The HITRAP project at GSI

International Nuclear Information System (INIS)

Poth, H.; Hasse, R.W.

1990-10-01

We present a proposal for the development of a facility to capture highly-charged ions, produced in the GSI heavy ion complex, and to store them in electromagnetic traps at thermal or subthermal energy. Such a facility would allow to exploit the physics opened up by the heavy ion rings SIS and ESR and by the fragment separator FRS with unprecedented possibilities as will be shown in the outlined physics program. (orig.)

GSI research and development programme 1983-85

International Nuclear Information System (INIS)

1982-01-01

In this report the research program of the GSI Darmstadt is described. This program concerns heavy ion reactions, atomic collisions with heavy ions, and applications of heavy ion beams in other fields of science. Furthermore the future development of accelerators and detection methods is described. (HSI) [de

Construction and characterization of a laser-driven proton beamline at GSI

OpenAIRE

Busold, Simon

2014-01-01

The thesis includes the first experiments with the new 100 TW laser beamline of the PHELIX laser facility at GSI Darmstadt to drive a TNSA (Target Normal Sheath Acceleration) proton source at GSI's Z6 experimental area. At consecutive stages a pulsed solenoid has been applied for beam transport and energy selection via chromatic focusing, as well as a radiofrequency cavity for energy compression of the bunch. This novel laser-driven proton beamline, representing a central experiment of the...

Validation and simplification of Fournier's gangrene severity index.

Science.gov (United States)

Lin, Tsung-Yen; Ou, Chien-Hui; Tzai, Tzong-Shin; Tong, Yat-Ching; Chang, Chien-Chen; Cheng, Hong-Lin; Yang, Wen-Horng; Lin, Yung-Ming

2014-07-01

To validate the predictive value of Fournier's Gangrene Severity Index in patients with Fournier gangrene and to facilitate patient mortality risk-stratification by simplifying the Fournier's Gangrene Severity Index. From January 1989 to December 2011, 85 male patients with clinically-documented Fournier's gangrene undergoing intensive treatment and with complete medical records were recruited. The demographic information and nine parameters of Fournier's Gangrene Severity Index were compared between survivors and non-survivors. The parameters that showed a significant difference between the two groups were selected to generate a simplified scoring index. Of the 85 patients recruited, 16 patients died of the disease with mortality rate of 18.8%. The Fournier's Gangrene Severity Index score at initial diagnosis was significantly higher in non-survivors than in survivors. Of the nine parameters of Fournier's Gangrene Severity Index, the scores of serum creatinine level, hematocrit level and serum potassium level were significantly different between the two groups. However, the mean body temperatures, heart rate, respiration rate, white blood cell count, serum sodium and bicarbonate levels were non-significantly different. Of the 12 patients with chronic kidney disease or end-stage renal disease, 10 died of severe sepsis. A simplified scoring index including parameters of creatinine, hematocrit and potassium was generated, which provided sensitivity and specificity of 87% and 77% in predicting patient mortality, respectively. The predictive values of this simplified Fournier's Gangrene Severity Index were shown to be non-inferior to Fournier's Gangrene Severity Index in our patients. The simplified Fournier's Gangrene Severity Index is easy to use at initial diagnosis, and offers a way to compare outcomes in different clinical populations. © 2014 The Japanese Urological Association.

Impact of hybrid GSI analysis using ETR ensembles

Indian Academy of Sciences (India)

Impact of hybrid GSI analysis using ETR ensembles. V S Prasad∗ and C J .... In this study, impact of hybrid ..... of water between vapour, clouds and ice (Damrath et al. 2000). ... flooding – June 2013; Weather and Climate Extremes 4. 22–34.

The EXL experiment at FAIR and plans with the ESR at GSI

International Nuclear Information System (INIS)

Kalantar-Nayestanaki, N.

2011-01-01

In this contribution, the physics program of the EXL experiment at FAIR-NuSTAR along with its experimental setup will be briefly outlined. This experiment aims to study the structure and the dynamics of radioactive nuclei which collide with light ions in inverse kinematics. On the way to the final measurements, several measurements have been proposed at the existing ESR at GSI with the purpose of understanding the detection systems for EXL and obtaining the first physics results in this type of experiments in a storage ring.

A discussion on disease severity index values: using the disease severity index for null hypothesis testing

Science.gov (United States)

A disease severity index (DSI) is a single number for summarizing a large amount of information on disease severity. It has been used to indicate the performance of a cultivar in regard to disease resistance at a particular location, to relate disease severity to yield loss, to determine the effecti...

Test of a non-invasive bunch shape monitor at the GSI high current LINAC

Energy Technology Data Exchange (ETDEWEB)

Zwicker, Benjamin; Forck, Peter; Kester, Oliver [GSI Helmholtzzentrum fuer Schwerionenforschung, Darmstadt (Germany); Institut fuer Angewandte Physik, Goethe Universitaet Frankfurt (Germany); Dorn, Christoph; Kowina, Piotr [GSI Helmholtzzentrum fuer Schwerionenforschung, Darmstadt (Germany)

2014-07-01

At the heavy ion LINAC at GSI, a novel scheme of non-invasive Bunch Shape Monitor has been tested with several ion beams at 11.4 MeV/u. Caused by the beam impact on the residual gas, secondary electrons are liberated. These electrons are accelerated by an electrostatic field, transported through a sophisticated electrostatic energy analyzer and an rf-deflector, acting as a time-to-space converter. Finally a MCP detects the electron distribution. For the applied beam settings this Bunch Shape Monitor is able to obtain longitudinal profiles down to 400 ps with a resolution of 50 ps, corresponding to 2 degree of the 36 MHz acceleration frequency. During a long shutdown period for the GSI accelerators in 2013, the monitor underwent a general technical retrofit: Influence of the beam has been significantly reduced, due enhanced electrodes, new apertures have been installed to decrease electron scattering, sophisticated stepping motors will allow better image properties, a MCP shielding plate will prevent high background. Together with these improvements the achievements of the monitor are discussed.

Impact of psychological problems in chemical warfare survivors with severe ophthalmologic complication, a cross sectional study.

Science.gov (United States)

Ghaedi, Gholamhosein; Ghasemi, Hassan; Mousavi, Batool; Soroush, Mohammad Reza; Rahnama, Parvin; Jafari, Farhad; Afshin-Majd, Siamak; Sadeghi Naeeni, Maryam; Naghizadeh, Mohammad Mehdi

2012-04-12

Sulfur mustard (SM) has been used as a chemical warfare agent since the early twentieth century. Despite the large number of studies that have investigated SM induced ocular injuries, few of those studies have also focused on the psychological health status of victims. This study has evaluated the most prominent influences on the psychological health status of patients with severe SM induced ocular injuries. This descriptive study was conducted on 149 Iranian war veterans with severe SM induced eye injuries. The psychological health status of all patients was assessed using the Iranian standardized Symptom Check List 90-Revised (SCL90-R) questionnaire. The results of patients' Global Severity Index (GSI) were compared with the optimal cut-off point of 0.4 that has previously been calculated for GSI in Iranian community. The Mann-Whitney U test, T tests and effect sizes (using Cohen's d) were employed as statistical methods. Data were analyzed using SPSS software. The mean age of patients was 44.86 (SD=8.7) and mean duration of disease was 21.58 (SD=1.20) years. Rate of exposure was once in 99 (66.4%) cases. The mean GSI (1.46) of the study group was higher compared to standardized cut off point (0.4) of the Iranian community. The results of this study showed that the mean of total GSI score was higher in participants with lower educational levels (effect size=0.507), unemployment (effect size=0.464) and having more than 3 children (effect size=0.62). Among the participants, 87 (58.4%) cases had a positive psychological history for hospitalization or receiving outpatient cares previously and 62 (41.6%) cases had a negative psychological history. In addition, the mean of GSI in participants with negative psychological history was lower than those with positive psychological history (Mean Change Difference=-0.621 with SD=0.120). There was a significant difference between positive and negative psychological history with respect to GSI (Pchemical survivors are

Nuclear Structure Physics at GSI - Challenges and Perspectives

Energy Technology Data Exchange (ETDEWEB)

Muenzenberg, G.

1999-12-31

The perspectives at GSI for the exploration of exotic regions with new high-current accelerators and recent technical developments including single-atom decay studies, ultra sensitive {gamma}-spectroscopy, new set-ups for reaction studies at relativistic energies in complete kinematics, heavy ion storage rings, and low-energy heavy-ion-electron colliders will be discussed.

The PRESPEC liquid-hydrogen target for in-beam gamma spectroscopy of exotic nuclei at GSI

International Nuclear Information System (INIS)

Louchart, C.; Gheller, J.M.; Chesny, Ph.; Authelet, G.; Rousse, J.Y.; Obertelli, A.; Boutachkov, P.; Pietri, S.; Ameil, F.; Audirac, L.; Corsi, A.; Dombradi, Z.; Gerl, J.; Gillibert, A.; Korten, W.; Mailleret, C.; Merchan, E.; Nociforo, C.; Pietralla, N.; Ralet, D.

2014-01-01

We report on a new liquid hydrogen and deuterium target dedicated to in-beam γ spectroscopy experiments in inverse kinematics at relativistic incident energies at GSI/FAIR. Target thicknesses from 10 to 80 mm can be achieved for an effective diameter of 60 mm. The target-cell and entrance window are maded of 200μm thick Mylar. The design has the advantage of being free of absorbing material at forward angles and 90°, allowing the detection of photons in a wide angular range. A commissioning experiment with a 54 Cr beam at 130 MeV/nucleon has been performed at GSI, using the Rare Isotopes INvestigation at GSI (RISING) detectors. The target has been shown to behave as expected and is ready for experiments at fragmentation Radioactive-Ion Beam Facilities. -- Highlights: • We report on a new liquid hydrogen target for gamma spectroscopy experiments at FAIR. • A commissioning experiment has been performed at GSI, using the RISING detectors. • The target behaves as expected and is ready for experiments

Feasibility Study of Using Gemstone Spectral Imaging (GSI) and Adaptive Statistical Iterative Reconstruction (ASIR) for Reducing Radiation and Iodine Contrast Dose in Abdominal CT Patients with High BMI Values.

Science.gov (United States)

Zhu, Zheng; Zhao, Xin-ming; Zhao, Yan-feng; Wang, Xiao-yi; Zhou, Chun-wu

2015-01-01

To prospectively investigate the effect of using Gemstone Spectral Imaging (GSI) and adaptive statistical iterative reconstruction (ASIR) for reducing radiation and iodine contrast dose in abdominal CT patients with high BMI values. 26 patients (weight > 65kg and BMI ≥ 22) underwent abdominal CT using GSI mode with 300mgI/kg contrast material as study group (group A). Another 21 patients (weight ≤ 65kg and BMI ≥ 22) were scanned with a conventional 120 kVp tube voltage for noise index (NI) of 11 with 450mgI/kg contrast material as control group (group B). GSI images were reconstructed at 60keV with 50%ASIR and the conventional 120kVp images were reconstructed with FBP reconstruction. The CT values, standard deviation (SD), signal-noise-ratio (SNR), contrast-noise-ratio (CNR) of 26 landmarks were quantitatively measured and image quality qualitatively assessed using statistical analysis. As for the quantitative analysis, the difference of CNR between groups A and B was all significant except for the mesenteric vein. The SNR in group A was higher than B except the mesenteric artery and splenic artery. As for the qualitative analysis, all images had diagnostic quality and the agreement for image quality assessment between the reviewers was substantial (kappa = 0.684). CT dose index (CTDI) values for non-enhanced, arterial phase and portal phase in group A were decreased by 49.04%, 40.51% and 40.54% compared with group B (P = 0.000), respectively. The total dose and the injection rate for the contrast material were reduced by 14.40% and 14.95% in A compared with B. The use of GSI and ASIR provides similar enhancement in vessels and image quality with reduced radiation dose and contrast dose, compared with the use of conventional scan protocol.

Feasibility Study of Using Gemstone Spectral Imaging (GSI and Adaptive Statistical Iterative Reconstruction (ASIR for Reducing Radiation and Iodine Contrast Dose in Abdominal CT Patients with High BMI Values.

Directory of Open Access Journals (Sweden)

Zheng Zhu

Full Text Available To prospectively investigate the effect of using Gemstone Spectral Imaging (GSI and adaptive statistical iterative reconstruction (ASIR for reducing radiation and iodine contrast dose in abdominal CT patients with high BMI values.26 patients (weight > 65kg and BMI ≥ 22 underwent abdominal CT using GSI mode with 300mgI/kg contrast material as study group (group A. Another 21 patients (weight ≤ 65kg and BMI ≥ 22 were scanned with a conventional 120 kVp tube voltage for noise index (NI of 11 with 450mgI/kg contrast material as control group (group B. GSI images were reconstructed at 60keV with 50%ASIR and the conventional 120kVp images were reconstructed with FBP reconstruction. The CT values, standard deviation (SD, signal-noise-ratio (SNR, contrast-noise-ratio (CNR of 26 landmarks were quantitatively measured and image quality qualitatively assessed using statistical analysis.As for the quantitative analysis, the difference of CNR between groups A and B was all significant except for the mesenteric vein. The SNR in group A was higher than B except the mesenteric artery and splenic artery. As for the qualitative analysis, all images had diagnostic quality and the agreement for image quality assessment between the reviewers was substantial (kappa = 0.684. CT dose index (CTDI values for non-enhanced, arterial phase and portal phase in group A were decreased by 49.04%, 40.51% and 40.54% compared with group B (P = 0.000, respectively. The total dose and the injection rate for the contrast material were reduced by 14.40% and 14.95% in A compared with B.The use of GSI and ASIR provides similar enhancement in vessels and image quality with reduced radiation dose and contrast dose, compared with the use of conventional scan protocol.

A Modular VME Data Acquisition System for Counter Applications at the GSI Synchrotron

CERN Document Server

Liakin, D A

2003-01-01

Particle counters perform the control of beam loss and slowly extracted currents at the heavy ion synchrotron (SIS) at GSI. A new VME/Lynx - PC/Linux based data acquisition system has been developed to combine the operating purposes beam loss measurement, spill analysis, spill structure measurement and matrix switching functionality in one single assembly. In this paper a detailed PC-side software description is presented. To achieve best system stability, the software has been divided into time critical networking and data deploying threads and low or normal priority interface tasks. Some new abilities in the fields of data computation and presentation are reported. A hardware description is presented, in detail a programmable GSI-EVENT controller, which is based on an ordinary 8 bit RISC microprocessor and which has been integrated into the system, to synchronize the data acquisition with the sophisticated “virtual accelerator” timing at GSI. First experiences gained while the commission...

Vectra GSI, Inc. low-level waste melter testing Phase 1 test report

Energy Technology Data Exchange (ETDEWEB)

Stegen, G.E.; Wilson, C.N.

1996-02-21

A multiphase program was initiated in 1994 to test commercially available melter technologies for the vitrification of the low-level waste (LLW) stream from defense wastes stored in underground tanks at the Hanford Site in southeastern Washington State. Vectra GSI, Inc. was one of seven vendors selected for Phase 1 of the melter demonstration tests using simulated LLW that were completed during fiscal year 1995. The attached report prepared by Vectra GSI, Inc. describes results of melter testing using slurry feed and dried feeds. Results of feed drying and prereaction tests using a fluid bed calciner and rotary dryer also are described.

Vectra GSI, Inc. low-level waste melter testing Phase 1 test report

International Nuclear Information System (INIS)

Stegen, G.E.; Wilson, C.N.

1996-01-01

A multiphase program was initiated in 1994 to test commercially available melter technologies for the vitrification of the low-level waste (LLW) stream from defense wastes stored in underground tanks at the Hanford Site in southeastern Washington State. Vectra GSI, Inc. was one of seven vendors selected for Phase 1 of the melter demonstration tests using simulated LLW that were completed during fiscal year 1995. The attached report prepared by Vectra GSI, Inc. describes results of melter testing using slurry feed and dried feeds. Results of feed drying and prereaction tests using a fluid bed calciner and rotary dryer also are described

A new standard method for the surveying and alignment of beamline facilities at GSI

Energy Technology Data Exchange (ETDEWEB)

Wirth, H. [Metronom, Gesellschaft fuer Industrievermessung mbH, Mainz (Germany); Moritz, G.

1996-01-01

The GSI institute of heavy ion research is financed by the country of Germany. Founded in 1969, the main emphasis of the institute`s work is the research of the characteristics of atomic nuclei. The Universal Linear Accelerator UNILAC was built first and in 1987 new facilities were added to the setup. The GSI accelarators allow acceleration of all atomic nuclei up to Uranium to an energy of 20 MeV/u. In 1993 Metronome started working on a new alignment concept for the GSI`s accelerators. Metronome has developed the TASA concept. TSAS stands for Techeometric Accelerator Surveying and Alignment and is based on the new generation of high-precision total stations. One feature included in the TASA Concept, has been the replacement of all mobile plates by fixed consoles. An immense advantage of new fixed consoles, welded onto every component, is that they can be positioned to locations where they can be easily measured, simply by taking measuring conditions (lines of sight, heights of stands, error-figures, configuration, etc.) into consideration. The TASA Concept can be used for all alignments of the different GSI accelerators. For all accelerators a special investigation was carried out to check if it is possible to position a new pillar system and to install new consoles on the components. The free positioning of fiducial points makes it possible to use polar measurements for all components. This is an enormous advantage and a step forward for alignment procedures at GSI. Furthermore, use of a total station as opposed to the ECDS System means that one operator less is needed. (S.Y.)

The FIRST experiment at GSI

International Nuclear Information System (INIS)

Pleskac, R.; Abou-Haidar, Z.; Agodi, C.; Alvarez, M.A.G.; Aumann, T.; Battistoni, G.; Bocci, A.; Böhlen, T.T.; Boudard, A.; Brunetti, A.; Carpinelli, M.; Cirrone, G.A.P.; Cortes-Giraldo, M.A.; Cuttone, G.; De Napoli, M.; Durante, M.; Fernández-García, J.P.; Finck, C.; Golosio, B.; Gallardo, M.I.

2012-01-01

The FIRST (Fragmentation of Ions Relevant for Space and Therapy) experiment at the SIS accelerator of GSI laboratory in Darmstadt has been designed for the measurement of ion fragmentation cross-sections at different angles and energies between 100 and 1000 MeV/nucleon. Nuclear fragmentation processes are relevant in several fields of basic research and applied physics and are of particular interest for tumor therapy and for space radiation protection applications. The start of the scientific program of the FIRST experiment was on summer 2011 and was focused on the measurement of 400 MeV/nucleon 12 C beam fragmentation on thin (8 mm) graphite target. The detector is partly based on an already existing setup made of a dipole magnet (ALADiN), a time projection chamber (TP-MUSIC IV), a neutron detector (LAND) and a time of flight scintillator system (TOFWALL). This pre-existing setup has been integrated with newly designed detectors in the Interaction Region, around the carbon target placed in a sample changer. The new detectors are a scintillator Start Counter, a Beam Monitor drift chamber, a silicon Vertex Detector and a Proton Tagger scintillator system optimized for the detection of light fragments emitted at large angles. In this paper we review the experimental setup, then we present the simulation software, the data acquisition system and finally the trigger strategy of the experiment.

The FIRST experiment at GSI

Energy Technology Data Exchange (ETDEWEB)

Pleskac, R. [GSI Helmholtzzentrum fuer Schwerionenforschung, Darmstadt (Germany); Abou-Haidar, Z. [CNA, Sevilla (Spain); Agodi, C. [Istituto Nazionale di Fisica Nucleare - Laboratori Nazionali del Sud (Italy); Alvarez, M.A.G. [CNA, Sevilla (Spain); Aumann, T. [GSI Helmholtzzentrum fuer Schwerionenforschung, Darmstadt (Germany); Battistoni, G. [Istituto Nazionale di Fisica Nucleare - Sezione di Milano (Italy); Bocci, A. [CNA, Sevilla (Spain); Boehlen, T.T. [European Organization for Nuclear Research CERN, Geneva (Switzerland); Medical Radiation Physics, Karolinska Institutet and Stockholm University, Stockholm (Sweden); Boudard, A. [CEA-Saclay, IRFU/SPhN, Gif sur Yvette Cedex (France); Brunetti, A.; Carpinelli, M. [Istituto Nazionale di Fisica Nucleare - Sezione di Cagliari (Italy); Universita' di Sassari (Italy); Cirrone, G.A.P. [Istituto Nazionale di Fisica Nucleare - Laboratori Nazionali del Sud (Italy); Cortes-Giraldo, M.A. [Departamento de Fisica Atomica, Molecular y Nuclear, University of Sevilla, 41080-Sevilla (Spain); Cuttone, G. [Istituto Nazionale di Fisica Nucleare - Laboratori Nazionali del Sud (Italy); De Napoli, M. [Istituto Nazionale di Fisica Nucleare - Sezione di Catania (Italy); Durante, M. [GSI Helmholtzzentrum fuer Schwerionenforschung, Darmstadt (Germany); Fernandez-Garcia, J.P. [Departamento de Fisica Atomica, Molecular y Nuclear, University of Sevilla, 41080-Sevilla (Spain); Finck, C. [Institut Pluridisciplinaire Hubert Curien, Strasbourg (France); Golosio, B. [Istituto Nazionale di Fisica Nucleare - Sezione di Cagliari (Italy); Universita' di Sassari (Italy); Gallardo, M.I. [Departamento de Fisica Atomica, Molecular y Nuclear, University of Sevilla, 41080-Sevilla (Spain); and others

2012-06-21

The FIRST (Fragmentation of Ions Relevant for Space and Therapy) experiment at the SIS accelerator of GSI laboratory in Darmstadt has been designed for the measurement of ion fragmentation cross-sections at different angles and energies between 100 and 1000 MeV/nucleon. Nuclear fragmentation processes are relevant in several fields of basic research and applied physics and are of particular interest for tumor therapy and for space radiation protection applications. The start of the scientific program of the FIRST experiment was on summer 2011 and was focused on the measurement of 400 MeV/nucleon {sup 12}C beam fragmentation on thin (8 mm) graphite target. The detector is partly based on an already existing setup made of a dipole magnet (ALADiN), a time projection chamber (TP-MUSIC IV), a neutron detector (LAND) and a time of flight scintillator system (TOFWALL). This pre-existing setup has been integrated with newly designed detectors in the Interaction Region, around the carbon target placed in a sample changer. The new detectors are a scintillator Start Counter, a Beam Monitor drift chamber, a silicon Vertex Detector and a Proton Tagger scintillator system optimized for the detection of light fragments emitted at large angles. In this paper we review the experimental setup, then we present the simulation software, the data acquisition system and finally the trigger strategy of the experiment.

The FIRST experiment at GSI

Science.gov (United States)

Pleskac, R.; Abou-Haidar, Z.; Agodi, C.; Alvarez, M. A. G.; Aumann, T.; Battistoni, G.; Bocci, A.; Böhlen, T. T.; Boudard, A.; Brunetti, A.; Carpinelli, M.; Cirrone, G. A. P.; Cortes-Giraldo, M. A.; Cuttone, G.; De Napoli, M.; Durante, M.; Fernández-García, J. P.; Finck, C.; Golosio, B.; Gallardo, M. I.; Iarocci, E.; Iazzi, F.; Ickert, G.; Introzzi, R.; Juliani, D.; Krimmer, J.; Kurz, N.; Labalme, M.; Leifels, Y.; Le Fevre, A.; Leray, S.; Marchetto, F.; Monaco, V.; Morone, M. C.; Oliva, P.; Paoloni, A.; Piersanti, L.; Quesada, J. M.; Raciti, G.; Randazzo, N.; Romano, F.; Rossi, D.; Rousseau, M.; Sacchi, R.; Sala, P.; Sarti, A.; Scheidenberger, C.; Schuy, C.; Sciubba, A.; Sfienti, C.; Simon, H.; Sipala, V.; Spiriti, E.; Stuttge, L.; Tropea, S.; Younis, H.; Patera, V.

2012-06-01

The FIRST (Fragmentation of Ions Relevant for Space and Therapy) experiment at the SIS accelerator of GSI laboratory in Darmstadt has been designed for the measurement of ion fragmentation cross-sections at different angles and energies between 100 and 1000 MeV/nucleon. Nuclear fragmentation processes are relevant in several fields of basic research and applied physics and are of particular interest for tumor therapy and for space radiation protection applications. The start of the scientific program of the FIRST experiment was on summer 2011 and was focused on the measurement of 400 MeV/nucleon 12C beam fragmentation on thin (8 mm) graphite target. The detector is partly based on an already existing setup made of a dipole magnet (ALADiN), a time projection chamber (TP-MUSIC IV), a neutron detector (LAND) and a time of flight scintillator system (TOFWALL). This pre-existing setup has been integrated with newly designed detectors in the Interaction Region, around the carbon target placed in a sample changer. The new detectors are a scintillator Start Counter, a Beam Monitor drift chamber, a silicon Vertex Detector and a Proton Tagger scintillator system optimized for the detection of light fragments emitted at large angles. In this paper we review the experimental setup, then we present the simulation software, the data acquisition system and finally the trigger strategy of the experiment.

Therapy operation at GSI

International Nuclear Information System (INIS)

Scheeler, U.; Wilms, D.

2004-01-01

GSI is the heavy ion research center in Germany operating the three accelerators UNILAC (linac), SIS (synchrotron) and ESR (storage ring). Experiments are made on the fields of nuclear and atomic physics, plasma physics, nuclear chemistry, material research and biophysics. The most important program of the biophysics group is the study of the advantage of Carbon ions for cancer irradiation. The developed raster-scanning technique allows the direct 3D irradiation of irregular shaped tumor and minimizes the dose in healthy tissue [1],[2]. This method requires the reliable request of a large variety of beam parameters (energy, intensity, beam-spot diameter) for sequential synchrotron cycles. Certain restrictions to the physics experimental program have to be considered during the treatment sessions. To deliver excellent conditions for the other experiments, these restrictions had to be kept a small as possible. (author)

The cost system of GSI - heavy ion facility in Darmstadt

International Nuclear Information System (INIS)

1979-01-01

The paper gives an overview about the organization and the research program of the GSI (Heavy Ion Facility in Darmstadt). The cost accounting system is discussed in detail, financing, cost center accounting and cost unit accounting are described. (A.N.)

Rate-dependent performance of ion chambers for particle-ID at the GSI fragment separator

Energy Technology Data Exchange (ETDEWEB)

Hucka, Jan-Paul; Allred, Timothy; Enders, Joachim [Institut fuer Kernphysik, TU Darmstadt (Germany); Gernhaeuser, Roman; Maurus, Steffen [Physik Department, TU Muenchen (Germany); Nociforo, Chiara; Pietri, Stephane; Prochazka, Andrej [GSI Helmholtzzentrum fuer Schwerionenforschung (Germany)

2015-07-01

At the GSI Fragment Separator (FRS), multi-sampling ion chambers (MUSIC) employing a Frisch grid are used for charge identification of secondary ion beams. At the FAIR Super-FRS, higher rates are expected, and an event-by-event determination of the charge of secondary ions will be needed at rates of several 100000 events per second. The comparison of results from test measurements for the MUSIC performance with that of a recently constructed tilted-electrode gas ion chamber (TEGIC), which was designed similar to the one discussed, is presented.

Development and user guide for GSI

International Nuclear Information System (INIS)

Lee, Dong Young; Kim, Jeong Taek; Hwang, In Ku; Ham, Chang Sik; Kwon, Ki Chun.

1997-05-01

ADIOS(Alarm Diagnosis and Integrated Operator Support) is designed to improve the operation performance of the man-machine interface system by giving dynamic alarm priority according to plant situation, and implemented with G2 real-time expert shell. It processes alarm priority in G2 using the plant data which is received from simulator, and sends the processed alarm signals to the alarm tile through TCP/IP communication link. This report includes some experiences about the GSI(G2 Standard Interface) configuration and user programming, and describes about how to build on-line ADIOS system. (author)

Ankle brachial index, C-reactive protein, and central augmentation index to identify individuals with severe atherosclerosis

DEFF Research Database (Denmark)

Eldrup, Nikolaj; Sillesen, Henrik; Prescott, Eva

2006-01-01

We examined the ability of ankle brachial index, C-reactive protein and central augmentation index to identify individuals in the general population with severe atherosclerosis, diagnosed as those with ischaemic cardiovascular disease.......We examined the ability of ankle brachial index, C-reactive protein and central augmentation index to identify individuals in the general population with severe atherosclerosis, diagnosed as those with ischaemic cardiovascular disease....

Grid Computing at GSI for ALICE and FAIR - present and future

International Nuclear Information System (INIS)

Schwarz, Kilian; Uhlig, Florian; Karabowicz, Radoslaw; Montiel-Gonzalez, Almudena; Zynovyev, Mykhaylo; Preuss, Carsten

2012-01-01

The future FAIR experiments CBM and PANDA have computing requirements that fall in a category that could currently not be satisfied by one single computing centre. One needs a larger, distributed computing infrastructure to cope with the amount of data to be simulated and analysed. Since 2002, GSI operates a tier2 center for ALICE-CERN. The central component of the GSI computing facility and hence the core of the ALICE tier2 centre is a LSF/SGE batch farm, currently split into three subclusters with a total of 15000 CPU cores shared by the participating experiments, and accessible both locally and soon also completely via Grid. In terms of data storage, a 5.5 PB Lustre file system, directly accessible from all worker nodes is maintained, as well as a 300 TB xrootd-based Grid storage element. Based on this existing expertise, and utilising ALICE's middleware ‘AliEn’, the Grid infrastructure for PANDA and CBM is being built. Besides a tier0 centre at GSI, the computing Grids of the two FAIR collaborations encompass now more than 17 sites in 11 countries and are constantly expanding. The operation of the distributed FAIR computing infrastructure benefits significantly from the experience gained with the ALICE tier2 centre. A close collaboration between ALICE Offline and FAIR provides mutual advantages. The employment of a common Grid middleware as well as compatible simulation and analysis software frameworks ensure significant synergy effects.

Comparison of Dextran Perfusion and GSI-B4 Isolectin Staining in a Mouse Model of Oxygen-induced Retinopathy.

Science.gov (United States)

Huang, Shaofen; Liang, Jiajian; Yam, Gary Hin-Fai; Lu, Zhihao; Pang, Chi Pui; Chen, Haoyu

2015-06-01

Oxygen-induced retinopathy (OIR) is a robust and widely used animal model for the study of retinal neovascularization (NV). Dextran perfusion and Griffonia simplicifolia isolectin B4 (GSI-B4) staining are two common methods for examining the occurrence and extent of OIR. This study provides a quantitative comparison of the two for OIR detection. At postnatal day 7 (PN7), fifteen C57BL/6J mice were exposed to a 75% hyperoxic condition for 5 days and then returned to room air conditions. At PN17, the mice received intravitreal injection of GSI-B4 Alexa Fluor 568 conjugate. After 10 hours, they were infused with FITC-dextran conjugate via the left ventricle. Retinal flat mounts were photographed by confocal microscopy. Areas with fluorescent signals and the total retinal areas were quantified by Image J software. Both GSI-B4 and dextran detected the peripheral neovascular area. The mean hyper fluorescence area was 0.33 ± 0.14% of whole retinal area determined by GSI-B4 staining and 0.25 ± 0.28% determined by dextran perfusion. The difference between the two measures was 0.08% (95% CI:-0.59%, 0.43%). The Pearson correlation coefficient between the two methods was 0.386,P =0.035. The mean coincidence rates were 14.3 ± 13.4% and 24.9 ± 18.5% for GSI-B4 and dextran staining, respectively. Both methods can complement each other in demonstrating and quantitatively evaluating retinal NV. A poor agreement was found between the two methods; GSI-B4 isolectin was more effective than FITC-dextran perfusion in evaluating the extent of retinal NV in a mouse model of OIR.

Insomnia Severity Index: psychometric properties with Chinese community-dwelling older people.

Science.gov (United States)

Yu, Doris S F

2010-10-01

This paper is a report of a study to evaluate the psychometric properties of the Chinese version of the Insomnia Severity Index. Despite the high prevalence of insomnia in older people and its detrimental impact on well-being and healthcare costs, this problem is almost always undetected and consequently under-treated. The Insomnia Severity Index is psychometrically sound in measuring perceived insomnia severity. However, it has had very limited application in non-White populations. An instrument validation study was carried out between October 2008 and April 2009. The Insomnia Severity Index was translated into Chinese using Brislin's model and administered to a convenience sample of 585 older Chinese people recruited from three community centres for elders. Other instruments were also administered, including the Chinese version of the Pittsburgh Sleep Quality Index and the Geriatric Depression Scale. Cronbach's alpha of the Chinese version of the Insomnia Severity Index was 0.81, with item-to-total correlations in the range of 0.34-0.67. Construct validity was supported by its moderate relationship with the Chinese Pittsburgh Sleep Quality Index and sleep efficiency. The Chinese version of the Insomnia Severity Index also indicated more severe level of insomnia in older people who reported depressed mood on the Geriatric Depression Scale. Discriminant validity was supported as the Chinese version of the Insomnia Severity Index could discriminate poorer sleepers from normal sleepers. Exploratory factor analysis identified a two-factor structure for the Chinese version of the Insomnia Severity Index in measuring the severity and impacts of insomnia on the Chinese older people. The Chinese version of the Insomnia Severity Index is a culturally-relevant and psychometrically-sound instrument for assessing severity and impact of insomnia in Chinese community-dwelling older people. Nurses can use this tool to assess older people's perceptions of insomnia. © 2010 The

ASY-EOS experiment at GSI

Directory of Open Access Journals (Sweden)

Kezzar K.

2012-07-01

Full Text Available The elliptic-flow ratio of neutrons with respect to protons in reactions of neutron rich Heavy-Ion at intermediate energies has been recently proposed as an observable sensitive to the strength of the symmetry term in the nuclear equation of state (EOS at supra-saturation densities. The recent results obtained from the existing FOPI/LAND data for 197Au+197Au collisions at 400 MeV/nucleon in comparison with the UrQMD model allowed a first estimate of the symmetry term of the EOS but suffer from a considerable statistical uncertainty. In order to obtain an improved data set for Au+Au collisions and to extend the study to other systems, a new experiment was carried out at the GSI laboratory by the ASY-EOS collaboration in May 2011.

Future Facility: FAIR at GSI

International Nuclear Information System (INIS)

Rosner, Guenther

2007-01-01

The Facility for Antiproton and Ion Research, FAIR, is a new particle accelerator facility to be built at the GSI site in Germany. The research at FAIR will cover a wide range of topics in nuclear and hadron physics, high density plasma and atomic physics, and applications in condensed matter physics and biology. A 1.1 km circumference double ring of rapidly cycling 100 and 300 Tm synchrotrons, will be FAIR's central accelerator system. It will be used to produce, inter alia, high intensity secondary beams of antiprotons and short-lived radioactive nuclei. A subsequent suite of cooler and storage rings will deliver heavy ion and antiproton beams of unprecedented quality. Large experiments are presently being designed by the NUSTAR, PANDA, PAX, CBM, SPARC, FLAIR, HEDgeHOB and BIOMAT collaborations

The ASY-EOS Experiment at GSI

Directory of Open Access Journals (Sweden)

Russotto P.

2016-01-01

Full Text Available The elliptic-flow ratio of neutrons with respect to protons or light complex particles in reactions of heavy ions at pre-relativistic energies has been proposed as an observable sensitive to the strength of the symmetry term of the nuclear equation of state at supra-saturation densities. In the ASY-EOS experiment at the GSI laboratory, flows of neutrons and light charged particles were measured for 197Au+197Au collisions at 400 MeV/nucleon. Flow results obtained for the Au+Au system, in comparison with predictions of the UrQMD transport model, confirm the moderately soft to linear density dependence of the symmetry energy deduced from the earlier FOPI-LAND data.

Recent Test Results of the Fast-Pulsed 4 T COS$\\Theta$ Dipole GSI 001

CERN Document Server

Moritz, G; Escallier, John; Ganetis, George; Jain, Animesh K; Marone, Andrew; Muratore, Joseph F; Thomas, Richard A; Wanderer, Peter; Auchmann, Bernard; de Maria, Riccardo; Wilson, Martin N; Russenschuck, Stephan

2005-01-01

For the FAIR-project at GSI a model dipole was built at BNL with the nominal field of 4 T and a nominal ramp rate of 1 T/s. The magnet design was similar to the RHIC dipole with some changes for loss reduction and better cooling. The magnet was already successfully tested in a vertical cryostat with good training behaviour. Cryogenic losses were measured and first results of field harmonics were published. However, for a better understanding of the cooling process quench currents at several ramp rates were investigated. Detailed measurements of the field harmonics at different ramp rates and at several cycles were performed. To separate the effects of the coil and the iron yoke the magnet was disassembled and tested as collared coil only. Recent test results will be presented.

Recent developments at the ISOL facility of GSI Darmstadt

CERN Document Server

Roeckl, E; Burkard, K; Döring, J; Grawe, H; Hüller, W; Kirchner, R; Mazzocchi, C; Mukha, I; Plettner, C

2003-01-01

The research programme pursued at the ISOL facility of GSI Darmstadt focuses on the study of decay properties of nuclei along the N congruent with Z line between the double shell closures at sup 5 sup 6 Ni and sup 1 sup 0 sup 0 Sn. In this report, the major scientific achievements obtained in the past two years are reviewed, with particular emphasis being put on the detection techniques.

A Risk Severity Index for industrial plants and sites

International Nuclear Information System (INIS)

Planas, E.; Arnaldos, J.; Silvetti, B.; Vallee, Agnes; Casal, J.

2006-01-01

A risk index (Risk Severity Index, S) has been devised to allow the assessment of the risk level originated by a given installation or site over the affected zone. A set of threshold levels for thermal radiation, toxic concentration and overpressure, together with the probabilities and frequencies associated to critical events and their effects have been the basis for calculating the values of S. A computer tool has been designed to perform a quick calculation of the diverse Risk Severity Indexes (for a critical event, for a dangerous phenomenon, for a type of effect and for the whole installation) and to plot a map of the risk severity levels around the site. The methodology has been applied to diverse test cases and it has proved to be useful for risk assessment, for comparative studies and for land use planning

Impact of 3D Var GSI-ENKF hybrid data assimilation system

Indian Academy of Sciences (India)

1National Centre for Medium Range Weather Forecasting, A-50, Sector-62, Noida, ... with a two-way coupling with an 80 member Ensemble Kalman Filter of .... algorithm in the GSI system using single observa- .... casts of hybrid schemes at 850, 500 and 200 hPa pressure ... NCRWF merged rainfall data using rain gauge.

