce this method of loose rock detection took place in the 1970’s in North America. A... 24 References 26 5 List of Figures Page Figure 2.1 Spectral radiant emittance of a blackbody 8 Figure 4.2.1 A 1-D fin model using theoretical correlations 13 Figure 4.2.2 Temperature profile in the slab (1-D fin model) 15 Figure 4...

  19. Serosurveillance of Scrub Typhus in Small Mammals Collected from Military Training Sites near the DMZ, Northern Gyeonggi-do, Korea, and Analysis of the Relative Abundance of Chiggers from Mammals Examined

    Science.gov (United States)

    2010-09-01

    Korean J Paras/to/. Vol. 48, No. 3: 237-243, September 2010 DOl: JO.J3471kjp.2010.48.J.237 Serosurveillance of Scrub Typhus in Small Mammals...65th Medical BrigadeAJSAMEDDAC-Korea, Unit# 15281, APO AP 96205-5281, USA Abstract: Comprehensive quarterly serosurveillance on scrub typhus in small...rarely observed (prevalence < 1 0%). In contrast to previous surveys, higher chigger indices of the primary scrub typhus vectors, L. pallidum (165.4

  20. Distributed Solutions for Loosely Coupled Feasibility Problems Using Proximal Splitting Methods

    DEFF Research Database (Denmark)

    Pakazad, Sina Khoshfetrat; Andersen, Martin Skovgaard; Hansson, Anders

    2014-01-01

    In this paper,we consider convex feasibility problems (CFPs) where the underlying sets are loosely coupled, and we propose several algorithms to solve such problems in a distributed manner. These algorithms are obtained by applying proximal splitting methods to convex minimization reformulations ...

  1. BUSCA-JUN91. Reference manual for the calculation of radionuclide scrubbing in water pools

    International Nuclear Information System (INIS)

    Ramsdale, S.A.; Friederichs, H.G.

    1995-06-01

    BUSCA models the decontamination of a bubble as it rises through a water pool. The bubble may contain a mixture of non-condensable gases, steam, iodine vapor and aerosol particles. The bubble thermal-hydraulics are modelled as well as the removal of soluble vapour and aerosol contaminants. The code was originally developed at SRD (part of the UK Atomic Energy Authority) during the mid 1980's. A description of an early version of the code was presented in Reference. Since then, the code has been further enhanced by collaboration within the European Pool Scrubbing Group and additional mechanisms included in its calculations. In particular, PSI (Paul Scherrer Institute, Wuerenlingen) has converted the original FACSIMILE code into FORTRAN and added different bubble initial volume, geometry and bubble rise speed options, UPM (Universidad Politecnica de Madrid) has added the bubble breakup modelling and SRD has added the cluster and plume features. This report describes the BUSCA code version JUN91 which treats the bubble hydrodynamics and removal of aerosol particles and soluble gas in an attempt to calculate the decontamination factor (mass in/mass out), including its input and output requirements. It must be stressed that the development of BUSCA is an on-going project. Currently SRD and PSI have added additional models in their own versions. (orig.)

  2. Review and assessment of pool scrubbing models

    International Nuclear Information System (INIS)

    Herranz, L.E.; Escudero, M.J.; Peyres, V.; Polo, J.; Lopez-Jimenez, J.

    1996-01-01

    Decontamination of fission products bearing bubbles as they through aqueous pools becomes a crucial phenomenon for source term evaluation of hypothetical risk dominant sequences of Light Water Reactors. In the present report a peer review and assessment of models encapsulated in SPARC andBUSCA codes is presented. Several aspects of pool scrubbing have been addressed: particle removal, fission product vapour retention and bubble hydrodynamics. Particular emphasis has been given to the close link between retention and hydrodynamics, from both modelling and experimental point of view. In addition, RHR and SGTR sequences were simulated with SPARC90 and BUSCA-AUG92 codes, and their results were compared with those obtained with MAAP 3.0B.As a result of this work, model capabilities and shortcomings have beenassessed and some areas susceptible of further research have been identified.(Author) 73 refs

  3. Review and assessment of pool scrubbing models

    International Nuclear Information System (INIS)

    Herranz, L.E.; Escudero, M.J.; Peyres, V.; Polo, J.; Lopez, J.

    1996-01-01

    Decontamination of fission products bearing bubbles as they pass through aqueous pools becomes a crucial phenomenon for source term evaluation of hypothetical risk dominant sequences of Light Water Reactors. In the present report a peer review and assessment of models encapsulated in SPARC and BUSCA codes is presented. Several aspects of pool scrubbing have been addressed: particle removal, fission product vapour retention and bubble hydrodynamics. Particular emphasis has been given to the close link between retention and hydrodynamics, from both modelling and experimental point of view. In addition, RHR and SGTR sequences were simulated with SPARC90 and BUSCA-AUG92 codes, and their results were compared with those obtained with MAAP 3.0B. As a result of this work, model capabilities and shortcomings have been assessed and some areas susceptible of further research have been identified. (Author) 73 refs

  4. Review and assessment of pool scrubbing models

    Energy Technology Data Exchange (ETDEWEB)

    Herranz, L.E.; Escudero, M.J.; Peyres, V.; Polo, J.; Lopez, J.

    1996-07-01

    Decontamination of fission products bearing bubbles as they pass through aqueous pools becomes a crucial phenomenon for source term evaluation of hypothetical risk dominant sequences of Light Water Reactors. In the present report a peer review and assessment of models encapsulated in SPARC and BUSCA codes is presented. Several aspects of pool scrubbing have been addressed: particle removal, fission product vapour retention and bubble hydrodynamics. Particular emphasis has been given to the close link between retention and hydrodynamics, from both modelling and experimental point of view. In addition, RHR and SGTR sequences were simulated with SPARC90 and BUSCA-AUG92 codes, and their results were compared with those obtained with MAAP 3.0B. As a result of this work, model capabilities and shortcomings have been assessed and some areas susceptible of further research have been identified. (Author) 73 refs.

  5. The influence of salinity of fly ash mixtures on energy looses during flow in pipelines

    OpenAIRE

    И. Собота

    2017-01-01

    In Polish mining for backfilling the fly ash mixtures are used. Last time for fly ash mixtures preparation the saline water from mine have been used, to thanks to that the saline water missing the surface waters. Usage of saline water for fly ash mixture preparation causes the changes in energy looses during the flow in pipelines. The paper presents the results of energy looses measurement іn laboratory pipeline installation with diameter D =50 mm. The measurements have been performed for dif...

  6. Influence of solvent radiolysis on extraction, scrubbing and stripping of uranium and some fission products

    International Nuclear Information System (INIS)

    Gawlowska, W.; Nowak, M.

    1978-01-01

    Radiolytically degraded TBP-n-paraffins solvent was used in the laboratory flow-sheet to study the influence of radiation exposure on decontamination of uranium. The influence of accumulated doses on extraction, scrubbing and stripping of uranium and some fission products has been discussed. (author)

  7. Loose glenoid components in revision shoulder arthroplasty: is there an association with positive cultures?

    Science.gov (United States)

    Lucas, Robert M; Hsu, Jason E; Whitney, Ian J; Wasserburger, Jory; Matsen, Frederick A

    2016-08-01

    Glenoid loosening is one of the most common causes of total shoulder failure. High rates of positive cultures of Propionibacterium and coagulase-negative staphylococcus have been found among shoulders having surgical revision for glenoid loosening. This study reviewed the culture results in a series of surgical revisions for failed total shoulder arthroplasty to determine the relationship between glenoid loosening and positive cultures. The medical records of 221 patients without obvious evidence of infection who underwent revision total shoulder arthroplasty were reviewed to examine the association between the security of fixation of the glenoid component and the results of cultures obtained at revision surgery. Of the revised shoulders, 53% had positive cultures; 153 of the shoulders (69%) had a loose glenoid component, whereas 68 (31%) had secure glenoid component fixation. Of the 153 loose glenoid components, 82 (54%) had at least 1 positive culture and 44 (29%) had 2 or more positive cultures of the same microorganism. Similarly, of the 68 secure glenoid components, 35 (51%) had at least 1 positive culture (P = .77) and 14 (21%) had 2 or more positive cultures of the same microorganism (P = .25). Explanted glenoid components that were loose had a higher rate of culture positivity (56% [24/43]) in comparison to explanted glenoid components that were well fixed (13% [1/8]) (P = .05). Propionibacterium and coagulase-negative staphylococcus are commonly recovered in revision shoulder arthroplasty, whether or not the glenoid components are loose. Copyright © 2016 Journal of Shoulder and Elbow Surgery Board of Trustees. Published by Elsevier Inc. All rights reserved.

  8. Pyrosequencing reveals bacterial communities in unchlorinated drinking water distribution system: an integral study of bulk water, suspended solids, loose deposits, and pipe wall biofilm.

    Science.gov (United States)

    Liu, G; Bakker, G L; Li, S; Vreeburg, J H G; Verberk, J Q J C; Medema, G J; Liu, W T; Van Dijk, J C

    2014-05-20

    The current understanding of drinking water distribution system (DWDS) microbiology is limited to pipe wall biofilm and bulk water; the contributions of particle-associated bacteria (from suspended solids and loose deposits) have long been neglected. Analyzing the composition and correlation of bacterial communities from different phases helped us to locate where most of the bacteria are and understand the interactions among these phases. In the present study, the bacteria from four critical phases of an unchlorinated DWDS, including bulk water, pipe wall biofilm, suspended solids, and loose deposits, were quantified and identified by adenosine triphosphate analysis and pyrosequencing, respectively. The results showed that the bulk water bacteria (including the contribution of suspended solids) contributed less than 2% of the total bacteria. The bacteria associated with loose deposits and pipe wall biofilm that accumulated in the DWDS accounted for over 98% of the total bacteria, and the contributions of bacteria in loose deposits and pipe wall biofilm were comparable. Depending on the amount of loose deposits, its contribution can be 7-fold higher than the pipe wall biofilm. Pyrosequencing revealed relatively stable bacterial communities in bulk water, pipe wall biofilm, and suspended solids throughout the distribution system; however, the communities present in loose deposits were dependent on the amount of loose deposits locally. Bacteria within the phases of suspended solids, loose deposits, and pipe wall biofilm were similar in phylogenetic composition. The bulk water bacteria (dominated by Polaromonas spp.) were clearly different from the bacteria from the other three phases (dominated by Sphingomonas spp.). This study highlighted that the integral DWDS ecology should include contributions from all of the four phases, especially the bacteria harbored by loose deposits. The accumulation of loose deposits and the aging process create variable microenvironments

  9. Pyrosequencing Reveals Bacterial Communities in Unchlorinated Drinking Water Distribution System: An Integral Study of Bulk Water, Suspended Solids, Loose Deposits, and Pipe Wall Biofilm

    KAUST Repository

    Liu, G.

    2014-05-20

    The current understanding of drinking water distribution system (DWDS) microbiology is limited to pipe wall biofilm and bulk water; the contributions of particle-associated bacteria (from suspended solids and loose deposits) have long been neglected. Analyzing the composition and correlation of bacterial communities from different phases helped us to locate where most of the bacteria are and understand the interactions among these phases. In the present study, the bacteria from four critical phases of an unchlorinated DWDS, including bulk water, pipe wall biofilm, suspended solids, and loose deposits, were quantified and identified by adenosine triphosphate analysis and pyrosequencing, respectively. The results showed that the bulk water bacteria (including the contribution of suspended solids) contributed less than 2% of the total bacteria. The bacteria associated with loose deposits and pipe wall biofilm that accumulated in the DWDS accounted for over 98% of the total bacteria, and the contributions of bacteria in loose deposits and pipe wall biofilm were comparable. Depending on the amount of loose deposits, its contribution can be 7-fold higher than the pipe wall biofilm. Pyrosequencing revealed relatively stable bacterial communities in bulk water, pipe wall biofilm, and suspended solids throughout the distribution system; however, the communities present in loose deposits were dependent on the amount of loose deposits locally. Bacteria within the phases of suspended solids, loose deposits, and pipe wall biofilm were similar in phylogenetic composition. The bulk water bacteria (dominated by Polaromonas spp.) were clearly different from the bacteria from the other three phases (dominated by Sphingomonas spp.). This study highlighted that the integral DWDS ecology should include contributions from all of the four phases, especially the bacteria harbored by loose deposits. The accumulation of loose deposits and the aging process create variable microenvironments

  10. High-density genetic mapping of a major QTL for resistance to multiple races of loose smut in a tetraploid wheat cross

    Science.gov (United States)

    Kumar, Sachin; Knox, Ron E.; Singh, Asheesh K.; DePauw, Ron M.; Campbell, Heather L.; Isidro-Sanchez, Julio; Clarke, Fran R.; Pozniak, Curtis J.; N’Daye, Amidou; Meyer, Brad; Sharpe, Andrew; Ruan, Yuefeng; Cuthbert, Richard D.; Somers, Daryl; Fedak, George

    2018-01-01

    Loose smut, caused by Ustilago tritici (Pers.) Rostr., is a systemic disease of tetraploid durum wheat (Triticum turgidum L.). Loose smut can be economically controlled by growing resistant varieties, making it important to find and deploy new sources of resistance. Blackbird, a variety of T. turgidum L. subsp. carthlicum (Nevski) A. Love & D. Love, carries a high level of resistance to loose smut. Blackbird was crossed with the loose smut susceptible durum cultivar Strongfield to produce a doubled haploid (DH) mapping population. The parents and progenies were inoculated with U. tritici races T26, T32 and T33 individually and as a mixture at Swift Current, Canada in 2011 and 2012 and loose smut incidence (LSI) was assessed. Genotyping of the DH population and parents using an Infinium iSelect 90K single nucleotide polymorphism (SNP) array identified 12,952 polymorphic SNPs. The SNPs and 426 SSRs (previously genotyped in the same population) were mapped to 16 linkage groups spanning 3008.4 cM at an average inter-marker space of 0.2 cM in a high-density genetic map. Composite interval mapping analysis revealed three significant quantitative trait loci (QTL) for loose smut resistance on chromosomes 3A, 6B and 7A. The loose smut resistance QTL on 6B (QUt.spa-6B.2) and 7A (QUt.spa-7A.2) were derived from Blackbird. Strongfield contributed the minor QTL on 3A (QUt.spa-3A.2). The resistance on 6B was a stable major QTL effective against all individual races and the mixture of the three races; it explained up to 74% of the phenotypic variation. This study is the first attempt in durum wheat to identify and map loose smut resistance QTL using a high-density genetic map. The QTL QUt.spa-6B.2 would be an effective source for breeding resistance to multiple races of the loose smut pathogen because it provides near-complete broad resistance to the predominant virulence on the Canadian prairies. PMID:29485999

  11. High-density genetic mapping of a major QTL for resistance to multiple races of loose smut in a tetraploid wheat cross.

    Directory of Open Access Journals (Sweden)

    Sachin Kumar

    Full Text Available Loose smut, caused by Ustilago tritici (Pers. Rostr., is a systemic disease of tetraploid durum wheat (Triticum turgidum L.. Loose smut can be economically controlled by growing resistant varieties, making it important to find and deploy new sources of resistance. Blackbird, a variety of T. turgidum L. subsp. carthlicum (Nevski A. Love & D. Love, carries a high level of resistance to loose smut. Blackbird was crossed with the loose smut susceptible durum cultivar Strongfield to produce a doubled haploid (DH mapping population. The parents and progenies were inoculated with U. tritici races T26, T32 and T33 individually and as a mixture at Swift Current, Canada in 2011 and 2012 and loose smut incidence (LSI was assessed. Genotyping of the DH population and parents using an Infinium iSelect 90K single nucleotide polymorphism (SNP array identified 12,952 polymorphic SNPs. The SNPs and 426 SSRs (previously genotyped in the same population were mapped to 16 linkage groups spanning 3008.4 cM at an average inter-marker space of 0.2 cM in a high-density genetic map. Composite interval mapping analysis revealed three significant quantitative trait loci (QTL for loose smut resistance on chromosomes 3A, 6B and 7A. The loose smut resistance QTL on 6B (QUt.spa-6B.2 and 7A (QUt.spa-7A.2 were derived from Blackbird. Strongfield contributed the minor QTL on 3A (QUt.spa-3A.2. The resistance on 6B was a stable major QTL effective against all individual races and the mixture of the three races; it explained up to 74% of the phenotypic variation. This study is the first attempt in durum wheat to identify and map loose smut resistance QTL using a high-density genetic map. The QTL QUt.spa-6B.2 would be an effective source for breeding resistance to multiple races of the loose smut pathogen because it provides near-complete broad resistance to the predominant virulence on the Canadian prairies.

  12. Otalgia and eschar in the external auditory canal in scrub typhus complicated by acute respiratory distress syndrome and multiple organ failure

    Directory of Open Access Journals (Sweden)

    Hu Sung-Yuan

    2011-03-01

    Full Text Available Abstract Background Scrub typhus, a mite-transmitted zoonosis caused by Orientia tsutsugamushi, is an endemic disease in Taiwan and may be potentially fatal if diagnosis is delayed. Case presentations We encountered a 23-year-old previously healthy Taiwanese male soldier presenting with the right ear pain after training in the jungle and an eleven-day history of intermittent high fever up to 39°C. Amoxicillin/clavulanate was prescribed for otitis media at a local clinic. Skin rash over whole body and abdominal cramping pain with watery diarrhea appeared on the sixth day of fever. He was referred due to progressive dyspnea and cough for 4 days prior to admission in our institution. On physical examination, there were cardiopulmonary distress, icteric sclera, an eschar in the right external auditory canal and bilateral basal rales. Laboratory evaluation revealed thrombocytopenia, elevation of liver function and acute renal failure. Chest x-ray revealed bilateral diffuse infiltration. Doxycycline was prescribed for scrub typhus with acute respiratory distress syndrome and multiple organ failure. Fever subsided dramatically the next day and he was discharged on day 7 with oral tetracycline for 7 days. Conclusion Scrub typhus should be considered in acutely febrile patients with multiple organ involvement, particularly if there is an eschar or a history of environmental exposure in endemic areas. Rapid and accurate diagnosis, timely administration of antibiotics and intensive supportive care are necessary to decrease mortality of serious complications of scrub typhus.

  13. Sample Results From The Extraction, Scrub, And Strip Test For The Blended NGS Solvent

    Energy Technology Data Exchange (ETDEWEB)

    Washington, A. L. II [Savannah River Site (SRS), Aiken, SC (United States). Savannah River National Lab. (SRNL); Peters, T. B. [Savannah River Site (SRS), Aiken, SC (United States). Savannah River National Lab. (SRNL)

    2014-03-03

    This report summarizes the results of the extraction, scrub, and strip testing for the September 2013 sampling of the Next Generation Solvent (NGS) Blended solvent from the Modular Caustic Side-Solvent Extraction Unit (MCU) Solvent Hold Tank. MCU is in the process of transitioning from the BOBCalixC6 solvent to the NGS Blend solvent. As part of that transition, MCU has intentionally created a blended solvent to be processed using the Salt Batch program. This sample represents the first sample received from that blended solvent. There were two ESS tests performed where NGS blended solvent performance was assessed using either the Tank 21 material utilized in the Salt Batch 7 analyses or a simulant waste material used in the V-5/V-10 contactor testing. This report tabulates the temperature corrected cesium distribution, or DCs values, step recovery percentage, and actual temperatures recorded during the experiment. This report also identifies the sample receipt date, preparation method, and analysis performed in the accumulation of the listed values. The calculated extraction DCs values using the Tank 21H material and simulant are 59.4 and 53.8, respectively. The DCs values for two scrub and three strip processes for the Tank 21 material are 4.58, 2.91, 0.00184, 0.0252, and 0.00575, respectively. The D-values for two scrub and three strip processes for the simulant are 3.47, 2.18, 0.00468, 0.00057, and 0.00572, respectively. These values are similar to previous measurements of Salt Batch 7 feed with lab-prepared blended solvent. These numbers are considered compatible to allow simulant testing to be completed in place of actual waste due to the limited availability of feed material.