Tune measurement at GSI SIS-18. Methods and applications

Energy Technology Data Exchange (ETDEWEB)

Singh, Rahul

2014-05-15

parameters,thus leaving out no ''free parameters''. Several important results were established in course of these experiments. Coherent tune shifts in dependence of intensity gave direct measurements of transverse machine impedances. The high resolution tune spectrum allowed identification of higher order head-tail modes. The relative spectral positions of these head-tail modes when compared with the analytical theory based on the ''square well airbag model'' gave a direct measurement of the incoherent tune spread in bunched beams. The measurements agreed well with the perturbative treatment applied in the theory only for space charge parameter in the range q{sub sc} GSI SIS-18 for high beam currents.

The development of a flash flood severity index

Science.gov (United States)

Schroeder, Amanda J.; Gourley, Jonathan J.; Hardy, Jill; Henderson, Jen J.; Parhi, Pradipta; Rahmani, Vahid; Reed, Kimberly A.; Schumacher, Russ S.; Smith, Brianne K.; Taraldsen, Matthew J.

2016-10-01

Flash flooding is a high impact weather event that requires clear communication regarding severity and potential hazards among forecasters, researchers, emergency managers, and the general public. Current standards used to communicate these characteristics include return periods and the United States (U.S.) National Weather Service (NWS) 4-tiered river flooding severity scale. Return periods are largely misunderstood, and the NWS scale is limited to flooding on gauged streams and rivers, often leaving out heavily populated urban corridors. To address these shortcomings, a student-led group of interdisciplinary researchers came together in a collaborative effort to develop an impact-based Flash Flood Severity Index (FFSI). The index was proposed as a damage-based, post-event assessment tool, and preliminary work toward the creation of this index has been completed and presented here. Numerous case studies were analyzed to develop the preliminary outline for the FFSI, and three examples of such cases are included in this paper. The scale includes five impact-based categories ranging from Category 1 very minor flooding to Category 5 catastrophic flooding. Along with the numerous case studies used to develop the initial outline of the scale, empirical data in the form of semi-structured interviews were conducted with multiple NWS forecasters across the country and their responses were analyzed to gain more perspective on the complicated nature of flash flood definitions and which tools were found to be most useful. The feedback from these interviews suggests the potential for acceptance of such an index if it can account for specific challenges.

The optimized advanced demonstrator for the SC CW heavy ion linac at GSI

Energy Technology Data Exchange (ETDEWEB)

Schwarz, Malte; Basten, Markus; Busch, Marco; Dziuba, Florian; Podlech, Holger; Ratzinger, Ulrich; Tiede, Rudolf [Institut fuer Angewandte Physik, Goethe-Universitaet Frankfurt am Main (Germany); Gettmann, Viktor; Heilmann, Manuel [GSI Helmholtzzentrum, Darmstadt (Germany); Barth, Winfried; Mickat, Sascha [GSI Helmholtzzentrum, Darmstadt (Germany); HIM, Helmholtzinstitut, Mainz (Germany); Miski-Oglu, Maksym [HIM, Helmholtzinstitut, Mainz (Germany); Aulenbacher, Kurt [KPH, Johannes Gutenberg Universitaet, Mainz (Germany)

2016-07-01

For future experiments with heavy ions at the coulomb barrier within the SHE research project a multi-stage R and D program of GSI, HIM and IAP is currently under progress. It aims at developing a superconducting (sc) continuous wave (cw) LINAC with multiple CH-cavities as key components. As intermediate step towards the whole LINAC, the Optimized Advanced Demonstrator is proposed. Consisting of short CH-cavities and cryostats, it could provide several advantages regarding velocity acceptance, higher tolerance with respect to frequency and field deviation, easier mounting, handling and maintenance as well as a more robust longitudinal beam dynamic. The beam dynamics concept is based on EQUUS (Equidistant Multigap Structure) constant-beta cavities. The corresponding simulations for the proposed next extension stage - the Optimized Advanced Demonstrator - will be presented.

Towards a Flood Severity Index

Science.gov (United States)

Kettner, A.; Chong, A.; Prades, L.; Brakenridge, G. R.; Muir, S.; Amparore, A.; Slayback, D. A.; Poungprom, R.

2017-12-01

Flooding is the most common natural hazard worldwide, affecting 21 million people every year. In the immediate moments following a flood event, humanitarian actors like the World Food Program need to make rapid decisions ( 72 hrs) on how to prioritize affected areas impacted by such an event. For other natural disasters like hurricanes/cyclones and earthquakes, there are industry-recognized standards on how the impacted areas are to be classified. Shake maps, quantifying peak ground motion, from for example the US Geological Survey are widely used for assessing earthquakes. Similarly, cyclones are tracked by Joint Typhoon Warning Center (JTWC) and Global Disaster Alert and Coordination System (GDACS) who release storm nodes and tracks (forecasted and actual), with wind buffers and classify the event according to the Saffir-Simpson Hurricane Wind Scale. For floods, the community is usually able to acquire unclassified data of the flood extent as identified from satellite imagery. Most often no water discharge hydrograph is available to classify the event into recurrence intervals simply because there is no gauging station, or the gauging station was unable to record the maximum discharge due to overtopping or flood damage. So, the question remains: How do we methodically turn a flooded area into classified areas of different gradations of impact? Here, we present a first approach towards developing a global applicable flood severity index. The flood severity index is set up such that it considers relatively easily obtainable physical parameters in a short period of time like: flood frequency (relating the current flood to historical events) and magnitude, as well as land cover, slope, and where available pre-event simulated flood depth. The scale includes categories ranging from very minor flooding to catastrophic flooding. We test and evaluate the postulated classification scheme against a set of past flood events. Once a severity category is determined, socio

Monte Carlo simulations for the shielding of the future high-intensity accelerator facility FAIR at GSI.

Science.gov (United States)

Radon, T; Gutermuth, F; Fehrenbacher, G

2005-01-01

The Gesellschaft für Schwerionenforschung (GSI) is planning a significant expansion of its accelerator facilities. Compared to the present GSI facility, a factor of 100 in primary beam intensities and up to a factor of 10,000 in secondary radioactive beam intensities are key technical goals of the proposal. The second branch of the so-called Facility for Antiproton and Ion Research (FAIR) is the production of antiprotons and their storage in rings and traps. The facility will provide beam energies a factor of approximately 15 higher than presently available at the GSI for all ions, from protons to uranium. The shielding design of the synchrotron SIS 100/300 is shown exemplarily by using Monte Carlo calculations with the FLUKA code. The experimental area serving the investigation of compressed baryonic matter is analysed in the same way. In addition, a dose comparison is made for an experimental area operated with medium energy heavy-ion beams. Here, Monte Carlo calculations are performed by using either heavy-ion primary particles or proton beams with intensities scaled by the mass number of the corresponding heavy-ion beam.

Monte Carlo simulations for the shielding of the future high-intensity accelerator facility fair at GSI

International Nuclear Information System (INIS)

Radon, T.; Gutermuth, F.; Fehrenbacher, G.

2005-01-01

The Gesellschaft fuer Schwerionenforschung (GSI) is planning a significant expansion of its accelerator facilities. Compared to the present GSI facility, a factor of 100 in primary beam intensities and up to a factor of 10,000 in secondary radioactive beam intensities are key technical goals of the proposal. The second branch of the so-called Facility for Antiproton and Ion Research (FAIR) is the production of antiprotons and their storage in rings and traps. The facility will provide beam energies a factor of ∼15 higher than presently available at the GSI for all ions, from protons to uranium. The shielding design of the synchrotron SIS 100/300 is shown exemplarily by using Monte Carlo calculations with the FLUKA code. The experimental area serving the investigation of compressed baryonic matter is analysed in the same way. In addition, a dose comparison is made for an experimental area operated with medium energy heavy-ion beams. Here, Monte Carlo calculations are performed by using either heavy-ion primary particles or proton beams with intensities scaled by the mass number of the corresponding heavy-ion beam. (authors)

Construction and characterization of a laser-driven proton beamline at GSI

Energy Technology Data Exchange (ETDEWEB)

Busold, Simon

2014-05-15

The thesis includes the first experiments with the new 100 TW laser beamline of the PHELIX laser facility at GSI Darmstadt to drive a TNSA (Target Normal Sheath Acceleration) proton source at GSI's Z6 experimental area. At consecutive stages a pulsed solenoid has been applied for beam transport and energy selection via chromatic focusing, as well as a radiofrequency cavity for energy compression of the bunch. This novel laser-driven proton beamline, representing a central experiment of the German national LIGHT collaboration (Laser Ion Generation, Handling and Transport), has been used to create collimated, intense proton bunches at 10 MeV with 2.7% energy spread from the laser-driven source. Also, the feasibility of phase focusing experiments with this setup has been shown and simulations predict peak currents of 10{sup 10} protons/ns at this energy level. Furthermore, first quantitative measurements on the spectral properties of the also present co-moving electrons from such a proton source could be performed and their influence on the protons within the solenoid observed. Finally, permanent magnetic quadrupoles as an alternative first ion collimation system have been investigated experimentally.

Etiology, clinical profile, severity and outcome of acute pancreatitis in relation to bed side index for severity of acute pancreatitis bisap and CT severity index [CTSI] scores

Directory of Open Access Journals (Sweden)

Bezwada Srinivasa Rao, Matta SreeVani, V.Sarat Chandra

2014-11-01

Full Text Available Background: Acute pancreatitis is an inflammatory process of the pancreas with involvement of regional tissues or remote organ systems and with potentially devastating consequences. Early prediction of outcome of acute pancreatitis within 24 hrs by clinically based bed Side Index of Severity of Acute Pancreatitis [BISAP] Score and radiological based CT Severity Index [CTSI] later on being useful in initiation of early treatment, assessing severity, to prevent morbidity and mortality. In those who survive, it can progress to chronic pancreatitis resulting in malabsorption and permanent diabetes. Aim: The aim was to study aetiology, clinical profile, severity, outcome of acute pancreatitis in relation to BISAP Score and CTSI. Materials and Methods: This was an observational and prospective study. The present study enrolled 55 patients who were diagnosed as acute pancreatitis and patients with chronic pancreatitis were excluded from the study. Vital data like pulse rate, blood Pressure, temperature, respiratory rate, conscious level using Glasgow coma scale, serum amylase, lipase, Chest x-ray, US abdomen and CT abdomen [both CECT & NCCT] were done. BISAP Score was obtained at the time of presentation or within 24 hours of presentation and radiological based CT Severity Index [CTSI] was calculated using the Balthazar grading system and Necrosis Scoring system to assess the severity, morbidity and mortality. The results: In this study, the most common aetiology being alcohol intake followed by gall stones. BISAP Score 3 had organ dysfunction and Score 4 had 100% mortality. The relation between CTSI score and Organ dysfunction showed increased organic dysfunction and higher mortality with higher CTSI Scores. p value < 0.0001 was calculated using Pearson Chi-square test and found to be statistically significant. Conclusions: Both BISAP and CTSI scores had positive correlation with morbidity and mortality.

INDRA-GSI: Collective flow from Fermi to relativistic energies

Energy Technology Data Exchange (ETDEWEB)

Lukasik, J.; Trautmann, W.; Begemann-Blaich, M.L.; Bittiger, R.; Gourio, D.; Le Fevre, A.; Lynen, U.; Mueller, W.F.J.; Orth, H.; Sfienti, C.; Schwarz, C.; Turzo, K. [Gesellschaft fuer Schwerionenforschung mbH, Darmstadt (Germany); Auger, G.; Bouriquet, B.; Chbihi, A.; Frankland, J.D.; Hudan, S.; Lopez, O. [GANIL, CEA et IN2P3-CNRS, 14 - Caen (France); Borderie, B.; Galichet, E.; Lavaud, F.; Plagnol, E. [Paris-11 Univ., Institut de Physique Nucleaire, IN2P3-CNRS, 91 - Orsay (France); Bellaize, N.; Bocage, F.; Bougault, R.; Durand, D.; Hurst, B.; Steckmeyer, J.C.; Tamain, B.; Vient, E. [Caen Univ., LPC (IN2P3-CNRS/ENSI), 14 - Caen (France); Charvet, J.L.; Dayras, R.; Legrain, R.; Nalpas, L.; Volant, C. [CEA Saclay, Dept. d' Astrophysique, de Physique des Particules, de Physique Nucleaire et de l' Instrumentation Associee (DAPNIA/SPhN), 91- Gif sur Yvette (France); Guinet, D.; Lautesse, P. [Institut de Physique Nucleaire, IN2P3-CNRS et Universite, 69 - Villeurbanne (France); Rosato, E.; Vigilante, M. [INFN, Univ. Federico II, Dipartimento di Scienze Fisiche e Sezione, Napoli (Italy); Saija, A. [Universita and INFN I, Dipartimento di Fisica dell' , Catania (Italy); Trzcinski, A.; Zwieglinski, B. [A. Soltan Institute for Nuclear Studies, Warsaw (Poland); Lukasik, J. [H. Niewodniczanski Institute of Nuclear Physics, Krakow (Poland); Galichet, E. [Conservatoire National des Arts et Metiers, 75 - Paris (France)

2003-07-01

Directed flow for the {sup 197}Au + {sup 197}Au reactions at incident energies between 40 and 150 A*MeV has been measured using the 4{pi} multi-detector INDRA at the GSI facility. In particular, the bombarding energy at which the elliptic flow switches from in-plane to out-of-plane enhancement has been determined to be around 100 A*MeV in good agreement with the result obtained by the FOPI Collaboration. The new data allows also to extend the experimental excitation function of v{sub 2} to lower energies. (authors)

INDRA-GSI: Collective flow from Fermi to relativistic energies

International Nuclear Information System (INIS)

Lukasik, J.; Trautmann, W.; Begemann-Blaich, M.L.; Bittiger, R.; Gourio, D.; Le Fevre, A.; Lynen, U.; Mueller, W.F.J.; Orth, H.; Sfienti, C.; Schwarz, C.; Turzo, K.; Auger, G.; Bouriquet, B.; Chbihi, A.; Frankland, J.D.; Hudan, S.; Lopez, O.; Borderie, B.; Galichet, E.; Lavaud, F.; Plagnol, E.; Bellaize, N.; Bocage, F.; Bougault, R.; Durand, D.; Hurst, B.; Steckmeyer, J.C.; Tamain, B.; Vient, E.; Charvet, J.L.; Dayras, R.; Legrain, R.; Nalpas, L.; Volant, C.; Guinet, D.; Lautesse, P.; Rosato, E.; Vigilante, M.; Saija, A.; Trzcinski, A.; Zwieglinski, B.; Lukasik, J.; Galichet, E.

2003-01-01

Directed flow for the 197 Au + 197 Au reactions at incident energies between 40 and 150 A*MeV has been measured using the 4π multi-detector INDRA at the GSI facility. In particular, the bombarding energy at which the elliptic flow switches from in-plane to out-of-plane enhancement has been determined to be around 100 A*MeV in good agreement with the result obtained by the FOPI Collaboration. The new data allows also to extend the experimental excitation function of v 2 to lower energies. (authors)

Constraining astrophysical reaction rates: using the storage rings at FAIR/GSI

Science.gov (United States)

Langer, Christoph; Glorius, Jan; Slavkovská, Zuzana; Litvinov, Sergey; Litvinov, Yuri A.; Reifarth, René

2018-01-01

Ion optical calculations for a storage ring at the present GSI facility for direct proton-induced reactions relevant for different astrophysical processes are presented. As an example case, the 59Cu(p,γ) and 59Cu(p,α) reactions are shown. The branching of these two reactions is important in X-ray burst scenarios, since it determines the breakout out of the major 56Ni waiting point.

Performance of upstream interaction region detectors for the FIRST experiment at GSI

CERN Document Server

Abou-Haidar, Z; Alvarez, M A G; Anelli, M; Aumann, T; Battistoni, G; Bocci, A; Bohlen, T T; Boudard, A; Brunetti, A; Carpinelli, M; Cirrone, G A P; Cortes-Giraldo, M A; Cuttone, G; De Napoli, M; Durante, M; Fernandez-Garcia, J P; Finck, C; Gallardo, M I; Golosio, B; Iarocci, E; Iazzi, F; Ickert, G; Introzzi, R; Juliani, D; Krimmer, J; Kurz, N; Labalme, M; Leifels, Y; Le Fevre, A; Leray, S; Marchetto, F; Monaco, V; Morone, M C; Oliva, P; Paoloni, A; Patera, V; Piersanti, L; Pleskac, R; Quesada, J M; Randazzo, N; Romano, F; Rossi, D; Rosso, V; Rousseau, M; Sacchi, R; Sala, P; Sarti, A; Schuy, C; Sciubba, A; Sfienti, C; Simon, H; Sipala, V; Spiriti, E; Stuttge, L; Tropea, S; Younis, H

2012-01-01

The FIRST (Fragmentation of Ions Relevant for Space and Therapy) experiment at GSI has been designed to study carbon fragmentation, measuring (12)C double differential cross sections (- (2)I /- - E) for different beam energies between 100 and 1000 MeV/u. The experimental setup integrates newly designed detectors in the, so called, Interaction Region around the graphite target. The Interaction Region upstream detectors are a 250 mum thick scintillator and a drift chamber optimized for a precise measurement of the ions interaction time and position on the target. In this article we review the design of the upstream detectors along with the preliminary results of the data taking performed on August 2011 with 400 MeV/u fully stripped carbon ion beam at GSI. Detectors performances will be reviewed and compared to those obtained during preliminary tests, performed with 500 MeV electrons (at the BTF facility in the INFN Frascati Laboratories) and 80 MeV/u protons and carbon ions (at the INFN LNS Laboratories in Cata...

What's Wrong with the Global Slavery Index?

Directory of Open Access Journals (Sweden)

Anne T Gallagher

2017-04-01

Full Text Available The Global Slavery Index (GSI, which has been produced by the Walk Free Foundation in 2013, 2014 and 2016, seeks to calculate the number of victims of human trafficking (or ‘modern slavery’ in each country and to assess and rank government responses. Using the latest iteration of the Index, this article examines each of the three elements (vulnerability measurement; prevalence measurement and response measurement, making some preliminary findings about the quality of the methodology and its application under each heading. It concludes with a consideration of two broader issues: (i the conspicuous lack of critical engagement with the Index; and (ii what the Index reveals about the changing face of anti-trafficking/anti-slavery work—most particularly, the growing involvement of metrics-focused strategic philanthropy in defining the ‘problem’ and directing responses.

Prospects of open charm production at GSI-FAIR and J-PARC

International Nuclear Information System (INIS)

Riedl, J.; Schaefer, A.; Stratmann, M.

2007-01-01

We present a detailed phenomenological study of the prospects of open charm physics at the future pp and pp facilities GSI-FAIR and J-PARC, respectively. In particular, we concentrate on the differential cross sections and the charge and longitudinal double-spin asymmetries at next-to-leading order accuracy. Theoretical uncertainties for the proposed observables are estimated by varying the charm quark mass and the renormalization and factorization scales. (orig.)

Experiments with beams of exotic nuclei at GSI and FAIR

International Nuclear Information System (INIS)

Emling, Hans

2006-01-01

The facility for antiproton and ion research FAIR will provide the international science community with a technically novel and in many respects unique accelerator system for a multi-faceted physics program. Rare-isotope beams of much improved quality together with advanced experimental concepts promise detailed experimental investigations of nuclei far away from stability. A brief description of the rare-isotope beam facility at FAIR is presented, which allows to extend substantially the current successful experimental program with exotic nuclei at GSI. (author)

CARE-HHH-APD Workshop on Finalizing the Roadmap for the Upgrade of the CERN and GSI Accelerator Complex

CERN Document Server

Zimmermann, Frank; BEAM'07; BEAM 2007; Finalizing the Roadmap for the Upgrade of the LHC and GSI Accelerator Complex

2008-01-01

This report contains the Proceedings of the CARE-HHH-APD Event BEAM’07, “Finalizing the Roadmap for the Upgrade of the CERN & GSI Accelerator Complex,” which was held at CERN in Geneva, Switzerland, from 1 to 5 October 2007. BEAM’07 was primarily devoted to beam dynamics limitations for the two, or three, alternative baseline scenarios of the LHC luminosity upgrade and to critical design choices for the upgrade of the LHC injector complex at CERN and for the FAIR complex at GSI. It comprised five parts: (1) a Mini-Workshop on LHC+ Beam Performance, (2) a CERN-GSI Meeting on Collective Effects, (3) the Francesco Ruggiero Memorial Symposium, (4) a Mini-Workshop on the LHC Injectors Upgrade, and (5) the BEAM’07 Summaries. Topics addressed in the first mini-workshop of BEAM’07 ranged from the luminosity performance reach of the upgraded LHC in different scenarios, over the generation and stability of the future LHC beams, the turnaround time, beam–beam effects, luminosity levelling methods, and ...

Development of a GSI-Based, 2D-VAR Data Assimilation System for Operational Wave Guidance at the National Weather Service

Science.gov (United States)

Flampouris, S.; Alves, H.; Pondeca, M.

2016-02-01

The US National Centers for Environmental Prediction (NCEP) provides wave guidance to the National Weather Service (NWS) via a suite of operational wave models, which include three global-scale systems. An approach is being developed to include data assimilation into the global wave models using a 2D version of NCEP's grid-point statistical interpolation (2D-GSI), as described in Derber & Rosatti (1989), and Pondeca et al (2011). As a first step to the global implementation of a wave DA system, a prototype is being developed that will consist of adding wave heights as an analysis variable to the operational Real-Time Mesoscale Analysis (RTMA), which provides hourly analyses of several near sea-surface meteorological parameters, and supports a variety of applications within the NWS. The core of the RTMA is a 2D version of the GSI, which is a variational data assimilation system, and the first guess for the wave-height analysis is provided by NCEP's global wave models. For the new application, the RTMA will be modified to reflect background error covariances consistent with wave-height fields for regional and nearshore applications. In addition, quality control modules for in situ and altimeter significant wave height have been developed and integrated into the system. The strengths and the performance of the 2D-GSI are illustrated with both in situ and satellite measurements of significant wave height in the NW Atlantic and the Gulf of Mexico. The validation of follows the typical cross-validation procedure of RTMA products, based on 10% of the observations, for a period of 15 days. The error statistics (mean, root-mean-square) of the wave-height analysis shows significant improvement, relative to the first guess.

Experience with carbon ion radiotherapy at GSI

Energy Technology Data Exchange (ETDEWEB)

Jaekel, O. [Division of Medical Physics in Radiation Therapy (E040), German Cancer Research Center, Deutsches Krebsforschungszentrum, Im Neuenheimer Feld 280, 69120 Heidelberg (Germany)]. E-mail: o.jaekel@dkfz.de; Schulz-Ertner, D. [Department of Radiation Oncology, University of Heidelberg, Heidelberg (Germany); Karger, C.P. [Division of Medical Physics in Radiation Therapy (E040), German Cancer Research Center, Deutsches Krebsforschungszentrum, Im Neuenheimer Feld 280, 69120 Heidelberg (Germany); Heeg, P. [Division of Medical Physics in Radiation Therapy (E040), German Cancer Research Center, Deutsches Krebsforschungszentrum, Im Neuenheimer Feld 280, 69120 Heidelberg (Germany); Debus, J. [Department of Radiation Oncology, University of Heidelberg, Heidelberg (Germany)

2005-12-15

At GSI, a radiotherapy facility was established using beam scanning and active energy variation. Between December 1997 and April 2004, 220 patients have been treated at this facility with carbon ions. Most patients are treated for chordoma and chondrosarcoma of the base of skull, using a dose of 60 Gye (Gray equivalent) in 20 fractions. Carbon ion therapy is also offered in a combination with conventional radiotherapy for a number of other tumors (adenoidcystic carcinoma, chordoma of the cervical spine and sacrum, atypical menningeoma). The patients treated for skull base tumors showed an overall local control rate after two years of 90%. The overall treatment toxicity was mild. This shows that carbon ion radiotherapy can safely be applied using a scanned beam and encouraged the Heidelberg university hospital to build a hospital based facility for ion therapy.

Derivation and validation of a composite index of severity in chronic obstructive pulmonary disease: the DOSE Index.

Science.gov (United States)

Jones, Rupert C; Donaldson, Gavin C; Chavannes, Niels H; Kida, Kozui; Dickson-Spillmann, Maria; Harding, Samantha; Wedzicha, Jadwiga A; Price, David; Hyland, Michael E

2009-12-15

Chronic obstructive pulmonary disease (COPD) is increasingly recognized as a multicomponent disease with systemic consequences and effects on quality of life. Single measures such as lung function provide a limited reflection of how the disease affects patients. Composite measures have the potential to account for many of the facets of COPD. To derive and validate a multicomponent assessment tool of COPD severity that is applicable to all patients and health care settings. The index was derived using data from 375 patients with COPD in primary care. Regression analysis led to a model explaining 48% of the variance in health status as measured by the Clinical COPD Questionnaire with four components: dyspnea (D), airflow obstruction (O), smoking status (S), and exacerbation frequency (E). The DOSE Index was validated in cross-sectional and longitudinal samples in various health care settings in Holland, Japan, and the United Kingdom. The DOSE Index correlated with health status in all data sets. A high DOSE Index score (> or = 4) was associated with a greater risk of hospital admission (odds ratio, 8.3 [4.1-17]) or respiratory failure (odds ratio, 7.8 [3.4-18.3]). The index predicted exacerbations in the subsequent year (P Index is a simple, valid tool for assessing the severity of COPD. The index is related to a range of clinically important outcomes such as health care consumption and predicts future events.

Development and application of an initial quality assurance program for dosimetry at GSI

Energy Technology Data Exchange (ETDEWEB)

Heeg, P; Hartmann, G; Jaekel, O; Karger, C; Kriessbach, A [DKFZ Heidelberg (Germany); Schardt, D [GSI Darmstadt (Germany)

1997-09-01

c set of test procedures has been developed for dosimetric quality inspections at the heavy ion therapy facility at GSI. In some cases new test principles had to be established to meet the requirements at the heavy ion beam. As a first application the acceptance test has been carried out during the technical commissioning of the facility. (orig.)

Cost per severe accident as an index for severe accident consequence assessment and its applications

International Nuclear Information System (INIS)

Silva, Kampanart; Ishiwatari, Yuki; Takahara, Shogo

2014-01-01

The Fukushima Accident emphasizes the need to integrate the assessments of health effects, economic impacts, social impacts and environmental impacts, in order to perform a comprehensive consequence assessment of severe accidents in nuclear power plants. “Cost per severe accident” is introduced as an index for that purpose. The calculation methodology, including the consequence analysis using level 3 probabilistic risk assessment code OSCAAR and the calculation method of the cost per severe accident, is proposed. This methodology was applied to a virtual 1,100 MWe boiling water reactor. The breakdown of the cost per severe accident was provided. The radiation effect cost, the relocation cost and the decontamination cost were the three largest components. Sensitivity analyses were carried out, and parameters sensitive to cost per severe accident were specified. The cost per severe accident was compared with the amount of source terms, to demonstrate the performance of the cost per severe accident as an index to evaluate severe accident consequences. The ways to use the cost per severe accident for optimization of radiation protection countermeasures and for estimation of the effects of accident management strategies are discussed as its applications. - Highlights: • Cost per severe accident is used for severe accident consequence assessment. • Assessments of health, economic, social and environmental impacts are included. • Radiation effect, relocation and decontamination costs are important cost components. • Cost per severe accident can be used to optimize radiation protection measures. • Effects of accident management can be estimated using the cost per severe accident

Spatial Analysis of Accident Spots Using Weighted Severity Index ...

African Journals Online (AJOL)

ADOWIE PERE

Spatial Analysis of Accident Spots Using Weighted Severity Index (WSI) and ... pedestrians avoiding the use of pedestrian bridges/aid even when they are available. ..... not minding an unforeseen obstruction, miscalculations and wrong break.

Relationship between the stuttering severity index and speech rate

Directory of Open Access Journals (Sweden)

Claudia Regina Furquim de Andrade

Full Text Available CONTEXT: The speech rate is one of the parameters considered when investigating speech fluency and is an important variable in the assessment of individuals with communication complaints. OBJECTIVE: To correlate the stuttering severity index with one of the indices used for assessing fluency/speech rate. DESIGN: Cross-sectional study. SETTING: Fluency and Fluency Disorders Investigation Laboratory, Faculdade de Medicina da Universidade de São Paulo. PARTICIPANTS: Seventy adults with stuttering diagnosis. MAIN MEASUREMENTS: A speech sample from each participant containing at least 200 fluent syllables was videotaped and analyzed according to a stuttering severity index test and speech rate parameters. RESULTS: The results obtained in this study indicate that the stuttering severity and the speech rate present significant variation, i.e., the more severe the stuttering is, the lower the speech rate in words and syllables per minute. DISCUSSION AND CONCLUSION: The results suggest that speech rate is an important indicator of fluency levels and should be incorporated in the assessment and treatment of stuttering. This study represents a first attempt to identify the possible subtypes of developmental stuttering. DEFINITION: Objective tests that quantify diseases are important in their diagnosis, treatment and prognosis.

An alternative window upon the GSI sharp lepton problem

International Nuclear Information System (INIS)

Griffin, J.J.

1997-10-01

Two major heavy ion studies of the GSI ''(e + e - )-Puzzle'' have ended in stalemate: APEX reports no evidence, but its data show a peak near 800 keV. EPOS/II cannot reproduce its own results,and leans towards random fluctuations as the explanation of sharp pair lines. (But one EPOS/II report shows evidence for a peak at an EPOS/I line energy, 610 keV, and under selection conditions the same as EPOSII's.) It is clear that these latest heavy ion studies, designed to settle once and for all the question of sharp pairs, have failed to fulfill that goal. Attention must now turn towards the sharp electron lines reported by Sakai et al. and others in collisions of few MeV beta decay positrons on U and Th atoms. In the Q 0 Scenario of the Sharp Lepton Problem these arise from the same source as the GSI pairs. Verification of Sakai's 100 mb cross section for such sharp electrons in collisions of few MeV electrons (or positrons) upon U or Th atoms would confirm this new experimental window upon the Sharp Lepton Problem. These relatively simple experiments, which are both inexpensive and reproducible (as their heavy ion counterparts are not), promise a less ponderous pace for the study of these questions. On the other hand, they require a challenging combination of proficiencies to measure a nuclear sized cross section in an atomic physics environment. The authors review briefly the diverse history (and especially the most recent developments) of the Sharp Lepton Problem, and outline how the Quadronium Scenario provides it with a unifying conceptual framework. That discussion points clearly towards the experimental study of sharp leptons and sharp pairs from few MeV (lepton+ATOM) and (photon+ATOM) processes as the appropriate next step towards either verifying the earlier results or precluding them

The ASY-EOS experiment at GSI: Constraining the symmetry energy at supra-saturation densities

Directory of Open Access Journals (Sweden)

Russotto P.

2015-01-01

Full Text Available The elliptic-flow ratio of neutrons with respect to protons or light complex particles in reactions of heavy ions at pre-relativistic energies has been proposed as an observable sensitive to the strength of the symmetry term of the nuclear equation of state at supra-saturation densities. In the ASY-EOS experiment at the GSI laboratory, flows of neutrons and light charged particles were measured for 197Au+197Au, 96Zr+96Zr and 96Ru+96Ru collisions at 400 MeV/nucleon with the Large Area Neutron Detector LAND as part of a setup with several additional detection systems used for the event characterization. Flow results obtained for the Au+Au system, in comparison with predictions of the UrQMD transport model, confirm the moderately soft to linear density dependence of the symmetry energy deduced from the earlier FOPI-LAND data.

Conceptual design and performance study for the first implementation of AGATA at the in-flight RIB facility of GSI

Science.gov (United States)

Domingo-Pardo, C.; Bazzacco, D.; Doornenbal, P.; Farnea, E.; Gadea, A.; Gerl, J.; Wollersheim, H. J.; Agata Collaboration

2012-12-01

The main objective of the Advanced GAmma Tracking Array (AGATA) is the investigation of the structure of exotic nuclei at the new generation of RIB facilities. As part of the preparatory phase for FAIR-NUSTAR, AGATA is going to be installed at the FRS fragmentation facility of the GSI centre for an experimental campaign to be performed in 2012 and 2013. Owing to its γ-ray tracking capabilities and the envisaged enhancement in resolving power, a series of in-flight γ-ray spectroscopy experiments are being planned. The present work describes the conceptual design of this first implementation of AGATA at GSI-FRS, and provides information about the expected performance figures. According to the characteristics of each particular experiment, it is foreseen that the target-array distance is adjusted in order to achieve the optimum compromise between detection efficiency and energy resolution, or to cover an specific angular range of the emitted electromagnetic radiation. Thus, a comprehensive Monte Carlo study of the detection sensitivity in terms of photopeak efficiency, resolution and peak-to-total ratio, as a function of the target-array distance is presented. Several configurations have been investigated, and MC-calculations indicate that a remarkable enhancement in resolving power can be achieved when double-cluster AGATA detectors are developed and implemented. Several experimental effects are also investigated. This concerns the impact of passive materials between the target and the array, the angular distribution of the detection efficiency and the influence of target thickness effects and transition lifetimes in the attainable detection sensitivity. A short overview on half-life measurements via lineshape effects utilizing AGATA is also presented.

Insights into location dependent loss-of-coolant-accident (LOCA) frequency assessment for GSI-191 risk-informed applications

Energy Technology Data Exchange (ETDEWEB)

Fleming, K.N., E-mail: KarlFleming@comcast.net [KNF Consulting LLC, Spokane, WA (United States); Lydell, B.O.Y. [SIGMA-PHASE INC., Vail, AZ (United States)

2016-08-15

Highlights: • Role of operating experience in loss-of-coolant-accident (LOCA) frequency assessment. • Plant-to-plant variability in calculated LOCA frequency. • Frequency of double-ended-guillotine-break (DEGB). • Uncertainties in LOCA frequencies. • Risk management insights. - Abstract: As a tribute to the published work by S.H. Bush, S. Beliczey and H. Schulz, this paper assesses the progress with methods and techniques for quantifying the reliability of piping systems in commercial nuclear power plants on the basis of failure rate estimates derived from field experience data in combination with insights and results from probabilistic fracture mechanics analyses and expert elicitation exercises. This status assessment is made from a technical perspective obtained through development of location-specific loss-of-coolant-accident (LOCA) frequencies for input to risk-informed resolution of the generic safety issue (GSI) 191. The methods and techniques on which these GSI-191 applications are based build on a body of work developed by the authors during a period spanning more than two decades. The insights that are presented and discussed in this paper cover today’s knowledge base concerning how to utilize a risk-informed approach to the assessment of piping reliability in the context of probabilistic risk assessment (PRA) in general and the resolution of GSI-191 in particular. Specifically the paper addresses the extent to which LOCA frequencies vary from location to location within a reactor coolant system pressure boundary (RCPB) for a given plant as well as vary from plant to plant, and the reasons for these variabilities. Furthermore, the paper provides the authors’ perspectives on interpretations and applications of information extracted from an expert elicitation process to obtain LOCA frequencies as documented in NUREG-1829 and how to apply this information to GSI-191. Finally, this paper documents technical insights relative to mitigation of

Insights into location dependent loss-of-coolant-accident (LOCA) frequency assessment for GSI-191 risk-informed applications

International Nuclear Information System (INIS)

Fleming, K.N.; Lydell, B.O.Y.

2016-01-01

Highlights: • Role of operating experience in loss-of-coolant-accident (LOCA) frequency assessment. • Plant-to-plant variability in calculated LOCA frequency. • Frequency of double-ended-guillotine-break (DEGB). • Uncertainties in LOCA frequencies. • Risk management insights. - Abstract: As a tribute to the published work by S.H. Bush, S. Beliczey and H. Schulz, this paper assesses the progress with methods and techniques for quantifying the reliability of piping systems in commercial nuclear power plants on the basis of failure rate estimates derived from field experience data in combination with insights and results from probabilistic fracture mechanics analyses and expert elicitation exercises. This status assessment is made from a technical perspective obtained through development of location-specific loss-of-coolant-accident (LOCA) frequencies for input to risk-informed resolution of the generic safety issue (GSI) 191. The methods and techniques on which these GSI-191 applications are based build on a body of work developed by the authors during a period spanning more than two decades. The insights that are presented and discussed in this paper cover today’s knowledge base concerning how to utilize a risk-informed approach to the assessment of piping reliability in the context of probabilistic risk assessment (PRA) in general and the resolution of GSI-191 in particular. Specifically the paper addresses the extent to which LOCA frequencies vary from location to location within a reactor coolant system pressure boundary (RCPB) for a given plant as well as vary from plant to plant, and the reasons for these variabilities. Furthermore, the paper provides the authors’ perspectives on interpretations and applications of information extracted from an expert elicitation process to obtain LOCA frequencies as documented in NUREG-1829 and how to apply this information to GSI-191. Finally, this paper documents technical insights relative to mitigation of

Conceptualizing a Genomics Software Institute (GSI).

Science.gov (United States)

Gilbert, Jack A; Catlett, Charlie; Desai, Narayan; Knight, Rob; White, Owen; Robbins, Robert; Sankaran, Rajesh; Sansone, Susanna-Assunta; Field, Dawn; Meyer, Folker

2012-03-19

Microbial ecology has been enhanced greatly by the ongoing 'omics revolution, bringing half the world's biomass and most of its biodiversity into analytical view for the first time; indeed, it feels almost like the invention of the microscope and the discovery of the new world at the same time. With major microbial ecology research efforts accumulating prodigious quantities of sequence, protein, and metabolite data, we are now poised to address environmental microbial research at macro scales, and to begin to characterize and understand the dimensions of microbial biodiversity on the planet. What is currently impeding progress is the need for a framework within which the research community can develop, exchange and discuss predictive ecosystem models that describe the biodiversity and functional interactions. Such a framework must encompass data and metadata transparency and interoperation; data and results validation, curation, and search; application programming interfaces for modeling and analysis tools; and human and technical processes and services necessary to ensure broad adoption. Here we discuss the need for focused community interaction to augment and deepen established community efforts, beginning with the Genomic Standards Consortium (GSC), to create a science-driven strategic plan for a Genomic Software Institute (GSI).

Validity of the American Board of Orthodontics Discrepancy Index and the Peer Assessment Rating Index for comprehensive evaluation of malocclusion severity.

Science.gov (United States)

Liu, S; Oh, H; Chambers, D W; Baumrind, S; Xu, T

2017-08-01

To assess the validity of the American Board of Orthodontics Discrepancy Index (ABO-DI) and Peer Assessment Rating (PAR) Index in evaluating malocclusion severity in Chinese orthodontic patients. A stratified random sample of 120 orthodontic patients based on Angle classification was collected from six university orthodontic centres. Sixty-nine orthodontists rated malocclusion severity on a five-point scale by assessing a full set of pre-treatment records for each case and listed reasons for their decision. Their judgement was then compared with ABO-DI and PAR scores determined by three calibrated examiners. Excellent interexaminer reliability of clinician judgement, ABO-DI and PAR index was demonstrated by the Intraclass Correlation Coefficient (rho= 0.995, 0.990 and 0.964, respectively). Both the ABO-DI and US-PAR index showed good correlation with clinician judgement (r=.700 and r=.707, respectively). There was variability among the different Angle classifications: the ABO-DI showed the highest correlation with clinician judgement in Class II patients (r=.780), whereas the US-PAR index showed the highest correlation with clinician judgement in Class III patients (r=.710). Both indices demonstrated the lowest correlations with clinician judgement in Class I patients. With strong interexaminer agreement, the panel consensus was used for validating the ABO-DI and US-PAR index for malocclusion severity. Overall, the ABO-DI and US-PAR index were reliable for measuring malocclusion severity with significantly variable weightings for different Angle classifications. Further modification of the indices for different Angle classification may be indicated. © 2017 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

Correlation Between Dermatology Life Quality Index and Psoriasis Area and Severity Index in Patients with Psoriasis Treated with Ustekinumab

DEFF Research Database (Denmark)

Hesselvig, Jeanette Halskou; Egeberg, Alexander; Loft, Nikolai Dyrberg

2018-01-01

Monitoring of biological treatment efficacy for psoriasis is based on clinical evaluation and patient's quality of life. However, long-term correlation between Psoriasis Area and Severity Index (PASI) and Dermatology Life Quality Index (DLQI) in real life has not been studied in patients treated...

GSI papers presented at the 3. European particle accelerator conference

International Nuclear Information System (INIS)

1992-04-01

This report contains the articles presented by the GSI at the named conference. These concern an ion source for heavy ion synchrotron injection, a power amplifier, the new heavy ion injector of the UNILAC, the heavy ion synchrotron SIS, beam intensity measurements at the SIS, heavy ion storage rings, the performance and impedances and instability studies at the ESR, longitudinal space-charge effects in cooled bunched beams, the ERS electron cooling device, experiments with synthetic colored noise at the ESR, ion beams for heavy ion fusion research, a reactor driver concept for indirect drive, plasma lenses for heavy-ion beam focusing, synchrotrons for cancer therapy, and future accelerator projects in collaboration with industry. (orig.)

Detection of Severe Respiratory Disease Epidemic Outbreaks by CUSUM-Based Overcrowd-Severe-Respiratory-Disease-Index Model

Directory of Open Access Journals (Sweden)

Carlos Polanco

2013-01-01

Full Text Available A severe respiratory disease epidemic outbreak correlates with a high demand of specific supplies and specialized personnel to hold it back in a wide region or set of regions; these supplies would be beds, storage areas, hemodynamic monitors, and mechanical ventilators, as well as physicians, respiratory technicians, and specialized nurses. We describe an online cumulative sum based model named Overcrowd-Severe-Respiratory-Disease-Index based on the Modified Overcrowd Index that simultaneously monitors and informs the demand of those supplies and personnel in a healthcare network generating early warnings of severe respiratory disease epidemic outbreaks through the interpretation of such variables. A post hoc historical archive is generated, helping physicians in charge to improve the transit and future allocation of supplies in the entire hospital network during the outbreak. The model was thoroughly verified in a virtual scenario, generating multiple epidemic outbreaks in a 6-year span for a 13-hospital network. When it was superimposed over the H1N1 influenza outbreak census (2008–2010 taken by the National Institute of Medical Sciences and Nutrition Salvador Zubiran in Mexico City, it showed that it is an effective algorithm to notify early warnings of severe respiratory disease epidemic outbreaks with a minimal rate of false alerts.

Detection of Severe Respiratory Disease Epidemic Outbreaks by CUSUM-Based Overcrowd-Severe-Respiratory-Disease-Index Model

Science.gov (United States)

Castañón-González, Jorge Alberto; Macías, Alejandro E.; Samaniego, José Lino; Buhse, Thomas; Villanueva-Martínez, Sebastián

2013-01-01

A severe respiratory disease epidemic outbreak correlates with a high demand of specific supplies and specialized personnel to hold it back in a wide region or set of regions; these supplies would be beds, storage areas, hemodynamic monitors, and mechanical ventilators, as well as physicians, respiratory technicians, and specialized nurses. We describe an online cumulative sum based model named Overcrowd-Severe-Respiratory-Disease-Index based on the Modified Overcrowd Index that simultaneously monitors and informs the demand of those supplies and personnel in a healthcare network generating early warnings of severe respiratory disease epidemic outbreaks through the interpretation of such variables. A post hoc historical archive is generated, helping physicians in charge to improve the transit and future allocation of supplies in the entire hospital network during the outbreak. The model was thoroughly verified in a virtual scenario, generating multiple epidemic outbreaks in a 6-year span for a 13-hospital network. When it was superimposed over the H1N1 influenza outbreak census (2008–2010) taken by the National Institute of Medical Sciences and Nutrition Salvador Zubiran in Mexico City, it showed that it is an effective algorithm to notify early warnings of severe respiratory disease epidemic outbreaks with a minimal rate of false alerts. PMID:24069063

Fecundity and gonadosomatic index of Glossogobius giuris (Hamilton, 1822 from the Payra River, Patuakhali, Bangladesh

Directory of Open Access Journals (Sweden)

Animesh Roy

2014-08-01

Full Text Available Glossogobius giuris were collected during March to September 2013 from the Payra river to estimate the length-weight relationship with relative condition factor (Kn, fecundity, gonadosomatic index (GSI and relation between fecundity and other parameters. The length-weight relationship was found to be Log W= 2.667 Log TL – 1.805 in male and Log W = 2.931 Log TL – 2.040 in female. The mean Kn were found to be 1.02±0.155 for male and 0.97±0.276 for female which indicates satisfactory condition of the fish population. The mean relative fecundity was ranged from 88495 to 264104 with a mean value of 171581±17855, having a average total length of 21.21±0.44 cm, body weight 70.22±4.62 g and gonad weight 2.74±0.31 g. The relationships among the fecundity, the total length, body weight, gonad weight were found to be linear and positively correlated. The mean GSI value was 3.42±0.33 and the highest GSI value was recorded 9.34±0.71 in the month of September. This study will help to introduce this species in sustainable aquaculture through proper management and for the development of induced breeding technique.

Upgrade of the GSI-Unilac as a FAIR high current injector

Energy Technology Data Exchange (ETDEWEB)

Haehnel, Hendrik [Institut fuer Angewandte Physik, Goethe Universitaet Frankfurt (Germany)

2016-07-01

The existing UNIversal Linear Accelerator (UNILAC) at GSI will serve as ion and dedicated uranium ion injector for the Facility for Antiproton and Ion Research (FAIR). For nominal FAIR operation, 15 emA of Uranium 28+ at low emittances have to be injected by multiturn-injection into FAIR. To meet these requirements and to ensure reliable operation, the UNILAC will undergo a significant upgrade process. Upgrade measures concerning key accelerator components are described and a main focus is put on a replacement of the 54m Alvarez-section by a compact IH-DTL. This will open new options for future injection schemes into SIS100.

NASA SPoRT Modeling and Data Assimilation Research and Transition Activities Using WRF, LIS and GSI

Science.gov (United States)

Case, Jonathan L.; Blankenship, Clay B.; Zavodsky, Bradley T.; Srikishen, Jayanthi; Berndt, Emily B.

2014-01-01

weather research and forecasting ===== The NASA Short-term Prediction Research and Transition (SPoRT) program has numerous modeling and data assimilation (DA) activities in which the WRF model is a key component. SPoRT generates realtime, research satellite products from the MODIS and VIIRS instruments, making the data available to NOAA/NWS partners running the WRF/EMS, including: (1) 2-km northwestern-hemispheric SST composite, (2) daily, MODIS green vegetation fraction (GVF) over CONUS, and (3) NASA Land Information System (LIS) runs of the Noah LSM over the southeastern CONUS. Each of these datasets have been utilized by specific SPoRT partners in local EMS model runs, with select offices evaluating the impacts using a set of automated scripts developed by SPoRT that manage data acquisition and run the NCAR Model Evaluation Tools verification package. SPoRT is engaged in DA research with the Gridpoint Statistical Interpolation (GSI) and Ensemble Kalman Filter in LIS for soil moisture DA. Ongoing DA projects using GSI include comparing the impacts of assimilating Atmospheric Infrared Sounder (AIRS) radiances versus retrieved profiles, and an analysis of extra-tropical cyclones with intense non-convective winds. As part of its Early Adopter activities for the NASA Soil Moisture Active Passive (SMAP) mission, SPoRT is conducting bias correction and soil moisture DA within LIS to improve simulations using the NASA Unified-WRF (NU-WRF) for both the European Space Agency's Soil Moisture Ocean Salinity and upcoming SMAP mission data. SPoRT has also incorporated real-time global GVF data into LIS and WRF from the VIIRS product being developed by NOAA/NESDIS. This poster will highlight the research and transition activities SPoRT conducts using WRF, NU-WRF, EMS, LIS, and GSI.

Geographic analysis of road accident severity index in Nigeria.

Science.gov (United States)

Iyanda, Ayodeji E

2018-05-28

Before 2030, deaths from road traffic accidents (RTAs) will surpass cerebrovascular disease, tuberculosis, and HIV/AIDS. Yet, there is little knowledge on the geographic distribution of RTA severity in Nigeria. Accident Severity Index is the proportion of deaths that result from a road accident. This study analysed the geographic pattern of RTA severity based on the data retrieved from Federal Road Safety Corps (FRSC). The study predicted a two-year data from a historic road accident data using exponential smoothing technique. To determine spatial autocorrelation, global and local indicators of spatial association were implemented in a geographic information system. Results show significant clusters of high RTA severity among states in the northeast and the northwest of Nigeria. Hence, the findings are discussed from two perspectives: Road traffic law compliance and poor emergency response. Conclusion, the severity of RTA is high in the northern states of Nigeria, hence, RTA remains a public health concern.

The GSI plans for an international accelerator facility for beams of ions and antiprotons

International Nuclear Information System (INIS)

Suemmerer, K.

2003-01-01

GSI proposes to build a next-generation facility for research with relativistic beams of ions and antiprotons. This facility allows a broad range of topics in nuclear and astrophysics, plasma and atomic physics to be addressed. The topic most interesting in the context of this conference is physics with high-intensity beams of exotic nuclei. In addition, a short overview of the opportunities in the other fields of nuclear physics is given

Recent progress in multichamber deposition of high-quality amorphous silicon solar cells on planar and compound curved substrates at GSI

Energy Technology Data Exchange (ETDEWEB)

Schropp, R.E.I.; Roedern, B. von; Klose, P.; Hollingsworth, R.E.; Xi, J.; Cueto, J. del; Chatham, H.; Bhat, P.K. (Glasstech Solar, Inc. (GSI), Wheat Ridge, CO (USA))

1989-10-15

We present recent advances obtained at GSI in scaling-up multichamber fabrication of solar cells. We have successfully adopted the multichamber approach in the development of large-area compound curved semitransparent modules. For this application, a new semitransparent electrode was developed, together with an innovative three-dimensional laser patterning technique. A fully automated 1.5 MW annual production line with a ''glass-in-panel-out'' approach has been completed for the Government of India, and another 3 MW plant is presently under construction. GSI's research effort using its multichamber R and D system has achieved single-junction conversion efficiencies of 11.3% at low intrinsic layer deposition rates and of 9.7% at a rate of 18 A s{sup -1}. (orig.).

GSI Quantitative Parameters: Preoperative Diagnosis of Metastasis Lymph Nodes in Lung Cancer

Directory of Open Access Journals (Sweden)

Fengfeng YANG

2016-11-01

Full Text Available Background and objective Mediastinal involvement in lung cancer is an important prognostic factor affecting survival, and accurate staging of the mediastinum lymph node correctly identifies patients who can benefit the most from surgery. The aim of this study is to investigate the value of dual-energy spectral computed tomography (DEsCT imaging in differentiating metastatic from non-metastatic lymph nodes in lung cancer. Methods Forty-eight patients with non-small cell lung cancer (NSCLC underwent arterial (AP and portal venous (PP phase contrast-enhanced DEsCT imaging followed by surgical treatment. gemstone spectral imaging (GSI data images were reconstructed and transmitted to an offline workstation. GSI quantitative parameters, including lymph-node size, CT value, IC, water concentration, and spectral curve. Differences were tested for statistical significance using the two-sample t test. ROC analysis was performed to assess diagnostic performance. Results The mean short-axis diameter of metastatic LNs, slope of the spectral Hounsfield unit curve (λHU, normalized iodine concentration measured during, and both AP and PP were significantly higher in metastatic lymph node than that in benign lymph nodes. The best parameter for detecting metastatic lymph nodes was AP λHU when a threshold λHU of 2.75 was used; sensitivity, specificity, and accuracy were 88.2%, 88.4%, and 87.0%, respectively. Conclusion Quantitative assessment with gemstone spectral imaging quantitative parameters showed higher accuracy than the qualitative assessment of conventional CT imaging features for the preoperative diagnosis of metastatic lymph nodes in patients with lung cancer.

The SIS-ESR project of GSI

International Nuclear Information System (INIS)

Kienle, P.

1985-05-01

During the last years GSI developed plans for future accelerators and experimental facilities with the intention to extend heavy ion research in a wide scope to higher energies and into new fields of research using novel techniques for acceleration, accumulation, storage and phase space density increase of heavy ion beams up to 238 U. The prime goals of this development plan using as a first step a synchrotron acceleration ring connected with an accumulator-, storage-, cooling- and experimental ring are the following: 1. Provide completely stripped heavy ion beams up to U 92+ with the highest phase space densities using various cooling techniques in a storage ring. 2. Provide radioactive heavy ion beams by accumulation, storage and cooling of fragmentation or fission products from beams of the synchrotron. 3. Provide facilities for internal target experiments using simultaneously cooled circulating beams. 4. Provide two merging beams in the storage ring with well defineable collision energies up to the Coulomb barrier of the heaviest ions like U 92+ in order to study atomic collision processes in high Coulomb fields with both nuclei highly ionized. 5. Provide a beam of heavy ions up to U 92+ with best phase space density for further acceleration and collisions in superconducting collider rings at very high c.m. energies (>20 GeV/u) and as high as possible luminosities. (orig.)

Seasonal changes in the gonadossomatic index, allometric condition factor and sex ratio of an auchenipterid catfish from eastern Amazonia

Directory of Open Access Journals (Sweden)

Tiago Magalhães da Silva Freitas

Full Text Available The aim of the present study was to evaluate the seasonal pattern of the gonadosomatic index (GSI, condition factor (K, and sex ratio in the catfish Auchenipterichthys longimanus (Siluriformes: Auchenipteridae as an approach to identify its reproductive period. A total of 589 A. longimanus specimens (251 males and 338 females were captured in the rivers of the Caxiuanã National Forest, in the Brazilian state of Pará, between July, 2008 and July, 2009. Among the male specimens, 171 were classified as adults and 80 as juveniles, while there were 249 adults and 89 juvenile females. Using a sinusoidal equation, analysis of the GSI revealed a reproductive asynchrony between the genders, with males attaining their highest GSI values in January, while females peaked in March. For males, the sinusoidal regression for GSI values was significant only when used the complete data set (P=0.001, wears no trend was identified for bimonthly means (P=0.136. For females, by contrast, significant values were obtained for both the complete data set (P=0.012 and bimonthly GSI means (P=0.026. For the condition factor, the sinusoidal equation returned significant seasonal variation in both raw data (P=0.02 and with mean values (P=0.00 for males, but only with raw data for females (P=0.04, which appears to reflect variation in the energy budget between genders. With regard to the sex ratio, more reproductive females were captured than males in January and March, 2009, which suggests a pattern of segregation related to the reproductive process. These parameters are fundamental to the assessment, protection, and management of natural fish stocks, as well as providing guidelines for the development of conservation strategies.

Photographic Documentation and Hand Eczema Severity Index for Severity Assessment of Hand Eczema

DEFF Research Database (Denmark)

Zabludovska, Kristine; Ibler, Kristina S; Jemec, Gregor B E

2017-01-01

.003), respectively, and major worsening, r = 0.41 (P = 0.021). With respect to minor changes, no statistically significant correlations were found (P > 0.05). CONCLUSIONS: In patients with mild HE, photographic assessment was found useful for major and moderate changes only. Further studies would need......BACKGROUND: Hand eczema (HE) is a fluctuating disease, and an objective assessment of HE severity is coveted. OBJECTIVES: This study was undertaken to test the association between Hand Eczema Severity Index (HECSI) score and panel scores of photographs taken by dermatologists. METHODS: A total...... were engaged in blinded evaluation of photographs. RESULTS: The highest correlation coefficients between delta HECSI scores and delta panel scores of photographs in the first and second evaluation rounds were found for moderate improvement and moderate worsening, rs = -0.46 (P = 0.009) and 0.52 (P = 0...

[Experience, prevalence, severity, treatment needs for dental caries and care index in Mexican adolescents and young adults].

Science.gov (United States)

García-Cortés, José Obed; Mejia-Cruz, Jorge Adrián; Medina-Cerda, Eduardo; Orozco-De la Torre, Guillermo; Medina-Solís, Carlo Carlo; Márquez-Rodríguez, Sonia; Navarrete-Hernández, José de Jesús; Islas-Granillo, Horacio

2014-01-01

To determine the experience, prevalence and severity of dental caries as well as to establish the treatment needs and restorative care in adolescents and young adults. This cross-sectional study included 638 subjects 16-25 years old candidates to enter to state public university of San Luis Potosí, México. For caries detection was used the DMFT index (sum of decayed teeth + missing teeth + filled teeth in the permanent dentition). With DMFT index data were calculated the experience, the prevalence and the severity of caries. Also are reported the significant caries index (SiC), the treatment needs index (TNI) and the care index (CI). Statistical analysis was performed using nonparametric tests. The mean DMFT index was 4.24 ± 3.85, prevalence 76.5% and severity of 52.3% for DMFT > 3 and 26.2% for DMFT > 6. The SiC index was 8.7. The TNI was 43.0% and 52.8% CI. No variation was observed (p > 0.05) on the experience, prevalence and severity of caries by age. The component "filled teeth" showed differences by age (p caries experience and severity than men (p dental caries in this sample of adolescents and young adults. We found almost 40% of untreated caries lesions. We found some differences by sex.

Highly charged ions at rest: The HITRAP project at GSI

International Nuclear Information System (INIS)

Herfurth, F.; Beier, T.; Dahl, L.; Eliseev, S.; Heinz, S.; Kester, O.; Kluge, H.-J.; Kozhuharov, C.; Maero, G.; Quint, W.

2005-01-01

A decelerator will be installed at GSI in order to provide and study bare heavy nuclei or heavy nuclei with only few electrons at very low energies or even at rest. Highly-charged ions will be produced by stripping at relativistic energies. After electron cooling and deceleration in the Experimental Storage Ring the ions are ejected out of the storage ring at 4 MeV/u and further decelerated in a combination of an IH and RFQ structure. Finally, they are injected into a Penning trap where the ions are cooled to 4 K. From here, the ions can be transferred in a quasi dc or in a pulsed mode to different experimental setups. This article describes the technical concepts of this project as well as planned key experiments

Psychometric evaluation of the ostomy complication severity index.

Science.gov (United States)

Pittman, Joyce; Bakas, Tamilyn; Ellett, Marsha; Sloan, Rebecca; Rawl, Susan M

2014-01-01

The purpose of this study was to evaluate the psychometric properties of a new instrument to measure incidence and severity of ostomy complications early in the postoperative period. 71 participants were enrolled, most were men (52%), white (96%), and married or partnered (55%). The mean age of participants was 57 ± 15.09 years (mean ± SD). Fifty-two participants (84%) experienced at least 1 ostomy complication in the 60-day postoperative period. The research setting was 3 acute care settings within a large healthcare system in the Midwestern United States. We developed an evidence-based conceptual model to guide development and evaluation of a new instrument, the Pittman Ostomy Complication Severity Index (OCSI). The OCSI format includes Likert-like scale with 9 individual items scored 0 to 3 and a total score computed by summing the individual items. Higher scores indicate more severe ostomy complications. This study consisted of 2 phases: (1) an expert review, conducted to establish content validity; and (2) a prospective, longitudinal study design, to examine psychometric properties of the instrument. A convenience sample of 71 adult patients who underwent surgery to create a new fecal ostomy was recruited from 3 hospitals. Descriptive analyses, content validity indices, interrater reliability testing, and construct validity testing were employed. Common complications included leakage (60%), peristomal moisture-associated dermatitis (50%), stomal pain (42%), retraction (39%), and bleeding (32%). The OCSI demonstrated acceptable evidence of content validity index (CVI = 0.9) and interrater reliability for individual items (k = 0.71-1.0), as well as almost perfect agreement for total scores among raters (ICC = 0.991, P ≤ .001). Construct validity of the OCSI was supported by significant correlations among variables in the conceptual model (complications, risk factors, stoma care self-efficacy, and ostomy adjustment). OCSI demonstrated acceptable validity and

Hyperemic stenosis resistance index for evaluation of functional coronary lesion severity

NARCIS (Netherlands)

Meuwissen, Martijn; Siebes, Maria; Chamuleau, Steven A. J.; van Eck-Smit, Berthe L. F.; Koch, Karel T.; de Winter, Robbert J.; Tijssen, Jan G. P.; Spaan, Jos A. E.; Piek, Jan J.

2002-01-01

Background-Both coronary blood flow velocity reserve (CFVR) and myocardial fractional flow reserve (FFR) are used to evaluate the hemodynamic severity of coronary lesions. However, discordant results between CFVR and FFR have been observed in 25%, to 30% of intermediate coronary lesions. An index of

Oxygen saturation index and severity of hypoxic respiratory failure.

Science.gov (United States)

Rawat, Munmun; Chandrasekharan, Praveen K; Williams, Ashley; Gugino, Sylvia; Koenigsknecht, Carmon; Swartz, Daniel; Ma, Chang Xing; Mathew, Bobby; Nair, Jayasree; Lakshminrusimha, Satyan

2015-01-01

The oxygenation index (OI = mean airway pressure, MAP × FiO2 × 100 : PaO2) is used to assess the severity of hypoxic respiratory failure (HRF) and persistent pulmonary hypertension of the newborn (PPHN). An indwelling arterial line or arterial punctures are necessary to obtain PaO2 for the calculation of OI. Oxygenation can be continuously and noninvasively assessed using pulse oximetry. The use of the oxygen saturation index (OSI = MAP × FiO2 × 100 : SpO2) can be an alternate method of assessing the severity of HRF. To evaluate the correlation between OSI and OI in the following: (1) neonates with HRF and (2) a lamb model of meconium aspiration syndrome. Human neonates: a retrospective chart review of 74 ventilated late preterm/term neonates with indwelling arterial access and SpO2 values in the first 24 h of life was conducted. OSI and OI were calculated and correlated. Lamb model: arterial blood gases were drawn and preductal SpO2 was documented in 40 term newborn lambs with asphyxia and meconium aspiration. OI and OSI were calculated and correlated with pulmonary vascular resistance (PVR). Mean values of OSI and OI showed a correlation coefficient of 0.952 in neonates (mean value of 308 observations in 74 neonates) and 0.948 in lambs (mean value of 743 observations in 40 lambs). In lambs, with increasing PVR, there was a decrease in OI and OSI. OSI correlates significantly with OI in infants with HRF. This noninvasive measure may be used to assess the severity of HRF and PPHN in neonates without arterial access. © 2015 S. Karger AG, Basel

Psychometric Characteristics of the Teen Addiction Severity Index-Two (T-ASI-2)

Science.gov (United States)

Brodey, Benjamin B.; McMullin, Darcy; Kaminer, Yifrah; Winters, Ken C.; Mosshart, Edward; Rosen, Craig S.; Brodey, Inger S.

2008-01-01

The Teen Addiction Severity Index-Two (T-ASI-2) was developed as an extension of the T-ASI to assess the severity of substance abuse and related problems among adolescents (N = 371) 12-19 years of age. The T-ASI-2 consists of 18 domains that assess current use of alcohol, tobacco, marijuana, and other drugs, as well as mental health service…

Hemodynamic comparison of mild and severe preeclampsia: concept of stroke systemic vascular resistance index.

Science.gov (United States)

Scardo, J; Kiser, R; Dillon, A; Brost, B; Newman, R

1996-01-01

Our purpose was to compare baseline hemodynamic parameters of mild and severe preeclampsia. Patients admitted to the Medical University Labor and Delivery Unit with the diagnosis of preeclampsia who had not received prior antihypertensive or magnesium sulfate therapy were recruited for noninvasive hemodynamic monitoring with thoracic electrical bioimpedance. After stabilization in the lateral recumbent position, hemodynamic monitoring was begun. Baseline hemodynamic parameters, mean arterial pressure (MAP), heart rate (HR), systemic vascular resistance index (SVRI), cardiac index (CI), and stroke index (SI) were recorded. Stroke systemic vascular resistance index (SSVRI), the resistance imposed by vasculature on each beat of the heart, was calculated for each patient by multiplying SVRI by HR. For statistical analysis, unpaired Student's t-tests (two-tailed) were utilized (P preclampsia appears to be a more intensely vasoconstricted state than mild preeclampsia. Although CI is inversely proportional to SVRI, increased HR in severe preeclampsia prevents this expected decrease in cardiac output.

Indexing aortic valve area by body surface area increases the prevalence of severe aortic stenosis

DEFF Research Database (Denmark)

Jander, Nikolaus; Gohlke-Bärwolf, Christa; Bahlmann, Edda

2014-01-01

To account for differences in body size in patients with aortic stenosis, aortic valve area (AVA) is divided by body surface area (BSA) to calculate indexed AVA (AVAindex). Cut-off values for severe stenosis are......To account for differences in body size in patients with aortic stenosis, aortic valve area (AVA) is divided by body surface area (BSA) to calculate indexed AVA (AVAindex). Cut-off values for severe stenosis are...

PASI (Psoriasis Area and Severity Index in the evaluation of the clinical manifestations of psoriasis

Directory of Open Access Journals (Sweden)

A. A. Kubanov

2016-01-01

Full Text Available Psoriasis is one of the most prevalent chronic inflammatory skin diseases. The severity of its clinical manifestations can vary greatly. Objective assessment of psoriasis severity is required to select an adequate therapy. One of the simplest and most consistent methods used to determine psoriasis severity is to calculate the PASI (Psoriasis Area and Severity Index. This index is based on the doctor’s determination of the sum of indices showing the intensity of the main symptoms of psoriasis: erythema, infiltration and peeling in view of the affected skin area. The PASI can also be used to assess the efficacy of treatment for psoriasis patients.

Measurement and interpretation of laser accelerated protons at GSI

International Nuclear Information System (INIS)

Al-Omari, Husam

2014-01-01

generated by the Matlab program, while the TraceWin code is employed to study the tracking through magnetic elements. - Chapter 6 describes the PHELIX laser parameters at GSI with chirp pulse amplification technique (CPA), and Gafchromic Radiochromic film (RCF) as a spatial energy resolver film detector. The results of experiments with laser proton acceleration, which were performed in two experimental areas at GSI (Z6 area and PHELIX Laser Hall (PLH)), are presented in section 6.3. - Chapter 7 includes the main results of this work, conclusions and gives a perspective for future experimental activities.

Measurement and interpretation of laser accelerated protons at GSI

Energy Technology Data Exchange (ETDEWEB)

Al-Omari, Husam

2014-04-28

generated by the Matlab program, while the TraceWin code is employed to study the tracking through magnetic elements. - Chapter 6 describes the PHELIX laser parameters at GSI with chirp pulse amplification technique (CPA), and Gafchromic Radiochromic film (RCF) as a spatial energy resolver film detector. The results of experiments with laser proton acceleration, which were performed in two experimental areas at GSI (Z6 area and PHELIX Laser Hall (PLH)), are presented in section 6.3. - Chapter 7 includes the main results of this work, conclusions and gives a perspective for future experimental activities.

$\\beta$-decay and $\\beta$-delayed Neutron Emission Measurements at GSI-FRS Beyond N=126, for r-process Nucleosynthesis

CERN Document Server

Caballero-Folch, R; Cortès, G; Taín, J L; Agramunt, J; Algora, A; Ameil, F; Ayyad, Y; Benlliure, J; Bowry, M; Calviño, F; Cano-Ott, D; Davinson, T; Dillmann, I; Estrade, A; Evdokimov, A; Faestermann, T; Farinon, F; Galaviz, D; García-Ríos, A; Geissel, H; Gelletly, W; Gernhäuser, R; Gómez-Hornillos, M B; Guerrero, C; Heil, M; Hinke, C; Knöbel, R; Kojouharov, I; Kurcewicz, J; Kurz, N; Litvinov, Y; Maier, L; Marganiec, J; Marta, M; Martínez, T; Montes, F; Mukha, I; Napoli, D R; Nociforo, C; Paradela, C; Pietri, S; Podolyák, Zs; Prochazka, A; Rice, S; Riego, A; Rubio, B; Schaffner, H; Scheidenberger, C; Smith, K; Sokol, E; Steiger, K; Sun, B; Takechi, M; Testov, D; Weick, H; Wilson, E; Winfield, J S; Wood, R; Woods, P J; Yeremin, A

2014-01-01

New measurements of very exotic nuclei in the neutron-rich region beyond N=126 have been performed at the GSI facility with the fragment separator (FRS). The aim of the experiment is to determine half-lives and beta-delayed neutron emission branching ratios of isotopes of Hg, Tl and Pb in this region. This contribution summarizes final counting statistics for identification and for implantation, as well as the present status of the data analysis of the half-lives. In summary, isotopes of Pt, Au, Hg, Ti, Pb, Bi, Po, At, Rn and Fr were clearly identified and several of them (Hg208-211, Tl211-215, Pb214-218) were implanted with enough statistics to determine their half-lives. About half of them are expected to be neutron emitters, in such cases it will become possible to obtain the neutron emission probabilities, P-n.

Development of RF-linac and storage ring system for high-current experiments at GSI

International Nuclear Information System (INIS)

Hofmann, I.

1986-08-01

The heavy ion facility under construction at GSI is suitable for the generation of high-current beams. It consists of a new high-current injector into the Unilac and a synchrotron and storage ring. We discuss the capability of this system to produce short pulses of heavy ions with a specific energy of the order of 0.1 MJ/g. Under these conditions the system allows to perform a first generation of heavy ion driven target experiments and to test most of the critical issues of a large scale heavy ion fusion driver facility. (orig.)

{sup 96}Ru(p,{gamma}){sup 97}Rh measurement at the GSI storage ring

Energy Technology Data Exchange (ETDEWEB)

Zhong, Q; Aumann, T; Boretzky, K; Bosch, F; Braeuning, H; Brandau, C; Ershova, O; Geissel, H; Heil, M; Kelic, A; Kozhuharov, C; Langer, C; Bleis, T Le; Litvinov, Y A [GSI Helmholtzzentrum fuer Schwerionenforschung GmbH, Darmstadt, 64291 (Germany); Bishop, S; Dillmann, I [Technische Universitaet Muenchen, 85748 Garching (Germany); Blaum, K [Max-Planck-Institut fuer Kernphysik, 69117 Heidelberg (Germany); Davinson, T [University of Edinburgh, Edinburgh (United Kingdom); Gyuerky, G [Institute of Nuclear Research of the Hungarian Academy of Sciences (Hungary); Kaeppeler, F, E-mail: r.reifarth@gsi.d [Forschungszentrum Karlsruhe, Institut fuer Kernphysik, Karlsruhe (Germany)

2010-01-01

A pioneering experiment was recently performed at the Experimental Storage Ring (ESR) at GSI. Fully stripped ions of {sup 96}Ru were injected into the storage ring and slowed down to a few MeV per nucleon. The {sup 97}Rh ions from the {sup 96}Ru(p,{gamma}) reaction at a newly developed hydrogen jet target were detected with Double Sided Silicon Strip Detectors (DSSSD) mounted inside a pocket. The experiment and the status of the analysis at a beam energy of 11 MeV per nucleon will be presented.

Construction of prediction intervals for Palmer Drought Severity Index using bootstrap

Science.gov (United States)

Beyaztas, Ufuk; Bickici Arikan, Bugrayhan; Beyaztas, Beste Hamiye; Kahya, Ercan

2018-04-01

In this study, we propose an approach based on the residual-based bootstrap method to obtain valid prediction intervals using monthly, short-term (three-months) and mid-term (six-months) drought observations. The effects of North Atlantic and Arctic Oscillation indexes on the constructed prediction intervals are also examined. Performance of the proposed approach is evaluated for the Palmer Drought Severity Index (PDSI) obtained from Konya closed basin located in Central Anatolia, Turkey. The finite sample properties of the proposed method are further illustrated by an extensive simulation study. Our results revealed that the proposed approach is capable of producing valid prediction intervals for future PDSI values.

Experiments on the interaction of heavy ions with dense plasma at GSI-Darmstadt

International Nuclear Information System (INIS)

Stoeckl, C.; Boine-Frankenheim, O.; Geissel, M.; Roth, M.; Wetzler, H.; Seelig, W.; Iwase, O.; Spiller, P.; Bock, R.; Suess, W.; Hoffmann, D.H.H.

1998-01-01

One of the main objectives of the experimental plasma physics activities at the Gesellschaft fuer Schwerionenforschung (GSI) are the interaction processes of heavy ions with dense ionized matter. Gas-discharge plasma targets were used for energy loss and charge state measurements in a regime of electron density and temperature up to 10 19 cm -3 and 20 eV, respectively. An improved model of the charge exchange processes in fully ionized hydrogen plasma, taking into account multiple excited electronic configurations which subsequently ionize, has removed the discrepancies of previous theoretical descriptions. The energy loss of the ion beam in partially ionized plasmas such as argon was found to agree very well with our simple theoretical model based on the modified Bethe-Bloch theory. A new setup with a 100 J/5 GW Nd-glass laser now provides access to density ranges up to 10 21 cm -3 and temperatures of up to 100 eV. First results of interaction experiments with laser-produced plasma are presented. To fully exploit the experimental possibilities of the new laser-plasma setup both improved charge state detection systems and better plasma diagnostics are indispensable. Present developments and future possibilities in these fields are presented. This paper summarizes the following contributions: Interaction of heavy-ion beams with laser plasma by C. Stoeckl et al. Energy loss of heavy ions in a laser-produced plasma by M. Roth et al. Charge state measurements of heavy ions passing a laser produced plasma with high time resolution by W. Suess et al. Plasma diagnostics for laser-produced plasma by O. Iwase et al. Future possibilities of plasma diagnostics at GSI by M. Geissel et al. (orig.)

The symmetry energy at suprasaturation density and the ASY-EOS experiment at GSI

Directory of Open Access Journals (Sweden)

De Filippo E.

2017-01-01

Full Text Available The ASY-EOS experiment at GSI laboratory measured the direct and elliptic flow of neutrons and light charged particles in the reaction 197Au+197 Au at 400 A MeV incident energy. The ratio of elliptic flow of neutrons with respect to that of the light charged particles was used as main experimental observable to probe the density dependence of the symmetry energy term of the nuclear equation of state. Results, obtained by comparison of the experimental data with the UrQMD model predictions, strongly support a moderately soft to linear density dependence of the symmetry energy at suprasaturation densities below 2ρ0.

The Addiction Severity Index: Reliability and validity in a Dutch alcoholic population

NARCIS (Netherlands)

Dejong, C.A.J.; Willems, J.C.E.W.; Schippers, G.M.; Hendriks, V.M.

1995-01-01

The Addiction Severity Index (ASI) was evaluated for its psychometric qualities in a Dutch alcoholic population admitted to an addiction treatment center in the Netherlands. Its factorial structure in this population was found to be consistent with the established six factor structure of the ASI.

Influence of hypothermia combined with erythropoietin on serum neurological function indexes in newborns with severe hypoxic ischemic encephalopathy

Directory of Open Access Journals (Sweden)

Hua Tian

2017-05-01

Full Text Available Objective: To study the influence of hypothermia combined with erythropoietin (EPO on serum neurological function indexes in newborns with severe hypoxic ischemic encephalopathy (HIE. Methods: A total of 48 cases of newborns with severe hypoxic ischemic encephalopathy in our hospital were enrolled and divided into control group and observation group according to random number table, 24 cases in each group. On the basis of conventional treatment, patients in control group were treated with mild hypothermia, and those in observation group were treated with mild hypothermia combined with EPO. Serum nerve injury indexes, neurological function indexes and nerve apoptosis indexes were compared between two groups before and after treatment. Results: Before treatment, differences in the levels of nerve injury indexes, neurological function indexes and nerve apoptosis indexes were not statistically significant between two groups. After treatment, serum nerve injury indexes NSE and S-100B levels of observation group were lower than those of control group, neurolocial function indexes BDNF, NGF, IGF-1 and GH levels of observation group were higher than those of control group, and nerve apoptosis indexes sFas and sFasL levels of observation group were lower than those of control group. Conclusion: Mild hypothermia combined with EPO can reduce the neurological damage and inhibit neuronal apoptosis in children with severe HIE.

Bioimpedance index for measurement of total body water in severely malnourished children

DEFF Research Database (Denmark)

Girma, Tsinuel; Kæstel, Pernille; Workeneh, Netsanet

2016-01-01

BACKGROUND & OBJECTIVES: Restoration of body composition indicates successful management of severe acute malnutrition (SAM). Bioimpedance (BI) index (height(2)/resistance) is used to predict total body water (TBW) but its performance in SAM, especially with oedema, requires further investigation....... SUBJECTS/METHODS: Children with SAM (mid-arm circumference ...Hzs. Pre- and post-deuterium dose saliva samples were analysed using isotope-ratio mass spectrometry. TBW was regressed on H(2)/Z. Xc and R were height (H)-indexed, and Xc/H plotted against R/H. RESULTS: Thirty five children (16 non-oedematous and 19 oedematous) with median (interquartile range) age of 42...