  14. Dissemination of Orientia tsutsugamushi and inflammatory responses in a murine model of scrub typhus.

    Directory of Open Access Journals (Sweden)

    Christian A Keller

    2014-08-01

    Full Text Available Central aspects in the pathogenesis of scrub typhus, an infection caused by Orientia (O. tsutsugamushi, have remained obscure. Its organ and cellular tropism are poorly understood. The purpose of this study was to analyze the kinetics of bacterial dissemination and associated inflammatory responses in infected tissues in an experimental scrub typhus mouse model, following infection with the human pathogenic strain Karp. We provide a thorough analysis of O. tsutsugamushi infection in inbred Balb/c mice using footpad inoculation, which is close to the natural way of infection. By a novel, highly sensitive qPCR targeting the multi copy traD genes, we quantitatively monitored the spread of O. tsutsugamushi Karp from the skin inoculation site via the regional lymph node to the internal target organs. The highest bacterial loads were measured in the lung. Using confocal imaging, we also detected O. tsutsugamushi at the single cell level in the lung and found a predominant macrophage rather than endothelial localization. Immunohistochemical analysis of infiltrates in lung and brain revealed differently composed lesions with specific localizations: iNOS-expressing macrophages were frequent in infiltrative parenchymal noduli, but uncommon in perivascular lesions within these organs. Quantitative analysis of the macrophage response by immunohistochemistry in liver, heart, lung and brain demonstrated an early onset of macrophage activation in the liver. Serum levels of interferon (IFN-γ were increased during the acute infection, and we showed that IFN-γ contributed to iNOS-dependent bacterial growth control. Our data show that upon inoculation to the skin, O. tsutsugamushi spreads systemically to a large number of organs and gives rise to organ-specific inflammation patterns. The findings suggest an essential role for the lung in the pathogenesis of scrub typhus. The model will allow detailed studies on host-pathogen interaction and provide further

  15. Sample Results From The Extraction, Scrub, And Strip Test For The Blended NGS Solvent

    International Nuclear Information System (INIS)

    Washington, A. L. II; Peters, T. B.

    2014-01-01

    This report summarizes the results of the extraction, scrub, and strip testing for the September 2013 sampling of the Next Generation Solvent (NGS) Blended solvent from the Modular Caustic Side-Solvent Extraction Unit (MCU) Solvent Hold Tank. MCU is in the process of transitioning from the BOBCalixC6 solvent to the NGS Blend solvent. As part of that transition, MCU has intentionally created a blended solvent to be processed using the Salt Batch program. This sample represents the first sample received from that blended solvent. There were two ESS tests performed where NGS blended solvent performance was assessed using either the Tank 21 material utilized in the Salt Batch 7 analyses or a simulant waste material used in the V-5/V-10 contactor testing. This report tabulates the temperature corrected cesium distribution, or DCs values, step recovery percentage, and actual temperatures recorded during the experiment. This report also identifies the sample receipt date, preparation method, and analysis performed in the accumulation of the listed values. The calculated extraction DCs values using the Tank 21H material and simulant are 59.4 and 53.8, respectively. The DCs values for two scrub and three strip processes for the Tank 21 material are 4.58, 2.91, 0.00184, 0.0252, and 0.00575, respectively. The D-values for two scrub and three strip processes for the simulant are 3.47, 2.18, 0.00468, 0.00057, and 0.00572, respectively. These values are similar to previous measurements of Salt Batch 7 feed with lab-prepared blended solvent. These numbers are considered compatible to allow simulant testing to be completed in place of actual waste due to the limited availability of feed material

  16. POSSIBILITY OF BENEFICIATION OF SILICA SAND FROM THE CROATIAN DEPOSITS USING ATTRITION SCRUBBING

    Directory of Open Access Journals (Sweden)

    Ivan Sobota

    2011-12-01

    Full Text Available To meet high quality requirements defined for specific industrial applications, the raw sand often has to be subjected to extensive physical and chemical processing. The possibility of achieving silica sand concentrate of required quality depends mostly on raw sand properties, primarily mineral impurity types and contents, and features of applied beneficiation methods. When the impurities occur in the form of oxide coatings on the surfaces of the single sand grains, attriton scrubbing is applied. By reducing the proportion of oxide coatings on the grains, the quality of sand can be improved. With the aim to determine the possibilities of the beneficiation of silica sand from significant Croatian deposits (“Vrtlinska”, “Štefanac” and “Španovica” and achieve concentrate grade complying with the requirements of domestic industry, laboratory tests were conducted on three raw sand samples with different SiO2 and impurity contents. Grain size distribution, chemical and mineral composition of raw sand samples, and the possibility of their quality improvement by applying the washing, classification and attrition scrubbing were defined by analysis of test results (the paper is published in Croatian.

  17. Characterization of the rhesus macaque (Macaca mulatta) scrub typhus model: Susceptibility to intradermal challenge with the human pathogen Orientia tsutsugamushi Karp

    Science.gov (United States)

    Sunyakumthorn, Piyanate; Somponpun, Suwit J.; Im-erbsin, Rawiwan; Anantatat, Tippawan; Jenjaroen, Kemajittra; Dunachie, Susanna J.; Lombardini, Eric D.; Burke, Robin L.; Blacksell, Stuart D.; Jones, James W.; Mason, Carl J.; Richards, Allen L.; Day, Nicholas P. J.

    2018-01-01

    Background Scrub typhus is an important endemic disease in tropical Asia caused by Orientia tsutsugamushi for which no effective broadly protective vaccine is available. The successful evaluation of vaccine candidates requires well-characterized animal models and a better understanding of the immune response against O. tsutsugamushi. While many animal species have been used to study host immunity and vaccine responses in scrub typhus, only limited data exists in non-human primate (NHP) models. Methodology/Principle findings In this study we evaluated a NHP scrub typhus disease model based on intradermal inoculation of O. tsutsugamushi Karp strain in rhesus macaques (n = 7). After an intradermal inoculation with 106 murine LD50 of O. tsutsugamushi at the anterior thigh (n = 4) or mock inoculum (n = 3), a series of time course investigations involving hematological, biochemical, molecular and immunological assays were performed, until day 28, when tissues were collected for pathology and immunohistochemistry. In all NHPs with O. tsutsugamushi inoculation, but not with mock inoculation, the development of a classic eschar with central necrosis, regional lymphadenopathy, and elevation of body temperature was observed on days 7–21 post inoculation (pi); bacteremia was detected by qPCR on days 6–18 pi; and alteration of liver enzyme function and increase of white blood cells on day 14 pi. Immune assays demonstrated raised serum levels of soluble cell adhesion molecules, anti-O. tsutsugamushi-specific antibody responses (IgM and IgG) and pathogen-specific cell-mediated immune responses in inoculated macaques. The qPCR assays detected O. tsutsugamushi in eschar, spleen, draining and non-draining lymph nodes, and immuno-double staining demonstrated intracellular O. tsutsugamushi in antigen presenting cells of eschars and lymph nodes. Conclusions/Significance These data show the potential of using rhesus macaques as a scrub typhus model, for evaluation of correlates of

  18. Design of a Loose Part Monitoring System Test-bed using CompactRIO

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Min-seok; Lee, Kwang-Dae; Lee, Eui-Jong [KHNP CRI, Daejeon (Korea, Republic of)

    2016-10-15

    A loose part monitoring system (LPMS) is included in the NSSS integrity monitoring system (NIMS), which serves to detect loose parts in reactor coolant systems (RCS). LPMSs at Nuclear Power Plants (NPPs) in Korea follow the ASME OM standard and acquire data from 18 sensors simultaneously. Data acquisition requires a sampling rate of more than 50KHz along with a 12bit A/D converter. Existing LPMS equipment is composed of several different platforms, such as a digital signal processor (DSP), a field-programmable gate array (FPGA), a micro control unit (MCU), and electric circuit cards. These systems have vulnerabilities, such as discontinuance due to aging and incompatibility issues between different pieces of equipment. This paper suggests CompactRIO as a new platform. We devised a Test-bed using CompactRIO and demonstrate that the proposed method meets the criteria required by the standard. The LPMS provides an alert when an impact event occurs and provides information with which to analyze the location, energy, and mass of the loose parts. LPMSs in NPPs in Korea operate on a variety of platforms. Thus, these systems are vulnerable to discontinuances due to aging and incompatibilities arising from the use of different type of equipment. In order to solve these problems, this paper suggests CompactRIO as a new platform. It is a rugged, reconfigurable, high-performance industrial embedded system. The results of performance tests meet the criteria set by the current standard.

  19. Integrating Science & Management: Florida Scrub-Jay Conservation along the Central Florida's Atlantic Coast

    Science.gov (United States)

    Breininger, David R.

    2018-01-01

    Florida scrub-jays are a species listed under the Endangered Species Act. The NASA Ecology program has been a partner for conservation, recovery, and translocation across the species range. The objectives of this talk are to update members of the Archie Carr Working Group recovery, conservation, and translocation activities and describe how the Archie Carr National Wildlife Refuge and nearby conservation lands relate to species recovery actions.

  20. Experiments in MARIUS on HTR tubular fuel with loose particles

    Energy Technology Data Exchange (ETDEWEB)

    Bosser, R; Langlet, G

    1972-06-15

    The work described on HTR tubular fuel with loose particles is the first part of a program in three points. The cell is the same in the three experiments, only particles in the fuel container are changed. The aim of the experiment is to achieve the buckling in a critical facility. A description of the techniques of measurements, calculations, and results are presented.

  1. Thermal protection system gap analysis using a loosely coupled fluid-structural thermal numerical method

    Science.gov (United States)

    Huang, Jie; Li, Piao; Yao, Weixing

    2018-05-01

    A loosely coupled fluid-structural thermal numerical method is introduced for the thermal protection system (TPS) gap thermal control analysis in this paper. The aerodynamic heating and structural thermal are analyzed by computational fluid dynamics (CFD) and numerical heat transfer (NHT) methods respectively. An interpolation algorithm based on the control surface is adopted for the data exchanges on the coupled surface. In order to verify the analysis precision of the loosely coupled method, a circular tube example was analyzed, and the wall temperature agrees well with the test result. TPS gap thermal control performance was studied by the loosely coupled method successfully. The gap heat flux is mainly distributed in the small region at the top of the gap which is the high temperature region. Besides, TPS gap temperature and the power of the active cooling system (CCS) calculated by the traditional uncoupled method are higher than that calculated by the coupled method obviously. The reason is that the uncoupled method doesn't consider the coupled effect between the aerodynamic heating and structural thermal, however the coupled method considers it, so TPS gap thermal control performance can be analyzed more accurately by the coupled method.

  2. Effect of different brewing times on soluble oxalate content of loose-packed black teas and tea bags.

    Science.gov (United States)

    Mahdavi, Reza; Lotfi Yagin, Neda; Liebman, Michael; Nikniaz, Zeinab

    2013-02-01

    Because of the postulated role of increased dietary oxalate intake in calcium oxalate stone formation, the effect of different brewing times on soluble oxalate contents of loose-packed black tea and tea bags was studied. The oxalate content of 25 different samples of loose-packed black teas after brewing at 5, 10, 15, 30, and 60 min and of ten brands of tea bags after infusion for 1, 2, 3, 4, and 5 min was measured by enzymatic assay. The oxalate concentration resulting from different brewing times ranged from 4.3 to 6.2 mg/240 ml for loose-packed black teas and from 2.7 to 4.8 mg/240 ml for tea bags. There was a stepwise increase in oxalate concentration associated with increased brewing times.

  3. Loose and Tight Coupling in Educational Organizations--An Integrative Literature Review

    Science.gov (United States)

    Hautala, Tanja; Helander, Jaakko; Korhonen, Vesa

    2018-01-01

    Purpose: The purpose of this paper is to review and synthesize the attributes of loose and tight coupling in educational organizations. In addition, it is aimed to determine whether this phenomenon has value and strategies to offer for the current educational administration and research. Design/methodology/approach: Integrative literature review…

  4. Impact of elevated CO2 on a Florida Scrub-oak Ecosystems

    Energy Technology Data Exchange (ETDEWEB)

    Drake, Bert G

    2013-01-01

    Since May of 1996, we have conducted an experiment in Florida Scrub Oak to determine the impact of elevated atmospheric CO2 and climate change on carbon, water, and nutrient cycling in this important terrestrial ecosystem. Florida scrub oak is the name for a collective of species occupying much of the Florida peninsula. The dominant tree species are oaks and the dwarf structure of this community makes it an excellent system in which to test hypotheses regarding the potential capacity of woody ecosystems to assimilate and sequester anthropogenic carbon. Scrub oak is fire dependent with a return cycle of 10-15 years, a time which would permit an experiment to follow the entire cycle. Our site is located on Cape Canaveral at the Kennedy Space Center, Florida. After burning in 1995, we built 16 open top chambers, half of which have been fumigated with pure CO2 sufficient to raise the concentration around the plants to 350 ppm above ambient. In the intervening 10 years we have non destructively measured biomass of shoots and roots, ecosystem gas exchange using chambers and eddy flux, leaf photosynthesis and respiration, soil respiration, and relevant environmental factors such as soil water availability, temperature, light, etc. The overwhelming result from analysis of our extensive data base is that elevated CO2 has had a profound impact on this ecosystem that, overall, has resulted in increased carbon accumulation in plant shoots, roots and litter. Our measurements of net ecosystem gas exchange also indicate that the ecosystem has accumulated carbon much in excess of the increased biomass or soil carbon suggesting a substantial export of carbon through the porous, sandy soil into the water table several meters below the surface. A major discovery is the powerful interaction between the stimulation of growth, photosynthesis, and respiration by elevated CO2 and other environmental factors particularly precipitation and nitrogen. Our measurements focused attention on

  5. Scalp flora in Indian patients undergoing craniotomy for brain tumors - Implications for pre-surgical site preparation and surgical site infection

    Directory of Open Access Journals (Sweden)

    Aliasgar V Moiyadi

    2012-01-01

    Full Text Available Introduction: Causation of surgical site infection (SSI following craniotomy is multifactorial. Most preventive strategies (including site preparation and antibiotic prophylaxis revolve around reducing preoperative contamination of the local site. There is little evidence, however, linking site contamination with postoperative infections. This is important given the preference for performing non-shaved cranial surgery. We undertook a prospective study to document the scalp flora in neurosurgical patients in an Indian setting and to assess possible association with SSI. Materials and Methods: A prospective study recruited 45 patients undergoing non-shaved clean craniotomies for various brain tumors. Standard perioperative procedures and antibiotic policy were employed. Prior to and immediately following the pre-surgical scrubbing, we collected swabs and evaluated their growth qualitatively. SSI was documented adhering to CDC guidelines. The association of swab-positivity with various parameters (including SSI was evaluated. Results: Pre-scrub positivity was seen in 18 of 44 patients, three of them developed subsequent SSI. Most were known skin contaminants. Five patients had swab positivity after scrubbing, though none of these developed any SSI. Four of these five had pre-scrub positivity. In three the same organisms persisted (two being Staphylococcus aureus, and one had different growth post-scrub, whereas one patient developed new growth (contaminant mycelial fungus in the post-scrub swab. We did not find any association between swab positivity and SSI. Swab positivity was also not related to hair-length or hygiene. Conclusion: Scalp flora in Indian patients is similar to that described. Pre-surgical preparation does not always eliminate this contamination (especially staphylococcus. However, this does not necessarily translate into increased SSI. Moreover, the results also provide objective evidence to support the performance of non

  6. The use of geochemical barriers for reducing contaminants emanating from uranium mill tailings

    International Nuclear Information System (INIS)

    Groffman, A.R.; Longmire, P.; Mukhopadhyay, B.; Downs, W.

    1991-01-01

    A problem facing the Department of Energy's Uranium Mill Tailings Remediation Action (UMTRA) Project is the contamination of local ground water by leachate emanating form the tailings piles. These fluids have a low pH and contain heavy metals and trace elements such as arsenic, molybdenum, nitrate, selenium, and uranium. In order to meet ground water standards low hydraulic conductivity covers are installed over the tailings embankment. in some cases it may be necessary to install a geochemical barrier down gradient from the tailings embankment in order to remove the hazardous constituents. By using geochemical barriers to reduce undesirable species form a contaminant plume, fluids emanating form beneath a repository can in effect be scrubbed before entering the water table. Materials containing adsorbing clays, iron oxyhydroxides and zeolites, and reducing materials such as coal and peat, are being used effectively to attenuate contaminants form uranium mill tailings. Experiments to directly determine attenuation capacities of selected buffer/adsorption materials were conducted in the laboratory. Batch leach tests were conducted in lieu of column tests when the hydraulic conductivity of materials was too low to use in columns and shales

  7. Comparison of post-fire seedling establishment between scrub communities in mediterranean and non-mediterranean climate ecosystems

    Science.gov (United States)

    Carrington, M.E.; Keeley, J.E.

    1999-01-01

    I Both fire regimes and the conditions under which fires occur vary widely. Abiotic conditions (such as climate) in combination with fire season, frequency and intensity could influence vegetation responses to fire. A variety of adaptations facilitate post-fire recruitment in mediterranean climate ecosystems, but responses of other communities are less well known. We evaluated the importance of climate by comparing sites with mediterranean and subtropical climates. 2 We used paired burned and mature sites in chamise chaparral, mixed chaparral and coastal sage scrub (California), and rosemary scrub, sand pine scrub and sand-hill (Florida), to test whether (i) patterns of pre-fire and post-fire seedling recruitment are more similar between communities within a region than between regions, and (ii) post-fire stimulation of seedling establishment is greater in regions with marked fire-induced contrasts in abiotic site characteristics. 3 Post-fire seedling densities were more similar among sites within climatic regions than between regions. Both seedling densities and proportions of species represented by seedlings after fires were generally higher in California. 4 The only site characteristic showing a pre-fire-post-fire contrast was percentage open canopy, and the effect was greater in California than in Florida. Soil properties were unaffected by fire. 5 Mediterranean climate ecosystems in other regions have nutrient-poor soils similar to our subtropical Florida sites, but show post-fire seedling recruitment patterns more similar to the nutrient-rich sites in California. Climate therefore appears to play a more major role than soil characteristics.

  8. Enhancement of the SPARC90 code to pool scrubbing events under jet injection regime

    Energy Technology Data Exchange (ETDEWEB)

    Berna, C., E-mail: ceberes@iie.upv.es [Instituto de Ingeniería Energética, Universitat Politècnica de València (UPV), Camino de Vera 14, 46022 Valencia (Spain); Escrivá, A.; Muñoz-Cobo, J.L. [Instituto de Ingeniería Energética, Universitat Politècnica de València (UPV), Camino de Vera 14, 46022 Valencia (Spain); Herranz, L.E., E-mail: luisen.herranz@ciemat.es [Unit of Nuclear Safety Research Division of Nuclear Fission, CIEMAT, Avda. Complutense 22, 28040 Madrid (Spain)

    2016-04-15

    Highlights: • Review of the most recent literature concerning submerged jets. • Emphasize all variables and processes occurring along the jet region. • Highlight the gaps of knowledge still existing related to submerged jets. • Enhancement of SPARC90-Jet to estimate aerosol removal under jet injection regime. • Validation of the SPARC90-Jet results against pool scrubbing experimental data. - Abstract: Submerged gaseous jets may have an outstanding relevance in many industrial processes and may be of particular significance in severe nuclear accident scenarios, like in the Fukushima accident. Even though pool scrubbing has been traditionally associated with low injection velocities, there are a number of potential scenarios in which fission product trapping in aqueous ponds might also occur under jet injection regime (like SGTR meltdown sequences in PWRs and SBO ones in BWRs). The SPARC90 code was developed to determine the fission product trapping in pools during severe accidents. The code assumes that carrier gas arrives at the water ponds at low or moderate velocities and it forms a big bubble that eventually detaches from the injection pipe. However, particle laden gases may enter the water at very high velocities resulting in a submerged gas jet instead. This work presents the fundamentals, major hypotheses and changes introduced into the code in order to estimate particle removal during gas injection in pools under the jet regime (SPARC90-Jet). A simplified and reliable approach to submerged jet hydrodynamics has been implemented on the basis of updated equations for jet hydrodynamics and aerosol removal, so that gas–liquid and droplet-particles interactions are described. The code modifications have been validated as far as possible. However, no suitable hydrodynamic tests have been found in the literature, so that an indirect validation has been conducted through comparisons against data from pool scrubbing experiments. Besides, this validation

  9. Enhancement of the SPARC90 code to pool scrubbing events under jet injection regime

    International Nuclear Information System (INIS)

    Berna, C.; Escrivá, A.; Muñoz-Cobo, J.L.; Herranz, L.E.

    2016-01-01

    Highlights: • Review of the most recent literature concerning submerged jets. • Emphasize all variables and processes occurring along the jet region. • Highlight the gaps of knowledge still existing related to submerged jets. • Enhancement of SPARC90-Jet to estimate aerosol removal under jet injection regime. • Validation of the SPARC90-Jet results against pool scrubbing experimental data. - Abstract: Submerged gaseous jets may have an outstanding relevance in many industrial processes and may be of particular significance in severe nuclear accident scenarios, like in the Fukushima accident. Even though pool scrubbing has been traditionally associated with low injection velocities, there are a number of potential scenarios in which fission product trapping in aqueous ponds might also occur under jet injection regime (like SGTR meltdown sequences in PWRs and SBO ones in BWRs). The SPARC90 code was developed to determine the fission product trapping in pools during severe accidents. The code assumes that carrier gas arrives at the water ponds at low or moderate velocities and it forms a big bubble that eventually detaches from the injection pipe. However, particle laden gases may enter the water at very high velocities resulting in a submerged gas jet instead. This work presents the fundamentals, major hypotheses and changes introduced into the code in order to estimate particle removal during gas injection in pools under the jet regime (SPARC90-Jet). A simplified and reliable approach to submerged jet hydrodynamics has been implemented on the basis of updated equations for jet hydrodynamics and aerosol removal, so that gas–liquid and droplet-particles interactions are described. The code modifications have been validated as far as possible. However, no suitable hydrodynamic tests have been found in the literature, so that an indirect validation has been conducted through comparisons against data from pool scrubbing experiments. Besides, this validation

  10. Measurement and removal of surface contamination

    International Nuclear Information System (INIS)

    Neider, M.; Tamberg, T.

    1990-01-01

    This is a critical reappraisal of the sampling factor which is important for indirect contamination measurement. The factor gives the radioactivity collected by means of a wipe sample as a fraction of the total loose radioactivity i.e. without firm adhesion. It is used in national and international standard specifications and stated, frequently with excessive conservatism, as 0.1. Secondly, the standard specifications for the testing and appraisal of surface materials in relation to their decontamination capacity and for testing the effect of decontamination agents hitherto bond and Co-60 and Cs-137 are to be expanded to include radioactive iodine, which is important in nuclear medicine. The selection of optimum surface materials will thus be put on an improved basis. (orig./DG) [de

  11. The effect of severe drought on the abundance of ticks on vegetation and on scrub hares in the Kruger National Park

    Directory of Open Access Journals (Sweden)

    A.M. Spickett

    1995-08-01

    Full Text Available Free-living ixodid ticks were collected monthly from August 1988 to July 1993 from the vegetation of landscape zones 17 (Sclerocarya caffra/Acacia nigrescens Savanna and 4 (Thickets of the Sabie and Crocodile Rivers in the south-east and south-west of the Kruger National Park respectively, and parasitic ticks from scrub hares in the latter landscape zone. Total tick collections from the vegetation of both landscape zones were lowest in the year following the drought year of August 1991 to July 1992, while the tick burdens of the scrub hares were lowest during the drought year itself.

  12. Loose part trapping device in the secondary circuit of a steam generator

    International Nuclear Information System (INIS)

    Poussin, C.; Ayme, H.

    1993-01-01

    The trap is principally formed from mesh filter placed across the annular section of the secondary circuit. The maximum mesh size is less than the distance separating the tubes so that the loose parts cannot caught between the tubular bundle tubes. 6 figs

  13. Effect of High-Intensity Wildfire and Silvicultural Treatments on Reptile Communities in Sand-Pine Scrub

    Science.gov (United States)

    Cathryn H. Greenberg; Daniel G. Neary; Larry D. Harris

    1994-01-01

    We tested whether the herpetofuunal response to clearcutting followed by site preparation was similar to high-intensity wildfire foIlowed by salvage logging in sand- pine scrub. Herpetofaunal communities were compared in three replicated 5- to 7-yearpost-disturbance treatments and mature sand-pine forest. The three disturbance treatments were (1) high-intensity...

  14. Scrub typhus complicated by acute respiratory distress syndrome and multiorgan failure; an unrecognized alarming entity in central India: A report of two cases

    Directory of Open Access Journals (Sweden)

    Amrish Saxena

    2014-01-01

    Full Text Available Scrub typhus is an acute infectious illness, distributed throughout the Asia Pacific rim. In India, it has been reported from northern, eastern, and southern India. However, cases of scrub typhus have not been well-documented from Vidarbha, an eastern region of Maharashtra state in central India. We report two cases of complicated scrub typhus from Vidarbha region. These cases admitted in unconscious state with 8-10 days history of fever, body ache, cough, and progressive breathlessness. The diagnosis in both cases was based on presence of eschar, a positive Weil-Felix test, and a positive rapid diagnostic test (immunochromatographic assay. Both cases were complicated by acute respiratory distress syndrome (ARDS and multiorgan failure. Both of them presented in their 2 nd week of illness and died during the hospital course in spite of intensive supportive care. The main cause of mortality was delayed referral leading to delay in diagnosis and treatment.

  15. Abundance & distribution of trombiculid mites & Orientia tsutsugamushi, the vectors & pathogen of scrub typhus in rodents & shrews collected from Puducherry & Tamil Nadu, India.

    Science.gov (United States)

    Candasamy, Sadanandane; Ayyanar, Elango; Paily, Kummankottil; Karthikeyan, Patricia Anitha; Sundararajan, Agatheswaran; Purushothaman, Jambulingam

    2016-12-01

    Human cases of scrub typhus are reported every year from Puducherry and adjoining areas in southern India. However, information on the presence of causative agent, Orientia tsutsugamushi, and its vectors is lacking. Hence, the objective of the study was to find out the vector as well as pathogen distribution in rodents and shrews present in the scrub typhus-reported areas in southern India. Trombiculid mites were collected by combing rats and shrews collected using Sherman traps and identified to species level following standard taxonomical keys. The serum samples of the animals were used for Weil-Felix test and the clots containing blood cells were used for DNA extraction and polymerase chain reaction (PCR). A total of 181 animals comprising four rodent species and one shrew species were collected from 12 villages. High proportion of chiggers was collected from the shrew, Suncus murinus (79.1%) and Rattus rattus (47.6%). A total of 10,491 trombiculid mites belonging to nine species were collected. Leptotrombidium deliense, the known vector of scrub typhus pathogen, was the predominant species (71.0%) and the chigger (L. deliense) index was 41.1 per animal. Of the 50 animals screened for the pathogen, 28 showed agglutination against OX-K in Weil-Felix test indicating the presence of antibodies against O. tsutsugamushi, the causative agent of scrub typhus. PCR carried out with the DNA extracted from blood samples of two of the animals were positive for GroEl gene of O. tsutsugamushi. L. deliense index was well above the critical limit of chigger load, indicating that all the villages were receptive for high risk of transmission of scrub typhus to human. Pathogen positivity was higher among animals collected from villages recorded for higher chigger indices due to active transmission between the chigger mites and reservoir host animals. The results are suggestive of routine vector/pathogen surveillance at hot spots to initiate timely preventive measures.

  16. Method and apparatus for the purification of a liquid contaminated with radioactive substances

    International Nuclear Information System (INIS)

    Mende, H.

    1976-01-01

    A method of and apparatus for the purification of a liquid contaminated with radioactive substances is described, wherein the liquid is infed to an evaporator in or with which there is connected a column having a multiplicity of superposed plates or floors. The vapor generated in the evaporator is guided through a washing or scrubbing liquid uniformly distributed at the floors and flowing in crosswise counterflow with regard to the vapor. The washing liquid at the floors is deflected a number of times in such a manner that the washing liquid itself together with the droplets entrained by the vapor are uniformly admixed and the washing liquid subjected to a constant intake of the radioactive substance

  17. Characteristics of coastal sage scrub in relation to fire history and use by California gnatcatchers

    Science.gov (United States)

    Jan L. Beyers; Ginger C. Pena

    1995-01-01

    Abstract: Plant cover and vegetation structure were examined at two inland coastal sage scrub sites differing in fire history and use by California gnatcatchers. Salvia mellifera and Eriogonum fasciculatum dominated one site; shrub cover on gnatcatcher occupied plots averaged 50 percent greater than on unoccupied plots. At the other site, gnatcatcher-occupied plots had...

  18. Characteristics of scrub typhus, murine typhus, and Q fever among elderly patients: Prolonged prothrombin time as a predictor for severity.

    Science.gov (United States)

    Chang, Ko; Lee, Nan-Yao; Ko, Wen-Chien; Lin, Wei-Ru; Chen, Yen-Hsu; Tsai, Jih-Jin; Chen, Tun-Chieh; Lin, Chun-Yu; Chang, Ya-Ting; Lu, Po-Liang

    2017-06-22

    The clinical manifestations of scrub typhus, murine typhus and acute Q fever in the elderly are not clear. We conducted a retrospective study to identify the characteristics of the elderly aged ≥65 years with a comparison group aged 18-64 years among patients with scrub typhus, murine typhus, or acute Q fever who were serologically confirmed at three hospitals in Taiwan during 2002-2011. Among 441 cases, including 187 cases of scrub typhus, 166 acute Q fever, and 88 murine typhus, 68 (15.4%) cases were elderly patients. The elderly had a higher severe complication rate (10.3% vs. 3.5%, p = 0.022), but did not have a significantly higher mortality rate (1.47% vs. 0.54%, p = 0.396). Compared with those without severe complications, we found the elderly (p = 0.022), dyspnea (p = 0.006), less relative bradycardia (p = 0.004), less febrile illness (p = 0.004), prolonged prothrombin time (PT) (p = 0.002), higher levels of initial C-reactive protein (p = 0.039), blood leukocyte counts (p = 0.01), and lower platelet counts (p = 0.012) are significantly associated with severe complications. Only prolonged prothrombin time was associated with severe complications in multivariate analysis (p = 0.018, CI 95% 0.01-0.66). Among clinical symptoms and laboratory data, multivariate analysis revealed chills was less frequently occurred in the elderly (p = 0.012, 95% confidence interval [CI]: 1.33-9.99). The elderly cases with scrub typhus, murine typhus, or acute Q fever would be more likely to have severe complications, for which prothrombin time prolongation is an important predictor for severe complications. Copyright © 2017. Published by Elsevier B.V.

  19. Isolation and Characterization of Orientia tsutsugamushi from Rodents Captured following a Scrub Typhus Outbreak at a Military Training Base, Bothong District, Chonburi Province, Central Thailand

    OpenAIRE

    Rodkvamtook, Wuttikon; Ruang-areerate, Toon; Gaywee, Jariyanart; Richards, Allen L.; Jeamwattanalert, Pimmada; Bodhidatta, Dharadhida; Sangjun, Noppadon; Prasartvit, Anchana; Jatisatienr, Araya; Jatisatienr, Chaiwat

    2011-01-01

    Orientia tsutsugamushi, an obligate intracellular Gram-negative bacterium, is the causative agent of scrub typhus, a vector-borne disease transmitted by infected chiggers (trombiculid mite larvae). In 2002, an outbreak of scrub typhus occurred among Royal Thai Army troops during the annual field training at a military base in Bothong district, Chonburi province, central Thailand. This report describes the outbreak investigation including its transmission cycle. Results showed that 33.9% of 17...

  20. Bodems voor vrijloopstallen = Bedding materials in loose housing systems for dairy cattle

    NARCIS (Netherlands)

    Dooren, van H.J.C.; Galama, P.J.; Smits, M.C.J.

    2012-01-01

    Sand, Compost and 'toemaak' (a mixture of reed, dredge and manure) had been used as bedding material for loose housing systems on three dairy research farms of Wageningen UR Livestock Research. Gaseous emissions, animal behavior and health and food safety aspects were measured and reported together

  1. Researching Lean: Methodological Implications of Loose Definitions

    Directory of Open Access Journals (Sweden)

    Mikael Brännmark

    2012-12-01

    Full Text Available Recently, Lean Production (Lean has become a prevailing management concept in Sweden. However, previous research seems to show that the Lean concept and the impact of Lean vary considerably between organizations. This paper illustrates some key methodological issues that need to be considered when researching loosely defined management concepts such as Lean. The paper is based on a review of the literature and five comparative Swedish cases studies. Our study indicates that Lean has changed over time and that operationalization and interpretations of the concept vary considerably. This study concludes that future Lean studies should include a thorough assessment of the Lean interventions, study settings, and in particular non-Lean factors mediating the outcomes of Lean-inspired change programs.

  2. Loose Cigarette Purchasing and Nondaily Smoking Among Young Adult Bar Patrons in New York City.

    Science.gov (United States)

    Guillory, Jamie; Johns, Michael; Farley, Shannon M; Ling, Pamela M

    2015-08-01

    We examined loose cigarette (loosie) purchasing behavior among young adult (aged 18-26 years) smokers at bars in New York City and factors associated with purchase and use. Between June and December 2013, we conducted cross-sectional surveys (n = 1916) in randomly selected bars and nightclubs. Using multivariable logistic regression models, we examined associations of loose cigarette purchasing and use with smoking frequency, price, social norms, cessation behaviors, and demographics. Forty-five percent (n = 621) of nondaily smokers and 57% (n = 133) of daily smokers had ever purchased a loosie; 15% of nondaily smokers and 4% of daily smokers reported that their last cigarette was a loosie. Nondaily smokers who never smoked daily were more likely than were daily smokers to have last smoked a loosie (odds ratio = 7.27; 95% confidence interval = 2.35, 22.48). Quitting behaviors and perceived approval of smoking were associated with ever purchasing and recently smoking loosies. Loosie purchase and use is common among young adults, especially nondaily smokers. Smoking patterns and attitudes should be considered to reduce loose cigarette purchasing among young adults in New York City.

  3. Production of adsorbent from palm shell for radioactive iodine scrubbing process

    International Nuclear Information System (INIS)

    Mohamad Azman Che Mat Isa; Ku Halim Ku Hamid; Muhd Noor Muhd Yunus; Mohamad Puad Abu; Abdul Halim Badaruddin; Mohammad Nizammudin Abd Aziz; Muhd Ridwan Abdul Rahim

    2010-01-01

    The biggest biomass source in Malaysia comes from oil palm industry. According to the statistic of year 2004, Malaysia produced 40 million tones per year of biomass which 30 million tones of biomass originated from the oil palm industries. Therefore, the biomass waste such as palm kernel shell can be used to produce granular adsorbent for radioactive materials. For that reason, a newly system, called Rocking Kiln - Fluidized Bed (RK - FB) was developed to utilize large amount of the biomass to produce high value added product. Charcoal or chemically produced activated carbon could be produced by using the kiln. Washing process was introduced to remove particles, minerals and volatile matters from charcoal produced and then would create more surface area in the adsorbent by creating more active sites. In this research, the adsorbent produced was used to scrub iodine 131. In nuclear power reactor, iodine isotope 131 is produced during nuclear fission, and this elementary radioactive iodine may pollute exhaust air streams that could cause thyroid cancer. For removal of radioactive iodine, normally a potassium iodide - impregnated activated carbon (KI - AC) is used. Thus, a process will be developed to produce KI - AC and this product will be used to calculate the efficiency to remove the radioactive iodine 131.The results obtain show that adsorbent produced has a high potential to be used in radioactive adsorbing and likely more economics. This paper will elaborate further the experimental set-up of in Kiln - Fluidized Bed (RK - FB), adsorbent quality and radioactive scrubbing process. (author)

  4. An Experimental Study of Portland Cement and Superfine Cement Slurry Grouting in Loose Sand and Sandy Soil

    Directory of Open Access Journals (Sweden)

    Weijing Yao

    2018-04-01

    Full Text Available Grouting technology is widely applied in the fields of geotechnical engineering in infrastructure. Loose sand and sandy soil are common poor soils in tunnel and foundation treatments. It is necessary to use superfine cement slurry grouting in the micro-cracks of soil. The different effectiveness of Portland cement slurry and superfine cement slurry in sandy soil by the laboratory grouting experiment method were presented in this paper. The grouting situations of superfine cement slurry injected into sand and sandy soil were explored. The investigated parameters were the dry density, wet density, moisture content, internal friction angle, and cohesion force. The results show that the consolidation effect of superfine cement is better than that of Portland cement due to the small size of superfine cement particles. The superfine cement can diffuse into the sand by infiltration, extrusion, and splitting. When the water–cement ratio of superfine cement slurry is less than 2:1 grouting into loose sand, the dry and wet density decrease with the increase in the water–cement ratio, while the moisture content and cohesive force gradually increase. When the water–cement ratio of superfine cement slurry is 1:1 grouting into loose sand and sandy soil, the dry density, wet density, and cohesive force of loose sand are larger than those of sandy soil. The results of the experiment may be relevant for engineering applications.

  5. Surveillance systems (PWR) - loose parts monitoring - vibration monitoring - leakage detection

    International Nuclear Information System (INIS)

    Schuette, A.; Blaesig, H.

    1982-01-01

    The contribution is engaged in the task and the results of the loose parts monitoring and the vibration monitoring following from the practice at the PWR of Biblis. First a description of both systems - location and type of the sensors used, the treatment of the measurements and the indications - is given. The results of the analysis of some events picked up by the surveillance systems are presented showing applicabilty and benefit of such systems. (orig.)

  6. Incidence, risk factors and clinical outcomes of acute kidney injury associated with scrub typhus: a retrospective study of 510 consecutive patients in South Korea (2001-2013).

    Science.gov (United States)

    Hwang, Kyungo; Jang, Ha Nee; Lee, Tae Won; Cho, Hyun Seop; Bae, Eunjin; Chang, Se-Ho; Park, Dong Jun

    2017-03-15

    Renal involvement in scrub typhus ranges from simple urinary abnormalities to acute kidney injury (AKI) leading to death. This study evaluated the incidence, predictors and prognosis of AKI associated with scrub typhus according to the RIFLE (risk, injury, failure, loss, end-stage kidney disease) criteria. We retrospectively evaluated the medical records of patients diagnosed with scrub typhus from January 2001 to November 2013 in Gyeongsang National University Hospital. During the study period, 510 patients were diagnosed with scrub typhus and the incidence of AKI was 35.9%. There were 132 (25.9%) patients at risk, 37 (7.3%) with injury and 14 (2.7%) with failure. In comparison with the non-AKI group, the AKI group was older (73.9 vs 63.4 years, pscrub typhus. Our current results suggest that the presence of underlying CKD, older age, lower serum albumin level and time to hospital presentation after symptom onset were important risk factors to determine occurrence of AKI. Whether earlier diagnosis and treatment in patients with the above risk factors reduce the incidence and severity of AKI deserves to be investigated. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.

  7. Nuclear ventilation installations. Method of control of the scrubbing coefficient of iodine trap

    International Nuclear Information System (INIS)

    1982-12-01

    The present standard aims at defining a method to control the scrubbing coefficient of radioactive iodine trapping systems, used in nuclear ventilation installations. It applies to the installations where the trapping, efficiency of radioactive iodine has to be known, tested and compared to a reference value generally included in the safety reports. It applies to the installations where the absolute pressure of the air in the ventilation systems is above 1,4. 10 5 Pa (1,4 Bar) [fr

  8. Looseness and Independence Number of Triangulations on Closed Surfaces

    Directory of Open Access Journals (Sweden)

    Nakamoto Atsuhiro

    2016-08-01

    Full Text Available The looseness of a triangulation G on a closed surface F2, denoted by ξ (G, is defined as the minimum number k such that for any surjection c : V (G → {1, 2, . . . , k + 3}, there is a face uvw of G with c(u, c(v and c(w all distinct. We shall bound ξ (G for triangulations G on closed surfaces by the independence number of G denoted by α(G. In particular, for a triangulation G on the sphere, we have

  9. Low velocity gunshot wounds result in significant contamination regardless of ballistic characteristics.

    Science.gov (United States)

    Weinstein, Joseph; Putney, Emily; Egol, Kenneth

    2014-01-01

    Controversy exists among the orthopedic community regarding the treatment of gunshot injuries. No consistent treatment algorithm exists for treatment of low energy gunshot wound (GSW) trauma. The purpose of this study was to critically examine the wound contamination following low velocity GSW based upon bullet caliber and clothing fiber type found within the injury track. Four types of handguns were fired at ballistic gel from a 10-foot distance. Various clothing materials were applied (denim, cotton, polyester, and wool) circumferentially around the tissue agar in a loose manor. A total of 32 specimens were examined. Each caliber handgun was fired a minimum of 5 times into a gel. Regardless of bullet caliber there was gross contamination of the entire bullet track in 100% of specimens in all scenarios and for all fiber types. Furthermore, as would be expected, the degree of contamination appeared to increase as the size of the bullet increased. Low velocity GSWs result in significant contamination regardless of bullet caliber and jacket type. Based upon our results further investigation of low velocity GSW tracks is warranted. Further clinical investigation should focus on the degree to which debridement should be undertaken.

  10. Acceleration Signal Characteristics for Intuitional Mass Analysis of Metallic Loose Parts

    International Nuclear Information System (INIS)

    Lee, Kwang-Hyun; Jung, Chang-Gyu

    2016-01-01

    Nuclear power plants (NPPs) have operated LPMS (Loose Parts Monitoring System) for early detection of the possible presence of metallic parts in the reactor coolant system (RCS); however, analysis of the metallic impact wave characteristics in the LPMS is an important issue because information, such as the mass of the metallic part and the impact location, is not provided. Most studies have concentrated on fieldwork using the frequency characteristics for the analysis of the metallic part mass. Thus, the field engineers cannot analyze signals without special software and access to the system. This paper is intended to introduce a process of intuitional mass analysis using the attenuation rate of the acceleration signal and the intervals between peak signals. Most studies related to mass analysis of a metallic part impact signal in LPMS have used the frequency spectrum. This paper presents a method of using the acceleration signal characteristics for intuitional mass analysis of loose metallic parts. With the method proposed in this paper, because the mass of a metallic part can be understood intuitionally without any special analysis program, intuitional analysis used in parallel with frequency spectrum analysis will be in effect

  11. Acceleration Signal Characteristics for Intuitional Mass Analysis of Metallic Loose Parts

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Kwang-Hyun; Jung, Chang-Gyu [KHNP CRI, Daejeon (Korea, Republic of)

    2016-10-15

    Nuclear power plants (NPPs) have operated LPMS (Loose Parts Monitoring System) for early detection of the possible presence of metallic parts in the reactor coolant system (RCS); however, analysis of the metallic impact wave characteristics in the LPMS is an important issue because information, such as the mass of the metallic part and the impact location, is not provided. Most studies have concentrated on fieldwork using the frequency characteristics for the analysis of the metallic part mass. Thus, the field engineers cannot analyze signals without special software and access to the system. This paper is intended to introduce a process of intuitional mass analysis using the attenuation rate of the acceleration signal and the intervals between peak signals. Most studies related to mass analysis of a metallic part impact signal in LPMS have used the frequency spectrum. This paper presents a method of using the acceleration signal characteristics for intuitional mass analysis of loose metallic parts. With the method proposed in this paper, because the mass of a metallic part can be understood intuitionally without any special analysis program, intuitional analysis used in parallel with frequency spectrum analysis will be in effect.