Evaluation of PMSG (Oodev® application on hepatosomatic and gonadosomatic index of snakehead fish

Directory of Open Access Journals (Sweden)

Rizal Akbar Hutagalung

2015-10-01

Full Text Available ABSTRACT Snakehead fish (Channa striata is a freshwater fish commodities that have high economic value, while their needs depend on natural catching. In general, hormonal induction commonly used for the efficiency of female parent utilization and enhancement quality and quantity of fish fry. One of the hormones that can be used is pregnant mare serum gonadotropin (PMSG and antidopamine with trademark Oodev®. These hormones contain many elements follicle stimulating hormone (FSH which can trigger the early stages of gonad maturity. The purpose of this research was to determine the effectiveness of hormone PMSG on gonadosomatic index (GSI and hepatosomatic index (HSI. The size of female fish was 30−40 cm, weighing of 500−700 g, adapted in the aquarium and then induced with different doses of PMSG, namely: treatment A dose: 0.75 mL/kg; B: 1.0 mL/kg; C: 1.25 mL/kg; D: 1.5 mL/kg and be repeated three times. Fishes were then reared up to 72 hours to determine the development of GSI and HSI. The results showed that the best treatment was at dose of 1.25 mL/kg with GSI and HSI values of 1.37% and 3.35%, respectively. Keywords: PMSG, GSI, HSI, snakehead fish  ABSTRAK Ikan gabus (Channa striata merupakan salah satu komoditas air tawar yang mempunyai nilai ekonomi tinggi. Saat ini pemenuhan kebutuhan hanya bergantung pada hasil penangkapan dari alam. Pada umumnya cara pemijahan buatan dengan induksi hormon dilakukan untuk efisiensi penggunaan induk serta peningkatan kualitas dan kuantitas benih ikan. Salah satu hormon yang dapat digunakan adalah pregnant mare serum gonadotropin (PMSG dan antidopamin dengan merk dagang Oodev®. Hormon-hormon tersebut banyak mengandung unsur follicle stimulating hormon (FSH yang dapat memicu kematangan gonad tahap awal. Tujuan dari penelitian ini adalah untuk menguji efektivitas hormon PMSG terhadap nilai indeks gonadosomatik (IGS dan indeks hepatosomatik (IHS. Induk ikan gabus yang digunakan berukuran 30−40 cm

Effect of threatening life experiences and adverse family relations in ulcerative colitis: analysis using structural equation modeling and comparison with Crohn's disease.

Science.gov (United States)

Slonim-Nevo, Vered; Sarid, Orly; Friger, Michael; Schwartz, Doron; Sergienko, Ruslan; Pereg, Avihu; Vardi, Hillel; Singer, Terri; Chernin, Elena; Greenberg, Dan; Odes, Shmuel

2017-05-01

We published that threatening life experiences and adverse family relations impact Crohn's disease (CD) adversely. In this study, we examine the influence of these stressors in ulcerative colitis (UC). Patients completed demography, economic status (ES), the Patient-Simple Clinical Colitis Activity Index (P-SCCAI), the Short Inflammatory Bowel Disease Questionnaire (SIBDQ), the Short-Form Health Survey (SF-36), the Brief Symptom Inventory (BSI), the Family Assessment Device (FAD), and the List of Threatening Life Experiences (LTE). Analysis included multiple linear and quantile regressions and structural equation modeling, comparing CD. UC patients (N=148, age 47.55±16.04 years, 50.6% women) had scores [median (interquartile range)] as follows: SCAAI, 2 (0.3-4.8); FAD, 1.8 (1.3-2.2); LTE, 1.0 (0-2.0); SF-36 Physical Health, 49.4 (36.8-55.1); SF-36 Mental Health, 45 (33.6-54.5); Brief Symptom Inventory-Global Severity Index (GSI), 0.5 (0.2-1.0). SIBDQ was 49.76±14.91. There were significant positive associations for LTE and SCAAI (25, 50, 75% quantiles), FAD and SF-36 Mental Health, FAD and LTE with GSI (50, 75, 90% quantiles), and ES with SF-36 and SIBDQ. The negative associations were as follows: LTE with SF-36 Physical/Mental Health, SIBDQ with FAD and LTE, ES with GSI (all quantiles), and P-SCCAI (75, 90% quantiles). In structural equation modeling analysis, LTE impacted ES negatively and ES impacted GSI negatively; LTE impacted GSI positively and GSI impacted P-SCCAI positively. In a split model, ES had a greater effect on GSI in UC than CD, whereas other path magnitudes were similar. Threatening life experiences, adverse family relations, and poor ES make UC patients less healthy both physically and mentally. The impact of ES is worse in UC than CD.

Assessing insomnia in adolescents: comparison of Insomnia Severity Index, Athens Insomnia Scale and Sleep Quality Index.

Science.gov (United States)

Chung, Ka-Fai; Kan, Katherine Ka-Ki; Yeung, Wing-Fai

2011-05-01

To compare the psychometric properties of the Chinese versions of Insomnia Severity Index (ISI), Athens Insomnia Scale (AIS) and Sleep Quality Index (SQI) for assessment and screening of insomnia in adolescents. This is a school-based survey of 1516 adolescents aged 12-19 years. Sleep-wake habit questionnaire, ISI, AIS, SQI, Epworth Sleepiness Scale (ESS) and 12-item General Health Questionnaire (GHQ-12) were administered. Insomnia Interview Schedule was used to assess the severity of insomnia symptoms and DSM-IV-TR diagnosis of insomnia. The Cronbach's alpha of ISI, AIS and SQI were 0.83, 0.81 and 0.65, respectively, and the 2-week test-retest reliability were 0.79, 0.80 and 0.72. All three scales had a 2-factor structure, and their scores were significantly correlated with sleep-wake variables, ESS and GHQ-12 scores, smoking and drinking habits, and academic performance. The areas under curve of ISI, AIS and SQI for detecting clinical insomnia were 0.85, 0.80 and 0.85, respectively. The optimal cut-offs for ISI, AIS and SQI were a total score of nine (sensitivity/specificity: 0.87/0.75), seven (sensitivity/specificity: 0.78/0.74) and five (sensitivity/specificity: 0.83/0.79), respectively. The Chinese versions of ISI, AIS and SQI are reliable and valid instruments. The ISI and AIS appear to have better psychometric properties than the SQI. Copyright © 2011 Elsevier B.V. All rights reserved.

Atomic physics with highly-charged heavy ions at the GSI future facility: The scientific program of the SPARC collaboration

International Nuclear Information System (INIS)

Stoehlker, Th.; Beier, T.; Beyer, H.F.; Bosch, F.; Braeuning-Demian, A.; Gumberidze, A.; Hagmann, S.; Kozhuharov, C.; Kuehl, Th.; Liesen, D.; Mann, R.; Mokler, P.H.; Quint, W.; Schuch, R.; Warczak, A.

2005-01-01

In the current report a short overview about the envisioned program of the atomic physics research collaboration SPARC (Stored Particle Atomic Research Collaboration, at the new international accelerator Facility for Antiproton and Ion Research (FAIR) at GSI is given. In addition, a condensed description of the planned experimental areas devoted to atomic physics research at the new facility is presented

Outline of experimental schemes for measurements of thermophysical and transport properties in warm dense matter at GSI and FAIR

International Nuclear Information System (INIS)

Tauschwitz, Anna; Jacoby, Joachim; Maruhn, Joachim; Basko, Mikhail; Efremov, Vladimir; Iosilevskiy, Igor; Neumayer, Paul; Novikov, Vladimir; Tauschwitz, Andreas; Rosmej, Frank

2010-01-01

Different experimental schemes for investigation of warm dense matter produced with intense energetic ion beams are presented. The described target configurations allow direct measurements of thermophysical and transport properties of warm dense matter without hydrodynamic recalculations. The presented experiments will be realized at the current GSI synchrotron SIS-18 and the future FAIR facility in the framework of the WDM-collaboration.

Beam Diagnostics Challenges in the FAIR Project at GSI

International Nuclear Information System (INIS)

Peters, Andreas; Forck, Peter

2006-01-01

The planned FAIR (Facility for Antiproton and Ion Research) project consists of two heavy ion synchrotrons and four large storage rings, the existing GSI facility together with a new high-current proton linac will be used as the injector chain. The fast cycling, superconducting synchrotrons are build for high current operation with the aim of secondary ion and antiproton production. A large variety of low current secondary beams as well as the antiprotons are stored and cooled in the four storage rings. A complex operation scheme with multiple use of transport lines is foreseen. This demands an exceptional high dynamic range for the beam instrumentation. Due to the enormous beam power, non-destructive methods are mandatory for high currents as well as for the low current secondary beams due to the low repetition rate. Precise measurements of all beam parameters and automatic steering or feedback capabilities are required due to the necessary exploitation of the full ring acceptances. Moreover, online beam-corrections with short response times are mandatory for the fast ramping super-conducting magnets. An overview of the challenges and projected innovative solutions for various diagnostic installations will be given

Distribution of Severity of Injury/Illness Index according to ICD-10 groups

DEFF Research Database (Denmark)

Nielsen, Niels Dalsgaard; Dahl, Michael; Rostgaard-Knudsen, Martin

OBJECTIVE: In our area patients seen by the Prehospital Emergency Physician (PEP) are all classified according to the Severity of Injury/Illness Index (SIII) groups 0 to 7. This classification enables the evaluation of the optimal use of the PEP and focus on education. The PEP should only......, dispatches a PEP for major injury and severe medical conditions. For 72 months we extracted data regarding six main groups of diagnosis according to the ICD-10-system: Metabolic diseases, Diseases of the Central Nervous System (CNS), Diseases of the circulatory system, Diseases of the respiratory system...

Proposing melasma severity index: A new, more practical, office-based scoring system for assessing the severity of melasma

Directory of Open Access Journals (Sweden)

Imran Majid

2016-01-01

Full Text Available Background: Melasma Area and Severity Index (MASI, the scoring system in melasma, needs to be refined. Aims and Objectives: To propose a more practical scoring system, named as Melasma Severity Index (MSI, for assessing the disease severity and treatment response in melasma. Materials and Methods: Four dermatologists were trained to calculate MASI and also the proposed MSI scores. For MSI, the formula used was 0.4 (a × p 2 l + 0.4 (a × p 2 r + 0.2 (a × p 2 n where "a" stands for area, "p" for pigmentation, "l" for left face, "r" for right face, and "n" for nose. On a single day, 30 enrolled patients were randomly examined by each trained dermatologist and their MASI and MSI scores were calculated. Next, each rater re-examined every 6 th patient for repeat MASI and MSI scoring to assess intra- and inter-rater reliability of MASI and MSI scores. Validity was assessed by comparing the individual scores of each rater with objective data from mexameter and ImageJ software. Results: Inter-rater reliability, as assessed by intraclass correlation coefficient, was significantly higher for MSI (0.955 as compared to MASI (0.816. Correlation of scores with objective data by Spearman′s correlation revealed higher rho values for MSI than for MASI for all raters. Limitations: Sample population belonged to a single ethnic group. Conclusions: MSI is simpler and more practical scoring system for melasma.

Challenges and opportunities for atomic physics at FAIR: The new GSI accelerator project

Energy Technology Data Exchange (ETDEWEB)

Hagmann, S. [Institut f. Kernphysik, University of Frankfurt (Germany) and GSI, Max Planckstr.1, Darmstadt (Germany)]. E-mail: s.hagmann@gsi.de; Beyer, H.F. [GSI, Max Planckstr.1, Darmstadt (Germany); Bosch, F. [GSI, Max Planckstr.1, Darmstadt (Germany); Braeuning-Demian, A. [GSI, Max Planckstr.1, Darmstadt (Germany); Kluge, H.-J. [GSI, Max Planckstr.1, Darmstadt (Germany); Kozhuharov, Ch. [GSI, Max Planckstr.1, Darmstadt (Germany); Kuehl, Th. [GSI, Max Planckstr.1, Darmstadt (Germany); Liesen, D. [GSI, Max Planckstr.1, Darmstadt (Germany); Stoehlker, Th. [GSI, Max Planckstr.1, Darmstadt (Germany); Ullrich, J. [Max Planck Inst. f. Kernphysik, Heidelberg (Germany); Moshammer, R. [Max Planck Inst. f. Kernphysik, Heidelberg (Germany); Mann, R. [GSI, Max Planckstr.1, Darmstadt (Germany); Mokler, P. [GSI, Max Planckstr.1, Darmstadt (Germany); Quint, W. [GSI, Max Planckstr.1, Darmstadt (Germany); Schuch, R. [Department of Physics, University of Stockholm (Sweden); Warczak, A. [Department of Physics, University of Cracow (Poland)

2005-12-15

We present a short overview of the current status of the new accelerator project FAIR at GSI with the new double synchrotron rings and the multi-storage rings. The key features of the new facility, which provides intense relativistic beams of stable and unstable nuclei, are introduced and their relation to the anticipated experimental programs in nuclear structure physics and antiproton physics is shown. The main emphasis in this overview is given to the atomic physics program with unique opportunities which will be provided e.g. by bare U{sup 92+} ions with kinetic energies continuously variable between relativistic energies corresponding to {gamma} up to {approx_equal}35 down to kinetic energies of such ions in traps corresponding to fractions of a Kelvin.

A Prototype Regional GSI-based EnKF-Variational Hybrid Data Assimilation System for the Rapid Refresh Forecasting System: Dual-Resolution Implementation and Testing Results

Science.gov (United States)

Pan, Yujie; Xue, Ming; Zhu, Kefeng; Wang, Mingjun

2018-05-01

A dual-resolution (DR) version of a regional ensemble Kalman filter (EnKF)-3D ensemble variational (3DEnVar) coupled hybrid data assimilation system is implemented as a prototype for the operational Rapid Refresh forecasting system. The DR 3DEnVar system combines a high-resolution (HR) deterministic background forecast with lower-resolution (LR) EnKF ensemble perturbations used for flow-dependent background error covariance to produce a HR analysis. The computational cost is substantially reduced by running the ensemble forecasts and EnKF analyses at LR. The DR 3DEnVar system is tested with 3-h cycles over a 9-day period using a 40/˜13-km grid spacing combination. The HR forecasts from the DR hybrid analyses are compared with forecasts launched from HR Gridpoint Statistical Interpolation (GSI) 3D variational (3DVar) analyses, and single LR hybrid analyses interpolated to the HR grid. With the DR 3DEnVar system, a 90% weight for the ensemble covariance yields the lowest forecast errors and the DR hybrid system clearly outperforms the HR GSI 3DVar. Humidity and wind forecasts are also better than those launched from interpolated LR hybrid analyses, but the temperature forecasts are slightly worse. The humidity forecasts are improved most. For precipitation forecasts, the DR 3DEnVar always outperforms HR GSI 3DVar. It also outperforms the LR 3DEnVar, except for the initial forecast period and lower thresholds.

SCL-90-R Symptom Profiles and Outcome of Short-Term Psychodynamic Group Therapy

DEFF Research Database (Denmark)

Jensen, Hans Henrik; Mortensen, Erik Lykke; Lotz, Martin

2013-01-01

Abstract Background. Psychodynamic group psychotherapy may not be an optimal treatment for anxiety and agoraphobic symptoms. We explore remission of SCL-90-R Global Severity Index (GSI) and target symptoms in 39 sessions of psychodynamic group therapy. Methods. SCL-90-R “target symptom” profile a...

Biology experiments at UNILAC. Reports from the biology user meeting, GSI, 3 October 1985

International Nuclear Information System (INIS)

1985-10-01

On 3 Oct 1985, an internal Biology User Meeting of the groups working at GSI was arranged for the purpose of exchanging information and having discussions. It was found that the experimental data obtained so far are quite complex, and that the attempts at a theoretical treatment are still in a very early stage. To keep the discussion going, this report therefore presents the contributions of the various groups as far as these have been available. Most of the information was not in finished reports but in the form of diagrams and tables with explanations, sometimes even in the form of handwritten notes or sketches. Separate records are available for 13 contributions. (orig./MG) [de

A Computer Adaptive Testing Version of the Addiction Severity Index-Multimedia Version (ASI-MV): The Addiction Severity CAT

Science.gov (United States)

Butler, Stephen F.; Black, Ryan A.; McCaffrey, Stacey A.; Ainscough, Jessica; Doucette, Ann M.

2017-01-01

The purpose of this study was to develop and validate a computer adaptive testing (CAT) version of the Addiction Severity Index-Multimedia Version (ASI-MV®), the Addiction Severity CAT. This goal was accomplished in four steps. First, new candidate items for Addiction Severity CAT domains were evaluated after brainstorming sessions with experts in substance abuse treatment. Next, this new item bank was psychometrically evaluated on a large non-clinical (n =4419) and substance abuse treatment sample (n =845). Based on these results, final items were selected and calibrated for the creation of the Addiction Severity CAT algorithms. Once the algorithms were developed for the entire assessment, a fully functioning prototype of an Addiction Severity CAT was created. CAT simulations were conducted and optimal termination criteria were selected for the Addiction Severity CAT algorithms. Finally, construct validity of the CAT algorithms was evaluated by examining convergent/discriminant validity and sensitivity to change. The Addiction Severity CAT was determined to be valid, sensitive to change, and reliable. Further, the Addiction Severity CAT’s time of administration was found to be significantly less than the average time of administration for the ASI-MV composite scores. This study represents the initial validation of an IRT-based Addiction Severity CAT, and further exploration of the Addiction Severity CAT is needed. PMID:28230387

A computer adaptive testing version of the Addiction Severity Index-Multimedia Version (ASI-MV): The Addiction Severity CAT.

Science.gov (United States)

Butler, Stephen F; Black, Ryan A; McCaffrey, Stacey A; Ainscough, Jessica; Doucette, Ann M

2017-05-01

The purpose of this study was to develop and validate a computer adaptive testing (CAT) version of the Addiction Severity Index-Multimedia Version (ASI-MV), the Addiction Severity CAT. This goal was accomplished in 4 steps. First, new candidate items for Addiction Severity CAT domains were evaluated after brainstorming sessions with experts in substance abuse treatment. Next, this new item bank was psychometrically evaluated on a large nonclinical (n = 4,419) and substance abuse treatment (n = 845) sample. Based on these results, final items were selected and calibrated for the creation of the Addiction Severity CAT algorithms. Once the algorithms were developed for the entire assessment, a fully functioning prototype of an Addiction Severity CAT was created. CAT simulations were conducted, and optimal termination criteria were selected for the Addiction Severity CAT algorithms. Finally, construct validity of the CAT algorithms was evaluated by examining convergent and discriminant validity and sensitivity to change. The Addiction Severity CAT was determined to be valid, sensitive to change, and reliable. Further, the Addiction Severity CAT's time of completion was found to be significantly less than the average time of completion for the ASI-MV composite scores. This study represents the initial validation of an Addiction Severity CAT based on item response theory, and further exploration of the Addiction Severity CAT is needed. (PsycINFO Database Record (c) 2017 APA, all rights reserved).

Assessing Agricultural Drought in the Anthropocene: A Modified Palmer Drought Severity Index

Directory of Open Access Journals (Sweden)

Mingzhi Yang

2017-09-01

Full Text Available In the current human-influenced era, drought is initiated by natural and human drivers, and human activities are as integral to drought as meteorological factors. In large irrigated agricultural regions with high levels of human intervention, where the natural farmland soil moisture has usually been changed significantly by high-frequency irrigation, the actual severity of agricultural drought is distorted in traditional drought indices. In this work, an agricultural drought index that considering irrigation processes based on the Palmer drought severity index (IrrPDSI was developed to interpret the real agricultural drought conditions in irrigated regions, with a case study in the Haihe River Basin in northeast China. The water balance model in the original PDSI was revised by an auto-irrigation threshold method combined with a local irrigation schedule. The auto-irrigation setting of the index was used by taking irrigation quotas during specific growth stages of specific crops (wheat–corn into consideration. A series of weekly comparative analyses are as follows: (1 The soil moisture analyses showed that soil moisture values calculated by the modified water balance model were close to the real values; (2 The statistical analyses indicated that most of the stations in the study area based on IrrPDSI had nearly normal distributed values; (3 The time series and spatial analyses showed that the results of the IrrPDSI-reported dry-wet evaluation were more consistent with documented real conditions. All the results revealed that IrrPDSI performed well when used to assess agricultural drought. This work has direct significance for agricultural drought management in large irrigated areas heavily disturbed by human activity.

Construction and building of a compact RFQ spiral structure for the stopping of highly charged heavy ion beams for the HITRAP project of the GSI; Konstruktion und Aufbau einer kompakten RFQ-Spiral-Struktur zum Abbremsen hochgeladener Schwerionenstrahlen fuer das HITRAP-Projekt der GSI

Energy Technology Data Exchange (ETDEWEB)

Hofmann, B.

2007-07-01

For experiments of the atomic-physics group of the GSI in Darmstadt an ion stopper is built, which will make low-energetic, extremely highly charged ions available. The plannings for the so-called HITRAP (highly charged ion's trap) began at the beginning of the ninetieth. With this facility highly-charged heavy ions shall be stopped in two stages to very low, thermal velocities, and be available for highly precise mass spectroscopy, measurements of the g factor of the bound electron of hydrogen-like ions, and other atomic-physics experiments. This decelerator facility shall first be built in the reinjection channel behind the ESR with the possibility, to apply all components later in teh extension of the GSI in the framework of the FAIR project in the facility for low-energetic antiprotons and ions to be newly built. the present thesis treats the development and the building of an integrated RFQ debuncher stopping accelerator, which represents a part of the HITRAP stopping structures. By this the ion beam is stopped from the IH stopping accelerator with an energy of 500 keV/u to 5 keV/u. By the integrated spiral buncher the beam can be fitted in energy and energy deviation to the subsequent cooler trap. In this thesis the foundations of the particle dynamics in a RFQ accelerator for the stopping of particle beams were worked out and realized, the particle-dynamics calculations necessary for the lay-out of such a structure performed with RFQSim, suitable RF structures with the simulation program Microwave Studio developed and studied, as well as the thermal load of the structures studied with the finite-element code ALGOR. A further, central topic of this thesis is the building and the tuning of the RFQ structure in order to reach a homogeneous as possible field distribution along the electrodes. Measurements of the fields in the RFQ were performed with a disturbing condenser, at the debuncher with a disturbing body. After successfully performed vacuum tests at

Studies on fission with ALADIN. Precise and simultaneous measurement of fission yields, total kinetic energy and total prompt neutron multiplicity at GSI

International Nuclear Information System (INIS)

Martin, Julie-Fiona; Taieb, Julien; Chatillon, Audrey; Belier, Gilbert; Boutoux, Guillaume; Ebran, Adeline; Gorbinet, Thomas; Grente, Lucie; Laurent, Benoit; Pellereau, Eric; Alvarez-Pol, Hector; Ayyad, Yassid; Benlliure, Jose; Cortina Gil, Dolores; Caamano, Manuel; Fernandez Dominguez, Beatriz; Paradela, Carlos; Ramos, Diego; Rodriguez-Sanchez, Jose-Luis; Vargas, Jossitt; Audouin, Laurent; Tassan-Got, Laurent; Aumann, Thomas; Casarejos, Enrique; Farget, Fanny; Rodriguez-Tajes, Carme; Heinz, Andreas; Jurado, Beatriz; Kelic-Heil, Aleksandra; Kurz, Nikolaus; Nociforo, Chiara; Pietri, Stephane; Rossi, Dominic; Schmidt, Karl-Heinz; Simon, Haik; Voss, Bernd; Weick, Helmut

2015-01-01

A novel technique for fission studies, based on the inverse kinematics approach, is presented. Following pioneering work in the nineties, the SOFIA Collaboration has designed and built an experimental set-up dedicated to the simultaneous measurement of isotopic yields, total kinetic energies and total prompt neutron multiplicities, by fully identifying both fission fragments in coincidence, for the very first time. This experiment, performed at GSI, permits to study the fission of a wide variety of fissioning systems, ranging from mercury to neptunium, possibly far from the valley of stability. A first experiment, performed in 2012, has provided a large array of unprecedented data regarding the nuclear fission process. An excerpt of the results is presented. With this solid starter, further improvements of the experimental set-up are considered, which are consistent with the expected developments at the GSI facility, in order to measure more fission observables in coincidence. The completeness reached in the SOFIA data, permits to scrutinize the correlations between the interesting features of fission, offering a very detailed insight in this still unraveled mechanism. (orig.)

Studies on fission with ALADIN. Precise and simultaneous measurement of fission yields, total kinetic energy and total prompt neutron multiplicity at GSI

Energy Technology Data Exchange (ETDEWEB)

Martin, Julie-Fiona; Taieb, Julien; Chatillon, Audrey; Belier, Gilbert; Boutoux, Guillaume; Ebran, Adeline; Gorbinet, Thomas; Grente, Lucie; Laurent, Benoit; Pellereau, Eric [CEA DAM Bruyeres-le-Chatel, Arpajon (France); Alvarez-Pol, Hector; Ayyad, Yassid; Benlliure, Jose; Cortina Gil, Dolores; Caamano, Manuel; Fernandez Dominguez, Beatriz; Paradela, Carlos; Ramos, Diego; Rodriguez-Sanchez, Jose-Luis; Vargas, Jossitt [Universidad de Santiago de Compostela, Santiago de Compostela (Spain); Audouin, Laurent; Tassan-Got, Laurent [CNRS/IN2P3, IPNO, Orsay (France); Aumann, Thomas [Technische Universitaet Darmstadt, Darmstadt (Germany); Casarejos, Enrique [Universidad de Vigo, Vigo (Spain); Farget, Fanny; Rodriguez-Tajes, Carme [CNRS/IN2P3, GANIL, Caen (France); Heinz, Andreas [Chalmers University of Technology, Gothenburg (Sweden); Jurado, Beatriz [CNRS/IN2P3, CENBG, Gradignan (France); Kelic-Heil, Aleksandra; Kurz, Nikolaus; Nociforo, Chiara; Pietri, Stephane; Rossi, Dominic; Schmidt, Karl-Heinz; Simon, Haik; Voss, Bernd; Weick, Helmut [GSI Helmholtzzentrum fuer Schwerionenforschung GmbH, Darmstadt (Germany)

2015-12-15

A novel technique for fission studies, based on the inverse kinematics approach, is presented. Following pioneering work in the nineties, the SOFIA Collaboration has designed and built an experimental set-up dedicated to the simultaneous measurement of isotopic yields, total kinetic energies and total prompt neutron multiplicities, by fully identifying both fission fragments in coincidence, for the very first time. This experiment, performed at GSI, permits to study the fission of a wide variety of fissioning systems, ranging from mercury to neptunium, possibly far from the valley of stability. A first experiment, performed in 2012, has provided a large array of unprecedented data regarding the nuclear fission process. An excerpt of the results is presented. With this solid starter, further improvements of the experimental set-up are considered, which are consistent with the expected developments at the GSI facility, in order to measure more fission observables in coincidence. The completeness reached in the SOFIA data, permits to scrutinize the correlations between the interesting features of fission, offering a very detailed insight in this still unraveled mechanism. (orig.)

Development and validation of the Dyspnea Index (DI): a severity index for upper airway-related dyspnea.

Science.gov (United States)

Gartner-Schmidt, Jackie L; Shembel, Adrianna C; Zullo, Thomas G; Rosen, Clark A

2014-11-01

To (1) develop and validate the Dyspnea Index (DI); (2) quantify severity of symptoms in upper airway dyspnea; and (3) validate the DI as an outcome measure. Survey development and validation. Three hundred sixty-nine participants were recruited for different phases of the study. Two hundred participants with chief complaints of dyspnea were given a 41-item questionnaire addressing common symptoms of dyspnea related to the upper airway. The questions were then reduced based on principal component analysis (PCA) and internal consistency resulting in a 10-item questionnaire. Cognitive interviews were conducted with 15 participants. Test-retest reliability and discriminant validity were measured from 51 participants. The DI was further validated by administering the index to 57 healthy controls (HC). Validation of the DI as a treatment outcome tool occurred with 46 participants' pre- and post-treatment scores. PCA revealed that only a single factor was being measured in both the original 41- and 10-item questionnaires. Additional cognitive interviewing suggested that no modification was needed to the DI. Test-retest reliability was r = 0.83. Discriminant validity was r = 0.62. The Mann-Whitney test demonstrated significant differences between healthy/symptomatic participants. Scores from the HC cohort resulted in a mean of 3.12 (SEM = 0.484; SD = 3.65) for the normative values. The DI is an effective and efficient instrument to quantify patients' symptoms of upper airway dyspnea. It is a statistically robust index, with significant reliability and validity, and can be dependably used as a treatment outcome measure. Copyright © 2014 The Voice Foundation. Published by Elsevier Inc. All rights reserved.

The extremity function index (EFI), a disability severity measure for neuromuscular diseases : psychometric evaluation

NARCIS (Netherlands)

Bos, Isaac; Wynia, Klaske; Drost, Gea; Almansa, Josué; Kuks, Joannes

2017-01-01

OBJECTIVE: To adapt and to combine the self-report Upper Extremity Functional Index and Lower Extremity Function Scale, for the assessment of disability severity in patients with a neuromuscular disease and to examine its psychometric properties in order to make it suitable for indicating disease

Tune measurements with high intensity ion beams at GSI SIS-18

Energy Technology Data Exchange (ETDEWEB)

Singh, Rahul [GSI, Darmstadt (Germany); TEMF, TU Darmstadt (Germany); Forck, Peter; Kowina, Piotr; Kaufmann, Wolfgang [GSI, Darmstadt (Germany); Weiland, Thomas [TEMF, TU Darmstadt (Germany)

2012-07-01

A precise tune measurement during a full accelerating cycle is required to achieve stable high current operation. A new system has been commissioned at GSI for position, orbit and tune measurements. It consists of three distinct parts; an exciter which provides power to excite coherent betatron oscillations in the bunched beam; Fast ADCs to digitize the BPM signals at 125 MSa/s; the post processing electronics uses digitized BPM signals to acquire one position value per bunch. Subsequently the baseband tune is determined by Fourier transformation of the position data. Experiments were conducted to understand the effects of high beam intensity on tune at injection plateau (11.4 MeV/u) and during acceleration ramp (11.4-600 MeV/u). These experiments were performed with U{sup 73+} and Ar{sup 18+} ion beam at highest achievable intensities of 2.10{sup 9} and 2.5.10{sup 10} respectively. Tune shift with increased intensity was observed. The working principle of the tune measurement system and observed high intensity effects on tune will be reported in this contribution.

The Addiction Severity Index: Reliability and validity in a Dutch alcoholic population

OpenAIRE

Dejong, C.A.J.; Willems, J.C.E.W.; Schippers, G.M.; Hendriks, V.M.

1995-01-01

The Addiction Severity Index (ASI) was evaluated for its psychometric qualities in a Dutch alcoholic population admitted to an addiction treatment center in the Netherlands. Its factorial structure in this population was found to be consistent with the established six factor structure of the ASI. Reliability analysis revealed that the homogeneity of the subscales was acceptable with the exception of the Alcohol Scale. The six subscales were not highly intercorrelated. The results of this stud...

The Addiction Severity Index: reliability and validity in a Dutch alcoholic population.

Science.gov (United States)

DeJong, C A; Willems, J C; Schippers, G M; Hendriks, V M

1995-04-01

The Addiction Severity Index (ASI) was evaluated for its psychometric qualities in a Dutch alcoholic population admitted to an addiction treatment center in The Netherlands. Its factorial structure in this population was found to be consistent with the established six factor structure of the ASI. Reliability analysis revealed that the homogeneity of the subscales was acceptable with the exception of the Alcohol Scale. The six subscales were not highly intercorrelated. The results of this study indicate that the ASI is a useful instrument for the assessment of several problems associated with alcoholism. However, the Alcohol Scale appears to be limited as a diagnostic and research instrument in the field of inpatient treatment of alcohol dependence in The Netherlands.

The relationship between the Nasality Severity Index 2.0 and perceptual judgments of hypernasality.

NARCIS (Netherlands)

K. Bettens; Anke Luyten; F. Wuyts; M. de Bodt; K. van Lierde; Y. Maryn

2016-01-01

PURPOSE: The Nasality Severity Index 2.0 (NSI 2.0) forms a new, multiparametric approach in the identification of hypernasality. The present study aimed to investigate the correlation between the NSI 2.0 scores and the perceptual assessment of hypernasality. METHOD: Speech samples of 35 patients,

Drought severity in intensive agricultural areas by means of the EDI index

Science.gov (United States)

Procházková, Petra; Chuchma, Filip; Středa, Tomáš

2016-12-01

The aim of this work was the evaluation of drought severity development in the Czech Republic for the period 1971-2015 by the means of the Effective Drought Index (EDI). Annual values of the EDI index were determined using the method of effective precipitation for 14 localities spread throughout the Czech Republic (Central Europe). The seven categories were created according to obtained index values for the drought conditions determination for years during the period 1971-2015 through the percentile method. The annual index values were compared with acquired 2nd, 15th, 45th, 55th, 85th and 98th percentiles. Both the years with precipitation unfavourable conditions: 1972, 1973, 1984, 1990, 1991, 1992, 1993 and 2015 and the years with precipitation favourable conditions: 1977, 1987, 1995, 2001, 2002 and 2010 were determined. Precipitation conditions in the growing season from 61st to 180th day of the year were also analysed. This evaluation was conducted during the period 1971-2015 through the ten-day index values which were compared with acquired 2nd, 15th, 45th, 55th, 85th and 98th percentiles. Dry growing seasons occurred in 1973, 1974, 1976 and 1993. Wet growing seasons occurred in 1987, 2006 and 2010. Trend analysis of annual index values was performed through the Mann-Kendall test. Highly statistically significant increasing linear trends (P < 0.01) were found for four localities (Uherský Ostroh, Vysoká, Znojmo-Oblekovice and Žatec); statistically significant increasing trends (P < 0.05) were found for three localities (Brno-Chrlice, Lednice and Lípa). Based on the extrapolation of the trend, a slightly higher effective precipitation can be expected during the year in a substantial part of the country. However, these findings do not necessarily mean an optimal supply of agricultural land with water. Precipitation exhibits considerable unevenness of distribution through time. Given the increasing evapotranspiration demands of the environment their

A beamline for x-ray laser spectroscopy at the experimental storage ring at GSI

International Nuclear Information System (INIS)

Winters, D F A; Bagnoud, V; Ecker, B; Eisenbarth, U; Götte, S; Kuehl, Th; Stöhlker, Th; Zielbauer, B; Neumayer, P; Spielmann, C

2013-01-01

By combining an x-ray laser (XRL) with a heavy-ion storage ring, precision laser spectroscopy of the fine-structure splitting in heavy Li-like ions will be possible. An initial study has been performed to determine the feasibility of a first experiment at the experimental storage ring at GSI in Darmstadt, which also has great potential for the experiments planned for FAIR. We plan to perform a unique, direct and precise measurement of a fine-structure transition in a heavy Li-like ion. Such a measurement will test state-of-the-art atomic structure calculations in strong fields. This endeavour will require that the existing infrastructure is complemented by a dedicated beamline for the XRL. In this paper, we will discuss the details of this project and outline a proof-of-principle experiment. (paper)

A global coupling index of multivariate neural series with application to the evaluation of mild cognitive impairment.

Science.gov (United States)

Wen, Dong; Xue, Qing; Lu, Chengbiao; Guan, Xinyong; Wang, Yuping; Li, Xiaoli

2014-08-01

Recently, the synchronization between neural signals has been widely used as a key indicator of brain function. To understand comprehensively the effect of synchronization on the brain function, accurate computation of the synchronization strength among multivariate neural series from the whole brain is necessary. In this study, we proposed a method named global coupling index (GCI) to estimate the synchronization strength of multiple neural signals. First of all, performance of the GCI method was evaluated by analyzing simulated EEG signals from a multi-channel neural mass model, including the effects of the frequency band, the coupling coefficient, and the signal noise ratio. Then, the GCI method was applied to analyze the EEG signals from 12 mild cognitive impairment (MCI) subjects and 12 normal controls (NC). The results showed that GCI method had two major advantages over the global synchronization index (GSI) or S-estimator. Firstly, simulation data showed that the GCI method provided both a more robust result on the frequency band and a better performance on the coupling coefficients. Secondly, the actual EEG data demonstrated that GCI method was more sensitive in differentiating the MCI from control subjects, in terms of the global synchronization strength of neural series of specific alpha, beta1 and beta2 frequency bands. Hence, it is suggested that GCI is a better method over GSI and S-estimator to estimate the synchronization strength of multivariate neural series for predicting the MCI from the whole brain EEG recordings. Copyright © 2014. Published by Elsevier Ltd.

Atomic collision studies at moderate projectile velocities using highly charged, decelerated heavy ions from the GSI-UNILAC

International Nuclear Information System (INIS)

Mokler, P.H.; Hoffmann, D.H.H.; Schoenfeldt, W.A.; Maor, D.

1984-01-01

Beams of highly ionized, very heavy atoms at moderate velocities have been produced at the UNILAC using the acceleration-stripping-deceleration method. The available ion species range from Kr 33+ to U 66+ in the energy region between 2 and 5 MeV/u. A survey on first experiments at GSI using these moderate velocity, few electron, heavy ion beams is given. The effectiveness of the method is demonstrated for Xesup(q+)-Xe collision experiments with 41 <= q <= 45. Results on vacancy transfer between inner quasimolecular levels for close collisions, and on distant collision electron capture are reported. (orig.)

The ASY-EOS experiment at GSI: investigating symmetry energy at supra-saturation densities

Directory of Open Access Journals (Sweden)

Russotto P.

2014-03-01

Full Text Available The elliptic-flow ratio of neutrons with respect to protons or light complex particles in reactions of heavy-ions at pre-relativistic energies has been proposed as an observable sensitive to the strength of the symmetry term of the nuclear equation of state at supra-saturation densities. The results obtained from the existing FOPI/LAND data for 197Au+197Au collisions at 400 MeV/nucleon in comparison with the UrQMD model simulations favoured a moderately soft symmetry term, but suffer from a considerable statistical uncertainty. These results have been confirmed by an independent analysis based on the Tübingen QMD simulations. In order to obtain an improved data set for Au+Au collisions and to extend the study to other systems, a new experiment was carried out at the GSI laboratory by the ASY-EOS collaboration. The present status of the data analysis is reported

Present and Future Experiments with Stored Exotic Nuclei at GSI

International Nuclear Information System (INIS)

Geissel, H.

2009-01-01

Recent results and perspectives of experiments with stored exotic nuclei at GSI-FAIR will presented. An overview on the planned NUSTAR experiments will also presented. Relativistic exotic nuclei produced via projectile fragmentation and fission were separated in flight by the fragment separator FRS and injected into the storage-cooler ring ESR for accurate mass- and lifetime measurements. Direct mass measurements of electron-cooled exotic nuclei were performed using time-resolved Schottky spectrometry. Fragments with half-lives shorter than the time required for electron cooling have been investigated by time-of-flight measurements with the ESR being operated in the isochronous mode. This novel experimental technique gives access to all nuclei with half-lives down to the microsecond range and has been successfully applied. Lifetimes of stored bare and few-electron ions have been measured with the goal to study the beta-decay under ionization conditions prevailing in stellar plasma. For the first time the direct observation of bound-state beta decay has been achieved with 2 07T l fragments. The future project FAIR includes a new large-acceptance in-flight separator (Super-FRS) in combination with a new storage ring system (CR, NESR) which will be ideal tools to study exotic nuclei far from stability.(author)

Observer agreement of the Manchester Triage System and the Emergency Severity Index: a simulation study

NARCIS (Netherlands)

Storm-Versloot, M. N.; Ubbink, D. T.; Chin a Choi, V.; Luitse, J. S. K.