  12. Characterisation of the loose sediments used for the 152Eu migration experiments

    International Nuclear Information System (INIS)

    Klotz, D.

    2001-01-01

    The Eu migration experiments were carried out in nonbinding loose sediments of different grain sizes. The five sediments used are characterised on the basis of their grain size distribution, storage and microstructure sizes, hydraulic characteristics as well as some chemical parameters that are required for understanding and modelling the migration experiments [de

  13. Model testing on rainfall-induced landslide of loose soil in Wenchuan earthquake region

    Directory of Open Access Journals (Sweden)

    H. Fang

    2012-03-01

    Full Text Available This study investigates the formation process of rainfall-induced landslide for slopes composed of loose soil in the Wenchuan earthquake region. Experimental investigations have been performed on the landslide's formation and the variation of the controlling soil parameters under various artificial rainfall conditions. The landslide triggering mechanisms can be described in the following way. Firstly, the large porosity of the loose soil facilitated the infiltration of water, which increased the pore water pressure and reduced the shear strength of the soil significantly. In addition, the rainfalls probably caused the concentration of finer particles at a certain depth of the valley slopes. This concentration within the soil increased the pore water pressure significantly, and consequently reduced both the porosity ratio and permeability. Therefore, when the pore water pressure reached a critical state, the effective shear strength of the soil diminished, inducing the landslide's formation.

  14. Dynamics of vegetation and soils of oak/saw palmetto scrub after fire: Observations from permanent transects

    Science.gov (United States)

    Schmalzer, Paul A.; Hinkle, G. Ross

    1991-01-01

    Ten permanent 15 m transects previously established in two oak/saw palmetto scrub stands burned in December 1986, while two transects remained unburned. Vegetation in the greater than 0.5 m and the less than 0.5 m layers on these transects was sampled at 6, 12, 18, 24, and 36 months postburn and determined structural features of the vegetation (height, percent bare ground, total cover). The vegetation data were analyzed from each sampling by height layer using detrended correspondence analysis ordination. Vegetation data for the greater than 0.5 m layer for the entire time sequence were combined and analyzed using detrended correspondence analysis ordination. Soils were sampled at 6, 12, 18, and 24 months postburn and analyzed for pH, conductivity, organic matter, exchangeable cations (Ca, Mg, K, Na), NO3-N, NH4-N, Al, available metals (Cu, Fe, Mn, Zn), and PO4-P. Shrub species recovered at different rates postfire with saw palmetto reestablishing cover greater than 0.5 m within one year, but the scrub oaks had not returned to preburn cover greater than 0.5 m in 3 years after the fire. These differences in growth rates resulted in dominance shifts after the fire with saw palmetto increasing relative to the scrub oaks. Overall changes in species richness were minor, although changes occurred in species richness by height layers due to different growth rates. Soils of well drained and poorly drained sites differed markedly. Soil responses to the fire appeared minor. Soil pH increased at 6 and 12 months postfire; calcium increased at 6 months postburn. Nitrate-nitrogen increased at 12 months postburn. Low values of conductivity, PO4-P, Mg, K, Na, and Fe at 12 months postburn may be related to heavy rainfall the preceding month. Seasonal variability in some soil parameters appeared to occur.

  15. CALCULATION REGARDING THERMAL TRANSFER THROUGH CLOSING ELEMENTS FOR A CATTLE SHELTER KEPT IN LOOSE HOUSING

    Directory of Open Access Journals (Sweden)

    Ancuţa JURCO

    2013-01-01

    Full Text Available This paper presents the calculation regarding thermal transmission due to closing elements for cattle shelter kept loose housing. The shelter is compound from 2 compartments, splitted in the middle by a cross alley. The compartments are divided in feeding area and resting area. The shelter has the opening of 16.35 m, total hall lenght is 40.95 m, with surface about 669.53 sqm and the maximum hight about 6.40 m. After analyzing the calculation of heat transfer through closing elements for a cattle shelter kept in loose housing show that the amount of heat lost through external walls with heterogeneous structure is minimal compared to the classical exterior wall with homogeneous structure.

  16. Export Control Guide: Loose Parts Monitoring Systems for Nuclear Power Plants

    Energy Technology Data Exchange (ETDEWEB)

    Langenberg, Donald W. [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States)

    2012-12-01

    This report describes a typical LPMS, emphasizing its application to the RCS of a modern NPP. The report also examines the versatility of AE monitoring technology by describing several nuclear applications other than loose parts monitoring, as well as some non-nuclear applications. In addition, LPMS implementation requirements are outlined, and LPMS suppliers are identified. Finally, U.S. export controls applicable to LPMSs are discussed.

  17. Effects of high fire frequency in creosote bush scrub vegetation of the Mojave Desert

    Science.gov (United States)

    Brooks, M.L.

    2012-01-01

    Plant invasions can increase fire frequency in desert ecosystems where fires were historically infrequent. Although there are many resource management concerns associated with high frequency fire in deserts, fundamental effects on plant community characteristics remain largely unstudied. Here I describe the effects of fire frequency on creosote bush scrub vegetation in the Mojave Desert, USA. Biomass of the invasive annual grass Bromus rubens L. increased following fire, but did not increase further with additional fires. In contrast, density, cover and species richness of native perennial plants each decreased following fire and continued to decrease with subsequent fires, although not as dramatically as after the initial fire. Responses were similar 5 and 14 years post-fire, except that cover of Hymenoclea salsola Torr. & A. Gray and Achnatherum speciosa Trin. & Rupr. both increased in areas burnt once. These results suggest that control of B. rubens may be equally warranted after one, two or three fires, but revegetation of native perennial plants is most warranted following multiple fires. These results are valid within the scope of this study, which is defined as relatively short term vegetation responses (???14 years) to short fire return intervals (6.3 and 7.3 years for the two and three fire frequency levels) within creosote bush scrub of the Mojave Desert. ?? 2012 IAWF.

  18. Method for evaluating the system instrumentation for loose part detection in the primary cooling circuit of French PWRs

    International Nuclear Information System (INIS)

    Gerardin, J.P.; Donnette, J.E.

    1995-05-01

    The purpose of the loose part detection system is to trigger an alarm whenever it is warranted, to localize, and to provide information on the type of loose part involved and the damages it may provoke. It is therefore indispensable to have efficient instrumentation, beginning with the sensors which must provide us with a response to all mechanical impacts in natural trapping areas (reactor vessel and steam generator water box). A series of mass- and energy-calibrated impacts have been generated on 45 points in the primary cooling system of a nuclear plant unit in the startup phase. This test provided insights into the relationship between sensor signals and various impact parameters such as velocity of impact or loose part mass. Once these parameters were known, it was possible to define a method for evaluating the detection threshold of sensors depending on the way they are mounted. (author)

  19. Application of GPR Method for Detection of Loose Zones in Flood Levee

    Science.gov (United States)

    Gołębiowski, Tomisław; Małysa, Tomasz

    2018-02-01

    In the paper the results of non-invasive georadar (GPR) surveys carried out for detection of loose zones located in the flood levee was presented. Terrain measurements were performed on the Vistula river flood levee in the village of Wawrzeńczyce near Cracow. In the investigation site, during the flood in 2010, leakages of levee were observed, so detection of inner water filtration paths was an important matter taking into account the stability of the levee during the next flood. GPR surveys had reconnaissance character, so they were carried out with the use of short-offset reflection profiling (SORP) technique and radargrams were subjected to standard signal processing. The results of surveys allowed to outline main loose zone in the levee which were the reason of leakages in 2010. Additionally gravel interbeddings in sand were detected which had an important influence, due to higher porosity of such zones, to water filtration inside of the levee. In the paper three solutions which allow to increase quality and resolution of radargrams were presented, i.e. changeable-polarisation surveys, advanced signal processing and DHA procedure.

  20. Experiments on vibro-impact dynamics of loosely supported tubes under harmonic excitation

    International Nuclear Information System (INIS)

    Axisa, F.; Izquierdo, P.

    1992-01-01

    Computational methods have been recently developed by the authors and others to predict the working life or the acceptable vibration limit of tubular structures experiencing fretting-wear caused by impact-sliding interaction with loose supports or adjacent structures. This problem is of practical interest in various nuclear and other industrial components. This paper reports an experimental work intended to validate the numerical techniques used to compute the tube non-linear vibration in presence of impact-sliding interaction. Attention is especially focused on the local and time averaged dynamical parameters governing the rate of fretting-wear. The experiments were carried out on a straight tube excited harmonically by a pair of electromagnetic shakers. The tube motion was limited by a loose support situated at about midspan. On the other hand, numerical simulations of the tests were also performed. Comparison between test and computational data resulted in rather satisfactory agreement, based on the averaged impact forces and the wear work rate. Results are also discussed in terms of detailed time histories of tube displacement and impact forces

  1. Loose Coupling of Wearable-Based INSs with Automatic Heading Evaluation

    OpenAIRE

    Bousdar Ahmed, Dina; Munoz Diaz, Estefania

    2017-01-01

    Position tracking of pedestrians by means of inertial sensors is a highly explored field of research. In fact, there are already many approaches to implement inertial navigation systems (INSs). However, most of them use a single inertial measurement unit (IMU) attached to the pedestrian’s body. Since wearable-devices will be given items in the future, this work explores the implementation of an INS using two wearable-based IMUs. A loosely coupled approach is proposed to combine the outputs of...

  2. Pre-capacity building in loosely-coupled collaborations: Setting the stage for future initiatives

    Directory of Open Access Journals (Sweden)

    Cheryl A. Hyde

    2012-08-01

    Full Text Available This article examines the benefits and limitations of ‘loosely-coupled’ research collaborations between university faculty and 12 grassroots community-based organisations (CBOs. The authors assert that community-based research projects that develop the knowledge base within CBOs, and can be described as ‘pre-capacity building’ work, can be an important stepping stone to the subsequent development of more formal and strategic capacity-building partnership ventures. However, such projects must be approached carefully with a clear understanding of the ‘threshold dimensions’ that must be met before proceeding with any collaboration. Written as a cautionary tale, the authors identify some of the problems that arise when the threshold stage is poorly executed, and more generally speak to the dangers of initiating even loosely-coupled collaborations in the absence of an explicit and well-established campus commitment to and support for community engagement and partnerships. Keywords: Community capacity-building, community-university partnerships, community research, collaboration

  3. Energy intake and growth of weanling horses in a cold loose housing system

    Directory of Open Access Journals (Sweden)

    E. AUTIO

    2008-12-01

    Full Text Available The demand for information relating to the nutrition of horses in a cold environment is increasing with the popularity of loose housing of horses. This study examined the energy intake and growth of 10 weanling horses from November to March (22 weeks in a loose housing system (paddock and insulated sleeping hall with deep-litter bed. The horses were measured weekly for body condition and body weight, and the feeding was adjusted according to a horse’s body condition. Metabolizable energy (ME intake was compared to Finnish (MTT 2006 and Swedish (SLU 2004 nutrient requirements for 6–12-month-old horses. ME intake (75.5 ± 11.8 MJ d-1, mean ± SD was on average 24.6% above the requirements. The intake varied in a non-linear fashion in the course of the winter: y = 0.086x2 – 0.902x + 71.5, where x is weeks from November to March (p

  4. Advanced software tools for digital loose part monitoring systems

    International Nuclear Information System (INIS)

    Ding, Y.

    1996-01-01

    The paper describes two software modules as analysis tools for digital loose part monitoring systems. The first module is called acoustic module which utilizes the multi-media features of modern personal computers to replay the digital stored short-time bursts with sufficient length and in good quality. This is possible due to the so-called puzzle technique developed at ISTec. The second module is called classification module which calculates advanced burst parameters and classifies the acoustic events in pre-defined classes with the help of an artificial multi-layer perception neural network trained with the back propagation algorithm. (author). 7 refs, 7 figs

  5. Advanced software tools for digital loose part monitoring systems

    Energy Technology Data Exchange (ETDEWEB)

    Ding, Y [Institute for Safety Technology (ISTec) GmbH, Garching (Germany)

    1997-12-31

    The paper describes two software modules as analysis tools for digital loose part monitoring systems. The first module is called acoustic module which utilizes the multi-media features of modern personal computers to replay the digital stored short-time bursts with sufficient length and in good quality. This is possible due to the so-called puzzle technique developed at ISTec. The second module is called classification module which calculates advanced burst parameters and classifies the acoustic events in pre-defined classes with the help of an artificial multi-layer perception neural network trained with the back propagation algorithm. (author). 7 refs, 7 figs.

  6. Mirror energy difference and the structure of loosely bound proton-rich nuclei around A =20

    Science.gov (United States)

    Yuan, Cenxi; Qi, Chong; Xu, Furong; Suzuki, Toshio; Otsuka, Takaharu

    2014-04-01

    The properties of loosely bound proton-rich nuclei around A =20 are investigated within the framework of the nuclear shell model. In these nuclei, the strength of the effective interactions involving the loosely bound proton s1/2 orbit is significantly reduced in comparison with that of those in their mirror nuclei. We evaluate the reduction of the effective interaction by calculating the monopole-based-universal interaction (VMU) in the Woods-Saxon basis. The shell-model Hamiltonian in the sd shell, such as USD, can thus be modified to reproduce the binding energies and energy levels of the weakly bound proton-rich nuclei around A =20. The effect of the reduction of the effective interaction on the structure and decay properties of these nuclei is also discussed.

  7. Differential expression of interferon-gamma and interferon-gamma-inducing cytokines in Thai patients with scrub typhus or leptospirosis

    NARCIS (Netherlands)

    Chierakul, Wirongrong; de Fost, Maaike; Suputtamongkol, Yupin; Limpaiboon, Roongreung; Dondorp, Arjen; White, Nicholas J.; van der Poll, Tom

    2004-01-01

    Interferon (IFN)-gamma plays an important role in the induction of a type 1 immune response against intracellular pathogens. We compared the plasma levels of IFN-gamma and IFN-gamma-inducing cytokines in adult Thai patients with scrub typhus, caused by the obligate intracellular bacterium Orientia

  8. Statics of loose triangular embankment under Nadai’s sand hill analogy

    Science.gov (United States)

    Pipatpongsa, Thirapong; Heng, Sokbil; Iizuka, Atsushi; Ohta, Hideki

    2010-10-01

    In structural mechanics, Nadai's sand hill analogy is the interpretation of an ultimate torque applied to a given structural member with a magnitude that is analogously twice the volume of stable sand heap which can be accommodated on a transverse cross-section basis. Nadai's analogy is accompanied by his observation of a loose triangular embankment, based on the fact that gravitating loose earth is stable if inclined just under the angle of repose. However, Nadai's analysis of stress distribution in a planar sand heap was found to be inaccurate because the total pressure obtained from Nadai's solution is greater than the self-weight calculated from the heap geometry. This raises a question about the validity of his observation in relation to the analogy. To confirm his criterion, this article presents and corrects the error found in Nadai's solution by analyzing a radially symmetric stress field for a wedge-shaped sand heap with the purpose of satisfying both force balance and Nadai's closure. The fundamental equation was obtained by letting the friction state vary as a function of angular position and deduce it under the constraint that the principal stress orientation obeys Nadai's closure. The theoretical solution sufficiently agreed with the past experimental measurements.

  9. The cultural dimension of tightness-looseness: An analysis of situational constraint in Estonia and Greece.

    Science.gov (United States)

    Realo, Anu; Linnamägi, Karmen; Gelfand, Michele J

    2015-06-01

    The importance of tightness-looseness as a dimension that explains a considerable amount of variance between cultures was demonstrated by Gelfand et al. (2011). Tight nations have many strong norms and a low tolerance of deviant behaviour, whereas loose nations have weak social norms and a high tolerance of deviant behaviour. The main aim of the current studies was to examine situational constraint in Estonia and Greece: that is, how the cultural dimension of tightness-looseness is manifested in everyday situations in those two countries. The findings of a questionnaire study (Study 1) suggested that, in general, there is higher constraint across everyday situations in Greece than in Estonia, but situational constraint in Greece is especially strong in school and organisational settings where people have hierarchically structured roles. The results of an observational study (Study 2) revealed a relatively high agreement between appropriateness of certain behaviours as judged by the respondents in Study 1 and the frequencies of observed behaviours in the two countries. Our findings suggest that the strength of situations may substantially vary both within and across cultures, and that the attitudes of the members about situational strength in their respective cultures are in concordance with observations of situations by neutral observers in how people in general behave in their culture. © 2014 International Union of Psychological Science.

  10. Experimental analysis on removal factor of smear method in measurement of surface contamination

    International Nuclear Information System (INIS)

    Sugiura, Nobuyuki; Taira, Junichi; Takenaka, Keisuke; Yamanaka, Kazuo; Sugai, Kenji; Kosako, Toshiso

    2007-01-01

    The smear test is one of the important ways to measure surface contamination. The loose contamination under the high background radiation, which is more significant in handling non-sealed radioisotopes, can be evaluated by this method. The removal factor is defined as the ratio of the activity removed from the surface by one smear to the whole activity of the removable surface contamination. The removal factor is greatly changed by the quality and condition of surface materials. In this study, the values of removal factor at several typical surface conditions were evaluated experimentally and the practical application of those values was considered. It is required the smear should be pressed by moderate pressure when wiping the surface. The pressure from 1.0 kg to 1.5 kg per filter paper was recommended. The removal factor showed lower value in wiping by the pressure below 1.0 kg. The value of 0.5 for the removal factor could be applied to the smooth surface of linoleum, concrete coated with paint or epoxy resin, stainless steel and glass with the statistical allowance. (author)

  11. Loose fusion based on SLAM and IMU for indoor environment

    Science.gov (United States)

    Zhu, Haijiang; Wang, Zhicheng; Zhou, Jinglin; Wang, Xuejing

    2018-04-01

    The simultaneous localization and mapping (SLAM) method based on the RGB-D sensor is widely researched in recent years. However, the accuracy of the RGB-D SLAM relies heavily on correspondence feature points, and the position would be lost in case of scenes with sparse textures. Therefore, plenty of fusion methods using the RGB-D information and inertial measurement unit (IMU) data have investigated to improve the accuracy of SLAM system. However, these fusion methods usually do not take into account the size of matched feature points. The pose estimation calculated by RGB-D information may not be accurate while the number of correct matches is too few. Thus, considering the impact of matches in SLAM system and the problem of missing position in scenes with few textures, a loose fusion method combining RGB-D with IMU is proposed in this paper. In the proposed method, we design a loose fusion strategy based on the RGB-D camera information and IMU data, which is to utilize the IMU data for position estimation when the corresponding point matches are quite few. While there are a lot of matches, the RGB-D information is still used to estimate position. The final pose would be optimized by General Graph Optimization (g2o) framework to reduce error. The experimental results show that the proposed method is better than the RGB-D camera's method. And this method can continue working stably for indoor environment with sparse textures in the SLAM system.

  12. Recovery of actinides from TBP-Na2Co3 scrub-waste solutions: the ARALEX process

    International Nuclear Information System (INIS)

    Horwitz, E.P.; Bloomquist, C.A.A.; Mason, G.W.; Leonard, R.A.; Ziegler, A.A.

    1979-08-01

    A flowsheet for the recovery of actinides from TBP-Na 2 CO 3 scrub-waste solutions has been developed, based on batch extraction data, and tested, using laboratory-scale countercurrent extraction techniques. The process, called the ARALEX process, uses 2-ethyl-1-hexanol (2-EHOH) to extract the TBP degradation products (HDBP and H 2 MBP) from acidified Na 2 CO 3 scrub waste leaving the actinides in the aqueous phase. Dibutyl and monobutyl phosphoric acids are attached to the 2-EHOH molecules through hydrogen bonds, which also diminish the ability of the HDBP and H 2 MBP to complex actinides. Thus all actinides remain in the aqueous raffinate. Dilute sodium hydroxide solutions can be used to back-extract the dibutyl and monobutyl phosphoric acid esters as their sodium salts. The 2-EHOH can then be recycled. After extraction of the acidified carbonate waste with 2-EHOH, the actinides may be readily extracted from the raffinate with DHDECMP or, in the case of tetra- and hexavalent actinides, with TBP. The ARALEX process can also be applied to other actinide waste streams which contain appreciable concentrations of polar organic compounds (e.g., detergents) that interfere with conventional actinide ion exchange and liquid-liquid extraction procedures. 20 figures, 6 tables

  13. Performance Analysis of Constrained Loosely Coupled GPS/INS Integration Solutions

    Directory of Open Access Journals (Sweden)

    Fabio Dovis

    2012-11-01

    Full Text Available The paper investigates approaches for loosely coupled GPS/INS integration. Error performance is calculated using a reference trajectory. A performance improvement can be obtained by exploiting additional map information (for example, a road boundary. A constrained solution has been developed and its performance compared with an unconstrained one. The case of GPS outages is also investigated showing how a Kalman filter that operates on the last received GPS position and velocity measurements provides a performance benefit. Results are obtained by means of simulation studies and real data.

  14. Mechanical behavior of embankments overlying on loose subgrade stabilized by deep mixed columns

    Directory of Open Access Journals (Sweden)

    Morteza Esmaeili

    2016-10-01

    Full Text Available Deep mixed column (DMC is known as one of the effective methods for stabilizing the natural earth beneath road or railway embankments to control stability and settlements under traffic loads. The load distribution mechanism of embankment overlying on loose subgrades stabilized with DMCs considerably depends on the columns' mechanical and geometrical specifications. The present study uses the laboratory investigation to understand the behavior of embankments lying on loose sandy subgrade in three different conditions: (1 subgrade without reinforcement, (2 subgrade reinforced with DMCs in a triangular pattern and horizontal plan, and (3 subgrade reinforced with DMCs in a square pattern and horizontal plan. For this purpose, by adopting the scale factor of 1:10, a reference embankment with 20 cm height, 250 cm length, and 93% maximum dry density achieved in standard Proctor compaction test was constructed over a 70 cm thick loose sandy bed with the relative density of 50% in a loading chamber, and its load-displacement behavior was evaluated until the failure occurred. In the next two tests, DMCs (with 10 cm diameter, 40 cm length, and 25 cm center-to-center spacing were placed in groups in two different patterns (square and triangular in the same sandy bed beneath the embankment and, consequently, the embankments were constructed over the reinforced subgrades and gradually loaded until the failure happened. In all the three tests, the load-displacement behaviors of the embankment and the selected DMCs were instrumented for monitoring purpose. The obtained results implied 64% increase in failure load and 40% decrease in embankment crest settlement when using the square pattern of DMCs compared with those of the reference embankment, while these values were 63% and 12%, respectively, for DMCs in triangular pattern. This confirmed generally better performance of DMCs with a triangular pattern.

  15. The use of carbonate lixiviants to remove uranium from uranium-contaminated soils

    International Nuclear Information System (INIS)

    Francis, C.W.; Lee, S.Y.; Wilson, J.H.; Timpson, M.E.; Elless, M.P.

    1997-01-01

    The objective of this research was to design an extraction media and procedure that would selectively remove uranium without adversely affecting the soils' physicochemical characteristics or generating secondary waste forms difficult to manage or dispose of. Investigations centered around determining the best lixivant and how the various factors such as pH, time, and temperature influenced extraction efficiency. Other factors investigated included the influence of attrition scrubbing, the effect of oxidants and reductants and the recycling of lixiviants. Experimental data obtained at the bench- and pilot-scale levels indicated 80 to 95% of the uranium could be removed from the uranium-contaminated soils by using a carbonate lixiviant. The best treatment was three successive extractions with 0.25 M carbonate-bicarbonate (in presence of KMnO 4 as an oxidant) at 40 C followed with two water rinses

  16. An approach for heterogeneous and loosely coupled geospatial data distributed computing

    Science.gov (United States)

    Chen, Bin; Huang, Fengru; Fang, Yu; Huang, Zhou; Lin, Hui

    2010-07-01

    Most GIS (Geographic Information System) applications tend to have heterogeneous and autonomous geospatial information resources, and the availability of these local resources is unpredictable and dynamic under a distributed computing environment. In order to make use of these local resources together to solve larger geospatial information processing problems that are related to an overall situation, in this paper, with the support of peer-to-peer computing technologies, we propose a geospatial data distributed computing mechanism that involves loosely coupled geospatial resource directories and a term named as Equivalent Distributed Program of global geospatial queries to solve geospatial distributed computing problems under heterogeneous GIS environments. First, a geospatial query process schema for distributed computing as well as a method for equivalent transformation from a global geospatial query to distributed local queries at SQL (Structured Query Language) level to solve the coordinating problem among heterogeneous resources are presented. Second, peer-to-peer technologies are used to maintain a loosely coupled network environment that consists of autonomous geospatial information resources, thus to achieve decentralized and consistent synchronization among global geospatial resource directories, and to carry out distributed transaction management of local queries. Finally, based on the developed prototype system, example applications of simple and complex geospatial data distributed queries are presented to illustrate the procedure of global geospatial information processing.

  17. Proposing nanofiltration as acceptable barrier for organic contaminants in water reuse

    KAUST Repository

    Yangali-Quintanilla, Victor

    2010-10-01

    For water reuse applications, " tight" nanofiltration (NF) membranes (of polyamide) as an alternative to reverse osmosis (RO) can be an effective barrier against pharmaceuticals, pesticides, endocrine disruptors and other organic contaminants. The use of RO in existing water reuse facilities is addressed and questioned, taking into consideration that tight NF can be a more cost-effective and efficient technology to target the problem of organic contaminants. It was concluded that tight NF is an acceptable barrier for organic contaminants because its removal performance approaches that of RO, and because of reduced operation and maintenance (O&M) costs in long-term project implementation. Average removal of neutral compounds (including 1,4-dioxane) was about 82% and 85% for NF and RO, respectively, and average removal of ionic compounds was about 97% and 99% for NF and RO, respectively. In addition, " loose" NF after aquifer recharge and recovery (ARR) can be an effective barrier against micropollutants with removals over 90%. When there is the presence of difficult to remove organic contaminants such as NDMA and 1,4-dioxane; for 1,4-dioxane, source control or implementation of treatment processes in wastewater treatment plants will be an option; for NDMA, a good strategy is to limit its formation during wastewater treatment, but there is evidence that biodegradation of NDMA can be achieved during ARR. © 2010 Elsevier B.V.

  18. Sandboxes, Loose Parts, and Playground Equipment: A Descriptive Exploration of Outdoor Play Environments

    Science.gov (United States)

    Olsen, Heather; Smith, Brandy

    2017-01-01

    The purpose of the study was to examine outdoor environments to understand whether or not young children had access to play materials and loose parts to enhance their playful experiences. This study sought to gather the availability of SAFE and quality play opportunities in early childhood outdoor environments. The study took place in one state of…

  19. Spectroscopic Determination of Trace Contaminants in High Purity Oxygen

    Science.gov (United States)

    Hornung, Steven D.

    2011-01-01

    Oxygen used for extravehicular activities (EVA) must be free of contaminants because a difference in a few tenths of a percent of argon or nitrogen content can mean significant reduction in available EVA time. These inert gases build up in the extravehicular mobility unit because they are not metabolized or scrubbed from the atmosphere. Measurement of oxygen purity above 99.5% is problematic, and currently only complex instruments such as gas chromatographs or mass spectrometers are used for these determinations. Because liquid oxygen boil-off from the space shuttle will no longer be available to supply oxygen for EVA use, other concepts are being developed to produce and validate high purity oxygen from cabin air aboard the International Space Station. A prototype optical emission technique capable of detecting argon and nitrogen below 0.1% in oxygen was developed at White Sands Test Facility. This instrument uses a glow discharge in reduced pressure gas to produce atomic emission from the species present. Because the atomic emission lines from oxygen, nitrogen, and argon are discrete and in many cases well-separated, trace amounts of argon and nitrogen can be detected in the ultraviolet and visible spectrum. This is a straightforward, direct measurement of the target contaminants and may lend itself to a device capable of on-orbit verification of oxygen purity. System design and optimized measurement parameters are presented.

  20. Process for separating coal synthesized methane from unreacted intermediate and contaminant gases. [Patent application

    Science.gov (United States)

    Barker, R.E.; Scott, C.D.; Ryon, A.D.

    1980-10-27

    Gas produced from coal and containing CH/sub 4/, CO, CO/sub 2/, H/sub 2/ and H/sub 2/S is contacted with CO/sub 2/ scrub liquid to form (1) a liquid CO/sub 2/ stream containing as solutes CH/sub 4/, H/sub 2/S and minor portions of the CO and H/sub 2/, and (2) a gas stream containing CO/sub 2/ and major portions of the CO and H/sub 2/, the CO and H/sub 2/ in this stream being recycled to the means which produces gas from coal, and CO/sub 2/ in the stream being recycled to the scrub liquid. The solute-bearing liquid CO/sub 2/ stream is fractionated into (1) a liquid CO/sub 2/ stream containing CH/sub 4/ and H/sub 2/S, and (2) a H/sub 2//CO gas stream which is recycled into contact with the scrub liquid. The last-mentioned liquid CO/sub 2/ stream is fractionated into (1) a CH/sub 4//CO/sub 2/ gas stream the CO/sub 2/ of which is recycled to the scrub liquid, and (2) a liquid CO/sub 2/ stream containing H/sub 2/S, and CO/sub 2/ of this stream is also recycled to the scrub liquid.

  1. Sacral Herpes Zoster Associated with Voiding Dysfunction in a Young Patient with Scrub Typhus

    OpenAIRE

    Hur, Jian

    2015-01-01

    When a patient presents with acute voiding dysfunction without a typical skin rash, it may be difficult to make a diagnosis of herpes zoster. Here, we present a case of scrub typhus in a 25-year-old man with the complication of urinary dysfunction. The patient complained of loss of urinary voiding sensation and constipation. After eight days, he had typical herpes zoster eruptions on the sacral dermatomes and hypalgesia of the S1-S5 dermatomes. No cases of dual infection with varicella zoster...

  2. Post-CMP cleaning for metallic contaminant removal by using a remote plasma and UV/ozone

    International Nuclear Information System (INIS)

    Lim, Jong Min; Jeon, Bu Yong; Lee, Chong Mu

    2000-01-01

    For the chemical mechanical polishing (CMP) process to be successful, it is important to establish a good post-CMP cleaning process that will remove not only slurry and particles but also metallic impurities from the polished surface. The common metallic contaminants found after oxide CMP and Cu CMP include Cu, K, and Fe. Scrubbing, a popular method for post-CMP cleaning, is effective in removing particles, but removal of metallic contaminants using this method is not so effective. In this study, the removal of Fe metallic contaminants like Fe, which are commonly found on the wafer surface after CMP processes, was investigated using remote-hydrogen-plasma and UV/O 3 cleaning techniques. Our results show that metal contaminants, including Fe, can be effectively removed by using a hydrogen-plasma or UV/O 3 cleaning technique performed under optimal process conditions. In remote plasma H 2 cleaning, contaminant removal is enhanced with decreasing plasma exposure time and increasing rf-power. The optimal process condition for the removal of the Fe impurities existing on the wafer surface is an rf-power of 100 W. Plasma cleaning for 5 min or less is effective in removing Fe contaminants, but a plasma exposure time of 1 min is more appropriate than 5 min in view of the process time, The surface roughness decreased by 30∼50 % after remote-H 2 -plasma cleaning. On the other hand, the highest efficiency of Fe-impurity removal was achieved for an UV exposure time of 30 s. The removal mechanism for the Fe contaminants in the remote-H 2 -plasma and the UV/O 3 cleaning processes is considered to be the liftoff of Fe atoms when the SiO is removed by evaporation after the chemical or native SiO 2 formed underneath the metal atoms reacts with H + and e - to form SiO

  3. Study of Robust H∞ Filtering Application in Loosely Coupled INS/GPS System

    Directory of Open Access Journals (Sweden)

    Lin Zhao

    2014-01-01

    model, unstable model case is considered. We give an explanation for Kalman filter divergence under uncertain dynamic system and simultaneously investigate the relationship between H∞ filter and Kalman filter. A loosely coupled INS/GPS simulation system is given here to verify this application. Result shows that the robust H∞ filter has a better performance when system suffers uncertainty; also it is more robust compared to the conventional Kalman filter.

  4. Shell closures, loosely bound structures, and halos in exotic nuclei

    International Nuclear Information System (INIS)

    Saxena, G.; Singh, D.

    2013-01-01

    Inspired by the recent experiments indicating doubly magic nuclei that lie near the drip-line and encouraged by the success of our relativistic mean-field (RMF) plus state-dependent BCS approach to the description of the ground-state properties of drip-line nuclei, we develop this approach further, across the entire periodic table, to explore magic nuclei, loosely bound structures, and halo formation in exotic nuclei. In our RMF+BCS approach, the single-particle continuum corresponding to the RMF is replaced by a set of discrete positive-energy states for the calculations of pairing energy. Detailed analysis of the single-particle spectrum, pairing energies, and densities of the nuclei predict the unusual proton shell closures at proton numbers Z = 6, 14, 16, 34, and unusual neutron shell closures at neutron numbers N = 6, 14, 16, 34, 40, 70, 112. Further, in several nuclei like the neutron-rich isotopes of Ca, Zr, Mo, etc., the gradual filling of lowlying single-particle resonant state together with weakly bound single-particle states lying close to the continuum threshold helps accommodate more neutrons but with an extremely small increase in the binding energy. This gives rise to the occurrence of loosely bound systems of neutron-rich nuclei with a large neutron-to-proton ratio. In general, the halo-like formation, irrespective of the existence of any resonant state, is seen to be due to the large spatial extension of the wave functions for the weakly bound single-particle states with low orbital angular momentum having very small or no centrifugal barriers.

  5. Shell closures, loosely bound structures, and halos in exotic nuclei

    Energy Technology Data Exchange (ETDEWEB)

    Saxena, G., E-mail: gauravphy@gmail.com [Govt. Women Engineering College, Department of Physics (India); Singh, D. [University of Rajasthan, Department of Physics (India)

    2013-04-15

    Inspired by the recent experiments indicating doubly magic nuclei that lie near the drip-line and encouraged by the success of our relativistic mean-field (RMF) plus state-dependent BCS approach to the description of the ground-state properties of drip-line nuclei, we develop this approach further, across the entire periodic table, to explore magic nuclei, loosely bound structures, and halo formation in exotic nuclei. In our RMF+BCS approach, the single-particle continuum corresponding to the RMF is replaced by a set of discrete positive-energy states for the calculations of pairing energy. Detailed analysis of the single-particle spectrum, pairing energies, and densities of the nuclei predict the unusual proton shell closures at proton numbers Z = 6, 14, 16, 34, and unusual neutron shell closures at neutron numbers N = 6, 14, 16, 34, 40, 70, 112. Further, in several nuclei like the neutron-rich isotopes of Ca, Zr, Mo, etc., the gradual filling of lowlying single-particle resonant state together with weakly bound single-particle states lying close to the continuum threshold helps accommodate more neutrons but with an extremely small increase in the binding energy. This gives rise to the occurrence of loosely bound systems of neutron-rich nuclei with a large neutron-to-proton ratio. In general, the halo-like formation, irrespective of the existence of any resonant state, is seen to be due to the large spatial extension of the wave functions for the weakly bound single-particle states with low orbital angular momentum having very small or no centrifugal barriers.

  6. Aggressiveness of loose kernel smut isolate from Johnson grass on sorghum line BTx643

    Science.gov (United States)

    An isolate of loose kernel smut obtained from Johnson grass was inoculated unto six BTx643 sorghum plants in the greenhouse to determine its aggressiveness. All the BTx643 sorghum plants inoculated with the Johnson grass isolate were infected. Mean size of the teliospores from the Johnson grass, i...

  7. Design and scale-up of an oxidative scrubbing process for the selective removal of hydrogen sulfide from biogas

    Energy Technology Data Exchange (ETDEWEB)

    Krischan, J., E-mail: jutta_krischan@hotmail.com [Vienna University of Technology, Institute of Chemical Engineering, Getreidemarkt 9/166, 1060 Vienna (Austria); Makaruk, A., E-mail: aleksander.makaruk@tuwien.ac.at [Vienna University of Technology, Institute of Chemical Engineering, Getreidemarkt 9/166, 1060 Vienna (Austria); Harasek, M., E-mail: michael.harasek@tuwien.ac.at [Vienna University of Technology, Institute of Chemical Engineering, Getreidemarkt 9/166, 1060 Vienna (Austria)

    2012-05-15

    Highlights: Black-Right-Pointing-Pointer Alkaline oxidative scrubbing proved for biogas desulfurization Black-Right-Pointing-Pointer Effect of operating conditions on hydrogen sulfide removal efficiency. Black-Right-Pointing-Pointer Minimization of caustic and oxidant consumption. Black-Right-Pointing-Pointer Process control via pH, redox potential and conductivity measurement. Black-Right-Pointing-Pointer Investigation of long-term behavior of pilot plant operation. - Abstract: Reliable and selective removal of hydrogen sulfide (H{sub 2}S) is an essential part of the biogas upgrading procedure in order to obtain a marketable and competitive natural gas substitute for flexible utilization. A promising biogas desulfurization technology has to ensure high separation efficiency regardless of process conditions or H{sub 2}S load without the use or production of toxic or ecologically harmful substances. Alkaline oxidative scrubbing is an interesting alternative to existing desulfurization technologies and is investigated in this work. In experiments on a stirred tank reactor and a continuous scrubbing column in laboratory-scale, H{sub 2}S was absorbed from a gas stream containing large amounts of carbon dioxide (CO{sub 2}) into an aqueous solution prepared from sodium hydroxide (NaOH), sodium bicarbonate (NaHCO{sub 3}) and hydrogen peroxide (H{sub 2}O{sub 2}). The influence of pH, redox potential and solution aging on the absorption efficiency and the consumption of chemicals was investigated. Because of the irreversible oxidation reactions of dissolved H{sub 2}S with H{sub 2}O{sub 2}, high H{sub 2}S removal efficiencies were achieved while the CO{sub 2} absorption was kept low. At an existing biogas upgrading plant an industrial-scale pilot scrubber was constructed, which efficiently desulfurizes 180 m{sup 3}/h of raw biogas with an average removal efficiency of 97%, even at relatively high and strongly fluctuating H{sub 2}S contents in the crude gas.

  8. Design and scale-up of an oxidative scrubbing process for the selective removal of hydrogen sulfide from biogas

    International Nuclear Information System (INIS)

    Krischan, J.; Makaruk, A.; Harasek, M.

    2012-01-01

    Highlights: ► Alkaline oxidative scrubbing proved for biogas desulfurization ► Effect of operating conditions on hydrogen sulfide removal efficiency. ► Minimization of caustic and oxidant consumption. ► Process control via pH, redox potential and conductivity measurement. ► Investigation of long-term behavior of pilot plant operation. - Abstract: Reliable and selective removal of hydrogen sulfide (H 2 S) is an essential part of the biogas upgrading procedure in order to obtain a marketable and competitive natural gas substitute for flexible utilization. A promising biogas desulfurization technology has to ensure high separation efficiency regardless of process conditions or H 2 S load without the use or production of toxic or ecologically harmful substances. Alkaline oxidative scrubbing is an interesting alternative to existing desulfurization technologies and is investigated in this work. In experiments on a stirred tank reactor and a continuous scrubbing column in laboratory-scale, H 2 S was absorbed from a gas stream containing large amounts of carbon dioxide (CO 2 ) into an aqueous solution prepared from sodium hydroxide (NaOH), sodium bicarbonate (NaHCO 3 ) and hydrogen peroxide (H 2 O 2 ). The influence of pH, redox potential and solution aging on the absorption efficiency and the consumption of chemicals was investigated. Because of the irreversible oxidation reactions of dissolved H 2 S with H 2 O 2 , high H 2 S removal efficiencies were achieved while the CO 2 absorption was kept low. At an existing biogas upgrading plant an industrial-scale pilot scrubber was constructed, which efficiently desulfurizes 180 m 3 /h of raw biogas with an average removal efficiency of 97%, even at relatively high and strongly fluctuating H 2 S contents in the crude gas.

  9. The Physics of Protoplanetesimal Dust Agglomerates. VIII. Microgravity Collisions between Porous SiO2 Aggregates and Loosely Bound Agglomerates

    International Nuclear Information System (INIS)

    Whizin, Akbar D.; Colwell, Joshua E.; Blum, Jürgen

    2017-01-01

    We performed laboratory experiments colliding 0.8–1.0 mm and 1.0–1.6 mm SiO 2 dust aggregates with loosely bound centimeter-sized agglomerates of those aggregates in microgravity. This work builds on previous microgravity laboratory experiments examining the collisional properties of porous loosely bound dust aggregates. In centimeter-sized aggregates, surface forces dominate self-gravity and may play a large role in aggregate growth beyond this size range. We characterize the properties of protoplanetary aggregate analogs to help place constraints on initial formation mechanisms and environments. We determined several important physical characteristics of these aggregates in a large number of low-velocity collisions. We observed low coefficients of restitution and fragmentation thresholds near 1 m s −1 for 1–2 cm agglomerates, which are in good agreement with previous findings in the literature. We find the accretion efficiency for agglomerates of loosely bound aggregates to be higher than that for just aggregates themselves. We find sticking thresholds of 6.6 ± 2 cm s −1 , somewhat higher than those in similar studies, which have observed few aggregates stick at speeds of under 3 cm s −1 . Even with highly dissipative collisions, loosely bound agglomerates have difficulty accreting beyond centimeter-sized bodies at typical collision speeds in the disk. Our results indicate agglomerates of porous aggregates have slightly higher sticking thresholds than previously thought, allowing possible growth to decimeter-sized bodies if velocities are low enough.