2009-01-01

Objectives: To compare inter and intra-observer agreement of the Manchester Triage System (MTS) and the Emergency Severity Index (ESI). Methods: 50 representative emergency department (ED) scenarios derived from actual cases were presented to 18 ED nurses from three different hospitals. Eight of

Resolution of GSI B-56 - Emergency diesel generator reliability

International Nuclear Information System (INIS)

Serkiz, A.W.

1989-01-01

The need for an emergency diesel generator (EDG) reliability program has been established by 10 CFR Part 50, Section 50.63, Loss of All Alternating Current Power, which requires that licensees assess their station blackout coping and recovery capability. EDGs are the principal emergency ac power sources for avoiding a station blackout. Regulatory Guide 1.155, Station Blackout, identifies a need for (1) a nuclear unit EDG reliability level of at least 0.95, and (2) an EDG reliability program to monitor and maintain the required EDG reliability levels. NUMARC-8700, Guidelines and Technical Bases for NUMARC Initiatives Addressing Station Blackout at Light Water Reactors, also provides guidance on such needs. The resolution of GSI B-56, Diesel Reliability will be accomplished by issuing Regulatory Guide 1.9, Rev. 3, Selection, Design, Qualification, Testing, and Reliability of Diesel Generator Units Used as Onsite Electric Power Systems at Nuclear Plants. This revision will integrate into a single regulatory guide pertinent guidance previously addressed in R.G. 1.9, Rev. 2, R.G. 1.108, and Generic Letter 84-15. R.G. 1.9 has been expanded to define the principal elements of an EDG reliability program for monitoring and maintaining EDG reliability levels selected for SBO. In addition, alert levels and corrective actions have been defined to detect a deteriorating situation for all EDGs assigned to a particular nuclear unit, as well as an individual problem EDG

Application of Beam Diagnostics for Intense Heavy Ion Beams at the GSI UNILAC

CERN Document Server

Barth, W; Glatz, J; Groening, L; Richter, S; Yaramishev, S

2003-01-01

With the new High Current Injector (HSI) of the GSI UNILAC the beam pulse intensity had been increased by approximately two orders of magnitudes. The HSI was mounted and commissioned in 1999; since this time the UNILAC serves as an injector for the synchrotron SIS, especially for high uranium intensities. Considering the high beam power of up to 1250 kW and the short stopping range for the UNILAC beam energies (≤12 MeV/u), accelerator components could be destroyed, even during a single beam pulse. All diagnostic elements had to be replaced preferably by non-destructive devices. The beam current is mainly measured by beam transformers instead of Faraday cups, beam positions are measured with segmented capacitive pick-ups and secondary beam monitors instead of profile harps. The 24 installed pick-ups are also used to measure intensities, widths and phase of the bunches, as well beam energies by evaluating pick-ups at different positions. The residual gas ionization monitors allow on-line measurements ...

Correlation of endoscopic severity of gastroesophageal reflux disease (gerd) with body mass index (bmi)

International Nuclear Information System (INIS)

Zafar, S.; Haq, I.U.; Butt, A.R.; Shafiq, F.; Huda, G.; Mirza, G.; Rehman, A.U.

2007-01-01

To assess the correlation of endoscopic severity of Gastroesophageal Reflux Disease (GERD) with Body Mass Index (BMI). This study was conducted on 203 patients, who presented with upper GI symptoms. Patients who fulfilled the symptom criteria were referred for endoscopy. Classification of GERD was done according to LA Grading classification system. Body mass index (BMI) was calculated as Body Weight (BW) in kilograms (kg) divided by the square of the body height (BH) in meter (m2). Patient data was analyzed using SPSS 12 software. Statistical evaluation was done using non-parametric Wilcoxon's-sign Rank test. P-value <0.05 was considered to be statistically significant. Distribution of GERD was as follows: GERD-A subjects 65 (32%), GERD B subjects 72 (35.4%), GERD-C subjects 23 (11.3%), GERD-D subjects 10 (4.92%), while Non-Erosive Reflux Disease (NERD) was present in 33 subjects (16.2%). Mean BMI was 27+5.02SD (range of 18.2-38.3). BMI of patients having NERD was in normal range but patients who were having advanced disease i.e. Grade C-D were in obese range of BMI, while those who were having LA grade A-B were in overweight BMI range. When regrouped as mild GERD (grade A-B) and NERD versus severe GERD (grade C-D), there was a strong significant correlation between severity of GERD and BMI, as detected by Wilcoxon's signed Rank test (p=0.001). Higher BMI seems to be associated with higher degree of endoscopic GERD severity. (author)

Evidence for increasingly variable Palmer Drought Severity Index in the United States since 1895.

Science.gov (United States)

Rayne, Sierra; Forest, Kaya

2016-02-15

Annual and summertime trends towards increasingly variable values of the Palmer Drought Severity Index (PDSI) over a sub-decadal period (five years) were investigated within the contiguous United States between 1895 and the present. For the contiguous United States as a whole, there is a significant increasing trend in the five-year running minimum-maximum ranges for the annual PDSI (aPDSI5 yr(min|max, range)). During this time frame, the average aPDSI5 yr(min|max, range) has increased by about one full unit, indicating a substantial increase in drought variability over short time scales across the United States. The end members of the running aPDSI5 yr(min|max, range) highlight even more rapid changes in the drought index variability within the past 120 years. This increasing variability in the aPDSI5 yr(min|max, range) is driven primarily by changes taking place in the Pacific and Atlantic Ocean coastal climate regions, climate regions which collectively comprise one-third the area of the contiguous United States. Similar trends were found for the annual and summertime Palmer Hydrological Drought Index (PHDI), the Palmer Modified Drought Index (PMDI), and the Palmer Z Index (PZI). Overall, interannual drought patterns in the contiguous United States are becoming more extreme and difficult to predict, posing a challenge to agricultural and other water-resource related planning efforts. Copyright © 2015 Elsevier B.V. All rights reserved.

Production of a pion in association with a high-Q2 dilepton pair in antiproton-proton annihilation at GSI-FAIR

International Nuclear Information System (INIS)

Lansberg, J. P.; Pire, B.; Szymanowski, L.

2007-01-01

We evaluate the cross section for pp→l + l - π 0 in the forward direction and for a large lepton pair invariant mass. In this kinematical region, the leading-twist amplitude factorizes into a short-distance matrix element, long-distance antiproton-distribution amplitudes, and proton to pion transition distribution amplitudes (TDAs). Using a modeling inspired from the chiral limit for these TDAs, we obtain a first estimate of this cross section, which demonstrates that this process can be measured at GSI-FAIR

Association of Body Mass Index with Asthma Severity and Pulmonary Function among Asthmatic Children

Directory of Open Access Journals (Sweden)

Rasuol Nasiri Kalmarzi

2016-09-01

Full Text Available Background Asthma is a chronic inflammatory disease in respiratory system and obesity is another inflammatory disease which incidence rate is increasing. Although, many studies have been conducted on severity of asthma and its relationship with obesity, but different results have been obtained. This study aimed to determine a relationship between asthma severity, Body Mass Index (BMI and pulmonary function in Kurdistan province, Iran. Materials and Methods: In this cross sectional study 90 asthmatic patients referred to referral hospital in Kurdistan, North West of Iran, were selected by simple random method. BMI was calculated by dividing weight by height.Pulmonary Function Test (PFT and bronchial-stimulation-test were used for confirmation and investigation of asthma severity. Data were analyzed using SPSS-15 and Chi-square and spearman correlation coefficient tests. Results: Relationship between BMI and severity of asthma (mild, medium and severe was evaluated, there was a relationship and positive relationship between them (P

Investigations on KONUS beam dynamics using the pre-stripper drift tube linac at GSI

Science.gov (United States)

Xiao, C.; Du, X. N.; Groening, L.

2018-04-01

Interdigital H-mode (IH) drift tube linacs (DTLs) based on KONUS beam dynamics are very sensitive to the rf-phases and voltages at the gaps between tubes. In order to design these DTLs, a deep understanding of the underlying longitudinal beam dynamics is mandatory. The report presents tracking simulations along an IH-DTL using the PARTRAN and BEAMPATH codes together with MATHCAD and CST. Simulation results illustrate that the beam dynamics design of the pre-stripper IH-DTL at GSI is sensitive to slight deviations of rf-phase and gap voltages with impact to the mean beam energy at the DTL exit. Applying the existing geometrical design, rf-voltages, and rf-phases of the DTL were re-adjusted. In simulations this re-optimized design can provide for more than 90% of transmission of an intense 15 emA beam keeping the reduction of beam brilliance below 25%.

Sensitivity of the Addiction Severity Index physical and sexual assault items: preliminary findings on gender differences

NARCIS (Netherlands)

Langeland, W.; van den Brink, W.; Draijer, N.; Hartgers, C.

2001-01-01

Evaluation of the Addiction Severity Index (ASI) as a screen for identifying sexual and physical assault histories. The sensitivity and specificity of the ASI assault items were examined in 146 alcoholic patients with the assault questions of the Composite International Diagnostic Interview

Nuclear Structure of the Heaviest Elements – Investigated at SHIP-GSI

Directory of Open Access Journals (Sweden)

Heßberger Fritz Peter

2014-03-01

Full Text Available The quest for the heaviest nuclei that can exist is a basic topic in natural science as their stability is characterized by a delicate interplay of short range nuclear forces acting between the nucleons (protons and neutrons and long-range Coulomb forces acting solely between charged particles, i.e. the protons. As the stability of a nucleus is strongly correlated to its structure, understanding the nuclear structure of heaviest nuclei is presently a main challenge of experimental and theoretical investigations concerning the field of Superheavy Elements. At the velocity filter SHIP at GSI Darmstadt an extensive program on nuclear structure investigations has been started about a decade ago. The project covered both as well systematic investigations of single particle levels in odd-mass isotopes populated by α-decay as investigation of two- or fourquasi-particle states forming K isomers and was supplemented by direct mass measurements at SHIPTRAP and investigation of spontaneous fission properties. Recent experimental studies allowed to extend the systematics of low lying levels in N = 151 and N = 153 up to 255Rf and 259Sg, investigation of possible relations between nuclear structure and fission properties of odd-mass nuclei and investigation of shell strengths at N = 152 and towards N = 162.

Data-flow coupling and data-acquisition triggers for the PreSPEC-AGATA campaign at GSI

Energy Technology Data Exchange (ETDEWEB)

Ralet, D., E-mail: D.Ralet@gsi.de [Institut für Kernphysik, Technische Universität Darmstadt, Darmstadt (Germany); GSI, Helmholtzzentrum für Schwerionenforschung GmbH, Darmstadt (Germany); Pietri, S. [GSI, Helmholtzzentrum für Schwerionenforschung GmbH, Darmstadt (Germany); Aubert, Y. [Institut de Physique Nucléaire, Orsay (France); Bellato, M.; Bortolato, D. [Istituto Nazionale di Fisica Nucleare sezione di Padova, Padova (Italy); Brambilla, S.; Camera, F. [Istituto Nazionale di Fisica Nucleare sezione di Milano, Milano (Italy); Dosme, N. [CSNSM, Université Paris-Sud, Orsay (France); Gadea, A. [Instituto di Fisica Corpuscular, Valencia (Spain); Gerl, J. [GSI, Helmholtzzentrum für Schwerionenforschung GmbH, Darmstadt (Germany); Golubev, P. [Department of Physics, Lund University, Lund (Sweden); Grave, X. [CSNSM, Université Paris-Sud, Orsay (France); Johansson, H.T. [Chalmers University of Technology, Göteborg (Sweden); Karkour, N.; Korichi, A. [CSNSM, Université Paris-Sud, Orsay (France); Kurz, N. [GSI, Helmholtzzentrum für Schwerionenforschung GmbH, Darmstadt (Germany); Lafay, X.; Legay, E.; Linget, D. [CSNSM, Université Paris-Sud, Orsay (France); Pietralla, N. [Institut für Kernphysik, Technische Universität Darmstadt, Darmstadt (Germany); GSI, Helmholtzzentrum für Schwerionenforschung GmbH, Darmstadt (Germany); and others

2015-06-21

The PreSPEC setup for high-resolution γ-ray spectroscopy using radioactive ion beams was employed for experimental campaigns in 2012 and 2014. The setup consisted of the state of the art Advanced GAmma Tracking Array (AGATA) and the High Energy γ deteCTOR (HECTOR+) positioned around a secondary target at the final focal plane of the GSI FRagment Separator (FRS) to perform in-beam γ-ray spectroscopy of exotic nuclei. The Lund York Cologne CAlorimeter (LYCCA) was used to identify the reaction products. In this paper we report on the trigger scheme used during the campaigns. The data-flow coupling between the Multi-Branch System (MBS) based Data AcQuisition (DAQ) used for FRS-LYCCA and the “Nouvelle Acquisition temps Réel Version 1.2 Avec Linux” (NARVAL) based acquisition system used for AGATA are also described.

PENGARUH KOMPENSASI DAN LINGKUNGAN KERJA TERHADAP KINERJA KARYAWAN DIVISI QIP PT. GSI CIANJUR

Directory of Open Access Journals (Sweden)

Suharyanto Suharyanto

2014-12-01

Full Text Available The role of human resource management is continously improved to enhance the performance of employees. PT GSI, as one of Indonesian company producing shoe products to meet demand from all around the world, needs employees with high performance. On the other side, the employees need reasonable compensation and safe work environments. This research is conducted to investigate the relationships and the effects of the compensation and work environment variables on the job performance. Using causal descriptive research method, samples of 77 units are randomly taken from 328 labors at the Quality Inspection Production Divison. The questionaire comprising eighteen questions is applied to explore the employee minds and perceptions on the relationships and effects of the compensation and work environment variables toward the job performance variable. The result of this research shows that compensation (X1 and work environment (X2 variables simultanously effect to the job performance variable (Y. The linier regression equation constructed is represented by Y = 4,375 - 0,181X1 + 0,382X2.

Interval Changes in Myocardial Performance Index Predict Outcome in Severe Sepsis.

Science.gov (United States)

Nizamuddin, Junaid; Mahmood, Feroze; Tung, Avery; Mueller, Ariel; Brown, Samuel M; Shaefi, Shahzad; O'Connor, Michael; Talmor, Daniel; Shahul, Sajid

2017-06-01

Septic cardiomyopathy is a well-described consequence of septic shock and is associated with increased sepsis-related mortality. The myocardial performance index (MPI), a parameter derived from echocardiographic tissue Doppler measurements, allows for a more sensitive assessment of global cardiac function than do traditional metrics for cardiac function. The authors hypothesized that changes in left ventricular MPI in patients with severe sepsis would be associated with a higher 90-day mortality. Prospective, observational study. Intensive care units of a tertiary medical center. The study comprised 47 patients admitted with new diagnoses of severe sepsis or septic shock. All patients underwent transthoracic echocardiograms with assessment of MPI at enrollment and 24 hours later. Hemodynamic data and information on sepsis-related mortality were collected. In the primary analysis, the association between change in MPI from enrollment to 24 hours and sepsis-related 90-day mortality was assessed. Of the 47 patients enrolled, 30 demonstrated an improvement in MPI from 0 to 24 hours ("improved" group), and MPI worsened in the remaining 17 patients ("worsened" group). Despite no significant differences in ejection fraction or severity of illness, the median MPI at enrollment in the "improved" group was higher than baseline values in the "worsened" group (p = 0.005). A worsening MPI over the 24-hour study interval was associated with increased mortality at 90 days (p = 0.04), which remained significant (hazard ratio 3.72; 95% confidence interval 1.12-12.41; p = 0.03) after adjusting for severity of illness (Acute Physiology and Chronic Health Evaluation II score), intravenous fluids, and vasopressor use. In patients admitted to the intensive care unit with a diagnosis of severe sepsis or septic shock, a worsening MPI during the first 24 hours after intensive care unit admission was associated with higher 90-day mortality. Copyright © 2017 Elsevier Inc. All rights

Mapping soil degradation by topsoil grain size using MODIS data

OpenAIRE

XIAO, Jieying; SHEN, Yanjun; TATEISHI, Ryutaro

2005-01-01

[ABSTRACT] MODIS BRDF reflectance data at the end of April 2004 was selected to make a desertification map base on topsoil grain size by using Gain Size Index at arid and semiarid Asia. After data processing, GSI was applied into desertification mapping, and we find that high GSI area distributed at the desert and its’ marginal area, degraded grassland, desert steppe. The desertification map was output according to the correlation between GSI and grain size distribution, the classification of...

Control system for several rotating mirror camera synchronization operation

Science.gov (United States)

Liu, Ningwen; Wu, Yunfeng; Tan, Xianxiang; Lai, Guoji

1997-05-01

This paper introduces a single chip microcomputer control system for synchronization operation of several rotating mirror high-speed cameras. The system consists of four parts: the microcomputer control unit (including the synchronization part and precise measurement part and the time delay part), the shutter control unit, the motor driving unit and the high voltage pulse generator unit. The control system has been used to control the synchronization working process of the GSI cameras (driven by a motor) and FJZ-250 rotating mirror cameras (driven by a gas driven turbine). We have obtained the films of the same objective from different directions in different speed or in same speed.

The E052 - GSI Experiment, Deceleration of highly charged ions by crystal channeling. (Technical notes)

International Nuclear Information System (INIS)

Kirsch, R.

2003-01-01

The report on the E052 - GSI Experiment, devoted to 'Deceleration of highly charged ions by crystal channeling' present the technical notes and the status of this experiment in 2003. The report contains 13 sections and two annexes. The sections deal with the following issues: 1. File system of the 'PC monitor' for E052 - GSI Experiment in 2003; 2. Parameters of the 'PC monitor' file system; 3. Operation of the two PCs; 3.1. Layout of goniometer remote control; 3.2. 'PC motors' side by the beam hall; 3.3. RS232 connection cabling; 3.4. RS232 configuration on the COM1 ports of the two PCs; 4. Motor connection; 4.1. SubD-25 acquisition PC monitor arm on 'COM1'; 4.2. Motors step by step feeding side SubD-25 on 'COM1'; 4.3. Distribution of digital step by step control signals; 4.5. Upper an lower goniometer connection; 4.6. Rotation and inclination outer goniometer connection; 4.7. Ultra vacuum inner rotation and inclination connection; 5. Motor characteristics; 5.1. Upstream and downstream; 5.2. Rotation; 5.3 Inclination; 5.4. Feedings; 6. Goniometer in-beam positioning; 6.1. Height fine motor positioning; 6.2. Side manual positioning; 7. Goniometer movements; 8. Crystals and electron detection; 8.1. General layout; 8.2. 1 μm Si(100) crystal; 8.3. 33 μm Si(100) crystal; 8.4. Crystal mounting; 8.5. Electron detection; 9. Reference laser positioning of angular movements; 10. Beam track and collimators upstream the target; 11. User manual - Monitoring programme; 11.Start scanning program (GSIscan.exe); 11.2. SCANNING the crystal (Scan Control window); 11.3. MOVING THE GONIOMETER MANUALY (goniometer control window); 11.4. USING THE COUNTERS (counter display window); 11.5. MULTISCALER PLOT DISPLAY; 11.6. SELECT ACTIVE PLOT; 11.7. CURSORS; 11.8. STATISTICS; 11.9. Y SCALE change; 11.10. PLOT view and hide counter; 11.11. SAVE multiscaler spectra; 11.12. PRINT plot; 12. Simplified acquisition electronic setup; 13. The 'PC motors' software; 13.1. The code structure; 13

Validation of the insomnia severity index as a web-based measure.

Science.gov (United States)

Thorndike, Frances P; Ritterband, Lee M; Saylor, Drew K; Magee, Joshua C; Gonder-Frederick, Linda A; Morin, Charles M

2011-01-01

Although the Insomnia Severity Index (ISI) is already administered online, this frequently used instrument has not been validated for Web delivery. This study compares online and paper-and-pencil ISI versions completed by participants in a randomized controlled trial testing an Internet-delivered intervention for insomnia. Forty-three adults with insomnia completed both ISI versions during pre- (Assessment 1) and post-intervention (Assessment 2). Correlations between total scores of both versions were significant (rs ≥ .98, ps < .001). For both ISI versions, internal consistency was acceptable (Assessment 1, α = .61; Assessment 2, α ≥ .88). Among participants not receiving the parent study intervention, correlations between 1 format at Assessment 1 and the alternative format at Assessment 2 were generally significant (rs = .26-.82). Together, findings suggest the ISI can be delivered online.

Association of body mass index with symptom severity and quality of life in patients with fibromyalgia.

Science.gov (United States)

Kim, Chul-Hyun; Luedtke, Connie A; Vincent, Ann; Thompson, Jeffrey M; Oh, Terry H

2012-02-01

To examine the association between body mass index (BMI) and symptom severity and quality of life (QOL) in patients with fibromyalgia. We assessed BMI status and its association with symptom severity and QOL in 888 patients with fibromyalgia who were seen in a fibromyalgia treatment program and who completed the Fibromyalgia Impact Questionnaire (FIQ) and the Short Form 36 (SF-36) health survey. The BMI distribution of nonobese (BMI fibromyalgia-related symptoms with worse FIQ total scores (P fibromyalgia, severe obesity (BMI ≥35.0 kg/m(2)) is associated with higher levels of fibromyalgia symptoms and lower levels of QOL. Copyright © 2012 by the American College of Rheumatology.

A pulsed supersonic gas jet target for precision spectroscopy at the HITRAP facility at GSI

Science.gov (United States)

Tiedemann, D.; Stiebing, K. E.; Winters, D. F. A.; Quint, W.; Varentsov, V.; Warczak, A.; Malarz, A.; Stöhlker, Th.

2014-11-01

A pulsed supersonic gas jet target for experiments at the HITRAP facility at the GSI Helmholtzzentrum für Schwerionenforschung in Darmstadt has been designed and built as a multi-purpose installation for key experiments on fundamental atomic physics in strong fields. This setup is currently installed at the Institut für Kernphysik of Goethe-University, Frankfurt am Main (IKF), in order to explore its operation prior to its installation at the HITRAP facility. Design and performance of the target are described. The measured target densities of 5.9×1012 atoms/cm3 for helium and 8.1×1012 atoms/cm³ for argon at the stagnation pressure of 30 bar match the required values. The target-beam diameter of 0.9 mm and the pulsed operation mode (jet built-up-time ≤15 ms) are well suited for the use at HITRAP.

Improve Gear Fault Diagnosis and Severity Indexes Determinations via Time Synchronous Average

Directory of Open Access Journals (Sweden)

Mohamed El Morsy

2016-11-01

Full Text Available In order to reduce operation and maintenance costs, prognostics and health management (PHM of the geared system is needed to improve effective gearbox fault detection tools.  PHM system allows less costly maintenance because it can inform operators of needed repairs before a fault causes collateral damage happens to the gearbox. In this article, time synchronous average (TSA technique and complex continuous wavelet analysis enhancement are used as gear fault detection approach. In the first step, extract the periodic waveform from the noisy measured signal is considered as The main value of Time synchronous averaging (TSA for gearbox signals analyses, where it allows the vibration signature of the gear under analysis to be separated from other gears and noise sources in the gearbox that are not synchronous with faulty gear. In the second step, the complex wavelet analysis is used in case of multi-faults in same gear. The signal phased-locked with the angular position of a shaft within the system is done. The main aims for this research is to improve the gear fault diagnosis and severity index determinations based on TSA  of measured signal for investigated passenger vehicle gearbox under different operation conditions. In addition to, correct the variations in shaft speed such that the spreading of spectral energy into an adjacent gear mesh bin helps in detecting the gear fault position (faulted tooth or teeth and improve the Root Mean Square (RMS, Kurtosis, and Peak Pulse as the sensitivity of severity indexes for maintenance, prognostics and health management (PHM purposes. The open loop test stand is equipped with two dynamometers and investigated vehicle gearbox of mid-size passenger car; the total power is taken-off from one side only. Reference Number: www.asrongo.org/doi:4.2016.1.1.6

Exercise training with weight loss and either a high- or low-glycemic index diet reduces metabolic syndrome severity in older adults

DEFF Research Database (Denmark)

Malin, Steven K; Niemi, Nicole; Solomon, Thomas

2012-01-01

The efficacy of combining carbohydrate quality with exercise on metabolic syndrome risk is unclear. Thus, we determined the effects of exercise training with a low (LoGIx)- or high (HiGIx)-glycemic index diet on the severity of the metabolic syndrome (Z-score).......The efficacy of combining carbohydrate quality with exercise on metabolic syndrome risk is unclear. Thus, we determined the effects of exercise training with a low (LoGIx)- or high (HiGIx)-glycemic index diet on the severity of the metabolic syndrome (Z-score)....

Effects of glucocorticoid combined with antibiotics on serum infection indexes, acute phase proteins and stress hormones in patients with severe pneumonia

Directory of Open Access Journals (Sweden)

Yang Yu

2017-10-01

Full Text Available Objective: To study the effects of glucocorticoid combined with antibiotics on serum infection indexes, acute phase proteins and stress hormones in patients with severe pneumonia. Methods: a total of 80 patients with severe pneumonia who were hospitalized between August 2014 and January 2017 were retrospectively analyzed and divided into the routine treatment group (n=46 who received conventional antibiotic therapy and the combined treatment group (n=34 who received glucocorticoid combined with antibiotic therapy, and the differences in infection indexes, acute proteins and stress hormones were compared between the two groups of patients before and after treatment. Results: The differences in serum levels of infection indexes, acute phase proteins and stress hormones were not statistically significant between the two groups before treatment. After 1 week of treatment, serum infection indexes CRP and PCT levels of observation group were lower than those of control group; serum acute phase proteins α1-AT, α1-AG and CER levels were lower than those of control group; serum stress hormones Cor, AngⅠ and AngⅡ levels were lower than those of control group. Conclusion: Glucocorticoid combined with antibiotics can effectively inhibit systemic infection and stress and optimize the illness in patients with severe pneumonia.

The relationship between the Nasality Severity Index 2.0 and perceptual judgments of hypernasality.

Science.gov (United States)

Bettens, Kim; De Bodt, Marc; Maryn, Youri; Luyten, Anke; Wuyts, Floris L; Van Lierde, Kristiane M

2016-01-01

The Nasality Severity Index 2.0 (NSI 2.0) forms a new, multiparametric approach in the identification of hypernasality. The present study aimed to investigate the correlation between the NSI 2.0 scores and the perceptual assessment of hypernasality. Speech samples of 35 patients, representing a range of nasality from normal to severely hypernasal, were rated by four expert speech-language pathologists using visual analogue scaling (VAS) judging the degree of hypernasality, audible nasal airflow (ANA) and speech intelligibility. Inter- and intra-listener reliability was verified using intraclass correlation coefficients. Correlations between NSI 2.0 scores and its parameters (i.e. nasalance score of an oral text and vowel /u/, voice low tone to high tone ratio of the vowel /i/) and the degree of hypernasality were determined using Pearson correlation coefficients. Multiple linear regression analysis was used to investigate the possible influence of ANA and speech intelligibility on the NSI 2.0 scores. Overall good to excellent inter- and intra-listener reliability was found for the perceptual ratings. A moderate, but significant negative correlation between NSI 2.0 scores and perceived hypernasality (r=-0.64) was found, in which a more negative NSI 2.0 score indicates the presence of more severe hypernasality. No significant influence of ANA or intelligibility on the NSI 2.0 was observed based on the regression analysis. Because the NSI 2.0 correlates significantly with perceived hypernasality, it provides an easy-to-interpret severity score of hypernasality which will facilitate the evaluation of therapy outcomes, communication to the patient and other clinicians, and decisions for treatment planning, based on a multiparametric approach. However, research is still necessary to further explore the instrumental correlates of perceived hypernasality. The reader will be able to (1) describe and discuss current issues and influencing variables regarding perceptual

Feasibility study on longitudinal phase-space measurements at GSI UNILAC using charged-particle detectors

Energy Technology Data Exchange (ETDEWEB)

Milosic, Timo

2014-04-14

Accelerator facilities require access to many beam parameters during operation. The field of beam instrumentation serves this crucial role in commissioning, setup and optimisation of the facility. An important information is contained in the phase-space distribution of the accelerated particles. In case of GSI (Helmholtzzentrum fuer Schwerionenforschung) those are ions from protons to uranium. If established methods to access certain beam parameters do not exist, new approaches have to emerge. This is the case for the presented measurement setup which has been designed and realised by Forck et al. to support commissioning of the GSI high-current injector. It is aiming at an experimental method to access the longitudinal phase-space distribution at low energies of 1.4 AMeV. Established methods for higher energies and based on the measurement of the electric field distribution are not feasible at non-relativistic velocities. The presented method is based on a time-of-flight (TOF) measurement between two particle detectors. A modification allows, alternatively, the direct measurement of the kinetic energy using a mono-crystalline (MC) diamond detector. Currently, besides others, the focus of the optimisation of the injector is put on the longitudinal phase-space distribution. It allows for a systematic optimisation of the matching into the accelerator cavities and, thus, an improved transmission as well as lower emittance values. The new accelerator facility FAIR (Facility for Antiproton and Ion Research), a large-scale upgrade at GSI, requires an improved beam quality at the existing injector. In this work the experimental setup is investigated for its feasibility to measure the longitudinal phase-space distribution. To this end, the phase and momentum of the single ions along the beam axis have to be determined with high precision. Finally, the longitudinal phase-space distribution is identified with the measured ensemble. The setup is presented in detail

The effect of computer-mediated administration on self-disclosure of problems on the addiction severity index.

Science.gov (United States)

Butler, Stephen F; Villapiano, Albert; Malinow, Andrew

2009-12-01

People tend to disclose more personal information when communication is mediated through the use of a computer. This study was conducted to examine the impact of this phenomenon on the way respondents answer questions during computer-mediated, self-administration of the Addiction Severity Index (ASI) called the Addiction Severity Index-Multimedia Version((R)) (ASI-MV((R))). A sample of 142 clients in substance abuse treatment was administered the ASI via an interviewer and the computerized ASI-MV((R)), three to five days apart in a counterbalanced order. Seven composite scores were compared between the two test administrations using paired t-tests. Post hoc analyses examined interviewer effects. Comparisons of composite scores for each of the domains between the face-to-face administered and computer-mediated, self-administered ASI revealed that significantly greater problem severity was reported by clients in five of the seven domains during administration of the computer-mediated, self-administered version compared to the trained interviewer version. Item analyses identified certain items as responsible for significant differences, especially those asking clients to rate need for treatment. All items that were significantly different between the two modes of administration revealed greater problem severity reported on the ASI-MV((R)) as compared to the interview administered assessment. Post hoc analyses yielded significant interviewer effects on four of the five domains where differences were observed. These data support a growing literature documenting a tendency for respondents to be more self-disclosing in a computer-mediated format over a face-to-face interview. Differences in interviewer skill in establishing rapport may account for these observations.

Reliability of the Emergency Severity Index: Meta-analysis

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Amir Mirhaghi

2015-01-01

Full Text Available Objectives: Although triage systems based on the Emergency Severity Index (ESI have many advantages in terms of simplicity and clarity, previous research has questioned their reliability in practice. Therefore, the aim of this meta-analysis was to determine the reliability of ESI triage scales. Methods: This metaanalysis was performed in March 2014. Electronic research databases were searched and articles conforming to the Guidelines for Reporting Reliability and Agreement Studies were selected. Two researchers independently examined selected abstracts. Data were extracted in the following categories: version of scale (latest/older, participants (adult/paediatric, raters (nurse, physician or expert, method of reliability (intra/inter-rater, reliability statistics (weighted/unweighted kappa and the origin and publication year of the study. The effect size was obtained by the Z-transformation of reliability coefficients. Data were pooled with random-effects models and a meta-regression was performed based on the method of moments estimator. Results: A total of 19 studies from six countries were included in the analysis. The pooled coefficient for the ESI triage scales was substantial at 0.791 (95% confidence interval: 0.787‒0.795. Agreement was higher with the latest and adult versions of the scale and among expert raters, compared to agreement with older and paediatric versions of the scales and with other groups of raters, respectively. Conclusion: ESI triage scales showed an acceptable level of overall reliability. However, ESI scales require more development in order to see full agreement from all rater groups. Further studies concentrating on other aspects of reliability assessment are needed.

Association between Experience of Child Abuse and Severity of Drug Addiction Measured by the Addiction Severity Index among Japanese Drug-Dependent Patients

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Ogai, Yasukazu; Senoo, Eiichi; Gardner, Fumiyuki Chin; Haraguchi, Ayako; Saito, Tamaki; Morita, Nobuaki; Ikeda, Kazutaka

2015-01-01

The aim of the present study was to clarify the association between child abuse experiences and drug addiction severity among Japanese drug-dependent patients using the Addiction Severity Index-Japanese version (ASI-J). One hundred and eleven inpatients and outpatients with drug dependence participated in the study. Some of the questions on the ASI-J asked about lifetime experiences of abuse. A higher percentage of female participants experienced child abuse compared with male participants. Male participants who experienced child abuse (MEA) had a significantly higher severity of drug use than men who did not experience it (MNEA). Female participants who experienced child abuse (FEA) had significantly more serious problems in family/social relationships than female participants who did not experience it (FNEA). Patients in the MEA group were arrested less frequently for drug charges, experienced more serious problems with their fathers, and experienced more severe anxiety in their lifetime compared with the MNEA group. The FEA group experienced more serious troubles with their sexual partners, close friends, and families and experienced more severe psychiatric problems in their lifetime compared with the FNEA group. These results suggest gender differences in the problems experienced by drug-dependent patients with child abuse experiences, and gender-specific interventions may be more effective in treating their drug dependence. PMID:25741639

Association between experience of child abuse and severity of drug addiction measured by the Addiction Severity Index among Japanese drug-dependent patients.

Science.gov (United States)

Ogai, Yasukazu; Senoo, Eiichi; Gardner, Fumiyuki Chin; Haraguchi, Ayako; Saito, Tamaki; Morita, Nobuaki; Ikeda, Kazutaka

2015-03-03

The aim of the present study was to clarify the association between child abuse experiences and drug addiction severity among Japanese drug-dependent patients using the Addiction Severity Index-Japanese version (ASI-J). One hundred and eleven inpatients and outpatients with drug dependence participated in the study. Some of the questions on the ASI-J asked about lifetime experiences of abuse. A higher percentage of female participants experienced child abuse compared with male participants. Male participants who experienced child abuse (MEA) had a significantly higher severity of drug use than men who did not experience it (MNEA). Female participants who experienced child abuse (FEA) had significantly more serious problems in family/social relationships than female participants who did not experience it (FNEA). Patients in the MEA group were arrested less frequently for drug charges, experienced more serious problems with their fathers, and experienced more severe anxiety in their lifetime compared with the MNEA group. The FEA group experienced more serious troubles with their sexual partners, close friends, and families and experienced more severe psychiatric problems in their lifetime compared with the FNEA group. These results suggest gender differences in the problems experienced by drug-dependent patients with child abuse experiences, and gender-specific interventions may be more effective in treating their drug dependence.

The WHO maternal near-miss approach and the maternal severity index model (MSI: tools for assessing the management of severe maternal morbidity.

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Joao Paulo Souza

Full Text Available OBJECTIVES: To validate the WHO maternal near-miss criteria and develop a benchmark tool for severe maternal morbidity assessments. METHODS: In a multicenter cross-sectional study implemented in 27 referral maternity hospitals in Brazil, a one-year prospective surveillance on severe maternal morbidity and data collection was carried out. Diagnostic accuracy tests were used to assess the validity of the WHO maternal near-miss criteria. Binary logistic regression was used to model the death probability among women with severe maternal complications and benchmark the management of severe maternal morbidity. RESULTS: Of the 82,388 women having deliveries in the participating health facilities, 9,555 women presented pregnancy-related complications, including 140 maternal deaths and 770 maternal near misses. The WHO maternal near-miss criteria were found to be accurate and highly associated with maternal deaths (Positive likelihood ratio 106.8 (95% CI 99.56-114.6. The maternal severity index (MSI model was developed and found to able to describe the relationship between life-threatening conditions and mortality (Area under the ROC curve: 0.951 (95% CI 0.909-0.993. CONCLUSION: The identification of maternal near-miss cases using the WHO list of pregnancy-related life-threatening conditions was validated. The MSI model can be used as a tool for benchmarking the performance of health services managing women with severe maternal complications and provide case-mix adjustment.

The Clinical Impression of Severity Index for Parkinson's Disease: international validation study.

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Martínez-Martín, Pablo; Rodríguez-Blázquez, Carmen; Forjaz, Maria João; de Pedro, Jesús

2009-01-30

This study sought to provide further information about the psychometric properties of the Clinical Impression of Severity Index for Parkinson's Disease (CISI-PD), in a large, international, cross-culturally diverse sample. Six hundred and fourteen patients with PD participated in the study. Apart from the CISI-PD, assessments were based on Hoehn & Yahr (HY) staging, the Scales for Outcomes in PD-Motor (SCOPA-M), -Cognition (SCOPA-COG) and -Psychosocial (SCOPA-PS), the Cumulative Illness Rating Scale-Geriatrics, and the Hospital Anxiety and Depression Scale. The total CISI-PD score displayed no floor or ceiling effects. Internal consistency was 0.81, the test-retest intraclass correlation coefficient was 0.84, and item homogeneity was 0.52. Exploratory and confirmatory factor analysis (CFI = 0.99, RMSEA = 0.07) confirmed CISI-PD's unifactorial structure. The CISI-PD showed adequate convergent validity with SCOPA-COG and SCOPA-M (r(S) = 0.46-0.85, respectively) and discriminative validity for HY stages and disease duration (P validation study, thus showing that the CISI-PD is a valid instrument to measure clinical impression of severity in PD. Its simplicity and easy application make it an attractive and useful tool for clinical practice and research.

Effects of prenatal and postnatal maternal emotional stress on toddlers' cognitive and temperamental development.