  10. Loose excitation-secretion coupling in astrocytes.

    Science.gov (United States)

    Vardjan, Nina; Parpura, Vladimir; Zorec, Robert

    2016-05-01

    Astrocytes play an important housekeeping role in the central nervous system. Additionally, as secretory cells, they actively participate in cell-to-cell communication, which can be mediated by membrane-bound vesicles. The gliosignaling molecules stored in these vesicles are discharged into the extracellular space after the vesicle membrane fuses with the plasma membrane. This process is termed exocytosis, regulated by SNARE proteins, and triggered by elevations in cytosolic calcium levels, which are necessary and sufficient for exocytosis in astrocytes. For astrocytic exocytosis, calcium is sourced from the intracellular endoplasmic reticulum store, although its entry from the extracellular space contributes to cytosolic calcium dynamics in astrocytes. Here, we discuss calcium management in astrocytic exocytosis and the properties of the membrane-bound vesicles that store gliosignaling molecules, including the vesicle fusion machinery and kinetics of vesicle content discharge. In astrocytes, the delay between the increase in cytosolic calcium activity and the discharge of secretions from the vesicular lumen is orders of magnitude longer than that in neurons. This relatively loose excitation-secretion coupling is likely tailored to the participation of astrocytes in modulating neural network processing. © 2015 Wiley Periodicals, Inc.

  11. Gamma-irradiated scrub typhus immunogens: broad-spectrum immunity with combinations of rickettsial strains

    International Nuclear Information System (INIS)

    Eisenberg, G.H. Jr.; Osterman, J.V.

    1979-01-01

    Scrub typhus immunogens were prepared from Rickettsia tsutsugamushi strains Karp, Kato, Gilliam, Kostival, and Buie by exposing frozen infected yolk sac suspensions to 300 krad of gamma radiation. Mouse protection tests showed that each of the irradiated immunogens protected C3H/HeDub mice against high challenge levels of Karp and Gilliam, but that none of these single-strain immunogens were capable of protecting against all five of the challenge strains. Broad-spectrum protection was achieved by using combinations of three strains of irradiated rickettsiae in a vaccination regimen of three injections at 5-day intervals

  12. From Loose Groups to Effective Teams: The Nine Key Factors of the Team Landscape.

    Science.gov (United States)

    Sheard, A. G.; Kakabadse, A. P.

    2002-01-01

    A loose group of individuals working on a task differs from an effective team on nine factors: clearly defined goals, priorities, roles and responsibilities, self-awareness, leadership, group dynamics, communications, content, and infrastructure. Ways to eliminate barriers and speed formation of effective teams could be based on those factors.…

  13. Effect of different brewing times on antioxidant activity and polyphenol content of loosely packed and bagged black teas (Camellia sinensis L.).

    Science.gov (United States)

    Nikniaz, Zeinab; Mahdavi, Reza; Ghaemmaghami, Seyed Jamal; Lotfi Yagin, Neda; Nikniaz, Leila

    2016-01-01

    Determination and comparison of the effect of infusion time on the antioxidant activity and total polyphenol contents of bagged and loosely packed black teas. For twenty loosely packed and eleven bagged tea samples, the antioxidant activity and total polyphenol content were analyzed using FRAP and Folin-Ciocalteau methods, respectively. The ANOVA with Tukey post-hoc test and independent t-test were used for statistical analysis. The antioxidant activity and polyphenol content of various brands of tea samples were significantly different. There were significant differences in the antioxidant activity of loosely packed teas between 5, 15(p=0.03), 30(p=0.02) and 60(p=0.007) minutes of brewing times. Besides, there was a significant difference in antioxidant activity of bagged samples infused for 1 minute with four other infusion time points (pbrewing times (p=0.15). However, in bagged samples, the polyphenol contents of samples that were brewed for 1 minute were significantly lower than samples brewed for 3, 4, and 5 minutes (pbrewing time (p<0.001). The infusion time and the form of tea (loosely packed or bagged) were shown to be important determinants of the antioxidant activity and polyphenol content of black tea infusions in addition to the variety, growing environment and manufacturing conditions.

  14. Modular and architectural innovation in loosely coupled networks : matching customer requirements, product architecture, and supplier networks

    NARCIS (Netherlands)

    Hofman, Erwin

    2010-01-01

    Collaborative innovation projects that involve suppliers, customers, and sometimes even competitors can be a challenging undertaking. Nonetheless, specialization and organizational loose coupling makes companies increasingly dependent upon resources that are only externally available. This study

  15. Loose anagen hair syndrome with diffuse woolly hair phenotype: A rare association

    Directory of Open Access Journals (Sweden)

    Arshdeep

    2016-01-01

    Full Text Available Loose anagen hair syndrome (LAHS is an underestimated cause of noncicatricial alopecia among children, manifesting as thin, sparse or fine hair. We report a case of LAHS clinically presenting as diffuse woolly hair, an association rarely described in the literature. In addition, we review the clinical as well as genetic link between these two enigmatic hair disorders and hypothesize that both may be associated in a yet unknown manner.

  16. Loose parts, vibration and leakage monitoring methods and systems to increase availability, transparency and lifetime of power plants

    International Nuclear Information System (INIS)

    Streicher, V.; Jax, P.; Ruthrof, K.

    1987-01-01

    This paper deals with three stand-alone-systems as an aid to check the mechanical integrity of the primary circuit of nuclear power plants. The main goals of these systems are early detection of faults and malfunctions, the facilitation of fault clearance, the avoidance of sequential damage and reduction of inspection time and cost. Obviously the proper application of the systems as well as the measures they induce and make possible increase the availability of the plant and contribute to lifetime extension. In order to detect, identify and pinpoint the changes in component structure such as loosened connections, broken parts or components, loose or loosened particles, fatigued materials, cracks and leaks, specialized monitoring systems were developed by KWU (Kraftwerk Union AG) during the last ten years. Requirements concerning vibration, loose parts and leakage monitoring are part of German guidelines and safety standards. Therefore systems for these applications are implemented in most of the nuclear power plants in Western Germany. This paper presents newly developed, microprocessor-based systems for loose parts monitoring, vibration monitoring and leakage monitoring and also includes specific case histories for the different topics

  17. Close correlation between the reaction mechanism and inner structure of loosely halo-nuclei

    International Nuclear Information System (INIS)

    Liu Jianye; Tianshui Normal Univ., Tianshui; National Laboratory of Heavy Ion Accelerator of Lanzhou, Lanzhou; Guo Wenjun; Ren Zhongzhou; National Laboratory of Heavy Ion Accelerator of Lanzhou, Lanzhou; Xing Yongzhong; National Laboratory of Heavy Ion Accelerator of Lanzhou, Lanzhou

    2006-01-01

    It was based on the comparisons of the variance properties of fragment multiplicities FM's and nuclear stoppings R's for the neutron-halo colliding system with those of FZ's and R's for the proton-halo colliding system with the increases of beam energy in more detail, the closely correlations between the reaction mechanism and the inner structures of halo-nuclei is found. From above comparisons it is found that the variance properties of fragment multiplicities and nuclear stopping with the increases of beam energy are quite different for the neutron-halo and proton halo colliding systems, such as the effects of loosely bound neutron-halo structure on the fragment multiplicities and nuclear stopping are obviously larger than those for the proton-halo colliding system. This is due to that the structures of halo-neutron nucleus 11 Li is more loosely than that of the proton-halo nucleus 23 Al. In this case, the fragment multiplicity and nuclear stopping of halo nuclei may be used as a possible probe for studying the reaction mechanism and the correlation between the reaction mechanism and the inner structure of halo-nuclei. (authors)

  18. Numerical Model of SO2 Scrubbing with Seawater Applied to Marine Engines

    Directory of Open Access Journals (Sweden)

    Lamas M. I.

    2016-04-01

    Full Text Available The present paper proposes a CFD model to study sulphur dioxide (SO2 absorption in seawater. The focus is on the treatment of marine diesel engine exhaust gas. Both seawater and distilled water were compared to analyze the effect of seawater alkalinity. The results indicate that seawater is more appropriate than distilled water due to its alkalinity, obtaining almost 100% cleaning efficiency for the conditions analyzed. This SO2 reduction meets the limits of SOx emission control areas (SECA when operating on heavy fuel oil. These numerical simulations were satisfactory validated with experimental tests. Such data are essential in designing seawater scrubbers and judging the operating cost of seawater scrubbing compared to alternative fuels.

  19. Spectroscopy of Loose and Cemented Sulfate-Bearing Soils: Implications for Duricrust on Mars

    Science.gov (United States)

    Cooper, Christopher D.; Mustard, John F.

    2002-07-01

    The goal of this work is to determine the spectroscopic properties of sulfate in martian soil analogs over the wavelength range 0.3 to 25 μm (which is relevant to existing and planned remotely sensed data sets for Mars). Sulfate is an abundant component of martian soil (up to 9% SO 3 by weight) and apparently exists as a particulate in the soil but also as a cement. Although previous studies have addressed the spectroscopic identity of sulfates on Mars, none have used laboratory mixtures of materials with sulfates at the abundances measured by landed spacecraft, nor have any works considered the effect of salt-cementation on spectral properties of soil materials. For this work we created mixtures of a palagonitic soil (JSC Mars-1) and sulfates (MgSO 4 and CaSO 4·2H 2O). The effects of cementation were determined and separated from the effects of packing and hydration by measuring the samples as loose powders, packed powders, cemented materials, and disaggregated materials. The results show that the presence of particulate sulfate is best observed in the 4-5 μm region. Soils cemented with sulfate exhibit a pronounced restrahlen band between 8 and 9 μm as well as well-defined absorptions in the 4-5 μm region. Cementation effects are distinct from packing effects and disaggregation of cemented samples rapidly diminishes the strength of the restrahlen bands. The results of this study show that sulfate in loose materials is more detectable in the near infrared (4-5 μm) than in the thermal infrared (8-9 μm). However, cemented materials are easily distinguished from loose mixtures in the thermal infrared because of the high values of their absorption coefficient in this region. Together these results suggest that both wavelength regions are important for determining the spatial extent and physical form of sulfates on the surface of Mars.

  20. Decontamination flowsheet development for a waste oil containing mixed radioactive contaminants

    International Nuclear Information System (INIS)

    Vijayan, S.; Buckley, L.P.

    1993-01-01

    The majority of waste oils contaminated with both radioactive and hazardous components are generated in nuclear power plant, research lab. and uranium-refinery operations. The waste oils are complex, requiring a detailed examination of the waste management strategies and technology options. It may appear that incineration offers a total solution, but this may not be true in all cases. An alternative approach is to decontaminate the waste oils to very low contaminant levels, so that the treated oils can be reused, burned as fuel in boilers, or disposed of by commercial incineration. This paper presents selected experimental data and evaluation results gathered during the development of a decontamination flowsheet for a specific waste oil stores at Chalk River Labs. (CRL). The waste oil contains varying amounts of lube oils, grease, paint, water, particulates, sludge, light chloro- and fluoro-solvents, polychlorinated biphenyls (PCB), complexing chemicals, uranium, chromium, iron, arsenic and manganese. To achieve safe management of this radioactive and hazardous waste, several treatment and disposal methods were screened. Key experiments were performed at the laboratory-scale to confirm and select the most appropriate waste-management scheme based on technical, environmental and economic criteria. The waste-oil-decontamination flowsheet uses a combination of unit operations, including prefiltration, acid scrubbing, and aqueous-leachage treatment by precipitation, microfiltration, filter pressing and carbon adsorption. The decontaminated oil containing open-quotes de minimisclose quotes levels of contaminants will undergo chemical destruction of PCBs and final disposal by incineration. The recovered uranium will be recycled to a uranium milling process

  1. Effects of Cultural Tightness-Looseness and Social Network Density on Expression of Positive and Negative Emotions: A Large-Scale Study of Impression Management by Facebook Users.

    Science.gov (United States)

    Liu, Pan; Chan, David; Qiu, Lin; Tov, William; Tong, Victor Joo Chuan

    2018-05-01

    Using data from 13,789 Facebook users across U.S. states, this study examined the main effects of societal-level cultural tightness-looseness and its interaction effects with individuals' social network density on impression management (IM) in terms of online emotional expression. Results showed that individuals from culturally tight (vs. loose) states were more likely to express positive emotions and less likely to express negative emotions. Meanwhile, for positive emotional expression, there was a tightness-looseness by social network density interaction effect. In culturally tight states, individuals with dense (vs. sparse) networks were more likely to express positive emotions, while in culturally loose states this pattern was reversed. For negative emotional expression, however, no such interaction was observed. Our findings highlight the influence of cultural norms and social network structure on emotional expressions as IM strategies.

  2. Propagation of waves at the loosely bonded interface of two porous elastic half-spaces

    International Nuclear Information System (INIS)

    Tajuddin, M.

    1993-10-01

    Employing Biot's theory for wave propagation in porous solids, the propagation of waves at the loosely bonded interface between two poroelastic half-spaces is examined theoretically. The analogous study of Stoneley waves for smooth interface and bonded interface form a limiting case. The results due to classical theory are shown as a special case. (author). 13 refs

  3. PIM Pedagogy: Toward a Loosely Unified Model for Teaching and Studying Comics and Graphic Novels

    Science.gov (United States)

    Carter, James B.

    2015-01-01

    The article debuts and explains "PIM" pedagogy, a construct for teaching comics at the secondary- and post-secondary levels and for deep reading/studying comics. The PIM model for considering comics is actually based in major precepts of education studies, namely constructivist foundations of learning, and loosely unifies constructs…

  4. Elevated levels of von Willebrand factor and high mobility group box 1 (HMGB1) are associated with disease severity and clinical outcome of scrub typhus.

    Science.gov (United States)

    Chen, Hongliu; Ning, Zong; Qiu, Ying; Liao, Yuanli; Chang, Haihua; Ai, Yuanyuan; Wei, Yinghua; Deng, Yiming; Shen, Ying

    2017-08-01

    This study aimed to investigate whether von Willebrand factor (vWF) and high mobility group box 1 (HMGB1) are associated with the severity and clinical outcome of scrub typhus and to seek novel biomarkers for surveillance and prediction of the prognosis of this infection. Serum concentrations of vWF and HMGB1 were measured twice by ELISA for scrub typhus patients (n=103), once prior to doxycycline therapy and then on day 7 of doxycycline therapy; concentrations were measured once for healthy controls (n=32). Among the total 103 patients enrolled, 38 had disease complicated by multiple organ dysfunction syndrome (MODS). Serum concentrations of vWF and HMGB1 were significantly higher in all the patients than in the healthy controls, both prior to doxycycline treatment and on day 7 of doxycycline treatment (pscrub typhus (area under the curve (AUC)=0.864, p=0.001, and AUC=0.862, p=0.001, respectively). Elevated levels of vWF and HMGB1 are associated with the severity and clinical outcome of scrub typhus. These represent possible new biomarkers for use in the assessment and prognostic prediction of this infection. Copyright © 2017 The Author(s). Published by Elsevier Ltd.. All rights reserved.

  5. Thermodynamic studies of a series of homologous HIV-1 TAR RNA ligands reveal that loose binders are stronger Tat competitors than tight ones.

    Science.gov (United States)

    Pascale, Lise; Azoulay, Stéphane; Di Giorgio, Audrey; Zenacker, Laura; Gaysinski, Marc; Clayette, Pascal; Patino, Nadia

    2013-06-01

    RNA is a major drug target, but the design of small molecules that modulate RNA function remains a great challenge. In this context, a series of structurally homologous 'polyamide amino acids' (PAA) was studied as HIV-1 trans-activating response (TAR) RNA ligands. An extensive thermodynamic study revealed the occurence of an enthalpy-entropy compensation phenomenon resulting in very close TAR affinities for all PAA. However, their binding modes and their ability to compete with the Tat fragment strongly differ according to their structure. Surprisingly, PAA that form loose complexes with TAR were shown to be stronger Tat competitors than those forming tight ones, and thermal denaturation studies demonstrated that loose complexes are more stable than tight ones. This could be correlated to the fact that loose and tight ligands induce distinct RNA conformational changes as revealed by circular dichroism experiments, although nuclear magnetic resonance (NMR) experiments showed that the TAR binding site is the same in all cases. Finally, some loose PAA also display promising inhibitory activities on HIV-infected cells. Altogether, these results lead to a better understanding of RNA interaction modes that could be very useful for devising new ligands of relevant RNA targets.

  6. Development of life stages of Leptotrombidium imphalum and Leptotrombidium chiangraiensis (Acari: Trombiculidae) uninfected and infected with the scrub typhus rickettsia, Orientia tsustugamushi

    Science.gov (United States)

    Leptotrombidium chiangraiensis Tanskul and Linthicum and Leptotrombidium imphalum Vercammen-Grandjean are important vectors of scrub typhus in ricefield habitats in northern Thailand. The developmental biology of all stages of the life cycle of two generations of mites infected with Orientia tsutsug...

  7. Time-Resolved Magnetic Field Effects Distinguish Loose Ion Pairs from Exciplexes

    Science.gov (United States)

    2013-01-01

    We describe the experimental investigation of time-resolved magnetic field effects in exciplex-forming organic donor–acceptor systems. In these systems, the photoexcited acceptor state is predominantly deactivated by bimolecular electron transfer reactions (yielding radical ion pairs) or by direct exciplex formation. The delayed fluorescence emitted by the exciplex is magnetosensitive if the reaction pathway involves loose radical ion pair states. This magnetic field effect results from the coherent interconversion between the electronic singlet and triplet radical ion pair states as described by the radical pair mechanism. By monitoring the changes in the exciplex luminescence intensity when applying external magnetic fields, details of the reaction mechanism can be elucidated. In this work we present results obtained with the fluorophore-quencher pair 9,10-dimethylanthracene/N,N-dimethylaniline (DMA) in solvents of systematically varied permittivity. A simple theoretical model is introduced that allows discriminating the initial state of quenching, viz., the loose ion pair and the exciplex, based on the time-resolved magnetic field effect. The approach is validated by applying it to the isotopologous fluorophore-quencher pairs pyrene/DMA and pyrene-d10/DMA. We detect that both the exciplex and the radical ion pair are formed during the initial quenching stage. Upon increasing the solvent polarity, the relative importance of the distant electron transfer quenching increases. However, even in comparably polar media, the exciplex pathway remains remarkably significant. We discuss our results in relation to recent findings on the involvement of exciplexes in photoinduced electron transfer reactions. PMID:24041160

  8. On-line vibration and loose parts monitoring of nuclear power stations as a preventive maintenance tool

    International Nuclear Information System (INIS)

    An equipment for on-line monitoring of vibrations and loose parts of nuclear power plants is described. The unit consists of piezoelectric transducers, preamplifiers, a data processor, and peripherals. It secures on-line measurement without interfering with the operation of the power plant. A diagram is given showing the monitor of vibrations and loose parts for pressurized water reactors and the Spectra-Scan equipment for the automatic recording and computer processing of noise signals is described. A survey is given of diagnostic methods for internal vibrations, noise and oscillations and procedures for the analysis of recordings are described. The experiences of Atomica International with the observation of vibrations in nuclear power plants are described and an economic assessment is presented of the efficiency of on-line monitoring of these vibrations. A cost-benefit analysis is made of such equipment which justifies their introduction. (B.S.)

  9. The Physics of Protoplanetesimal Dust Agglomerates. VIII. Microgravity Collisions between Porous SiO{sub 2} Aggregates and Loosely Bound Agglomerates

    Energy Technology Data Exchange (ETDEWEB)

    Whizin, Akbar D.; Colwell, Joshua E. [Dept. of Physics, Center for Microgravity Research, University of Central Florida, 4111 Libra Drive, Orlando, FL 32816 (United States); Blum, Jürgen, E-mail: Akbar.Whizin@ucf.edu [Institut für Geophysik und extraterrestrische Physik, University of Braunschweig, Mendelssohnstr. 3, D-38106 Braunschweig (Germany)

    2017-02-10

    We performed laboratory experiments colliding 0.8–1.0 mm and 1.0–1.6 mm SiO{sub 2} dust aggregates with loosely bound centimeter-sized agglomerates of those aggregates in microgravity. This work builds on previous microgravity laboratory experiments examining the collisional properties of porous loosely bound dust aggregates. In centimeter-sized aggregates, surface forces dominate self-gravity and may play a large role in aggregate growth beyond this size range. We characterize the properties of protoplanetary aggregate analogs to help place constraints on initial formation mechanisms and environments. We determined several important physical characteristics of these aggregates in a large number of low-velocity collisions. We observed low coefficients of restitution and fragmentation thresholds near 1 m s{sup −1} for 1–2 cm agglomerates, which are in good agreement with previous findings in the literature. We find the accretion efficiency for agglomerates of loosely bound aggregates to be higher than that for just aggregates themselves. We find sticking thresholds of 6.6 ± 2 cm s{sup −1}, somewhat higher than those in similar studies, which have observed few aggregates stick at speeds of under 3 cm s{sup −1}. Even with highly dissipative collisions, loosely bound agglomerates have difficulty accreting beyond centimeter-sized bodies at typical collision speeds in the disk. Our results indicate agglomerates of porous aggregates have slightly higher sticking thresholds than previously thought, allowing possible growth to decimeter-sized bodies if velocities are low enough.