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Lin, Yanfen; Xu, Jian; Huang, Jun; Jia, Yinan; Zhang, Jinsong; Yan, Chonghuai; Zhang, Jun

2017-01-01

Maternal stress is associated with impairments in the neurodevelopment of offspring; however, the effects of the timing of exposure to maternal stress on a child's neurodevelopment are unclear. In 2010, we studied 225 mother-child pairs in Shanghai, recruiting mothers in mid-to-late pregnancy and monitoring offspring from birth until 30 months of age. Maternal stress was assessed prenatally (at 28-36 weeks of gestation) and postnatally (at 24-30 months postpartum) using the Symptom-Checklist-90-Revised Scale (SCL-90-R) and Life-Event-Stress Scale to evaluate mothers' emotional stress and life event stress levels, respectively. Children's cognition and temperament were assessed at 24-30 months of age using the Gesell Development Scale and Toddler Temperament Scale, respectively. Multi-variable linear regression models were used to associate prenatal and postnatal stress with child cognitive and temperamental development. Maternal prenatal and postnatal Global Severity Index (GSI) of SCL-90-R were moderately correlated (ICC r=0.30, Ptoddlers' gross motor, fine motor, adaptive and social behavior development independently of postnatal GSI, while the increase in postnatal GSI was associated with changes in multiple temperament dimensions independently of prenatal GSI. The effects of prenatal and postnatal depression scores of SCL-90-R were similar to those of GSI. Relatively small sample size. Compared with postnatal exposure, children's cognitive development may be more susceptible to prenatal exposure to maternal emotional stress, whereas temperamental development may be more affected by postnatal exposure to maternal emotional stress compared with prenatal exposure. Copyright © 2016 Elsevier B.V. All rights reserved.

Fragmentation of a 500 MeV/nucleon 86Kr beam, investigated at the GSI projectile fragment separator

International Nuclear Information System (INIS)

Weber, M.; Donzaud, C.; Geissel, H.; Grewe, A.; Lewitowicz, M.; Magel, A.; Mueller, A.C.; Nickel, F.; Pfuetzner, M.; Piechaczek, A.; Pravikoff, M.; Roeckl, E.; Rykaczewski, K.; Saint-Laurent, M.G.; Schall, I.; Stephan, C.; Tassan-Got, L.; Voss, B.

1993-10-01

Production cross-sections and longitudinal momentum distributions have been investigated for reactions between a 500 MeV/nucleon 86 Kr beam and beryllium, copper and tantalum targets. Fragments in a wide A/Z range were studied at the projectile-fragment separator FRS at GSI. The experimental production cross-sections have been used for testing the predictions obtained from a semi-empirical parameterization, a statistical abrasion model and an intranuclear-cascade model. The present study allows to extrapolate the production cross-sections towards very neutron-rich isotopes such as the doubly magic nucleus 78 Ni. For fragments close to the projectile the measured longitudinal momentum distributions agrees qualitatively with a semi-empirical parameterization, which is based on the two-step picture of the fragmentation process. The momentum widths of lighter fragments, however, show deviations from this simple picture. (orig.)

GSI Helmholz Centre for Heavy Ion Research - ALFA: Next generation concurrent framework for ALICE and FAIR experiments

CERN Multimedia

CERN. Geneva

2015-01-01

FAIR is a new, unique international accelerator facility for the research with antiprotons and ions. It is being built at the GSI Darmstadt in Hesse, Germany. The commonalities between the ALICE and FAIR experiments and their computing requirements led to the development of a common software framework in an experiment independent way; ALFA (ALICE-FAIR framework). ALFA is designed for high quality parallel data processing and reconstruction on heterogeneous computing systems. It provides a data transport layer and the capability to coordinate multiple data processing components. ALFA is a flexible, elastic system which balances reliability and ease of development with performance by using a message based multi-processing in addition to multi-threading. The framework allows for usage of heterogeneous computing architectures by offloading (portions of code are accelerated on the device) or natively (where the full program is executed on the device ).

A study examining inter-rater and intrarater reliability of a novel instrument for assessment of psoriasis: the Copenhagen Psoriasis Severity Index.

NARCIS (Netherlands)

Berth-Jones, J.; Thompson, J.; Papp, K.

2008-01-01

BACKGROUND: There is a perceived need for a better method for clinical assessment of the severity of psoriasis vulgaris. The most frequently used system is the Psoriasis Area and Severity Index (PASI), which has significant disadvantages, including the requirement for assessment of the percentage of

Factor structure of the autonomy preference index in people with severe mental illness.

Science.gov (United States)

Bonfils, Kelsey A; Adams, Erin L; Mueser, Kim T; Wright-Berryman, Jennifer L; Salyers, Michelle P

2015-08-30

People vary in the amount of control they want to exercise over decisions about their healthcare. Given the importance of patient-centered care, accurate measurement of these autonomy preferences is critical. This study aimed to assess the factor structure of the Autonomy Preference Index (API), used widely in general healthcare, in individuals with severe mental illness. Data came from two studies of people with severe mental illness (N=293) who were receiving mental health and/or primary care/integrated care services. Autonomy preferences were assessed with the API regarding both psychiatric and primary care services. Confirmatory factor analysis was used to evaluate fit of the hypothesized two-factor structure of the API (decision-making autonomy and information-seeking autonomy). Results indicated the hypothesized structure for the API did not adequately fit the data for either psychiatric or primary care services. Three problematic items were dropped, resulting in adequate fit for both types of treatment. These results suggest that with relatively minor modifications the API has an acceptable factor structure when asking people with severe mental illness about their preferences to be involved in decision-making. The modified API has clinical and research utility for this population in the burgeoning field of autonomy in patient-centered healthcare. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

Dysphonia Severity Index in Typically Developing Indian Children.

Science.gov (United States)

Pebbili, Gopi Kishore; Kidwai, Juhi; Shabnam, Srushti

2017-01-01

Dysphonia is a variation in an individual's quality, pitch, or loudness from the voice characteristics typical of a speaker of similar age, gender, cultural background, and geographic location. Dysphonia Severity Index (DSI) is a recognized assessment tool based on a weighted combination of maximum phonation time, highest frequency, lowest intensity, and jitter (%) of an individual. Although dysphonia in adults is accurately evaluated using DSI, standard reference values for school-age children have not been studied. This study aims to document the DSI scores in typically developing children (8-12 years). A total of 42 typically developing children (8-12 years) without complaint of voice problem on the day of testing participated in the study. DSI was computed by substituting the raw scores of substituent parameters: maximum phonation time, highest frequency, lowest intensity, and jitter% using various modules of CSL 4500 software. The average DSI values obtained in children were 2.9 (1.23) and 3.8 (1.29) for males and females, respectively. DSI values are found to be significantly higher (P = 0.027) for females than those for males in Indian children. This could be attributed to the anatomical and behavioral differences among females and males. Further, pubertal changes set in earlier for females approximating an adult-like physiology, thereby leading to higher DSI values in them. The mean DSI value obtained for male and female Indian children can be used as a preliminary reference data against which the DSI values of school-age children with dysphonia can be compared. Copyright © 2017 The Voice Foundation. Published by Elsevier Inc. All rights reserved.

TST, as a polysomnographic variable, is superior to the apnea hypopnea index for evaluating intermittent hypoxia in severe obstructive sleep apnea.

Science.gov (United States)

Zhang, Xiao-Bin; Zen, Hui-Qing; Lin, Qi-Chang; Chen, Gong-Ping; Chen, Li-Da; Chen, Hua

2014-10-01

The polysomnography (PSG) index of the apnea hypopnea index (AHI) is considered the 'gold standard' for stratifying the severity of obstructive sleep apnea (OSA). However, AHI cannot reflect the true characteristic of chronic intermittent hypoxia (CIH), which may trigger systemic inflammation in some OSA patients. High-sensitivity C-reactive protein (hsCRP) is considered a biomarker of systemic inflammation in OSA patients. The aim of the present study was to evaluate the relationship between PSG variables and hsCRP in men with severe OSA. Men with severe OSA (AHI ≥ 30 events/h) diagnosed by PSG were enrolled. AHI and body mass index were matched between a high hsCRP group (hsCRP ≥ 3.0 mg/L) and a low hsCRP group. A blood sample was taken for serum hsCRP analysis. Multiple regression analysis was performed to assess independent predictors of high hsCRP. One hundred and fifty-two subjects were enrolled in the study (76 in each group). Mean serum hsCRP was 3.76 ± 2.13 mg/L. The mean percentage of total sleep time spent with SaO2 hypoxia variables.

Prediction of massive bleeding. Shock index and modified shock index.

Science.gov (United States)

Terceros-Almanza, L J; García-Fuentes, C; Bermejo-Aznárez, S; Prieto-Del Portillo, I J; Mudarra-Reche, C; Sáez-de la Fuente, I; Chico-Fernández, M

2017-12-01

To determine the predictive value of the Shock Index and Modified Shock Index in patients with massive bleeding due to severe trauma. Retrospective cohort. Severe trauma patient's initial attention at the intensive care unit of a tertiary hospital. Patients older than 14 years that were admitted to the hospital with severe trauma (Injury Severity Score >15) form January 2014 to December 2015. We studied the sensitivity (Se), specificity (Sp), positive and negative predictive value (PV+ and PV-), positive and negative likelihood ratio (LR+ and LR-), ROC curves (Receiver Operating Characteristics) and the area under the same (AUROC) for prediction of massive hemorrhage. 287 patients were included, 76.31% (219) were male, mean age was 43,36 (±17.71) years and ISS was 26 (interquartile range [IQR]: 21-34). The overall frequency of massive bleeding was 8.71% (25). For Shock Index: AUROC was 0.89 (95% confidence intervals [CI] 0.84 to 0.94), with an optimal cutoff at 1.11, Se was 91.3% (95% CI: 73.2 to 97.58) and Sp was 79.69% (95% CI: 74.34 to 84.16). For the Modified Shock Index: AUROC was 0.90 (95% CI: 0.86 to 0.95), with an optimal cutoff at 1.46, Se was 95.65% (95% CI: 79.01 to 99.23) and Sp was 75.78% (95% CI: 70.18 to 80.62). Shock Index and Modified Shock Index are good predictors of massive bleeding and could be easily incorporated to the initial workup of patients with severe trauma. Copyright © 2017 Elsevier España, S.L.U. y SEMICYUC. All rights reserved.

Construction and building of a compact RFQ spiral structure for the stopping of highly charged heavy ion beams for the HITRAP project of the GSI

International Nuclear Information System (INIS)

Hofmann, B.

2007-01-01

For experiments of the atomic-physics group of the GSI in Darmstadt an ion stopper is built, which will make low-energetic, extremely highly charged ions available. The plannings for the so-called HITRAP (highly charged ion's trap) began at the beginning of the ninetieth. With this facility highly-charged heavy ions shall be stopped in two stages to very low, thermal velocities, and be available for highly precise mass spectroscopy, measurements of the g factor of the bound electron of hydrogen-like ions, and other atomic-physics experiments. This decelerator facility shall first be built in the reinjection channel behind the ESR with the possibility, to apply all components later in teh extension of the GSI in the framework of the FAIR project in the facility for low-energetic antiprotons and ions to be newly built. the present thesis treats the development and the building of an integrated RFQ debuncher stopping accelerator, which represents a part of the HITRAP stopping structures. By this the ion beam is stopped from the IH stopping accelerator with an energy of 500 keV/u to 5 keV/u. By the integrated spiral buncher the beam can be fitted in energy and energy deviation to the subsequent cooler trap. In this thesis the foundations of the particle dynamics in a RFQ accelerator for the stopping of particle beams were worked out and realized, the particle-dynamics calculations necessary for the lay-out of such a structure performed with RFQSim, suitable RF structures with the simulation program Microwave Studio developed and studied, as well as the thermal load of the structures studied with the finite-element code ALGOR. A further, central topic of this thesis is the building and the tuning of the RFQ structure in order to reach a homogeneous as possible field distribution along the electrodes. Measurements of the fields in the RFQ were performed with a disturbing condenser, at the debuncher with a disturbing body. After successfully performed vacuum tests at the

Association between Experience of Child Abuse and Severity of Drug Addiction Measured by the Addiction Severity Index among Japanese Drug-Dependent Patients

Directory of Open Access Journals (Sweden)

Yasukazu Ogai

2015-03-01

Full Text Available The aim of the present study was to clarify the association between child abuse experiences and drug addiction severity among Japanese drug-dependent patients using the Addiction Severity Index-Japanese version (ASI-J. One hundred and eleven inpatients and outpatients with drug dependence participated in the study. Some of the questions on the ASI-J asked about lifetime experiences of abuse. A higher percentage of female participants experienced child abuse compared with male participants. Male participants who experienced child abuse (MEA had a significantly higher severity of drug use than men who did not experience it (MNEA. Female participants who experienced child abuse (FEA had significantly more serious problems in family/social relationships than female participants who did not experience it (FNEA. Patients in the MEA group were arrested less frequently for drug charges, experienced more serious problems with their fathers, and experienced more severe anxiety in their lifetime compared with the MNEA group. The FEA group experienced more serious troubles with their sexual partners, close friends, and families and experienced more severe psychiatric problems in their lifetime compared with the FNEA group. These results suggest gender differences in the problems experienced by drug-dependent patients with child abuse experiences, and gender-specific interventions may be more effective in treating their drug dependence.

Psoriasis area severity index (pasi) and the dermatology life quality index (dlqi): the correlation between disease severity and quality of life in patients of psoriasis

International Nuclear Information System (INIS)

Khan, S.A.; Shaikh, Z.I.

2017-01-01

To determine the correlation between Psoriasis Area Severity Index (PASI) and Dermatology Life Quality Index (DLQI) in patients of psoriasis. Study Design: Cross sectional study. Place and Duration of Study: Both outdoor and indoor patients of Dermatology Department, Military Hospital (MH) Rawalpindi for duration of 6 months i.e. from 6th Oct 2014 to 5th Apr 2014 were selected. Material and Methods: A total of 155 patients of chronic plaque psoriasis diagnosed clinically, ranging from 20 to 80 years of age and of either gender were included in the study. A careful history and clinical examination was done and for each case PASI and DLQI were calculated and registered in the designed proforma. Data were entered and analyzed in SPSS version-17.0. Mean and standard deviations were calculated for quantitative variables like age, PASI and DLQI. Frequencies and percentages were calculated for qualitative variables like gender. Pearson's correlation coefficient (r) (+1,-1) was calculated between mean PASI and mean DLQI. A p-value <0.05 was considered as significant. Stratification was done for age and gender and post stratification correlation was calculated. Results: Out of 155 patients studied, 110 (70.97%) were males and 45 (29.03%) were females. Ages of the patients ranged from 20-80 years (mean age 49.5 +- 15.6 years). Mean PASI score was 27.92 +- 5.83 and DLQ1 was 11.46 +- 4.22. The value of Pearson correlation coefficient (r) was 0.1324 which showed weak correlation between PASI and DLQ1 with p-value of 0.100. Weak correlation (r=-0.3394) in age 51-80 years while very weak correlation (r=-0.0651) in age 20-50 years was noted. PASI and DLQ1 showed weak correlation in males (r=0.132) and in females (r=0.461). Conclusion: This study concluded that there is a weak correlation between PASI and DLQI.

Neutrophil to Lymphocyte and Platelet to Lymphocyte Ratios Are More Effective than the Fournier's Gangrene Severity Index for Predicting Poor Prognosis in Fournier's Gangrene.

Science.gov (United States)

Yim, Sang Un; Kim, Sun Woo; Ahn, Ji Hoon; Cho, Yang Hyun; Chung, Hoseok; Hwang, Eu Chang; Yu, Ho Song; Oh, Kyung Jin; Kim, Sun-Ouck; Jung, Seung Il; Kang, Taek Won; Kwon, Dong Deuk; Park, Kwangsung

2016-04-01

We investigated the value of the neutrophil to lymphocyte ratio (NLR) and platelet to lymphocyte ratio (PLR) as markers of mortality in patients with Fournier's gangrene. Records from 62 patients treated for Fournier's gangrene between 2003 and 2014 were reviewed retrospectively. Data were collected regarding medical history, symptoms, physical examination findings, admission laboratory tests, and the extent of body surface area involved (%). Fournier's Gangrene Severity Index score, NLR, and PLR were calculated. The data were assessed separately for surviving and deceased patients. Of the 62 patients, 36 survived (58%, group 1) and 26 died (42%, group 2). Parameters that were statistically different between the two groups (p Fournier's Gangrene Severity Index score, and admission laboratory parameters, including body temperature, heart rate, bicarbonate, albumin, and serum calcium. The average body surface area affected in group 2 was statistically different from that of group 1 (6.0% versus 2.3%, p = 0.001). A high Fournier's Gangrene Severity Index score (>9), high NLR (>8), and high PLR (>140) were associated more frequently with group 2 patients. Multivariable regression analysis showed that high NLR (adjusted odds ratio [OR], 4.66; 95% confidence interval [CI], 1.25-17.3; p = 0.022) and high PLR (adjusted OR, 11.6; 95% CI, 2.7-49.5; p = 0.001) were independent prognostic factors for poor prognosis from Fournier's gangrene. However, the Fournier's Gangrene Severity Index score did not shown any statistically significant effect on mortality (p = 0.086). The Fournier's Gangrene Severity Index scoring system was not associated with determining poor prognosis, however, high NLR and high PLR were associated with predictors of mortality in patients with Fournier's gangrene.

Role of bedside index for severity of acute pancreatitis (bisap score in predicting outcome in acute pancreatitis

Directory of Open Access Journals (Sweden)

Shahnawaz Bashir Bhat

2015-12-01

Full Text Available Objective: To investigate the role of Bedside index for severity of acute pancreatitis (BISAP score in predicting the outcome of acute pancreatitis. Methods: This single hospital based prospective study included fifty patients of acute pancreatitis admitted within 48 hours of onset of symptoms, who were divided into two groups according to admission BISAP score. BISAP score 3 (severe acute pancreatitis. The ability of BISAP score to predict mortality, morbidity and hospital stay in acute pancreatitis patients was analyzed. Results: A BISAP score of >3 was associated with increased risk of development of transient organ failure, persistent organ failure and pancreatic necrosis (Statistically significant. Mortality in group with BISAP and #8805;3 was 23.5% (4 patients which was statistically higher than group with BISAP score and #706;3 (0 patients (p=0.019.The mean duration of hospital stay of patients in group with BISAP score < 3 was 7.58 +/- 4.04 days and in group with BISAP score and #8805;3 was 15.35 +/- 1.66.(p=0.02. Conclusion: Bedside index for severity in acute pancreatitis (BISAP score, at admission is an excellent score in predicting the mortality, morbidity and hospital stay and hence management protocol in patients admitted with acute pancreatitis. [J Contemp Med 2015; 5(4.000: 215-220

Building and verifying a severity prediction model of acute pancreatitis (AP) based on BISAP, MEWS and routine test indexes.

Science.gov (United States)

Ye, Jiang-Feng; Zhao, Yu-Xin; Ju, Jian; Wang, Wei

2017-10-01

To discuss the value of the Bedside Index for Severity in Acute Pancreatitis (BISAP), Modified Early Warning Score (MEWS), serum Ca2+, similarly hereinafter, and red cell distribution width (RDW) for predicting the severity grade of acute pancreatitis and to develop and verify a more accurate scoring system to predict the severity of AP. In 302 patients with AP, we calculated BISAP and MEWS scores and conducted regression analyses on the relationships of BISAP scoring, RDW, MEWS, and serum Ca2+ with the severity of AP using single-factor logistics. The variables with statistical significance in the single-factor logistic regression were used in a multi-factor logistic regression model; forward stepwise regression was used to screen variables and build a multi-factor prediction model. A receiver operating characteristic curve (ROC curve) was constructed, and the significance of multi- and single-factor prediction models in predicting the severity of AP using the area under the ROC curve (AUC) was evaluated. The internal validity of the model was verified through bootstrapping. Among 302 patients with AP, 209 had mild acute pancreatitis (MAP) and 93 had severe acute pancreatitis (SAP). According to single-factor logistic regression analysis, we found that BISAP, MEWS and serum Ca2+ are prediction indexes of the severity of AP (P-value0.05). The multi-factor logistic regression analysis showed that BISAP and serum Ca2+ are independent prediction indexes of AP severity (P-value0.05); BISAP is negatively related to serum Ca2+ (r=-0.330, P-valuemodel is as follows: ln()=7.306+1.151*BISAP-4.516*serum Ca2+. The predictive ability of each model for SAP follows the order of the combined BISAP and serum Ca2+ prediction model>Ca2+>BISAP. There is no statistical significance for the predictive ability of BISAP and serum Ca2+ (P-value>0.05); however, there is remarkable statistical significance for the predictive ability using the newly built prediction model as well as BISAP

The Gait Deviation Index Is Associated with Hip Muscle Strength and Patient-Reported Outcome in Patients with Severe Hip Osteoarthritis

DEFF Research Database (Denmark)

Rosenlund, Signe; Holsgaard-Larsen, Anders; Overgaard, Søren

2016-01-01

) and with severe primary hip osteoarthritis underwent 3-dimensional gait analysis. Mean Gait Deviation Index, pain after walking and maximal isometric hip muscle strength (flexor, extensor, and abductor) were recorded. All patients completed the 'Physical Function Short-form of the Hip disability...... was to investigate associations between Gait Deviation Index as a measure of gait 'quality' and hip muscle strength and between Gait Deviation Index and patient-reported outcomes in patients with primary hip osteoarthritis. METHOD: Forty-seven patients (34 males), aged 61.1 ± 6.7 years, with BMI 27.3 ± 3.4 (kg/m2...... and Osteoarthritis Outcome Score (HOOS-Physical Function) and the Hip disability and Osteoarthritis Outcome Score subscales for pain (HOOS-Pain) and quality-of-life (HOOS-QOL). RESULTS: Mean Gait Deviation Index was positively associated with hip abduction strength (pstrength (p = 0...

Impact of Hospital Variables on Case Mix Index as a Marker of Disease Severity

Science.gov (United States)

Mendez, Carmen M.; Harrington, Darrell W.; Christenson, Peter

2014-01-01

Abstract Case mix index (CMI) has become a standard indicator of hospital disease severity in the United States and internationally. However, CMI was designed to calculate hospital payments, not to track disease severity, and is highly dependent on documentation and coding accuracy. The authors evaluated whether CMI varied by characteristics affecting hospitals' disease severity (eg, trauma center or not). The authors also evaluated whether CMI was lower at public hospitals than private hospitals, given the diminished financial resources to support documentation enhancement at public hospitals. CMI data for a 14-year period from a large public database were analyzed longitudinally and cross-sectionally to define the impact of hospital variables on average CMI within and across hospital groups. Between 1996 and 2007, average CMI declined by 0.4% for public hospitals, while rising significantly for private for-profit (14%) and nonprofit (6%) hospitals. After the introduction of the Medicare Severity Diagnosis Related Group (MS-DRG) system in 2007, average CMI increased for all 3 hospital types but remained lowest in public vs. private for-profit or nonprofit hospitals (1.05 vs. 1.25 vs. 1.20; P<0.0001). By multivariate analysis, teaching hospitals, level 1 trauma centers, and larger hospitals had higher average CMI, consistent with a marker of disease severity, but only for private hospitals. Public hospitals had lower CMI across all subgroups. Although CMI had some characteristics of a disease severity marker, it was lower across all strata for public hospitals. Hence, caution is warranted when using CMI to adjust for disease severity across public vs. private hospitals. (Population Health Management 2014;17:28–34) PMID:23965045

Contribution to the design, fulfillment, and data analysis of fission fragment yields of the SOFIA experiment at GSI

International Nuclear Information System (INIS)

Pellereau, Eric

2013-01-01

The isotopic fission yields of U 238 following the SOFIA experiment, conducted at the GSI facility (Darmstadt), are presented here. This experiment takes advantage of the inverse kinematics technique at relativistic energies. Benefits are several: fission fragments are highly focused (high geometrical efficiency) and are also completely stripped, which greatly simplifies their nuclear charge measurement. The first detector of the SOFIA setup is an active target in which fission occurs via electromagnetic excitation, followed by an ionization chamber to measure the nuclear charge and the horizontal angle of both fission fragments. The masses are deduced by the bending radius measurement of the fragments, deflected by a strong magnet (ALADIN), thanks to two position detectors (MWPC), and also by a highly resolved time-of-flight measurement (40 ps FWHM) so that heavy neighboring isotopes can be separated. The data analysis shows that the main goals are achieved since the isotopic separation is reached over the whole range of the fission fragments. A strong even-odd effect is seen in the charge spectrum, which also exhibits a mean heavy charge close to Z = 54. Surprisingly, the neutron even-odd effect of the light region is seen to be very close to the one in thermal neutron induced fission. The peak-to-valley ratio of the mass spectrum confirms that the mean excitation energy at fission is close to the expected one (14 MeV). The GEF code is used for comparison and always gives results very close to ours. (author) [fr

Host switch and infestation by Ligula intestinalis L. in a silver bream (Blicca bjoerkna L.) population.

Science.gov (United States)

Vanacker, M; Masson, G; Beisel, J-N

2012-03-01

Sampling of the fish community was carried out for 20 years in the Mirgenbach reservoir, in North-Eastern France. The prevalence and the mean intensity of Ligula intestinalis (Cestoda) were analysed in roach (Rutilus rutilus) and silver bream (Blicca bjoerkna) populations, the main two infected species. The aim of this study was to investigate the host switch from roach to silver bream and the consequences of L. intestinalis infestation in silver bream, which is an unusual host for this parasite as Ligula parasitism in silver bream appears to be rare. We analysed in detail the relationships between parasitism index (PI), gonadosomatic index (GSI), perivisceral fat abundance (PFA) and condition index (CI) in the silver bream population. In 1998, prevalence of L. intestinalis highlighted a clear host switch from roach to silver bream. In the silver bream population, young fish were the most severely infected and the impact of plerocercoids appeared to be different depending on the host sex. In male silver bream, plerocercoids drew energy from fat reserves even if GSI was also slightly impacted. On the contrary, in females energy was diverted from gonad maturation rather than from perivisceral fat reserves. No significant difference was observed in terms of CI in either sex.

Proposal of a service delivery integration index of home care for older persons: application in several European cities

Directory of Open Access Journals (Sweden)

Jean-Claude Henrard

2006-07-01

Full Text Available Purpose: To propose an integration index of home care delivery to older persons, to study its validity and to apply it to home care services of European cities. Theory: Home care delivery integration was based on two dimensions referring to process-centred integration and organisational structure approach. Method: Items considered as part of both dimensions according to an expert consensus (face validity were extracted from a standardised questionnaire used in “Aged in Home care” (AdHoc study to capture basic characteristics of home care services. Their summation leads to a services' delivery integration index. This index was applied to AdHoc services. A factor analysis was computed in order to empirically test the validity of the theoretical constructs. The plot of the settings was performed. Results: Application of the index ranks home care services in four groups according to their score. Factor analysis identifies a first factor which opposes working arrangement within service to organisational structure bringing together provisions for social care. A second factor corresponds to basic nursing care and therapies. Internal consistency for those three domains ranges from 0.78 to 0.93. When plotting the different settings different models of service delivery appear. Conclusion: The proposed index shows that behind a total score several models of care delivery are hidden. Comparison of service delivery integration should take into account this heterogeneity.

Secondary ion emission from cleaned surfaces bombarded by 100 MeV accelerator beams at the GSI Darmstadt

International Nuclear Information System (INIS)

Wien, K.; Becker, O.; Guthier, W.; Knippelberg, W.; Koczon, P.

1988-01-01

The 1.4 MeV/n beam facility for the UNILAC/GSI has been used to study secondary ion emission from surfaces cleaned under UHV conditions by ion etching or cleaving of crystals. The desorption phenomena observed by means of TOF mass spectrometry can be classified as follows: (1) Clean metal surfaces emit metal ions being ejected by atomic collisions cascades. Electronic excitation of surface states seems to support ionization. (2) The desorption of contaminants adsorbed at the metal surface is strongly correlated with the electronic energy loss of the projectiles - even, if the content of impurities is very low. (3) Ion formation at the epitaxial surface of fluoride crystals as CaF 2 , MgF 2 and NaF is initiated by the electronic excitation of the crystal. At high beam energies the mass spectrum is dominated by a series of cluster ions. These cluster ions disappear below a certain energy deposit threshold, whereas small atomic ions are observed over the whole energy range

Visceral adiposity index as a predictor of clinical severity and therapeutic outcome of PCOS.

Science.gov (United States)

Zheng, Sai-Hua; Li, Xue-Lian

2016-01-01

Polycystic ovary syndrome (PCOS) is a common endocrine-metabolic disease which often accompany with abnormal fat distribution. Visceral adiposity has association with abnormal lipid metabolic, pro-inflammatory activity, insulin resistance (IR) and hyperandrogenism. Increased visceral adiposity raises the risk of metabolic syndrome, type 2 diabetes and cardiovascular (CV) events, and aggravates ovulatory dysfunction and hyperandrogenism in PCOS women. Visceral adiposity index (VAI), a simple surrogate maker of visceral adipose dysfunction and visceral adiposity, is a predictor of IR, and link hyperinsulinemia, hyperandrogenism and anovulation. This review aims to discuss the visceral adiposity situation in PCOS women, and suggests that VAI may be a useful predictor of clinical severity and therapeutic outcome of PCOS.

The reliability of three psoriasis assessment tools: Psoriasis area and severity index, body surface area and physician global assessment.

Science.gov (United States)

Bożek, Agnieszka; Reich, Adam

2017-08-01

A wide variety of psoriasis assessment tools have been proposed to evaluate the severity of psoriasis in clinical trials and daily practice. The most frequently used clinical instrument is the psoriasis area and severity index (PASI); however, none of the currently published severity scores used for psoriasis meets all the validation criteria required for an ideal score. The aim of this study was to compare and assess the reliability of 3 commonly used assessment instruments for psoriasis severity: the psoriasis area and severity index (PASI), body surface area (BSA) and physician global assessment (PGA). On the scoring day, 10 trained dermatologists evaluated 9 adult patients with plaque-type psoriasis using the PASI, BSA and PGA. All the subjects were assessed twice by each physician. Correlations between the assessments were analyzed using the Pearson correlation coefficient. Intra-class correlation coefficient (ICC) was calculated to analyze intra-rater reliability, and the coefficient of variation (CV) was used to assess inter-rater variability. Significant correlations were observed among the 3 scales in both assessments. In all 3 scales the ICCs were > 0.75, indicating high intra-rater reliability. The highest ICC was for the BSA (0.96) and the lowest one for the PGA (0.87). The CV for the PGA and PASI were 29.3 and 36.9, respectively, indicating moderate inter-rater variability. The CV for the BSA was 57.1, indicating high inter-rater variability. Comparing the PASI, PGA and BSA, it was shown that the PGA had the highest inter-rater reliability, whereas the BSA had the highest intra-rater reliability. The PASI showed intermediate values in terms of interand intra-rater reliability. None of the 3 assessment instruments showed a significant advantage over the other. A reliable assessment of psoriasis severity requires the use of several independent evaluations simultaneously.

[Validation of the Pneumonia Severity Index for hospitalizing patients with community-acquired pneumonia].

Science.gov (United States)

Querol-Ribelles, José M; Tenías, José M; Querol-Borrás, José M; González-Granda, Damiana; Hernández, Manuel; Ferreruela, Rosa; Martínez, Isidoro

2004-04-10

Our main objective was to assess the utility of the Pneumonia Severity Index (PSI) to decide the site of care home or hospital of patients with community-acquired pneumonia (CAP). All CAP patients who came to the emergency department from 1 January to 31 December, 2000, were prospectively assessed with a protocol based on the PSI and additional admission criteria applied to classes I, II and III. Mortality within 30 days and poor outcome were used as endpoints. We tested the diagnostic efficacy of the PSI scale in predicting mortality or unfavourable events by calculating the area below the ROC curve. Of the 243 CAP patients included, 124 (51%) belonged to classes I, II and III, and 119 (49%) belonged to classes IV and V. One hundred and fifty six (64%) patients were admitted. Fifteen (6.2%) patients died, all of them belonging to classes IV and V. Forty four (18%) patients showed a poor outcome. Only one patient who was initially sent home had a poor outcome. The prognostic value of the PSI scale to predict mortality (ROC = 0.92; CI 95%, 0.88-0.95) was high. Our results confirm that the PSI scale is a good prognostic index in clinical practice for predicting mortality due to CAP. In order to use the PSI to decide the site of care of patients with CAP, not only the score obtained but also additional factors should be taken into account.

Development of resilience evaluation method for nuclear power plant. Part 1. Proposal of resilience index for assessment of safety of nuclear power plant under severe accident

International Nuclear Information System (INIS)

Demachi, Kazuyuki; Suzuki, Masaaki; Itoi, Tatsuya

2016-01-01

In this research, a new index 'The Resilience Index' was proposed to evaluate the capability of nuclear power plant to recover from the situation of safety function lost. Three elements assumed to evaluate the resilience index are the achievement rate, necessary time, and probability of success of each accident management activity. The resilience index is expected to visualize the improvement of safety of each nuclear power plant against severe accidents. (author)

Evaluation of radiosurgery techniques–Cone-based linac radiosurgery vs tomotherapy-based radiosurgery

International Nuclear Information System (INIS)

Yip, Ho Yin; Mui, Wing Lun A.; Lee, Joseph W.Y.; Fung, Winky Wing Ki; Chan, Jocelyn M.T.; Chiu, G.; Law, Maria Y.Y.

2013-01-01

Performances of radiosurgery of intracranial lesions between cone-based Linac system and Tomotherapy-based system were compared in terms of dosimetry and time. Twelve patients with single intracranial lesion treated with cone-based Linac radiosurgery system from 2005 to 2009 were replanned for Tomotherapy-based radiosurgery treatment. The conformity index, homogeneity index (HI), and gradient score index (GSI) of each case was calculated. The Wilcoxon matched-pair test was used to compare the 3 indices between both systems. The cases with regular target (n = 6) and those with irregular target (n = 6) were further analyzed separately. The estimated treatment time between both systems was also compared. Significant differences were found in HI (p = 0.05) and in GSI (p = 0.03) for the whole group. Cone-based radiosurgery was better in GSI whereas Tomotherapy-based radiosurgery was better in HI. Cone-based radiosurgery was better in conformity index (p = 0.03) and GSI (p = 0.03) for regular targets, whereas Tomotherapy-based radiosurgery system performed significantly better in HI (p = 0.03) for irregular targets. The estimated total treatment time for Tomotherapy-based radiosurgery ranged from 24 minutes to 35 minutes, including 15 minutes of pretreatment megavoltage computed tomography (MVCT) and image registration, whereas that for cone-based radiosurgery ranged from 15 minutes for 1 isocenter to 75 minutes for 5 isocenters. As a rule of thumb, Tomotherapy-based radiosurgery system should be the first-line treatment for irregular lesions because of better dose homogeneity and shorter treatment time. Cone-based Linac radiosurgery system should be the treatment of choice for regular targets because of the better dose conformity, rapid dose fall-off, and reasonable treatment time

Evaluation of radiosurgery techniques–Cone-based linac radiosurgery vs tomotherapy-based radiosurgery

Energy Technology Data Exchange (ETDEWEB)

Yip, Ho Yin, E-mail: hoyinyip@yahoo.com.hk [Department of Radiotherapy, Hong Kong Sanatorium and Hospital, Happy Valley, Hong Kong (China); Mui, Wing Lun A.; Lee, Joseph W.Y.; Fung, Winky Wing Ki; Chan, Jocelyn M.T.; Chiu, G. [Department of Radiotherapy, Hong Kong Sanatorium and Hospital, Happy Valley, Hong Kong (China); Law, Maria Y.Y. [Medical Physics and Research Department, Hong Kong Sanatorium and Hospital, Happy Valley, Hong Kong (China)

2013-07-01

Performances of radiosurgery of intracranial lesions between cone-based Linac system and Tomotherapy-based system were compared in terms of dosimetry and time. Twelve patients with single intracranial lesion treated with cone-based Linac radiosurgery system from 2005 to 2009 were replanned for Tomotherapy-based radiosurgery treatment. The conformity index, homogeneity index (HI), and gradient score index (GSI) of each case was calculated. The Wilcoxon matched-pair test was used to compare the 3 indices between both systems. The cases with regular target (n = 6) and those with irregular target (n = 6) were further analyzed separately. The estimated treatment time between both systems was also compared. Significant differences were found in HI (p = 0.05) and in GSI (p = 0.03) for the whole group. Cone-based radiosurgery was better in GSI whereas Tomotherapy-based radiosurgery was better in HI. Cone-based radiosurgery was better in conformity index (p = 0.03) and GSI (p = 0.03) for regular targets, whereas Tomotherapy-based radiosurgery system performed significantly better in HI (p = 0.03) for irregular targets. The estimated total treatment time for Tomotherapy-based radiosurgery ranged from 24 minutes to 35 minutes, including 15 minutes of pretreatment megavoltage computed tomography (MVCT) and image registration, whereas that for cone-based radiosurgery ranged from 15 minutes for 1 isocenter to 75 minutes for 5 isocenters. As a rule of thumb, Tomotherapy-based radiosurgery system should be the first-line treatment for irregular lesions because of better dose homogeneity and shorter treatment time. Cone-based Linac radiosurgery system should be the treatment of choice for regular targets because of the better dose conformity, rapid dose fall-off, and reasonable treatment time.

Body mass index, initial neurological severity and long-term mortality in ischemic stroke.

Science.gov (United States)

Ryu, Wi-Sun; Lee, Seung-Hoon; Kim, Chi Kyung; Kim, Beom Joon; Yoon, Byung-Woo

2011-01-01

Obesity is believed to increase the risks of ischemic stroke or coronary heart disease; however, regarding outcome after established vascular diseases, recent unexpected evidence has suggested that an increased body mass index (BMI) might have beneficial effects (obesity paradox). The aim of this study was to evaluate the independent association between BMI and long-term mortality after ischemic stroke. A total of 1,592 consecutive patients with ischemic stroke were prospectively included through our stroke cohort. In this study, the levels of BMI were classified based on guidelines for the Asian-Pacific population. Initial neurological severity was estimated by the National Institutes of Health Stroke Scale (NIHSS) score. Information on mortality was collected until the end of 2009, and the median follow-up period was 4 years. To examine the association between BMI and long-term mortality, we used Cox's proportional regression analysis. During follow-up, 23% of patients died. Linear regression analysis showed that the level of BMI was inversely related to initial neurological severity (p = 0.002). In the model of adjustment of age and gender using Cox's proportional regression analysis, this inverse trend was also significant (reference, normal weight; hazard ratio of underweight, 2.45; overweight, 0.77; obesity, 0.60). However, after adjustment of all covariates, including initial neurological severity, only the harmful effect of underweight remained significant (2.79; 95% CI, 1.92-4.05); however, beneficial effects of overweight and obesity did not. Our study showed that an independent association between BMI and long-term mortality after ischemic stroke was found only in underweight patients. The obesity paradox phenomenon seems to be limited, and might not be interpreted as a direct causal relationship due to a strong association with initial neurological severity. Copyright © 2011 S. Karger AG, Basel.