  10. The effects of floor heating on body temperature, water consumption, stress response and immune competence around parturition in loose-housed sows

    DEFF Research Database (Denmark)

    Damgaard, B M; Malmkvist, J; Pedersen, L J

    2009-01-01

    The aim of the present study was to study whether floor heating from 12 h after onset of nest building until 48 h after birth of the first piglet had any effect on measures related to body temperature, water consumption, stress response and immune competence in loose-housed sows (n = 23......). In conclusion, the present results indicate that floor heating for a limited period around parturition did not compromise physiological and immunological parameters, water intake and body temperature in loose-housed sows. The water intake peaked the day before parturition and the body temperature peaked...

  11. Resistance of Hordeum chilense against loose smuts of wheat and barley (Ustilago tritici and U. nuda) and its expression in amphiploids with wheat

    OpenAIRE

    Rubiales, Diego; Moral, Ana

    2011-01-01

    Hordeum chilense is wild barley with high potential for cereal breeding purposes given its high crossability with other members of the Triticeae tribe. It is resistant to loose smuts of wheat (Ustilago tritici). The resistance is expressed in xTritordeum amphipoids, offering perspectives for its utilization both in tritordeum breeding and for its transfer to wheat. H. chilense and tritordeums are also resistant to barley loose smut (U. nuda). © 2010 Blackwell Verlag GmbH.

  12. Assessment of the Characteristic Aggregates during a Decontamination of Contaminated Concrete Waste

    International Nuclear Information System (INIS)

    Min, B. Y.; Choi, W. K.; Oh, W. Z.; Jung, C. H.; Park, J. W.

    2008-01-01

    During a decommissioning of nuclear plants and facilities, large quantities of slightly contaminated concrete wastes are generated. The exposure to radiation over many years could be hazardous to human health. In Korea, the decontamination and decommissioning of the retired TRIGA MARK II and III research reactors and a uranium conversion plant at the Korea Atomic Energy Research Institute (KAERI) has been under way. Hundreds of tons of concrete wastes are expected from the D and D of these facilities. Typically, the contaminated layer is only 1∼10mm thick because cementitious materials are porous media, the penetration of radionuclides may occur up to several centimeters from the surface of a material. Contaminated concrete waste can be of two forms, either a surface or bulk contamination. Bulk contamination usually arises from a neutron activation of nuclides during the service life on a component. Surface activity can be a loose contamination arising from a deposition of nuclides from an interfacing medium, and it also can be tightly bound. Most of the dismantled concrete wastes are slightly contaminated rather than activated. This decontamination can be accomplished during the course of a separation of the concrete wastes contaminated with radioactive materials through a thermal treatment step of the radionuclide (e.g. cesium and strontium), transportation of the radionuclide to fine aggregates through a mechanical treatment step such as a crushing, milling and sieving. Produced fine powder (paste) should be stabilized for the final disposal. Melting technology has been known as the one of the most effective technologies for a stabilization and volume reduction to the paste. Therefore, a melting may be a last step in the decontamination of a contaminated paste. The aim of this study was to establish the separation conditions for an optimum decontamination for the treatment of concrete wastes contaminated with radionuclides. The separation tests had been

  13. Loose-parts monitoring: present status of the technology, its implementation in U.S. reactors, and some recommendations for achieving improved performance

    International Nuclear Information System (INIS)

    Kryter, R.C.; Ricker, C.W.; Jones, J.E.

    1977-01-01

    An assessment of the technical development status of loose-parts monitoring systems (LPMS) and their performance record to data in commercial light-water-cooled nuclear reactor plants was made during the spring of 1977, using an on-site personal interview and equipment demonstration approach. The study revealed that while presently demonstrated LPMS technology does indeed provide a capability for detecting the presence of those relatively massive loose parts that would likely constitute a serious operational or safety hazard to the plant, it unfortunately affords little information useful to the determination of the parts' safety significance and has not yet attained the levels of sophistication and reliability ordinarily associated with safety systems. A definite need was found for specification of the functional requirements for LPMS, in the form of a clear and comprehensive statement of NRC policy regarding the formulation and implementation of safety-oriented, yet operationally practicable, loose-parts monitoring programs for both existing and future nuclear generating stations so that overall objectives of both the utilities and the regulatory agency might be satisfied simultaneously

  14. Prospective evaluation of commercial antibody-based rapid tests in combination with a loop-mediated isothermal amplification PCR assay for detection of Orientia tsutsugamushi during the acute phase of scrub typhus infection.

    Science.gov (United States)

    Blacksell, Stuart D; Paris, Daniel H; Chierakul, Wirongrong; Wuthiekanun, Vanaporn; Teeratakul, Achara; Kantipong, Pacharee; Day, Nicholas P J

    2012-03-01

    Samples from 160 prospectively recruited febrile patients with typhus-like illness in an area of Thailand (Chiang Rai, northern Thailand) where scrub typhus is endemic were used to evaluate the diagnostic capabilities of four rapid immunochromatographic tests (ICTs) for the detection of Orientia tsutsugamushi IgM and total antibodies during acute scrub typhus infection. Of the 160 cases, 54 (34%) had been confirmed to have scrub typhus using the reference scrub typhus infection criteria (STIC), i.e., positive cell culture isolation, an admission IgM antibody titer of ≥1:12,800, a 4-fold rising IgM antibody titer, and/or positivity for ≥2 out of 3 PCR gene targets). The ICTs gave the following sensitivities and specificities: the Panbio IgM ICT, 46% (95% confidence interval [CI], 33 to 60) and 95% (95% CI, 89 to 98), respectively; the Standard Diagnostics IgM ICT, 68% (95% CI, 60 to 75) and 73% (95% CI, 68 to 78), respectively; the AccessBio IgM ICT, 56% (95% CI, 48 to 63) and 90% (95% CI, 87 to 94), respectively; and the AccessBio total antibody ABt ICT, 61% (95% CI, 53 to 68) and 68% (95% CI, 63 to 73), respectively. An isothermal loop amplification (LAMP) PCR assay for scrub typhus demonstrated a sensitivity of 52% (95% CI, 38 to 66) and a specificity of 94% (95% CI, 88 to 98). This study has revealed the diagnostic limitations of antibody-based assays in an acute care setting. However, the combination of ICTs with LAMP usually increased sensitivity with a minimal reduction in specificity. The best combination, the Panbio IgM ICT and LAMP, resulted in a sensitivity of 67% (95% CI, 53 to 79) and a specificity of 91% (95% CI, 83 to 95). The combination of antibody-based assays with DNA- or antigen-based tests shows promise for improved diagnostic sensitivity.

  15. Identification of factors for physicians to facilitate early differential diagnosis of scrub typhus, murine typhus, and Q fever from dengue fever in Taiwan.

    Science.gov (United States)

    Chang, Ko; Lee, Nan-Yao; Ko, Wen-Chien; Tsai, Jih-Jin; Lin, Wei-Ru; Chen, Tun-Chieh; Lu, Po-Liang; Chen, Yen-Hsu

    2017-02-01

    Dengue fever, rickettsial diseases, and Q fever are acute febrile illnesses with similar manifestations in tropical areas. Early differential diagnosis of scrub typhus, murine typhus, and Q fever from dengue fever may be made by understanding the distinguishing clinical characteristics and the significance of demographic and weather factors. We conducted a retrospective study to identify clinical, demographic, and meteorological characteristics of 454 dengue fever, 178 scrub typhus, 143 Q fever, and 81 murine typhus cases in three Taiwan hospitals. Case numbers of murine typhus and Q fever correlated significantly with temperature and rainfall; the scrub typhus case number was only significantly related with temperature. Neither temperature nor rainfall correlated with the case number of dengue fever. The rarity of dengue fever cases from January to June in Taiwan may be a helpful clue for diagnosis in the area. A male predominance was observed, as the male-to-female rate was 2.1 for murine typhus and 7.4 for Q fever. Multivariate analysis revealed the following six important factors for differentiating the rickettsial diseases and Q fever group from the dengue fever group: fever ≥8 days, alanine aminotransferase > aspartate aminotransferase, platelets >63,000/mL, C-reactive protein >31.9 mg/L, absence of bone pain, and absence of a bleeding syndrome. Understanding the rarity of dengue in the first half of a year in Taiwan and the six differentiating factors may help facilitate the early differential diagnosis of rickettsial diseases and Q fever from dengue fever, permitting early antibiotic treatment. Copyright © 2015. Published by Elsevier B.V.

  16. Sequestration Coating Performance Requirements for Mitigation of Contamination from a Radiological Dispersion Device

    International Nuclear Information System (INIS)

    Drake, J.

    2009-01-01

    Immediate action would be necessary to minimize the effects of a radiological 'dirty bomb' detonation in a major city. After a dirty bomb has been detonated, vehicular and pedestrian traffic, as well as weather effects, would increase the spread of loose contamination, making control and recovery more difficult and costly. While contaminant migration and chemical binding into surface materials can be relatively rapid, the immediate treatment of surfaces with large quantities of an appropriate compound could alleviate much of the difficulty in decontamination. The EPA's National Homeland Security Research Center (NHSRC), in collaboration with ASTM International, is currently developing performance standards for materials which could be applied to exterior surfaces contaminated by an RDD to mitigate the spread and migration of radioactive contamination. These performance standards are being promulgated via an ASTM Standard Specification to be published by ASTM International. Test methods will be developed to determine if candidate coatings meet the performance requirements stipulated in the ASTM performance standard. These test methods will be adapted from existing standard methods, or will be devised through laboratory research. The final set of test methods will be codified in an ASTM or other standard test method. The principal market for products described in the ASTM performance standard would be federal, state and local government emergency responders and response planners, decontamination service providers and those whose interests include protection and recovery of real estate potentially at risk from radiological terrorism. (authors)

  17. Refractive effects in the scattering of loosely bound nuclei

    International Nuclear Information System (INIS)

    Carstoiu, F.; Trache, L.; Tribble, R.E.; Gagliardi, C.A.; Carstoiu, F.

    2004-07-01

    A study of the interaction of the loosely bound nuclei 6,7 Li at 9 and 19 MeV/nucleon with light targets has been undertaken. With the determination of unambiguous optical potentials in mind, elastic data for four projectile-target combinations and one neutron transfer reaction 13 C( 7 Li, 8 Li) 12 C have been measured over a large angular range. The kinematical regime encompasses a region where the mean field (optical potential) has a marked variation with mass and energy, but turns out to be sufficiently surface transparent to allow strong refractive effects to be manifested in elastic scattering data at intermediate angles. The identified exotic feature, a 'plateau' in the angular distributions at intermediate angles, is fully confirmed in four reaction channels and is interpreted as a pre-rainbow oscillation resulting from the interference of the barrier and internal barrier far-side scattering sub-amplitudes. (authors)

  18. Critical assessment of the available technologies for sanitation of contaminated soil and their limits of application

    International Nuclear Information System (INIS)

    Nussbaumer, M.; Glaeser, E.

    1993-01-01

    Sanitation of polluted land comprises safety measures and soil purification measures. Soil purification can take place either in situ, or on-site or off-site after digging up the contaminated soil. In-situ processes are soil deaeration, groundwater purification and biological methods. Soil deaeration is suited for volatile pollutants in the unsaturated zone of loose soils, while groundwater purification is commonly applied for water-soluble pollutants in the saturated zone of soils with a high k f value. On-site or off-site purification of contaminated soils can take place by thermal processes, by soil washing, by microorganisms, or by physical processes. Thermal processes have the widest range of applications; they are suited for most soils polluted with mostly organic pollutants, and the residual contamination is lowest. Soil washing is limited to sandy and noncohesive soils and for emulsifiable or elutable pollutants. Biological on-site and off-line methods are limited to biodegradable pollutants which are not in phase. Loosening agents may be added in order to overcome geotechnical limitations. Physical purification of soils is limited to specific applications e.g. removal of volatile hydrocarbons. (orig.) [de

  19. Damping-controlled fluidelastic instability forces in multi-span tubes with loose supports

    International Nuclear Information System (INIS)

    Hassan, Marwan A.; Rogers, Robert J.; Gerber, Andrew G.

    2011-01-01

    This paper presents simulations of a loosely supported multi-span tube subjected to turbulence and fluidelastic instability forces in order to compare several time-domain fluid force models simulating the damping-controlled fluidelastic instability mechanism in tube arrays. These models include the negative damping model based on the Connors equation, fluid force coefficient-based models (Chen; Tanaka and Takahara), and two semi-analytical models (Price and Paidoussis; and Lever and Weaver). Time domain modelling challenges for each of these theories are discussed. The implemented models are validated against available experimental data. The linear simulations (without tube/support clearance) show that the Connors-equation based model exhibits the most conservative prediction of the critical flow velocity when the recommended design values for the Connors equation are used. The models are then utilized to simulate the nonlinear response of a three-span cantilever tube in a lattice bar support subjected to air crossflow. The tube is subjected to a single-phase flow passing over the spans where the flow velocity and the support clearance are varied. Special attention is paid to the tube/support interaction parameters that affect wear, such as impact forces, contact ratio, and normal work rate. As was seen for the linear cases, the reduced flow velocity at the instability threshold differs for the fluid force models considered. The investigated models do, however, exhibit similar response characteristics for the impact force, tip lift response, and work rate, except for the Connors-based model that overestimates the response and the tube/support interaction parameters for the loose support case, especially at large clearances.

  20. Strippable gel for decontamination of contaminated metallic surfaces

    International Nuclear Information System (INIS)

    Banerjee, D.; Sandhya, U.; Khot, S.A.; Srinivas, C.; Wattal, P.K.

    2013-01-01

    Periodic decontamination of radioactive laboratories including fume hoods, glove boxes and all surfaces used for handling, processing and transporting radioactive materials is mandatory in all nuclear installations as this reduces spread of contamination and decreases total man rem exposure. Conventionally, chemical decontaminating agents or surfactant solutions are used for this purpose. However, this approach leads to generation of large volume of secondary radioactive waste. The use of strippable gel is an attractive alternative with low secondary waste generation particularly where removal of loose or weakly fixed contamination is necessary and also when the decontaminated material are to be reused, for e.g. decontamination of fume hoods, glove boxes, transport casks, spent fuel storage racks, control rod drive transport containers etc. Literature on gel formulations is scarce and mostly in the patent form. The sustained effort on gel formulation development has resulted in a basic gel formulation. The gel is a highly viscous water-based organic polymer, particularly suitable for application on vertical surfaces including difficult to reach metallic surfaces of complex geometry and not just limited to horizontal surfaces. The gel can be easily applied on contaminated surfaces by brushing or spraying. Curing of the gel is complete within 16-24 hours under ambient conditions and can then be removed by peeling as a dry sheet. While curing, the contaminants are trapped in gel either physically or chemically depending upon the nature of the contaminant. Salient features of cured gel include that it is water soluble and can be disposed off after immobilization in cement. Decontamination performance of the gel was initially evaluated by applying it on SS planchettes contaminated with known amount of radionuclides such as Cs(I), Co(II) and Ce(III). The measured decontamination factor was found to be in the range of 50-500, lowest for Ce(III) and highest for Co

  1. Loose nanofiltration membrane for dye/salt separation through interfacial polymerization with in-situ generated TiO_2 nanoparticles

    International Nuclear Information System (INIS)

    Zhang, Qi; Fan, Lin; Yang, Zhen; Zhang, Runnan; Liu, Ya-nan; He, Mingrui; Su, Yanlei; Jiang, Zhongyi

    2017-01-01

    Highlights: • A in-situ generated TiO_2 approach was used to fabricate loose nanofiltration membrane. • The membrane contained small channels owing to the interaction between TiO_2 and the polyamide. • The membranes exhibited high water fluxes and separation performance for dye/salt solutions. - Abstract: In this study, a high flux nanofiltration (NF) membrane with hybrid polymer-nanoparticle active layer was fabricated by chemical crosslinking of piperazine (PIP) and 1, 3, 5-benzene tricarbonyl trichloride (TMC). An in-situ generated method was applied to deposit titanium dioxide (TiO_2) nanoparticles uniformly on the membrane surface, leading to the enhancement of the surface hydrophilicity, roughness and relative surface area of the polyamide (PA) layer. The morphology of the modified membrane was investigated by scanning electron microscopy (SEM) and Atomic force microscopy (AFM), also energy dispersive X-ray microanalysis (EDX) was used to analyze the distribution of Ti element. Chemical structure was observed by Fourier transmission infrared attenuated total reflectance (FTIR-ATR) spectroscopy. Remarkably, the optimal water flux of the loose NF membrane was 65.0 Lm"−"2 h"−"1 bar"−"1 nearly 5 times as much as the pure PA membrane flux. The rejections of the loose NF membranes for dyes were almost all greater than 95.0%, while the rejection for sodium sulfate (Na_2SO_4) was only about 17.0%, which indicated that the modified membrane had an impressive potential application for dye desalination and purification.

  2. The influence of salinity of fly ash mixtures on energy looses during flow in pipelines

    Directory of Open Access Journals (Sweden)

    И. Собота

    2017-06-01

    Full Text Available In Polish mining for backfilling the fly ash mixtures are used. Last time for fly ash mixtures preparation the saline water from mine have been used, to thanks to that the saline water missing the surface waters. Usage of saline water for fly ash mixture preparation causes the changes in energy looses during the flow in pipelines. The paper presents the results of energy looses measurement іn laboratory pipeline installation with diameter D =50 mm. The measurements have been performed for different fly ash – saline water proportions. Tested fly-ash from Siersza power plant has typical properties (grain size distribution curve, density for ashes used for backfilling mixtures preparation. Increase of fluid (water salinity modifies fluid viscosity. Brine in comparison with pure water retains as liquid with increased viscosity. Increased viscosity can influence on the mixture ash-brine properties for example causing flocculation effect. Also changeable salinity has an influence on proper determination of resistance (frictional coefficient λ during mixtures flow in pipelines because it depends on Reynolds number which depends on liquid viscosity. Increase of fly-ash concentrations in fly-ash – brine mixtures cause increase of energy losses.

  3. Transuranic-contaminated solid waste Treatment Development Facility. Final safety analysis report

    International Nuclear Information System (INIS)

    Warner, C.L.

    1979-07-01

    The Final Safety Analysis Report (FSAR) for the Transuranic-Contaminated Solid-Waste Treatment Facility has been prepared in compliance with the Department of Energy (DOE) Manual Chapter 0531, Safety of Nonreactor Nuclear Facilities. The Treatment Development Facility (TDF) at the Los Alamos Scientific Laboratory is a research and development facility dedicated to the study of radioactive-waste-management processes. This analysis addresses site assessment, facility design and construction, and the design and operating characteristics of the first study process, controlled air incineration and aqueous scrub off-gas treatment with respect to both normal and accident conditions. The credible accidents having potentially serious consequences relative to the operation of the facility and the first process have been analyzed and the consequences of each postulated credible accident are presented. Descriptions of the control systems, engineered safeguards, and administrative and operational features designed to prevent or mitigate the consequences of such accidents are presented. The essential features of the operating and emergency procedures, environmental protection and monitoring programs, as well as the health and safety, quality assurance, and employee training programs are described

  4. Transuranic-contaminated solid waste Treatment Development Facility. Final safety analysis report

    Energy Technology Data Exchange (ETDEWEB)

    Warner, C.L. (comp.)

    1979-07-01

    The Final Safety Analysis Report (FSAR) for the Transuranic-Contaminated Solid-Waste Treatment Facility has been prepared in compliance with the Department of Energy (DOE) Manual Chapter 0531, Safety of Nonreactor Nuclear Facilities. The Treatment Development Facility (TDF) at the Los Alamos Scientific Laboratory is a research and development facility dedicated to the study of radioactive-waste-management processes. This analysis addresses site assessment, facility design and construction, and the design and operating characteristics of the first study process, controlled air incineration and aqueous scrub off-gas treatment with respect to both normal and accident conditions. The credible accidents having potentially serious consequences relative to the operation of the facility and the first process have been analyzed and the consequences of each postulated credible accident are presented. Descriptions of the control systems, engineered safeguards, and administrative and operational features designed to prevent or mitigate the consequences of such accidents are presented. The essential features of the operating and emergency procedures, environmental protection and monitoring programs, as well as the health and safety, quality assurance, and employee training programs are described.

  5. Host defenses in experimental scrub typhus: effect of sublethal gamma radiation

    International Nuclear Information System (INIS)

    Kelly, D.J.

    1983-01-01

    The effect of sublethal gamma radiation on inbred mice chronically infected with scrub typhus rickettsiae was examined. Inbred mice which have been inoculated with Gilliam or Karp strain of Rickettsia tsutsugamushi by the subcutaneous route harbored the infection for at least one year. Irradiation of these animals at 12 or 52 weeks post inoculation at normally sublethal levels induced a significantly higher percentage of rickettsemic mice (recrudescence) than in the unirradiated similarly infected control animals. In addition, sublethal irradiation at 12 weeks also induced a quantitative increase in total rickettsiae. Homologous antibody titers to the rickettsiae were examined for five weeks following irradiation to determine the role of the humoral response in radiation induced recrudescence. Modification of recrudescence was investigated using radioprotective drugs. The expected results of this investigation supported the conclusion that the recrudescence of a chronic rickettsial infection in the appropriate host following immunological impairment due to battlefield or clinical exposure to gamma radiation can result in an acute, possibly lethal rickettsemia

  6. Noncondensable hydrogen sulfide incineration with brine scrubbing air emissions control system

    International Nuclear Information System (INIS)

    Goddard, W.B.; Goddard, C.B.; McClain, D.W.

    1990-01-01

    This paper reports on the technical and institutional feasibility of incinerating hydrogen sulfide (H2S) contained in geothermal noncondensable gases, and the use of geothermal brine for sulfur dioxide scrubbing and absorption as an Air Emissions Control System (AECS), for geothermal power plant, that have been documented through engineering analysis in the Phase I grant study funded through the California Department of Health Services (DOHS), Hazardous Materials Reduction Grant Program and hosted by California Energy Company (CECI). Grant funding for Phase II now has been approved to proceed with the project through the pilot plant design phase. This innovative AECS does not necessitate the use of hazardous materials or produce hazardous wastes. Cost savings were documented compared to injection pump operation or conventional AECS without the use of hazardous materials. The phase II project is to design, improve, research and develop a source reduction demonstration pilot plant geothermal noncondensable H2S incineration AECS

  7. Shelf life of loose flowers of rose cv. Gruss an Teplitz as influenced by 60Co-gamma irradiation followed by dry cool storage

    International Nuclear Information System (INIS)

    Vinod Kumar; Bhattacharjee, S.K.; Sainudhin, Sumy; Chatterjee, S.R.

    2003-01-01

    The two different experiments were carried out firstly on effect of different doses of gamma irradiation on rose loose flowers and secondly on effect of two selected doses of gamma irradiation and dry cool storage for different durations. Different doses of gamma irradiation viz.. 2.5, 5, 10 and 20 krad were employed to freshly harvested half opened flower buds of rose cv. Gruss an Teplitz. It has been recorded that gamma irradiation doses. viz., 2.5 and 5 krad were found suitable in enhancing shelf life of rose loose flowers. Among these two doses, 2.5 krad was found better where 100, 75 and 15 per cent flowers remained fresh after 24, 48 and 72 hours respectively. In rose cv. Gruss an Teplitz loose flowers after treatment with 2.5 krad and storing the same for 1 day at 4 deg C it resulted in 100, 95, 75, 40 and 10 per cent in flowers in fresh state after 24, 48, 72, 96 and 120 hours, respectively, by keeping the flowers at ambient conditions. In control (fresh flowers) all flowers were found wilted up to 96 hours when kept at ambient conditions. It is concluded that rose cv. Gruss an Teplitz loose flowers after treatment with gamma irradiation of 2.5 krad can be further dry cool stored up to 120 hours at 4 deg C without affecting their longevity. (author)

  8. Innovative approaches for the remediation of arsenic and mercury pollution via soil washing

    International Nuclear Information System (INIS)

    Sierra, C.; Gonzalez-Coto, F.; Villa, R.; Menendez-Aguado, J. M.; Gallego, J. R.

    2009-01-01

    Soil washing techniques are ex situ remediation procedures to remove contaminants concentrating them into a minor volume through particle size separation, gravity separation, and attrition scrubbing; with or without the utilization of chemical additives. Systems incorporating these removal techniques offer possibilities for application to soils contaminated with a wide variety of heavy metal, radionuclides, and organic contaminants. (Author)

  9. Refractive effects in the scattering of loosely bound nuclei

    Energy Technology Data Exchange (ETDEWEB)

    Carstoiu, F.; Trache, L.; Tribble, R.E.; Gagliardi, C.A. [Texas A and M Univ., College Station, TX (United States). Cyclotron Inst; Carstoiu, F. [Laboratoire de Physique Corpusculaire, IN2P3-CNRS, ISMRA, Universite de Caen, 14 - Caen (France); Carstoiu, F. [National Institute for Physics and Nuclear Engineering, Horia Hulubei, Bucharest-Magurele (Romania)

    2004-07-01

    A study of the interaction of the loosely bound nuclei {sup 6,7}Li at 9 and 19 MeV/nucleon with light targets has been undertaken. With the determination of unambiguous optical potentials in mind, elastic data for four projectile-target combinations and one neutron transfer reaction {sup 13}C({sup 7}Li,{sup 8}Li){sup 12}C have been measured over a large angular range. The kinematical regime encompasses a region where the mean field (optical potential) has a marked variation with mass and energy, but turns out to be sufficiently surface transparent to allow strong refractive effects to be manifested in elastic scattering data at intermediate angles. The identified exotic feature, a 'plateau' in the angular distributions at intermediate angles, is fully confirmed in four reaction channels and is interpreted as a pre-rainbow oscillation resulting from the interference of the barrier and internal barrier far-side scattering sub-amplitudes. (authors)

  10. Performance studies on hydrofluoric acid fumes scrubbing systems

    Energy Technology Data Exchange (ETDEWEB)

    Sarkar, S; Bhowmik, A; Bera, T K; Sridhar, H; Shanmugavelu, P; Muralidhara, H R [Rare Materials Project, Bhabha Atomic Research Centre, Mysore (India)

    1994-06-01

    Uranium hexafluoride gas is a major process medium for the production of nuclear fuels. Different types of scrubbers suitable for disposal of exhaust gases containing low concentration of HF/UF{sub 6} contaminants, treatment of contaminated air from the working environment of a plant and bulk quantity of HF/UF{sub 6} from storage vessels are described. 8 refs., 3 figs., 3 tabs.

  11. Use of portable instrumentation/PC for loose-part monitor sensor validation, impact detection, and characterization

    International Nuclear Information System (INIS)

    Allen, J.W.

    1989-01-01

    Impact detection [loose-part monitoring (LPM)] is typically performed using acoustic sensors (accelerometers) permanently affixed to natural collection sites for possible loose parts. A typical nuclear facility will consist of 12 to 16 channels around the primary loop. Normal operation of these systems consists of continuously monitoring the conditioned sensor output and alert (or alarm) when signal levels exceed a certain threshold value. Technology for Energy Corporation (TEC) has utilized statistical methods to develop a system for monitoring LPM sensors that is capable of unambiguous channel operability validation, low-level impact (rattling) detection and trending, and impact characterization. The system consists of a software package resident on a personal computer (PC) for data storage, trending, and reporting. A small portable microprocessor box (meter) is used for data acquisition and analysis. The portable data box receives an analysis parameter set from the host PC, accepts amplified signals from the individual LPM sensors, and carries out spectral and probability density analyses. The results from the analyses are available for viewing at the meter and are locally stored for later uploading to the host computer. At the host, key parameters are trended from both the spectral and the amplitude probability function analyses. Alarm limits are preset to indicate if further analysis is warranted

  12. Radiological assessment and remedial action report for the ''Son of Lansdowne'' property, 186 North Lansdowne Avenue, Lansdowne, Pennsylvania

    International Nuclear Information System (INIS)

    Smith, W.H.; Wynveen, R.A.

    1987-08-01

    This document reports the results of a radiological assessment and remedial action program conducted by Argonne National Laboratory personnel at a radioactively contaminated private residence in Lansdowne, Pennsylvania. The program was conducted on the residence at 186 Lansdowne Avenue. The survey conducted by the ANL personnel indicated that several dozen areas or spots of contamination were present on all floors and the basement of the three-story house. Contamination was found on furniture, carpeting, walls, floors, woodwork, and ceilings. Remedial action undertaken to remove the contamination ranged from scrubbing, to scraping, to shaving of wood, to removal and disposal of items and material that could not be adequately decontaminated. Outdoors, contaminated soil was removed from the backyard, and the driveway was dug up so the contaminated subsurface material could be removed. The remedial action generated quantities of radioactive waste, including four 55-gallon drums and one M-III bin (120 ft 3 ) containing floor tile, concrete, personal items, furniture, floor scrapings, vermiculite absorbed scrub water, and other items. In addition, there were 24 M-III bins containing approximately 112 tons of contaminated soil and rock from the two contaminated areas in the backyard and from the contaminated subsurface of the driveway. 2 refs., 39 figs., 12 tabs

  13. Pregnancy outcome in relation to treatment of murine typhus and scrub typhus infection: a fever cohort and a case series analysis.

    Directory of Open Access Journals (Sweden)

    Rose McGready

    2014-11-01

    Full Text Available There is a paucity of published reports on pregnancy outcome following scrub and murine typhus despite these infections being leading causes of undifferentiated fever in Asia. This study aimed to relate pregnancy outcome with treatment of typhus.Data were analyzed from: i pregnant women with a diagnosis of scrub and/or murine typhus from a fever cohort studies; ii case series of published studies in PubMed using the search terms "scrub typhus" (ST, "murine typhus" (MT, "Orientia tsutsugamushi", "Rickettsia tsutsugamushi", "Rickettsia typhi", "rickettsiae", "typhus", or "rickettsiosis"; and "pregnancy", until February 2014 and iii an unpublished case series. Fever clearance time (FCT and pregnancy outcome (miscarriage and delivery were compared to treatment. Poor neonatal outcome was a composite measure for pregnancies sustained to 28 weeks or more of gestation ending in stillbirth, preterm birth, or delivery of a growth restricted or low birth weight newborn.There were 26 women in the fever cohort. MT and ST were clinically indistinguishable apart from two ST patients with eschars. FCTs (median [range] hours were 25 [16-42] for azithromycin (n=5, 34 [20-53] for antimalarials (n=5 and 92 [6-260] for other antibiotics/supportive therapy (n=16. There were 36.4% (8/22 with a poor neonatal outcome. In 18 years, 97 pregnancies were collated, 82 with known outcomes, including two maternal deaths. Proportions of miscarriage 17.3% (14/81 and poor neonatal outcomes 41.8% (28/67 were high, increasing with longer FCTs (p=0.050, linear trend. Use of azithromycin was not significantly associated with improved neonatal outcomes (p=0.610.The published ST and MT world literature amounts to less than 100 pregnancies due to under recognition and under diagnosis. Evidence supporting the most commonly used treatment, azithromycin, is weak. Collaborative, prospective clinical trials in pregnant women are urgently required to reduce the burden of adverse maternal and

  14. A feasible process for simultaneous removal of CO2, SO2 and NOx in the cement industry by NH3 scrubbing

    International Nuclear Information System (INIS)

    Dong, Ruifeng; Lu, Hongfang; Yu, Yunsong; Zhang, Zaoxiao

    2012-01-01

    Highlights: ► Simultaneous removal of CO 2 , SO 2 and NO x is realized by NH 3 scrubbing with NaClO 2 . ► The crystallization process of NH 4 HCO 3 is employed instead of CO 2 regeneration. ► Energy consumption reduces hugely while CO 2 removal rate remains higher than 90%. ► Exergy calculation reveals that a higher thermodynamic perfection degree is achieved. -- Abstract: With the rapid economic and industrial development, the concentration of carbon dioxide in the atmosphere is increasing enormously, which has greatly affected the global climate and human living environment. At present, a lot of technologies have been applied to CO 2 removal in fossil fuel-fired power plants, which are one of the main CO 2 emission sources. But few researches have been done in the cement industry, which is the third largest CO 2 emission source. There is no mature technology of CO 2 removal in cement industry mentioned before. This paper proposes a feasible process for simultaneous removal of CO 2 , SO 2 and NO x in the cement industry by NH 3 scrubbing. As there is no ready steam source for the regeneration of CO 2 -rich loading solvent after absorption, a process with the final product of ammonium bicarbonate is developed. With the oxidative additive of NaClO 2 added in the aqueous ammonium absorbent, the simultaneous removal of CO 2 , SO 2 and NO x is feasible by NH 3 scrubbing. The products of the process are mainly ammonium bicarbonate, ammonium sulfate and ammonium nitrate, which are all good fertilizers for crops and plants. The crystallization of NH 4 HCO 3 is easier for storage and transportation than that for liquid carbon dioxide, which becomes more stable when dicyandiamide (DCD) is added. The thermodynamic analysis proves that the proposed process has the advantages of energy conservation and high thermodynamic perfection degree compared with the traditional ones.

  15. Spectroscopic Determination of Trace Contaminants in High-Purity Oxygen

    Science.gov (United States)

    Hornung, Steven

    2013-01-01

    Oxygen used for extravehicular activities (EVAs) must be free of contaminants because a difference in a few tenths of a percent of argon or nitrogen content can mean significant reduction in available EVA time. These inert gases build up in the extravehicular mobility unit because they are not metabolized or scrubbed from the atmosphere. A prototype optical emission technique capable of detecting argon and nitrogen below 0.1% in oxygen has been developed. This instrument uses a glow discharge in reduced-pressure gas to produce atomic emission from the species present. Because the atomic emission lines from oxygen, nitrogen, and argon are discrete, and in many cases well-separated, trace amounts of argon and nitrogen can be detected in the ultraviolet and visible spectrum. This is a straightforward, direct measurement of the target contaminants, and may lend itself to a device capable of on-orbit verification of oxygen purity. A glow discharge is a plasma formed in a low-pressure (1 to 10 Torr) gas cell between two electrodes. Depending on the configuration, voltages ranging from 200 V and above are required to sustain the discharge. In the discharge region, the gas is ionized and a certain population is in the excited state. Light is produced by the transitions from the excited states formed in the plasma to the ground state. The spectrum consists of discrete, narrow emission lines for the atomic species, and broader peaks that may appear as a manifold for molecular species such as O2 and N2, the wavelengths and intensities of which are a characteristic of each atom. The oxygen emission is dominated by two peaks at 777 and 844 nm.

  16. Moyamoya disease in two patients with Noonan-like syndrome with loose anagen hair.

    Science.gov (United States)

    Lo, Fu-Sung; Wang, Chao-Jan; Wong, Mun-Ching; Lee, Ni-Chung

    2015-06-01

    Moyamoya disease is a unique chronic cerebrovascular condition caused by progressive stenosis of the arteries around the circle of Willis with prominent arterial collateral circulation. Noonan-like syndrome with loose anagen hair (NSLH) is characterized by short stature, characteristic facial phenotype, darkly pigmented and hairless skin, mild psychomotor delay with attention deficit disorder, and easily pluckable, sparse, thin, slow growing hair. Mutations in SHOC2 have been reported to underlie NSLH. In this paper, we describe two individuals with NSLH who also have moyamoya disease and in whom heterozygous germline mutation in SHOC2 was found. © 2015 Wiley Periodicals, Inc.

  17. Design and scale-up of an oxidative scrubbing process for the selective removal of hydrogen sulfide from biogas.

    Science.gov (United States)

    Krischan, J; Makaruk, A; Harasek, M

    2012-05-15

    Reliable and selective removal of hydrogen sulfide (H(2)S) is an essential part of the biogas upgrading procedure in order to obtain a marketable and competitive natural gas substitute for flexible utilization. A promising biogas desulfurization technology has to ensure high separation efficiency regardless of process conditions or H(2)S load without the use or production of toxic or ecologically harmful substances. Alkaline oxidative scrubbing is an interesting alternative to existing desulfurization technologies and is investigated in this work. In experiments on a stirred tank reactor and a continuous scrubbing column in laboratory-scale, H(2)S was absorbed from a gas stream containing large amounts of carbon dioxide (CO(2)) into an aqueous solution prepared from sodium hydroxide (NaOH), sodium bicarbonate (NaHCO(3)) and hydrogen peroxide (H(2)O(2)). The influence of pH, redox potential and solution aging on the absorption efficiency and the consumption of chemicals was investigated. Because of the irreversible oxidation reactions of dissolved H(2)S with H(2)O(2), high H(2)S removal efficiencies were achieved while the CO(2) absorption was kept low. At an existing biogas upgrading plant an industrial-scale pilot scrubber was constructed, which efficiently desulfurizes 180m(3)/h of raw biogas with an average removal efficiency of 97%, even at relatively high and strongly fluctuating H(2)S contents in the crude gas. Copyright © 2012 Elsevier B.V. All rights reserved.

  18. Flow column experiments on the 152Eu migration in systems of loose sediments and water containing humic acids

    International Nuclear Information System (INIS)

    Klotz, D.; Wolf, M.

    2001-01-01

    Humic acid transport of 152 in non-binding loose sediments of different grain sizes was investigated using a groundwater of the tertiary lignite of Northern Germany with a high humic acid concentration. The migration experiments were carried out in flow columns at natural filter flow rates and natural flow lengths [de

  19. Loose nanofiltration membrane for dye/salt separation through interfacial polymerization with in-situ generated TiO{sub 2} nanoparticles

    Energy Technology Data Exchange (ETDEWEB)

    Zhang, Qi; Fan, Lin; Yang, Zhen; Zhang, Runnan; Liu, Ya-nan; He, Mingrui [Key Laboratory for Green Chemical Technology, School of Chemical Engineering and Technology, Tianjin University, Tianjin 300072 (China); Collaborative Innovation Center of Chemical Science and Engineering (Tianjin), Tianjin University, Tianjin 300072 (China); Su, Yanlei, E-mail: suyanlei@tju.edu.cn [Key Laboratory for Green Chemical Technology, School of Chemical Engineering and Technology, Tianjin University, Tianjin 300072 (China); Collaborative Innovation Center of Chemical Science and Engineering (Tianjin), Tianjin University, Tianjin 300072 (China); Jiang, Zhongyi [Key Laboratory for Green Chemical Technology, School of Chemical Engineering and Technology, Tianjin University, Tianjin 300072 (China); Collaborative Innovation Center of Chemical Science and Engineering (Tianjin), Tianjin University, Tianjin 300072 (China)

    2017-07-15

    Highlights: • A in-situ generated TiO{sub 2} approach was used to fabricate loose nanofiltration membrane. • The membrane contained small channels owing to the interaction between TiO{sub 2} and the polyamide. • The membranes exhibited high water fluxes and separation performance for dye/salt solutions. - Abstract: In this study, a high flux nanofiltration (NF) membrane with hybrid polymer-nanoparticle active layer was fabricated by chemical crosslinking of piperazine (PIP) and 1, 3, 5-benzene tricarbonyl trichloride (TMC). An in-situ generated method was applied to deposit titanium dioxide (TiO{sub 2}) nanoparticles uniformly on the membrane surface, leading to the enhancement of the surface hydrophilicity, roughness and relative surface area of the polyamide (PA) layer. The morphology of the modified membrane was investigated by scanning electron microscopy (SEM) and Atomic force microscopy (AFM), also energy dispersive X-ray microanalysis (EDX) was used to analyze the distribution of Ti element. Chemical structure was observed by Fourier transmission infrared attenuated total reflectance (FTIR-ATR) spectroscopy. Remarkably, the optimal water flux of the loose NF membrane was 65.0 Lm{sup −2} h{sup −1} bar{sup −1} nearly 5 times as much as the pure PA membrane flux. The rejections of the loose NF membranes for dyes were almost all greater than 95.0%, while the rejection for sodium sulfate (Na{sub 2}SO{sub 4}) was only about 17.0%, which indicated that the modified membrane had an impressive potential application for dye desalination and purification.

  20. The Chemical Origin of SEY at Technical Surfaces

    CERN Document Server

    Larciprete, R.; Commisso, M.; Flammini, R.; Cimino, R.

    2013-04-22

    The secondary emission yield (SEY) properties of colaminated Cu samples for LHC beam screens are correlated to the surface chemical composition determined by X-ray photoelectron spectroscopy. The surface of the "as received" samples is characterized by the presence of significant quantities of contaminating adsorbates and by the maximum of the SEY curve (dmax) being as high as 2.2. After extended electron scrubbing at kinetic energy of 10 and 500 eV, the dmax value drops to the ultimate values of 1.35 and 1.1, respectively. In both cases the surface oxidized phases are significantly reduced, whereas only in the sample scrubbed at 500 eV the formation of a graphitic-like C layer is observed. We find that the electron scrubbing of technical Cu surfaces can be described as occurring in two steps, where the first step consists in the electron induced desorption of weakly bound contaminants that occurs indifferently at 10 and at 500 eV and corresponds to a partial decrease of dmax, and the second step, activated b...