Aerosol behavior in the reactor containment building during severe accident

International Nuclear Information System (INIS)

Berthion, Y.; Lhiaubet, G.; Gauvain, J.

1984-07-01

Thermohydraulic behavior inside a PWR containment during severe accident depends on decay heat transferred to the sump water by aerosol gravitational settling and deposition. Conversely, aerosol behavior depends on thermal hydraulic conditions, especially atmosphere moisture for soluble aerosol GsI, and CsOH. Therefore, a small iterative procedure between thermo-hydraulic and aerosol calculations has been performed in order to evaluate the importance of this coupling between the two phenomena. In this paper, it is shown that with this procedure and using our codes JERICHO, RICOCHET and AEROSOLS/B1, the steam condensation on aerosols is an important phenomenon for a correct estimation of the attenuation factor of the suspended mass of aerosols in the airborne of the containment. Then, we have a more realistic assessment of the source term released by the containment

Neutron dose measurements with the GSI ball at high energy accelerators

International Nuclear Information System (INIS)

Fehrenbacher, G.; Gutermuth, F.; Radon, T.; Kozlova, E.

2005-01-01

Full text: At high energy particle accelerators the production of neutron radiation dominates radiation protection. For the radiation survey at accelerators there is a need for reliable detection systems (passive radiation monitors), which can measure the dose for a wide range of neutron energies independently on the beam pulse structure of the produced radiation. In this work a passive neutron dosemeter for the measurement of the ambient dose equivalent is presented. The dosemeter is suitable for measurements of the emerging neutron radiation at accelerators for the whole energy range up to about 10 GeV. The dosemeter consists of a polyethylene sphere, TL elements (pairs of TLD600/700) and an additional lead layer (PE/Pb) in neutron fields at high energy accelerators is investigated in this work. Results of dose measurements which were performed in realistic neutron fields at the high energy accelerator SPS at CERN (CERF facility) and in Cave A at the heavy ion synchrotron SIS at GSI are presented. The results of these measurements are compared with the expected dose values from the neutron spectra determined for the measurement positions at CERF and in Cave A (FLUKA) and with the dosemeter response derived by the calculated response functions (FLUKA) folded with the neutron spectra. The comparisons show that the additional lead layer in the PE/Pb-sphere improves significantly the response of the dosemeter. The response of the PE/Pb-sphere is 40 to 50 % higher at CERF and Cave A in comparison to the bare PE-sphere. At CERF the dose values of the PE/Pb-sphere is about 25 % lower than the expected dose value, whilst for Cave A, a rather good agreement was found (2 % deviation). (author)

Application of New MODIS-Based Aerosol Index for Air Pollution Severity Assessment and Mapping in Upper Northern Thailand

Directory of Open Access Journals (Sweden)

Chat Phayungwiwatthanakoon

2014-06-01

Full Text Available This paper reports capability of a newly-proposed index called the aerosol prediction index (API in the determination and mapping of near-ground PM10 concentrations (at spatial resolution of 500 x 500 m during the 2009 and 2010 burning seasons in upper northern Thailand. API is a normalized index defined based on the difference in the observed reflectance data at two spectral bands of the MODIS instrument aboard NASA�s Terra satellite; Band 3 (blue and Band 7 (mid-infrared. Initial analysis suggested that API had strong correlation with the corresponding MODIS-AOD and AERONET-AOD with coefficient of determination (R2 about 0.62 in both cases, and also with the reference PM10 data with R2 of 0.66. In terms of predictive performance, it exhibited low bias at low PM10 condition and achieved impressive prediction accuracy with relative error of 10.78 %. The near-ground PM10 concentration map yielded from the proposed index was proved very useful in the comprehensive assessment of aerosol pollution situation over entire area at fine spatial detail. This task could not be fulfilled from sole use of the ground-based measured data or standard MODIS-AOD product. These findings indicate that API should be a promising tool for the regular monitoring of air pollution severity over the concerned area.

Heterogeneity of treatment changes after psychodynamic therapy within a one year follow-up

DEFF Research Database (Denmark)

Jensen, Hans Henrik; Mortensen, Erik Lykke; Lotz, Martin

2014-01-01

Naturalistic psychotherapy effect studies commonly report effect sizes for the total sample. However, a previous study of SCL-90 Global Severity Index (GSI) improvement in a large outpatient sample used a cluster analytic strategy and reported clinical relevant outcome trajectories that could...... and agoraphobic symptoms may be less optimally treated in short-term time limited psychodynamic groups. There is an obvious need for diversity of treatment offers, better integration of psycho-social treatment components, and long-term open ended treatment....

A new matcher type between RFQ and IH-DTL for the GSI high current heavy ion prestripper linac

International Nuclear Information System (INIS)

Ratzinger, U.; Tiede, R.

1996-01-01

The adaptation of a RFQ beam to the typical requirements at the entrance of a drift tube linac is rather difficult at high intensities and high A/q values. The high focusing power needed for such a matcher can be provided by a conventional array with rather large quadrupoles and rebuncher cavities only. Many problems arising from such a design can be avoided by using an element which is focusing in transverse and longitudinal direction at the same time, that is a short RFQ ('Super Lens') with 10 cells typically and a larger aperture as compared to the main RFQ. A xy-steerer and a short quadrupole doublet with small aperture were added to gain flexibility with regard to beam mismatch and misalignment corrections. This new concept is realised for the GSI 15 mA U 4+ injector, which is under construction. Beam dynamics calculations are presented and compared with results for a conventional solution consisting of a rebuncher and a quadrupole triplet. (author)

Are endocrine and reproductive biomarkers altered in contaminant-exposed wild male Largemouth Bass (Micropterus salmoides) of Lake Mead, Nevada/Arizona, USA?

Science.gov (United States)

Goodbred, Steven L.; Patino, Reynaldo; Torres, Leticia; Echols, Kathy R.; Jenkins, Jill A.; Rosen, Michael R.; Orsak, Erik

2015-01-01

Male Largemouth Bass were sampled from two locations in Lake Mead (USA), a site influenced by treated municipal wastewater effluent and urban runoff (Las Vegas Bay), and a reference site (Overton Arm). Samples were collected in summer (July '07) and spring (March '08) to assess general health, endocrine and reproductive biomarkers, and compare contaminant body burdens by analyzing 252 organic chemicals. Sperm count and motility were measured in spring. Contaminants were detected at much higher frequencies and concentrations in fish from Las Vegas Bay than Overton Arm. Those with the highest concentrations included PCBs, DDTs, PBDEs, galaxolide, and methyl triclosan. Fish from Las Vegas Bay also had higher Fulton condition factor, hepatosomatic index, and hematocrit, and lower plasma 11-ketotestosterone concentration (KT). Gonadosomatic index (GSI) and sperm motility did not differ between sites, but sperm count was lower by nearly 50% in fish from Las Vegas Bay. A positive association between KT and GSI was identified, but this association was nonlinear. On average, maximal GSI was reached at sub-maximal KT concentrations. In conclusion, the higher concentration of contaminant body burdens coupled with reduced levels of KT and sperm count in fish from Las Vegas Bay suggest that male reproductive condition was influenced by contaminant exposures. Also, the nonlinear KT-GSI association provided a framework to understand why GSI was similar between male bass from both sites despite their large difference in KT, and also suggested the existence of post-gonadal growth functions of KT at high concentrations.

Are endocrine and reproductive biomarkers altered in contaminant-exposed wild male Largemouth Bass (Micropterus salmoides) of Lake Mead, Nevada/Arizona, USA?

Science.gov (United States)

Goodbred, Steven L; Patiño, Reynaldo; Torres, Leticia; Echols, Kathy R; Jenkins, Jill A; Rosen, Michael R; Orsak, Erik

2015-08-01

Male Largemouth Bass were sampled from two locations in Lake Mead (USA), a site influenced by treated municipal wastewater effluent and urban runoff (Las Vegas Bay), and a reference site (Overton Arm). Samples were collected in summer (July '07) and spring (March '08) to assess general health, endocrine and reproductive biomarkers, and compare contaminant body burdens by analyzing 252 organic chemicals. Sperm count and motility were measured in spring. Contaminants were detected at much higher frequencies and concentrations in fish from Las Vegas Bay than Overton Arm. Those with the highest concentrations included PCBs, DDTs, PBDEs, galaxolide, and methyl triclosan. Fish from Las Vegas Bay also had higher Fulton condition factor, hepatosomatic index, and hematocrit, and lower plasma 11-ketotestosterone concentration (KT). Gonadosomatic index (GSI) and sperm motility did not differ between sites, but sperm count was lower by nearly 50% in fish from Las Vegas Bay. A positive association between KT and GSI was identified, but this association was nonlinear. On average, maximal GSI was reached at sub-maximal KT concentrations. In conclusion, the higher concentration of contaminant body burdens coupled with reduced levels of KT and sperm count in fish from Las Vegas Bay suggest that male reproductive condition was influenced by contaminant exposures. Also, the nonlinear KT-GSI association provided a framework to understand why GSI was similar between male bass from both sites despite their large difference in KT, and also suggested the existence of post-gonadal growth functions of KT at high concentrations. Published by Elsevier Inc.

An Illustration of Determining Quantitatively the Rock Mass Quality Parameters of the Hoek-Brown Failure Criterion

Science.gov (United States)

Wu, Li; Adoko, Amoussou Coffi; Li, Bo

2018-04-01

In tunneling, determining quantitatively the rock mass strength parameters of the Hoek-Brown (HB) failure criterion is useful since it can improve the reliability of the design of tunnel support systems. In this study, a quantitative method is proposed to determine the rock mass quality parameters of the HB failure criterion, namely the Geological Strength Index (GSI) and the disturbance factor ( D) based on the structure of drilling core and weathering condition of rock mass combined with acoustic wave test to calculate the strength of rock mass. The Rock Mass Structure Index and the Rock Mass Weathering Index are used to quantify the GSI while the longitudinal wave velocity ( V p) is employed to derive the value of D. The DK383+338 tunnel face of Yaojia tunnel of Shanghai-Kunming passenger dedicated line served as illustration of how the methodology is implemented. The values of the GSI and D are obtained using the HB criterion and then using the proposed method. The measured in situ stress is used to evaluate their accuracy. To this end, the major and minor principal stresses are calculated based on the GSI and D given by HB criterion and the proposed method. The results indicated that both methods were close to the field observation which suggests that the proposed method can be used for determining quantitatively the rock quality parameters, as well. However, these results remain valid only for rock mass quality and rock type similar to those of the DK383+338 tunnel face of Yaojia tunnel.

Upgrading the GSI beamline microscope with a confocal fluorescence lifetime scanner to monitor charged particle induced chromatin decondensation in living cells

Energy Technology Data Exchange (ETDEWEB)

Abdollahi, Elham; Taucher-Scholz, Gisela [Department of Biophysics, GSI Helmholtz Center for Heavy Ion Research, Planckstrasse 1, 64291 Darmstadt (Germany); Durante, Marco [Department of Biophysics, GSI Helmholtz Center for Heavy Ion Research, Planckstrasse 1, 64291 Darmstadt (Germany); Institute for Condensed Matter Physics, Darmstadt University of Technology, 64289 Darmstadt (Germany); Jakob, Burkhard, E-mail: B.Jakob@gsi.de [Department of Biophysics, GSI Helmholtz Center for Heavy Ion Research, Planckstrasse 1, 64291 Darmstadt (Germany)

2015-12-15

We report the upgrade of the GSI beamline microscope coupled to the linear accelerator UNILAC by a confocal FLIM scanner utilizing time correlated single photon counting technique (TCSPC). The system can now be used to address the radiation induced chromatin decondensation in more detail and with higher sensitivity compared to intensity based methods. This decondensation of heterochromatic areas is one of the early DNA damage responses observed after charged particle irradiation and might facilitate the further processing of the induced lesions. We describe here the establishment of different DNA dyes as chromatin compaction probes usable for quantification of the DNA condensation status in living cells utilizing lifetime imaging. In addition, we find an evidence of heterochromatic chromatin decondensation in ion irradiated murine chromocenters detected after subsequent fixation using FLIM measurements.

Usefulness of CURB-65 and pneumonia severity index for influenza A H1N1v pneumonia.

Science.gov (United States)

Estella, A

2012-01-01

Usefulness of CURB-65 and pneumonia severity index for influenza A H1N1v pneumonia. A. Estella. Different prognostic scales have been documented to assess the severity and indications for hospitalization and ICU admissions of community acquired pneumonia. During the past two years Influenza A H1N1v infections have been commonly attended to in emergency departments. The aim of the study was to analyse the usefulness of the application of the Pneumonia Severity Index (PSI) and CURB-65 prognostic scales in patients with primary viral pneumonia caused by influenza A H1N1v. A retrospective study was performed at a community hospital with a 17 bed-intensive care unit. Patients admitted in hospital with influenza A H1N1v pneumonia over a two year period were analysed. CURB 65 and PSI scales were applied in the emergency department and outcome and destination of admission were analysed. 24 patients were registered, 19 required ICU admission and 5 patients were admitted in medical wards. Most of the patients admitted to the intensive care unit (78.9%) required mechanical ventilation. Mortality was 21.1%. Most patients admitted to the ICU had CURB 65 scale of 1 (60%), 13.3% obtained 0 and 26.7% 2. PSI scale resulted class I in a 20%, class II 40%, 26.7% class IV and 13.3% class V. The scales CURB 65 and PSI showed no differences in scores according to the destination of admission and mortality. Use of CURB-65 and PSI in the emergency department may underestimate the risk of patients with Influenza A H1N1v pneumonia. Based in our results, the ability of these scales to predict ICU admissions for Influenza A H1N1v pneumonia is questioned.

Evaluation of the patient generated index as a measure of quality-of-life in people with severe traumatic brain injury.

LENUS (Irish Health Repository)

Hogan, Mark

2013-01-01

Quality-of-life (QoL) measures may be useful in quantifying the personal impact of an acquired brain injury and as an indicator of the effectiveness of service provision. This study investigated the validity of the patient generated index (PGI) as a measure of QoL with a sample of adults who had sustained a severe traumatic brain injury.

A study for the domestic application plan of the Generic Safety Issue(GSI) for the Pressurized Heavy Water Reactor

International Nuclear Information System (INIS)

Lee, Un Chul; Jang, Jin Wook; Lee, Sang Kyung; Lee, Doo Yong; Park, Chang Hwan

2002-03-01

In this study, a base work to construct the database of the domestic and foreign GSls were done through performing the deviation of GSls for the PHWR by investigating the development trend of international joint studies and the GSls of 4 countries as the PHWR state and examined the IAEA acceptance of GSls classification for the GSls of Canada, Korea Republic of, Argentina and India. We evaluated the possibility of application of the safety Issue for PHWR by investigating causes, contents and follow-up measures of each items. To evaluate the domestic application validity of the safety issue, We made the investigation matrix for the safety issue of each countries and also are reflecting new results in investigation matrix by examining IAEA PHWR GSI development trend. We intended to derive the GSls which are most appropriate in our PHWR by examining every issues. the derived GSls are divided into the design parts and the operation parts. And they have to be solved as soon as possible

A study for the domestic application plan of the Generic Safety Issue(GSI) for the Pressurized Heavy Water Reactor

Energy Technology Data Exchange (ETDEWEB)

Lee, Un Chul; Jang, Jin Wook; Lee, Sang Kyung; Lee, Doo Yong; Park, Chang Hwan [Seoul National Univ., Seoul (Korea, Republic of)

2002-03-15

In this study, a base work to construct the database of the domestic and foreign GSls were done through performing the deviation of GSls for the PHWR by investigating the development trend of international joint studies and the GSls of 4 countries as the PHWR state and examined the IAEA acceptance of GSls classification for the GSls of Canada, Korea Republic of, Argentina and India. We evaluated the possibility of application of the safety Issue for PHWR by investigating causes, contents and follow-up measures of each items. To evaluate the domestic application validity of the safety issue, We made the investigation matrix for the safety issue of each countries and also are reflecting new results in investigation matrix by examining IAEA PHWR GSI development trend. We intended to derive the GSls which are most appropriate in our PHWR by examining every issues. the derived GSls are divided into the design parts and the operation parts. And they have to be solved as soon as possible.

Quantitative analysis of Miller mobility index for the diagnosis of moderate to severe periodontitis - A cross-sectional study

Directory of Open Access Journals (Sweden)

Chung-Ping Wu

2018-03-01

Full Text Available Background/purpose: We assessed the mobility of single-root teeth by using Miller's mobility index (MMI and to analyze the validity of MMI for the diagnosis of periodontitis. Materials and methods: A total of 30 patients were included and the Spearman correlation coefficient was used to assess the correlation between MMI, clinical attachment level (CAL, and probing depth (PD. The validity of MMI for the diagnosis of the severity of periodontitis was evaluated using the receiver operating characteristic (ROC curve, area under curve (AUC value, positive predictive value (PPV. Results: Strong correlations were observed between MMI and CAL (r = 0.92 and between MMI and PD (r = 0.76. When the CAL = 3–4 mm and CAL ≥5 mm groups were pooled together, the AUC value was 0.81. The AUC was 0.86 for diagnosis with MMI in the CAL ≥5 mm group. A PPV of 100% was achieved for all grades when MMI >1. When the teeth with PD ≥ 5 to <7 mm and PD ≥ 7 mm groups were pooled together, the AUC value for MMI was 0.80. The PPV was 98.8%, 99%, and 100% for MMI Grade 1, Grade 2, and Grade 3, respectively. When PD ≥ 7 mm was defined as severe periodontitis, the AUC value for MMI was 0.72. Conclusion: MMI may provide valuable information for the diagnosis of moderate and severe periodontitis when CAL is not obtainable during routine practice. Keywords: Miller's mobility index, Negative predictive value, Nonsurgical periodontal therapy, Positive predictive value, Receiver operating characteristic curve, Tooth mobility

Design and study of new cables for superconducting accelerator magnets: Synchrotron SIS 100 at GSI and NICA collider at JINR*

International Nuclear Information System (INIS)

Khodzhibagiyan, H G; Drobin, V M; Kovalenko, A D; Vladimirova, N M; Fischer, E; Pantsyrny, V I; Potanina, L V; Shikov, A K

2010-01-01

Recent data from the design of new optimized options of NbTi composite wires and hollow cables for fast cycling synchrotron SIS100 at GSI and NICA collider at JINR are presented. The SIS100 new cable is proposed to be used for manufacturing of single-layer coil for dipole magnet with maximal amplitude of pulsed magnetic field up to 2 T. The cable should provide continues pulsed operation at the current amplitude of I = 13 kA and magnetic field ramp rate of dB/dt = 4 T/s. The results of experimental study of energy losses in the new wire and cable samples for SIS100 magnets are presented. The design cable parameters for the NICA 4 T dipole magnet are fixed at the level of I = 17 kA and dB/dt = 1 T/s. The status of the work is presented and discussed.

Validation of a noninvasive system for measuring head acceleration for use during boxing competition.

Science.gov (United States)

Beckwith, Jonathan G; Chu, Jeffrey J; Greenwald, Richard M

2007-08-01

Although the epidemiology and mechanics of concussion in sports have been investigated for many years, the biomechanical factors that contribute to mild traumatic brain injury remain unclear because of the difficulties in measuring impact events in the field. The purpose of this study was to validate an instrumented boxing headgear (IBH) that can be used to measure impact severity and location during play. The instrumented boxing headgear data were processed to determine linear and rotational acceleration at the head center of gravity, impact location, and impact severity metrics, such as the Head Injury Criterion (HIC) and Gadd Severity Index (GSI). The instrumented boxing headgear was fitted to a Hybrid III (HIII) head form and impacted with a weighted pendulum to characterize accuracy and repeatability. Fifty-six impacts over 3 speeds and 5 locations were used to simulate blows most commonly observed in boxing. A high correlation between the HIII and instrumented boxing headgear was established for peak linear and rotational acceleration (r2= 0.91), HIC (r2 = 0.88), and GSI (r2 = 0.89). Mean location error was 9.7 +/- 5.2 masculine. Based on this study, the IBH is a valid system for measuring head acceleration and impact location that can be integrated into training and competition.

The reaction {sup 48}Ca+{sup 238}U {yields}{sup 286}112{sup *} studied at the GSI-SHIP

Energy Technology Data Exchange (ETDEWEB)

Hofmann, S. [Gesellschaft fuer Schwerionenforschung (GSI), D-64291 Darmstadt (Germany); Institut fuer Kernphysik, Johann Wolfgang Goethe-Universitaet, Frankfurt (Germany); Ackermann, D.; Burkhard, H.G.; Heinz, S.; Hessberger, F.P.; Khuyagbaatar, J.; Kindler, B.; Kojouharov, I.; Lommel, B.; Mann, R.; Muenzenberg, G.; Schoett, H.J.; Sulignano, B. [Gesellschaft fuer Schwerionenforschung (GSI), Darmstadt (Germany); Antalic, S.; Saro, S.; Streicher, B.; Venhart, M. [Comenius University, Department of Nuclear Physics and Biophysics, Bratislava (Slovakia); Comas, V.F.; Heredia, J.A. [InSTEC, Habana (Cuba); Dressler, R. [Paul Scherrer Institute, Villigen (Switzerland); Gan, Z. [Chinese Academy of Sciences, Institute of Modern Physics, Lanzhou (China); Kuusiniemi, P. [University of Oulu, CUPP (Finland); Leino, M.; Uusitalo, J. [University of Jyvaeskylae, Department of Physics, Jyvaeskylae (Finland); Nishio, K. [Japan Atomic Energy Agency, Tokai, Ibaraki (Japan); Popeko, A.G.; Yeremin, A.V. [JINR, Flerov Laboratory of Nuclear Reactions, Dubna (Russian Federation)

2007-06-15

The fusion reaction of {sup 48}Ca projectiles with {sup 238}U target nuclei was studied at the velocity filter SHIP of GSI in Darmstadt. Two decay chains were measured, which fully confirm data that were previously assigned to the isotope {sup 283}112 in experiments at the Flerov Laboratory in Dubna. Two other events are consistent with a 50% spontaneous-fission (SF) branch of this isotope. The mean value obtained for the half-life of {sup 283}112 is (6.9{sup +6.9}{sub -2.3}) s, the {alpha} energy is (9.520{+-}0.015) MeV, and the total kinetic energy (TKE) of SF is (238{+-}14) MeV. The half-life of the {alpha} decay daughter nucleus {sup 279}Ds is (0.18{sup +0.32}{sub -0.07}) s, and the TKE of SF is (210 {sup +32}{sub -11}) MeV. The cross-section deduced from all four events is (0.72{sup +0.58}{sub -0.35}) pb, measured at an excitation energy of 34.6MeV of the compound nucleus {sup 286}112. (orig.)

Detecting post-fire burn severity and vegetation recovery using multitemporal remote sensing spectral indices and field-collected composite burn index data in a ponderosa pine forest

Science.gov (United States)

Chen, Xuexia; Vogelmann, James E.; Rollins, Matt; Ohlen, Donald; Key, Carl H.; Yang, Limin; Huang, Chengquan; Shi, Hua

2011-01-01

It is challenging to detect burn severity and vegetation recovery because of the relatively long time period required to capture the ecosystem characteristics. Multitemporal remote sensing data can providemultitemporal observations before, during and after a wildfire, and can improve the change detection accuracy. The goal of this study is to examine the correlations between multitemporal spectral indices and field-observed burn severity, and to provide a practical method to estimate burn severity and vegetation recovery. The study site is the Jasper Fire area in the Black Hills National Forest, South Dakota, that burned during August and September 2000. Six multitemporal Landsat images acquired from 2000 (pre-fire), 2001 (post-fire), 2002, 2003, 2005 and 2007 were used to assess burn severity. The normalized difference vegetation index (NDVI), enhanced vegetation index (EVI), normalized burn ratio (NBR), integrated forest index (IFI) and the differences of these indices between the pre-fire and post-fire years were computed and analysed with 66 field-based composite burn index (CBI) plots collected in 2002. Results showed that differences of NDVI and differences of EVI between the pre-fire year and the first two years post-fire were highly correlated with the CBI scores. The correlations were low beyond the second year post-fire. Differences of NBR had good correlation with CBI scores in all study years. Differences of IFI had low correlation with CBI in the first year post-fire and had good correlation in later years. A CBI map of the burnt area was produced using regression tree models and the multitemporal images. The dynamics of four spectral indices from 2000 to 2007 indicated that both NBR and IFI are valuable for monitoring long-term vegetation recovery. The high burn severity areas had a much slower recovery than the moderate and low burn areas.

Validation of the Spanish Addiction Severity Index Multimedia Version (S-ASI-MV).

Science.gov (United States)

Butler, Stephen F; Redondo, José Pedro; Fernandez, Kathrine C; Villapiano, Albert

2009-01-01

This study aimed to develop and test the reliability and validity of a Spanish adaptation of the ASI-MV, a computer administered version of the Addiction Severity Index, called the S-ASI-MV. Participants were 185 native Spanish-speaking adult clients from substance abuse treatment facilities serving Spanish-speaking clients in Florida, New Mexico, California, and Puerto Rico. Participants were administered the S-ASI-MV as well as Spanish versions of the general health subscale of the SF-36, the work and family unit subscales of the Social Adjustment Scale Self-Report, the Michigan Alcohol Screening Test, the alcohol and drug subscales of the Personality Assessment Inventory, and the Hopkins Symptom Checklist-90. Three-to-five-day test-retest reliability was examined along with criterion validity, convergent/discriminant validity, and factorial validity. Measurement invariance between the English and Spanish versions of the ASI-MV was also examined. The S-ASI-MV demonstrated good test-retest reliability (ICCs for composite scores between .59 and .93), criterion validity (rs for composite scores between .66 and .87), and convergent/discriminant validity. Factorial validity and measurement invariance were demonstrated. These results compared favorably with those reported for the original interviewer version of the ASI and the English version of the ASI-MV.

Facial Angiofibroma Severity Index (FASI): reliability assessment of a new tool developed to measure severity and responsiveness to therapy in tuberous sclerosis-associated facial angiofibroma.

Science.gov (United States)

Salido-Vallejo, R; Ruano, J; Garnacho-Saucedo, G; Godoy-Gijón, E; Llorca, D; Gómez-Fernández, C; Moreno-Giménez, J C

2014-12-01

Tuberous sclerosis complex (TSC) is an autosomal dominant neurocutaneous disorder characterized by the development of multisystem hamartomatous tumours. Topical sirolimus has recently been suggested as a potential treatment for TSC-associated facial angiofibroma (FA). To validate a reproducible scale created for the assessment of clinical severity and treatment response in these patients. We developed a new tool, the Facial Angiofibroma Severity Index (FASI) to evaluate the grade of erythema and the size and extent of FAs. In total, 30 different photographs of patients with TSC were shown to 56 dermatologists at each evaluation. Three evaluations using the same photographs but in a different random order were performed 1 week apart. Test and retest reliability and interobserver reproducibility were determined. There was good agreement between the investigators. Inter-rater reliability showed strong correlations (> 0.98; range 0.97-0.99) with inter-rater correlation coefficients (ICCs) for the FASI. The global estimated kappa coefficient for the degree of intra-rater agreement (test-retest) was 0.94 (range 0.91-0.97). The FASI is a valid and reliable tool for measuring the clinical severity of TSC-associated FAs, which can be applied in clinical practice to evaluate the response to treatment in these patients. © 2014 British Association of Dermatologists.

Modeling event building architecture for the triggerless data acquisition system for PANDA experiment at the HESR facility at FAIR/GSI

CERN Multimedia

CERN. Geneva

2012-01-01

A novel architecture is being proposed for the data acquisition and trigger system for PANDA experiment at the HESR facility at FAIR/GSI. The experiment will run without the hardware trigger signal and use timestamps to correlate detector data from a given time window. The broad physics program in combination with high rate of 2 10^7 interactions require very selective filtering algorithms which access information from almost all detectors. Therefore the effective filtering will happen later than it used to in today's systems ie after the event building. To assess that, the complete architecture will be built of two stages: the data concentrator stage providing event building and the rate reduction stage. For the former stage, which allows to switch 100 GB/s of event fragments to perform event building, we propose two layers of ATCA crates filled with compute nodes - modules designed at University of Giessen for trigger and data acquisition systems. Each board is equipped with 5 Virtex4 FX60 FPG...

Higher body mass index associated with severe early childhood caries.

Science.gov (United States)

Davidson, Katherine; Schroth, Robert J; Levi, Jeremy A; Yaffe, Aaron B; Mittermuller, Betty-Anne; Sellers, Elizabeth A C

2016-08-20

Severe Early Childhood Caries (S-ECC) is an aggressive form of tooth decay in preschool children affecting quality of life and nutritional status. The purpose was to determine whether there is an association between Body Mass Index (BMI) and S-ECC. Children with S-ECC were recruited on the day of their slated dental surgery under general anesthesia. Age-matched, caries-free controls were recruited from the community. All children were participating in a larger study on nutrition and S-ECC. Analysis was restricted to children ≥ 24 months of age. Parents completed a questionnaire and heights and weights were recorded. BMI scores and age and gender adjusted BMI z-scores and percentiles were calculated. A p-value ≤ 0.05 was significant. Two hundred thirty-five children were included (141 with S-ECC and 94 caries-free). The mean age was 43.3 ± 12.8 months and 50.2 % were male. Overall, 34.4 % of participants were overweight or obese. Significantly more children with S-ECC were classified as overweight or obese when compared to caries-free children (p = 0.038) and had significantly higher mean BMI z-scores than caries-free children (0.78 ± 1.26 vs. 0.22 ± 1.36, p = 0.002). Those with S-ECC also had significantly higher BMI percentiles (69.0 % ± 29.2 vs. 56.8 % ± 31.7, p = 0.003). Multiple linear regression analyses revealed that BMI z-scores were significantly and independently associated with S-ECC and annual household income as were BMI percentiles. Children with S-ECC in our sample had significantly higher BMI z-scores than caries-free peers.

The effects of increasing body mass index on heartburn severity, frequency and response to treatment with dexlansoprazole or lansoprazole.

Science.gov (United States)

Peura, D A; Pilmer, B; Hunt, B; Mody, R; Perez, M C

2013-04-01

Higher body mass index (BMI) is a recognised risk factor for gastro-oesophageal reflux disease (GERD). Data regarding the impact of BMI on proton pump inhibitor (PPI) therapy are conflicting. To assess the impact of BMI on baseline heartburn symptom severity and frequency and response to PPI therapy in patients with non-erosive GERD (NERD) or erosive oesophagitis (EO). In post hoc analyses of phase 3 trial data, 621 NERD and 2692 EO patients were stratified by BMI (heartburn severity increased with increasing BMI. The impact of PPI therapy on the reduction in heartburn symptom frequency and severity in both NERD and EO patients was similar across BMI categories. EO healing rates in patients treated with dexlansoprazole but not lansoprazole were higher in obese patients compared with those with a BMI heartburn regardless of baseline BMI. In addition, because patients with higher BMI have more severe symptoms at baseline, they may experience greater therapeutic gain with dexlansoprazole (NERD and erosive oesophagitis) and possibly lansoprazole (erosive oesophagitis) treatment. © 2013 Blackwell Publishing Ltd.

How do governments support the development of Public Private Partnerships?

DEFF Research Database (Denmark)

Verhoest, Koen; Petersen, Ole Helby; Scherrer, Walter

2015-01-01

Taking an institutional perspective, in this article we develop an index of the governmental support for public private partnership (PPP) — a ‘PPP Governmental Support Index’ (GSI) — which aims to measure the extent to which national governments provide an institutional framework that is either...... conducive or preventive for the introduction and diffusion of PPPs within transport infrastructure and other sectors. First, based on a substantive review of the literature, we define the elements of the PPP GSI, including the policy and political commitment regarding PPPs, the legal and regulatory...... framework, and the presence/absence of dedicated PPP-supporting arrangements. Second, we calculate the PPP GSI for 20 European countries, cluster them and compare similarities and differences in national governmental support of infrastructure PPPs. Third, we explore the potential link between national...

Detecting signals of seasonal influenza severity through age dynamics

DEFF Research Database (Denmark)

Lee, Elizabeth C.; Viboud, Cécile; Simonsen, Lone

2015-01-01

stages of an outbreak. To address the limitations of traditional indicators, we propose a novel severity index based on influenza age dynamics estimated from routine physician diagnosis data that can be used retrospectively and for early warning. METHODS: We developed a quantitative 'ground truth......' severity benchmark that synthesizes multiple traditional severity indicators from publicly available influenza surveillance data in the United States. Observing that the age distribution of cases may signal severity early in an epidemic, we constructed novel retrospective and early warning severity indexes....... The retrospective index was well correlated with the severity benchmark and correctly identified the two most severe seasons. The early warning index performance varied, but it projected 2007-08 as relatively severe 10 weeks prior to the epidemic peak. Influenza severity varied significantly among states within...

X-ray spectroscopy of warm and hot electron components in the CAPRICE source plasma at EIS testbench at GSI.

Science.gov (United States)

Mascali, D; Celona, L; Maimone, F; Maeder, J; Castro, G; Romano, F P; Musumarra, A; Altana, C; Caliri, C; Torrisi, G; Neri, L; Gammino, S; Tinschert, K; Spaedtke, K P; Rossbach, J; Lang, R; Ciavola, G

2014-02-01

An experimental campaign aiming to detect X radiation emitted by the plasma of the CAPRICE source - operating at GSI, Darmstadt - has been carried out. Two different detectors (a SDD - Silicon Drift Detector and a HpGe - hyper-pure Germanium detector) have been used to characterize the warm (2-30 keV) and hot (30-500 keV) electrons in the plasma, collecting the emission intensity and the energy spectra for different pumping wave frequencies and then correlating them with the CSD of the extracted beam measured by means of a bending magnet. A plasma emissivity model has been used to extract the plasma density along the cone of sight of the SDD and HpGe detectors, which have been placed beyond specific collimators developed on purpose. Results show that the tuning of the pumping frequency considerably modifies the plasma density especially in the warm electron population domain, which is the component responsible for ionization processes: a strong variation of the plasma density near axis region has been detected. Potential correlations with the charge state distribution in the plasma are explored.

Misery Index corrected by informality: applicable to Venezuela

OpenAIRE

Ramoni Perazzi, Josefa; Orlandoni Merli, Giampaolo

2013-01-01

This paper suggests a variation of the IMO index (Okun's Misery Index), adapting it to markets with these characteristics, adding the ESI level (Employment in the Informal Sector) to the unemployment level -- This research compares the evolution of several standard misery indexes in several zones during the last decades, with emphasis on the case of Venezuela, for which the new proposed index is also estimated -- Results show improvement in the well-being of groups of countries under study, c...

Effects of methyl testosterone exposure on sexual differentiation in medaka, Oryzias latipes

Science.gov (United States)

Papoulias, D.M.; Noltie, Douglas B.; Tillitt, D.E.

2000-01-01

Studies were conducted to characterize effects of a known androgen on sexual differentiation and development of medaka, Oryzias latipes (d-rR strain), at two life stages. Embryos were injected with graded doses of methyl testosterone (MT) prior to epiboly. The occurrence of sex-reversal, and the gonadosomatic index (GSI) were evaluated in adults. Primary germ cells were counted and gonad volumes calculated for larvae to determine if sex-reversal could be detected at an early life stage. Sex-reversal of genetic females to phenotypic males was observed at both life stages. The GSI for phenotypic females was greater than for phenotypic males, while the GSI in XX males was similar to XY males. MT appeared to reduce the GSI of XX females exposed to MT but not sex-reversed. Our results indicate that embryonic exposure to androgens influences sexual development in medaka. Utilizing the d-rR strain of medaka allows detection of an effect as early as 2 weeks after chemical exposure making this a useful tool to screen chemicals for effects on sexual differentiation. Copyright (C) 2000.

Spawning period and first maturity size of deep water rose shrimp ...

African Journals Online (AJOL)

Administrator

2011-11-02

Nov 2, 2011 ... index (GSI), ranged throughout the year, reaching its peak two times; first peak occurred in autumn ... The deep water rose shrimp, Parapenaeus longirostris .... macroscopic examination of the gonads (development and.

Polymorphysims of Gene in the Exons Were Associated with the Reproductive Endocrine of Japanese Flounder (

Directory of Open Access Journals (Sweden)

R. Q. Ma

2012-06-01

Full Text Available The cytochrome P450c17-I (CYP17-I is one of the enzymes critical to gonadal development and the synthesis of androgens. Two single nucleotide polymorphisms (SNPs were detected within the coding region of the CYP17-I gene in a population of 75 male Japanese flounder (Paralichthys olivaceus. They were SNP1 (c.C445T located in exon2 and SNP2 (c.T980C (p.Phe307Leu located in exon5. Four physiological indices, which were serum testosterone (T, serum 17β-estradiol (E2, Hepatosomatic index (HSI, and Gonadosomatic index (GSI, were studied to examine the effect of the two SNPs on the reproductive endocrines of Japanese flounder. Multiple comparisons revealed that CT genotype of SNP1 had a much lower T level than CC genotype (p<0.05 and the GSI of individuals with CC genotype of SNP2 was higher than those with TT genotype (p<0.05. Four diplotypes were constructed based on the two SNPs and the diplotype D3 had a significantly lower T level and GSI. In conclusion, the two SNPs were significantly associated with reproductive traits of Japanese flounder.

Gonad development and plasma steroid profiles by HRGC/HRMS during one reproductive cycle in reference and leachate-exposed female perch (Perca fluviatilis)

International Nuclear Information System (INIS)

Noaksson, Erik; Gustavsson, Bodil; Linderoth, Maria; Zebuehr, Yngve; Broman, Dag; Balk, Lennart

2004-01-01

Endocrine processes were studied in reference female perch (Perca fluviatilis) from Lake Djursjoen and in leachate-exposed females from Lake Molnbyggen during one reproductive cycle. A high-resolution gas chromatography/high-resolution mass spectrometry (HRGC/HRMS) technique enabled the analysis of circulating sex steroids [progesterone (P), 17α-hydroxyprogesterone (17α-OHP), androstenedione (A), testosterone (T), estrone (E1), and 17β-estradiol (E2)], the maturation-inducing hormone (MIH) 17α,20β-dihydroxy-4-pregnen-3-one (17α,20β-P), and glucocorticoids [11-deoxycortisol (11-DC) and cortisol]. Body and organ measurements, ratio of sexually mature (SM) females, and frequencies of body lesions, were also recorded. High frequencies of body lesions and a low ratio of SM females were generally found in Molnbyggen. These females also had lower gonadosomatic index (GSI) and liver-somatic index (LSI) in the early stages of vitellogenesis, indicating either a delayed onset of oogenesis or an impaired vitellogenesis. Non-reproducing females from both lakes showed a similar LSI cycle as SM females. Increasing T and A levels in SM females from Djursjoen coincided with the GSI peak at the time of spawning. These two androgens were on several occasions lower in SM females from Molnbyggen, possibly the result of a disrupted 17,20-lyase activity of the P450 17α enzyme because only minor effects were observed on circulating P and 17α-OHP levels. E2 and E1 levels increased during vitellogenesis in females from both lakes, with E1 levels more closely resembling the peaks of A and GSI. Peak levels of 17α,20β-P at the time of spawning confirmed its function as the MIH in perch, while the simultaneous peak of 11-DC suggests that it also may be involved in final maturation of the oocytes

PR-Index: Using the h-Index and PageRank for Determining True Impact.

Science.gov (United States)

Gao, Chao; Wang, Zhen; Li, Xianghua; Zhang, Zili; Zeng, Wei

2016-01-01

Several technical indicators have been proposed to assess the impact of authors and institutions. Here, we combine the h-index and the PageRank algorithm to do away with some of the individual limitations of these two indices. Most importantly, we aim to take into account value differences between citations-evaluating the citation sources by defining the h-index using the PageRank score rather than with citations. The resulting PR-index is then constructed by evaluating source popularity as well as the source publication authority. Extensive tests on available collections data (i.e., Microsoft Academic Search and benchmarks on the SIGKDD innovation award) show that the PR-index provides a more balanced impact measure than many existing indices. Due to its simplicity and similarity to the popular h-index, the PR-index may thus become a welcome addition to the technical indices already in use. Moreover, growth dynamics prior to the SIGKDD innovation award indicate that the PR-index might have notable predictive power.

Intrathecal IgM index correlates with a severe disease course in multiple sclerosis: Clinical and MRI results.

Science.gov (United States)

Ozakbas, Serkan; Cinar, Bilge Piri; Özcelik, Pinar; Baser, Hatice; Kosehasanoğullari, Gorkem

2017-09-01

Intrathecally synthesized IgM can be seen not only in the cerebrospinal fluid (CSF) in infectious and inflammatory diseases of the central nervous system, but also in that of patients with multiple sclerosis (MS). Intrathecal IgM synthesis in MS seems to be correlated with an unfavorable disease course. In one cross-sectional study, intrathecal synthesis of IgM (IgM index) was found to be correlated with cranial magnetic resonance imaging (MRI) parameters. The purpose of this study was to determine the possible relationship between the IgM index and MRI and clinical parameters. Eighty-one patients with MS (58 female) undergoing lumbar puncture were included in the study. Fifty-one patients had a relapsing-remitting (RR) disease course, while 30 cases were secondary progressive MS (SPMS). IgM was detected in paired CSF and serum specimens using ELISA. The IgM index was calculated using the formula CSF IgM/serum IgM: CSF albumin/serum albumin. IgM indexes higher than 0.1 were considered "increased". All patients underwent brain and whole spinal cord MRI. The IgM index was normal in 43 of the 81 patients (53.1%) and increased in 38 (46.9%). A significant correlation was determined between the IgM index and Expanded Disability Status Scale (EDSS) (r=0.638, p=0.001). Most of the subjects with increased IgM indexes were SPMS patients, 28 having a SPMS course and 10 a RRMS course. Only two patients with SPMS courses had normal IgM indexes. EDSS scores were significantly higher in patients with increased IgM indexes (EDSS 4.3 vs EDSS 2.8, p=0.000). All patients with EDSS >3 had increased IgM indexes. All patients with IgM index values higher than 0.2 IgM had SPMS courses and EDSS >6. Time to onset of the secondary progressive phase of the disease was correlated with IgM index values (p=0.004). IgM index values were also correlated with T1 hypointense lesions (r=0.0431, p=0.008) and Gd enhancing lesions (r=0.0396, p=0.006). Patients with increased IgM indexes also had more

Modeling the Severity of Drinking Consequences in First-Year College Women: An Item Response Theory Analysis of the Rutgers Alcohol Problem Index*

Science.gov (United States)

Cohn, Amy M.; Hagman, Brett T.; Graff, Fiona S.; Noel, Nora E.

2011-01-01

Objective: The present study examined the latent continuum of alcohol-related negative consequences among first-year college women using methods from item response theory and classical test theory. Method: Participants (N = 315) were college women in their freshman year who reported consuming any alcohol in the past 90 days and who completed assessments of alcohol consumption and alcohol-related negative consequences using the Rutgers Alcohol Problem Index. Results: Item response theory analyses showed poor model fit for five items identified in the Rutgers Alcohol Problem Index. Two-parameter item response theory logistic models were applied to the remaining 18 items to examine estimates of item difficulty (i.e., severity) and discrimination parameters. The item difficulty parameters ranged from 0.591 to 2.031, and the discrimination parameters ranged from 0.321 to 2.371. Classical test theory analyses indicated that the omission of the five misfit items did not significantly alter the psychometric properties of the construct. Conclusions: Findings suggest that those consequences that had greater severity and discrimination parameters may be used as screening items to identify female problem drinkers at risk for an alcohol use disorder. PMID:22051212

X-ray spectroscopy of warm and hot electron components in the CAPRICE source plasma at EIS testbench at GSI

Energy Technology Data Exchange (ETDEWEB)

Mascali, D., E-mail: davidmascali@lns.infn.it; Celona, L.; Castro, G.; Torrisi, G.; Neri, L.; Gammino, S.; Ciavola, G. [Istituto Nazionale di Fisica Nucleare - Laboratori Nazionali del Sud, – Via S. Sofia 62, 95123 Catania (Italy); Maimone, F.; Maeder, J.; Tinschert, K.; Spaedtke, K. P.; Rossbach, J.; Lang, R. [GSI Helmholtzzentrum für Schwerionenforschung GmbH, Planckstrasse 1, 64291 Darmstadt (Germany); Romano, F. P. [Istituto Nazionale di Fisica Nucleare - Laboratori Nazionali del Sud, – Via S. Sofia 62, 95123 Catania (Italy); IBAM, CNR, Via Biblioteca 4, 95124 Catania (Italy); Musumarra, A.; Altana, C.; Caliri, C. [Istituto Nazionale di Fisica Nucleare - Laboratori Nazionali del Sud, – Via S. Sofia 62, 95123 Catania (Italy); Dipartimento di Fisica e Astronomia, Università degli Studi di Catania, via S. Sofia 64, 95123 Catania (Italy)

2014-02-15

An experimental campaign aiming to detect X radiation emitted by the plasma of the CAPRICE source – operating at GSI, Darmstadt – has been carried out. Two different detectors (a SDD – Silicon Drift Detector and a HpGe – hyper-pure Germanium detector) have been used to characterize the warm (2–30 keV) and hot (30–500 keV) electrons in the plasma, collecting the emission intensity and the energy spectra for different pumping wave frequencies and then correlating them with the CSD of the extracted beam measured by means of a bending magnet. A plasma emissivity model has been used to extract the plasma density along the cone of sight of the SDD and HpGe detectors, which have been placed beyond specific collimators developed on purpose. Results show that the tuning of the pumping frequency considerably modifies the plasma density especially in the warm electron population domain, which is the component responsible for ionization processes: a strong variation of the plasma density near axis region has been detected. Potential correlations with the charge state distribution in the plasma are explored.

Endometriosis fertility index predicts live births following surgical resection of moderate and severe endometriosis.

Science.gov (United States)

Maheux-Lacroix, S; Nesbitt-Hawes, E; Deans, R; Won, H; Budden, A; Adamson, D; Abbott, J A

2017-11-01

Can live birth be accurately predicted following surgical resection of moderate-severe (Stage III-IV) endometriosis? Live births can accurately be predicted with the endometriosis fertility index (EFI), with adnexal function being the most important factor to predict non-assisted reproductive technology (non-ART) fertility or the requirement for ART (www.endometriosisefi.com). Fertility prognosis is important to many women with severe endometriosis. Controversy persists regarding optimal post-operative management to achieve pregnancy and the counselling of patients regarding duration of conventional treatments before undergoing ART. The EFI is reported to correlate with expectant management pregnancy rate, although external validation has been performed without specifically addressing fertility in women with moderate and severe endometriosis. Retrospective cohort study of 279 women from September 2001 to June 2016. We included women undergoing laparoscopic resection of Stage III-IV endometriosis who attempted pregnancy post-operatively. The EFI was calculated based on detailed operative reports and surgical images. Fertility outcomes were obtained by direct patient contact. Kaplan-Meier model, log rank test and Cox regression were used for analyses. The follow-up rate was 84% with a mean duration of 4.1 years. A total of 147 women (63%) had a live birth following surgery, 94 of them (64%) without ART. The EFI was highly associated with live births (P years was 0% and steadily increased up to 91% with an EFI of 9-10, while the proportion of women who attempted ART and had a live birth, steadily increased from 38 to 71% among the same EFI strata (P = 0.1). A low least function score was the most significant predictor of failure (P = 0.003), followed by having had a previous resection (P = 0.019) or incomplete resection (P = 0.028), being older than 40 compared to years of age (P = 0.027), and having leiomyomas (P = 0.037). The main limitation of this study is its

Assessing the Quality of Life Using the Health Utilities Index Questionnaire in Children With Severe Persistent Asthma During the Treatment With Omalizumab

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Leyla S. Namazova-Baranova

2017-01-01

Full Text Available Background. Quality of life (QoL is an important parameter that provides additional information about changes in health status. Objective. Our aim was to study the change in QoL of patients with severe persistent bronchial asthma (BA during the treatment with genetically engineered biological preparation (GIBP omalizumab in addition to daily background therapy. Methods. The QoL assessment was conducted using the Health Utilities Index Mark 3 and Mark 2 (HUI3, HUI2 questionnaires at two points (1st point and 2nd point — in 6 months in 47 children with severe BA at the age of 13 (7; 17 years, 72% of them are boys. At the same points, QoL was evaluated using the PAQLQ (S specialized pediatric questionnaire (Standardized Pediatric Asthma Quality of Life Questionnaire. Results. Depending on the duration of omalizumab therapy, all children were divided into 5 groups: 1st group — children who did not receive treatment with monoclonal antibodies at the 1st point; in 2, 3, 4, 5-th groups, the QoL assessment was performed on GIBP treatment for different time. In children of the 1st group whose QoL was evaluated before starting GIBP therapy and in 6 months, a statistically significant change in scores on the Health Utilities Index questionnaire was noted: the multi-attribute indices HUI2 and HUI3 improved, respectively, by 21.3 and 10.71% (p = 0.041 and 0.086. According to the HUI2 classification system, a significant improvement in the emotion attribute was revealed, which positively correlated with the overall indicator and the emotion indicator of the PAQLQ (S questionnaire. In the remaining groups, the indicators of the Health Utilities Index questionnaire did not change significantly. Conclusion. The study results showed that the dynamics of the quality of life in children with severe persistent BA is an important additional criterion in a comprehensive assessment of the efficacy of targeted bioengineering therapy. 

Evaluation of precipitation forecasts from 3D-Var and hybrid GSI-based system during Indian summer monsoon 2015

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Singh, Sanjeev Kumar; Prasad, V. S.

2018-02-01

This paper presents a systematic investigation of medium-range rainfall forecasts from two versions of the National Centre for Medium Range Weather Forecasting (NCMRWF)-Global Forecast System based on three-dimensional variational (3D-Var) and hybrid analysis system namely, NGFS and HNGFS, respectively, during Indian summer monsoon (June-September) 2015. The NGFS uses gridpoint statistical interpolation (GSI) 3D-Var data assimilation system, whereas HNGFS uses hybrid 3D ensemble-variational scheme. The analysis includes the evaluation of rainfall fields and comparisons of rainfall using statistical score such as mean precipitation, bias, correlation coefficient, root mean square error and forecast improvement factor. In addition to these, categorical scores like Peirce skill score and bias score are also computed to describe particular aspects of forecasts performance. The comparison results of mean precipitation reveal that both the versions of model produced similar large-scale feature of Indian summer monsoon rainfall for day-1 through day-5 forecasts. The inclusion of fully flow-dependent background error covariance significantly improved the wet biases in HNGFS over the Indian Ocean. The forecast improvement factor and Peirce skill score in the HNGFS have also found better than NGFS for day-1 through day-5 forecasts.

PR-Index: Using the h-Index and PageRank for Determining True Impact.

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Chao Gao

Full Text Available Several technical indicators have been proposed to assess the impact of authors and institutions. Here, we combine the h-index and the PageRank algorithm to do away with some of the individual limitations of these two indices. Most importantly, we aim to take into account value differences between citations-evaluating the citation sources by defining the h-index using the PageRank score rather than with citations. The resulting PR-index is then constructed by evaluating source popularity as well as the source publication authority. Extensive tests on available collections data (i.e., Microsoft Academic Search and benchmarks on the SIGKDD innovation award show that the PR-index provides a more balanced impact measure than many existing indices. Due to its simplicity and similarity to the popular h-index, the PR-index may thus become a welcome addition to the technical indices already in use. Moreover, growth dynamics prior to the SIGKDD innovation award indicate that the PR-index might have notable predictive power.

Plasma testosterone and 11-ketotestosterone levels of male pacu Piaractus mesopotamicus (Cypriniformes, Characidae

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R. Gazola

1997-12-01

Full Text Available The levels of testosterone (T and 11-ketotestosterone (11-KT of the South American pacu Piaractus mesopotamicus were determined by radioimmunoassay during two stages of the reproductive cycle, i.e., resting and maturation, and the gonadosomatic index (GSI was calculated. The highest levels of T and 11-KT were reached during the maturation stage (T = 2400 ± 56 pg/ml; 11-KT = 2300 ± 60 pg/ml and lower levels were maintained during the resting period. The rise in androgen levels occurred with the appearance of spermatozoa in the maturation stage, when GSI was highest

Metal artefact reduction in gemstone spectral imaging dual-energy CT with and without metal artefact reduction software

International Nuclear Information System (INIS)

Lee, Young Han; Song, Ho-Taek; Kim, Sungjun; Suh, Jin-Suck; Park, Kwan Kyu

2012-01-01

To assess the usefulness of gemstone spectral imaging (GSI) dual-energy CT (DECT) with/without metal artefact reduction software (MARs). The DECTs were performed using fast kV-switching GSI between 80 and 140 kV. The CT data were retro-reconstructed with/without MARs, by different displayed fields-of-view (DFOV), and with synthesised monochromatic energy in the range 40-140 keV. A phantom study of size and CT numbers was performed in a titanium plate and a stainless steel plate. A clinical study was performed in 26 patients with metallic hardware. All images were retrospectively reviewed in terms of the visualisation of periprosthetic regions and the severity of beam-hardening artefacts by using a five-point scale. The GSI-MARs reconstruction can markedly reduce the metal-related artefacts, and the image quality was affected by the prosthesis composition and DFOV. The spectral CT numbers of the prosthesis and periprosthetic regions showed different patterns on stainless steel and titanium plates. Dual-energy CT with GSI-MARs can reduce metal-related artefacts and improve the delineation of the prosthesis and periprosthetic region. We should be cautious when using GSI-MARs because the image quality was affected by the prosthesis composition, energy (in keV) and DFOV. The metallic composition and size should be considered in metallic imaging with GSI-MARs reconstruction. circle Metal-related artefacts can be troublesome on musculoskeletal computed tomography (CT). circle Gemstone spectral imaging (GSI) with dual-energy CT (DECT) offers a novel solution circle GSI and metallic artefact reduction software (GSI-MAR) can markedly reduce these artefacts. circle However image quality is influenced by the prosthesis composition and other parameters. circle We should be aware about potential overcorrection when using GSI-MARs. (orig.)

Some aspects on the reproductive cycle of European conger eel, Conger conger (Linnaeus, 1758 (Osteichthyes, Anguilliformes, Congridae captured from Western Algerian coasts: a histological description of spermatogenesis

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Abi-ayad Sidi-Mohammed El-Amine

2011-09-01

Full Text Available The aim of this work was to study the annual reproductive cycle of European conger eel (Conger conger,Linnaeus, 1758 through analysis and description of spermatogenesis. A sample of 168 males was capturedbetween September 2008 and August 2009 from the Western coast of Algeria, from Béni Saf. Fish length andweight varied between 26.20-112 cm and 0.45-3.44 kg, respectively.Condition factors (K, gonadosomatic index (G.S.I. and hepatosomatic index (H.S.I. were calculatedmonthly. Factor K reached the minimum in August/September (0.10% corresponding to reproductive periodand a maximum in January (0.18%. Although G.S.I. values revealed to be statistically not significant, therewere two peaks for G.S.I., the first in March, denoting the beginning of spermatogenesis, and the second inAugust/September, indicating the reproduction period. H.S.I. reached a peak in December (1.90%, then thevalue decreased to a minimum in April.Histological analysis of testis allowed us to distinguish 5 stages summarized as follows: Stage 1:Spermatogonia A; Stage 2: Spermatogonia B; Stage 3: Spermatocytes and spermatids; Stage 4: Spermatocytes,spermatids and spermatozoa (cytodifferentiation of spermatids into spermatozoa; Stage 5: Spermatozoa(spermiogenesis or cytodifferentiation of spermatids into spermatozoa.

Increased body mass index predicts severity of asthma symptoms but not objective asthma traits in a large sample of asthmatics

DEFF Research Database (Denmark)

Bildstrup, Line; Backer, Vibeke; Thomsen, Simon Francis

2015-01-01

AIM: To examine the relationship between body mass index (BMI) and different indicators of asthma severity in a large community-based sample of Danish adolescents and adults. METHODS: A total of 1186 subjects, 14-44 years of age, who in a screening questionnaire had reported a history of airway...... symptoms suggestive of asthma and/or allergy, or who were taking any medication for these conditions were clinically examined. All participants were interviewed about respiratory symptoms and furthermore height and weight, skin test reactivity, lung function, and airway responsiveness were measured...

The total right/left-volume index: a new and simplified cardiac magnetic resonance measure to evaluate the severity of Ebstein anomaly of the tricuspid valve: a comparison with heart failure markers from various modalities.

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Hösch, Olga; Sohns, Jan Martin; Nguyen, Thuy-Trang; Lauerer, Peter; Rosenberg, Christina; Kowallick, Johannes Tammo; Kutty, Shelby; Unterberg, Christina; Schuster, Andreas; Faßhauer, Martin; Staab, Wieland; Paul, Thomas; Lotz, Joachim; Steinmetz, Michael

2014-07-01

The classification of clinical severity of Ebstein anomaly still remains a challenge. The aim of this study was to focus on the interaction of the pathologically altered right heart with the anatomically-supposedly-normal left heart and to derive from cardiac magnetic resonance (CMR) a simple imaging measure for the clinical severity of Ebstein anomaly. Twenty-five patients at a mean age of 26±14 years with unrepaired Ebstein anomaly were examined in a prospective study. Disease severity was classified using CMR volumes and functional measurements in comparison with heart failure markers from clinical data, ECG, laboratory and cardiopulmonary exercise testing, and echocardiography. All examinations were completed within 24 hours. A total right/left-volume index was defined from end-diastolic volume measurements in CMR: total right/left-volume index=(RA+aRV+fRV)/(LA+LV). Mean total right/left-volume index was 2.6±1.7 (normal values: 1.1±0.1). This new total right/left-volume index correlated with almost all clinically used biomarkers of heart failure: brain natriuretic peptide (r=0.691; P=0.0003), QRS (r=0.432; P=0.039), peak oxygen consumption/kg (r=-0.479; P=0.024), ventilatory response to carbon dioxide production at anaerobic threshold (r=0.426; P=0.048), the severity of tricuspid regurgitation (r=0.692; P=0.009), tricuspid valve offset (r=0.583; P=0.004), and tricuspid annular plane systolic excursion (r=0.554; P=0.006). Previously described severity indices ([RA+aRV]/[fRV+LA+LV]) and fRV/LV end-diastolic volume corresponded only to some parameters. In patients with Ebstein anomaly, the easily acquired index of right-sided to left-sided heart volumes from CMR correlated well with established heart failure markers. Our data suggest that the total right/left-volume index should be used as a new and simplified CMR measure, allowing more accurate assessment of disease severity than previously described scoring systems. © 2014 American Heart Association, Inc.

Aspects of the historical development of targetry for heavy ions of 0.05-2000 A centre dot MeV at GSI

CERN Document Server

Folger, H

1999-01-01

The progressively improved GSI accelerators provide beams of heavy ions from energies of 0.05-2000 A centre dot MeV at high particle intensities now. Therefore, a wide variety of common and new heavy-ion target techniques had to be installed and developed during the past 25 years to prepare and characterize self-supported or backed heavy-ion-targets of chemical elements and compounds from hydrogen (as polyethylene) to uranium. The thickness ranged from 2x10 sup - sup 6 to 20 g/cm sup 2 for beam spots of about 5 mm in diameter. Homogeneity, surface structure or individual shape had to be adapted to the needs of each experiment. Special setups were required for targets of poisonous materials, of highly enriched stable isotopes or those of radioactive species in minute amounts. The capability of thin-layer technologies was as well applied to prepare and measure stripper foils or various high-vacuum deposits for experimental or accelerator purposes. The development of different rotating target wheels and control ...

The Severity of Dysmenorrhea and its Relationship with Body Mass Index among Female Adolescents in Hamadan, Iran

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Batool Khodakarami

2015-09-01

Full Text Available Background & aim: Primary dysmenorrhea is a common problem among women, resulting in a decline in their performance level and quality of life. Previous studies have not indicated a definite relationship between body mass index (BMI and dysmenorrhea. Therefore, this study aimed to determine the severity of dysmenorrhea and investigate its relationship with BMI among female adolescents in Hamadan, Iran. Methods:This cross-sectional study was conducted on 579 single, female adolescents in schools of Hamadan, Iran in 2011. Students with primary dysmenorrhea (without any other conditions were selected, using random cluster sampling. Demographic characteristics and menstrual cycle information were collected, using two separate questionnaires. BMI was recorded in all participants and visual analogue scale was applied for pain assessment. Chi-square, t-test, Fisher's exact test and logistic regression were used to examine the relationship between variables. Data were analyzed, using SPSS version 16. P-value less than 0.05 was considered statistically significant. Results: The mean age, BMI and age at menarche in participants were 15.94±1.17 years, 21.16±3.36 kg/m2 and 12.92± 1.05 years, respectively. The frequency of dysmenorrhea was estimated to be 85.31%. The frequency and severity of dysmenorrhea was higher in the normal-weight group than other subjects. No relationship was seen between the severity and duration of dysmenorrhea with BMI. But dysmenorrhea had a significant relationship with age at menarche and premenstrual syndrome (P

Severity indices in rheumatoid arthritis: A systematic review.

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Toledano, Esther; García de Yébenes, M Jesús; González-Álvaro, Isidoro; Carmona, Loreto

2017-08-11

To identify tools designed to evaluate the severity of patients with rheumatoid arthritis (RA) in order to use them in the investigation of prognostic markers in early arthritis. We conducted a systematic review of studies that developed/validated an index for RA disease severity. They were analyzed using the COSMIN checklist to assess their methodological quality. In addition, all the variables included were evaluated for their clarity of definition, feasibility and probability of being present in each outcome during the first 2 years of the disease course. To estimate redundancy, variables were grouped by domains. After reviewing 3,519 articles, 3 studies were included. The first study, the PAS, assessed whether current and lifetime treatment with disease-modifying antirheumatic drugs and/or biologics accurately predicted RA severity, as measured by the patient-reported PAS. Treatment variables did not fully distinguish patients in the highest and lowest quartiles of PAS scores. Another severity index, the Claims-Based Index for RA Severity (CIRAS), included the variables age, sex, Felty's syndrome, number of rehabilitation and rheumatology visits, test for inflammatory markers, number of chemistry panels/platelet counts ordered and rheumatoid factor test. The correlation was low (r=0.56) with an index previously validated by the same research group, the RA medical records-based index of severity (RARBIS), with Disease Activity Score-C-reactive protein (DAS28-PCR) (r=0.07) and Multidimensional Health Assessment Questionnaire (MD-HAQ) (r=0.008). Finally, the RARBIS, used to validate the CIRAS, was devised as an RA severity index based on medical records. It includes as domains surgery, radiology, extra-articular manifestations, clinical and laboratory variables, previously chosen by an expert panel. RARBIS had a weak correlation with treatment intensity (r=0.35) and with DAS28 (r=0.41). There is no index to assess the severity of RA based on the course of the

A new relative hazard index

International Nuclear Information System (INIS)

Smith, C.F.; Burnett, T.W.T; Kastenberg, W.E.

1976-01-01

Several indexes for the evaluation of relative radionuclide hazards have been previously developed. In this paper, a new relative hazard index is derived for use in the assessment of the future burden to mankind from the presence of radionuclides in the environment. Important features of this hazard index are that it takes into account multiple decay schemes, non-equilibrium conditions, and finite time periods. As an application of this hazard index, a comparison is made between thermal reactor radioactive waste and the uranium required as fuel with the following conclusions: (1) For short time intervals (d 234 U breaking the uranium decay chain. (3) For long time intervals of concern (d >= 500 000 years), the reactor waste and consumed uranium indexes are equal after a much shorter decay time (approximately 10 years.) (author)

On the refractive index of sodium iodide solutions for index matching in PIV

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Bai, Kunlun; Katz, Joseph

2014-04-01

Refractive index matching has become a popular technique for facilitating applications of modern optical diagnostic techniques, such as particle image velocimetry, in complex systems. By matching the refractive index of solid boundaries with that of the liquid, unobstructed optical paths can be achieved for illumination and image acquisition. In this research note, we extend previously provided data for the refractive index of aqueous solutions of sodium iodide (NaI) for concentrations reaching the temperature-dependent solubility limit. Results are fitted onto a quadratic empirical expression relating the concentration to the refractive index. Temperature effects are also measured. The present range of indices, 1.333-1.51, covers that of typical transparent solids, from silicone elastomers to several recently introduced materials that could be manufactured using rapid prototyping. We also review briefly previous measurements of the refractive index, viscosity, and density of NaI solutions, as well as prior research that has utilized this fluid.

Seasonal changes in the gonadossomatic index, allometric condition factor and sex ratio of an auchenipterid catfish from eastern Amazonia

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Tiago Magalhães da Silva Freitas

2011-01-01

Full Text Available The aim of the present study was to evaluate the seasonal pattern of the gonadosomatic index (GSI, condition factor (K, and sex ratio in the catfish Auchenipterichthys longimanus (Siluriformes: Auchenipteridae as an approach to identify its reproductive period. A total of 589 A. longimanus specimens (251 males and 338 females were captured in the rivers of the Caxiuanã National Forest, in the Brazilian state of Pará, between July, 2008 and July, 2009. Among the male specimens, 171 were classified as adults and 80 as juveniles, while there were 249 adults and 89 juvenile females. Using a sinusoidal equation, analysis of the GSI revealed a reproductive asynchrony between the genders, with males attaining their highest GSI values in January, while females peaked in March. For males, the sinusoidal regression for GSI values was significant only when used the complete data set (P=0.001, wears no trend was identified for bimonthly means (P=0.136. For females, by contrast, significant values were obtained for both the complete data set (P=0.012 and bimonthly GSI means (P=0.026. For the condition factor, the sinusoidal equation returned significant seasonal variation in both raw data (P=0.02 and with mean values (P=0.00 for males, but only with raw data for females (P=0.04, which appears to reflect variation in the energy budget between genders. With regard to the sex ratio, more reproductive females were captured than males in January and March, 2009, which suggests a pattern of segregation related to the reproductive process. These parameters are fundamental to the assessment, protection, and management of natural fish stocks, as well as providing guidelines for the development of conservation strategies.O objetivo deste estudo foi avaliar alterações sazonais no índice gonadossomático (IGS%, fator de condição (K e proporção sexual, a fim de determinar o período de atividade reprodutiva do bagre Auchenipterichthys longimanus (Siluriformes

Effects of confinement on rock mass modulus: A synthetic rock mass modelling (SRM study

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I. Vazaios

2018-06-01

Full Text Available The main objective of this paper is to examine the influence of the applied confining stress on the rock mass modulus of moderately jointed rocks (well interlocked undisturbed rock mass with blocks formed by three or less intersecting joints. A synthetic rock mass modelling (SRM approach is employed to determine the mechanical properties of the rock mass. In this approach, the intact body of rock is represented by the discrete element method (DEM-Voronoi grains with the ability of simulating the initiation and propagation of microcracks within the intact part of the model. The geometry of the pre-existing joints is generated by employing discrete fracture network (DFN modelling based on field joint data collected from the Brockville Tunnel using LiDAR scanning. The geometrical characteristics of the simulated joints at a representative sample size are first validated against the field data, and then used to measure the rock quality designation (RQD, joint spacing, areal fracture intensity (P21, and block volumes. These geometrical quantities are used to quantitatively determine a representative range of the geological strength index (GSI. The results show that estimating the GSI using the RQD tends to make a closer estimate of the degree of blockiness that leads to GSI values corresponding to those obtained from direct visual observations of the rock mass conditions in the field. The use of joint spacing and block volume in order to quantify the GSI value range for the studied rock mass suggests a lower range compared to that evaluated in situ. Based on numerical modelling results and laboratory data of rock testing reported in the literature, a semi-empirical equation is proposed that relates the rock mass modulus to confinement as a function of the areal fracture intensity and joint stiffness. Keywords: Synthetic rock mass modelling (SRM, Discrete fracture network (DFN, Rock mass modulus, Geological strength index (GSI, Confinement

Women who abuse prescription opioids: findings from the Addiction Severity Index-Multimedia Version Connect prescription opioid database.

Science.gov (United States)

Green, Traci C; Grimes Serrano, Jill M; Licari, Andrea; Budman, Simon H; Butler, Stephen F

2009-07-01

Evidence suggests gender differences in abuse of prescription opioids. This study aimed to describe characteristics of women who abuse prescription opioids in a treatment-seeking sample and to contrast gender differences among prescription opioid abusers. Data collected November 2005 to April 2008 derived from the Addiction Severity Index Multimedia Version Connect (ASI-MV Connect) database. Bivariate and multivariable logistic regression examined correlates of prescription opioid abuse stratified by gender. 29,906 assessments from 220 treatment centers were included, of which 12.8% (N=3821) reported past month prescription opioid abuse. Women were more likely than men to report use of any prescription opioid (29.8% females vs. 21.1% males, phistory of drug overdose. Men-specific correlates were age screen and identify those at highest risk of prescription opioid abuse. Prevention and intervention efforts with a gender-specific approach are warranted.

Dosimetric Evaluation of Metal Artefact Reduction using Metal Artefact Reduction (MAR) Algorithm and Dual-energy Computed Tomography (CT) Method

Science.gov (United States)

Laguda, Edcer Jerecho

approaches were applied in this research for dosimetric evaluation on CT images with severe metal artefacts. The first part of the research used a water phantom with four iodine syringes. Two sets of plans, multi-arc plans and single-arc plans, using the Volumetric Modulated Arc therapy (VMAT) technique were designed to avoid or minimize influences from high-density objects. The second part of the research used projection-based MAR Algorithm and the Dual-Energy Method. Calculated Doses (Mean, Minimum, and Maximum Doses) to the planning treatment volume (PTV) were compared and homogeneity index (HI) calculated. Results: (1) Without the GSI-based MAR application, a percent error between mean dose and the absolute dose ranging from 3.4-5.7% per fraction was observed. In contrast, the error was decreased to a range of 0.09-2.3% per fraction with the GSI-based MAR algorithm. There was a percent difference ranging from 1.7-4.2% per fraction between with and without using the GSI-based MAR algorithm. (2) A range of 0.1-3.2% difference was observed for the maximum dose values, 1.5-10.4% for minimum dose difference, and 1.4-1.7% difference on the mean doses. Homogeneity indexes (HI) ranging from 0.068-0.065 for dual-energy method and 0.063-0.141 with projection-based MAR algorithm were also calculated. Conclusion: (1) Percent error without using the GSI-based MAR algorithm may deviate as high as 5.7%. This error invalidates the goal of Radiation Therapy to provide a more precise treatment. Thus, GSI-based MAR algorithm was desirable due to its better dose calculation accuracy. (2) Based on direct numerical observation, there was no apparent deviation between the mean doses of different techniques but deviation was evident on the maximum and minimum doses. The HI for the dual-energy method almost achieved the desirable null values. In conclusion, the Dual-Energy method gave better dose calculation accuracy to the planning treatment volume (PTV) for images with metal artefacts than

Fundamental study on applicability of resilience index for system safety assessment

International Nuclear Information System (INIS)

Suzuki, Masaaki; Demachi, Kazuyuki; Murakami, Kenta

2015-01-01

We have developed a new index called Resilience index, which evaluate the reliability of system safety of nuclear power plant under severe accident by considering the capability to recover from the situation the system safety function was lost. In this paper, a detailed evaluation procedure for the Resilience index was described. System safety of a PWR plant under severe accident was then assessed according to the Resilience index concept to discuss applicability of the index. We found that the Resilience index successfully visualize the management capability, and therefore, resilience capability of a nuclear power plant. (author)

Is a mobile emergency severity index (ESI) triage better than the paper ESI?

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Savatmongkorngul, Sorravit; Yuksen, Chaiyaporn; Suwattanasilp, Chanakarn; Sawanyawisuth, Kittisak; Sittichanbuncha, Yuwares

2017-12-01

This study aims to evaluate the mobile emergency severity index (ESI) tool in terms of validity compared with the original ESI triage. The original ESI and mobile ESI were used with patients at the Department of Emergency Medicine, Ramathibodi Hospital, Thailand. Eligible patients were evaluated by sixth-year medical students/emergency physicians using either the original or mobile ESI. The ESI results for each patient were compared with the standard ESI. Concordance and kappa statistics were calculated for pairs of the evaluators. There were 486 patients enrolled in the study; 235 patients (48.4%) were assessed using the mobile ESI, and 251 patients (51.6%) were in the original ESI group. The baseline characteristics of patients in both groups were mostly comparable except for the ED visit time. The percentages of concordance and kappa statistics in the original ESI group were lower than in the mobile group in all three comparisons (medical students vs gold standard, emergency physicians vs gold standard, and medical students vs emergency physicians). The highest kappa in the original ESI group is 0.69, comparing emergency physicians vs gold standard, while the lowest kappa in the application group is 0.84 comparing the medical students vs gold standard. Both medical students and emergency physicians are more confident with the mobile ESI application triage. In conclusion, the mobile ESI has better inter-rater reliability, and is more user-friendly than the original paper form.

Interpreting weightings of the peer assessment rating index and the discrepancy index across contexts on Chinese patients.

Science.gov (United States)

Liu, Siqi; Oh, Heesoo; Chambers, David William; Xu, Tianmin; Baumrind, Sheldon

2018-04-06

Determine optimal weightings of Peer Assessment Rating (PAR) index and Discrepancy Index (DI) for malocclusion severity assessment in Chinese orthodontic patients. Sixty-nine Chinese orthodontists assessed a full set of pre-treatment records from a stratified random sample of 120 subjects gathered from six university orthodontic centres. Using professional judgment as the outcome variable, multiple regression analyses were performed to derive customized weighting systems for the PAR index and DI, for all subjects and each Angle classification subgroup. Professional judgment was consistent, with an Intraclass Correlation Coefficient (ICC) of 0.995. The PAR index or DI can be reliably measured, with ICC = 0.959 and 0.990, respectively. The predictive accuracy of PAR index was greatly improved by the Chinese weighting process (from r = 0.431 to r = 0.788) with almost equal distribution in each Angle classification subgroup. The Chinese-weighted DI showed a higher predictive accuracy, at P = 0.01, compared with the PAR index (r = 0.851 versus r = 0.788). A better performance was found in the Class II group (r = 0.890) when compared to Class I (r = 0.736) and III (r = 0.785) groups. The Chinese-weighted PAR index and DI were capable of predicting 62 per cent and 73 per cent of total variance in the professional judgment of malocclusion severity in Chinese patients. Differential prediction across Angle classifications merits attention since different weighting formulas were found.

Omega-3 Index and Obstructive Sleep Apnea: A Cross-Sectional Study.

Science.gov (United States)

Tittus, Janine; Huber, Marie Theres; Storck, Klaus; Köhler, Anton; Köhler, Jan M; von Arnim, Thomas; von Schacky, Clemens

2017-10-15

Erythrocyte levels of eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA) (Omega-3 Index) were previously found to be associated with obstructive sleep apnea (OSA) at very low levels (Omega-3 Index. These comorbidities can be improved by increasing intake of EPA and DHA, and thus the Omega-3 Index, preferably to its target range of 8% to 11%. Symptoms of OSA might improve by increasing the Omega-3 Index, but more research is needed. In our sleep laboratory, 357 participants with OSA were recruited, and data from 315 participants were evaluated. Three categories of OSA (none/ mild, moderate, severe) were defined based on apnea-hypopnea index. Anthropometrics and lifestyle characteristics (smoking, alcohol, fish intake, omega-3 supplementation) were recorded. Erythrocyte fatty acid compositions were assessed with the HS-Omega-3 Index methodology. The mean Omega-3 Index in all 3 categories of OSA was 5.7%, and no association with OSA was found. There were more male participants with severe OSA (79.7%, P = .042) than females, and participants with severe OSA had a significantly higher body mass index (32.11 ± 6.39 kg/m 2 , P = .009) than participants with mild or moderate OSA. Lifestyle characteristics were not significantly different. In contrast to our hypothesis, an Omega-3 Index of 5.7% was not associated with OSA severity. Previously, an Omega-3 Index Omega-3 Index > 5.7% in an intervention trial with EPA and DHA in OSA, comorbidities of OSA suggest a target range of 8% to 11%. © 2017 American Academy of Sleep Medicine

Deterministic indexing for packed strings

DEFF Research Database (Denmark)

Bille, Philip; Gørtz, Inge Li; Skjoldjensen, Frederik Rye

2017-01-01

Given a string S of length n, the classic string indexing problem is to preprocess S into a compact data structure that supports efficient subsequent pattern queries. In the deterministic variant the goal is to solve the string indexing problem without any randomization (at preprocessing time...... or query time). In the packed variant the strings are stored with several character in a single word, giving us the opportunity to read multiple characters simultaneously. Our main result is a new string index in the deterministic and packed setting. Given a packed string S of length n over an alphabet σ...

Transport Risk Index of Physiologic Stability, version II (TRIPS-II): a simple and practical neonatal illness severity score.

Science.gov (United States)

Lee, Shoo K; Aziz, Khalid; Dunn, Michael; Clarke, Maxine; Kovacs, Lajos; Ojah, Cecil; Ye, Xiang Y

2013-05-01

Derive and validate a practical assessment of infant illness severity at admission to neonatal intensive care units (NICUs). Prospective study involving 17,075 infants admitted to 15 NICUs in 2006 to 2008. Logistic regression was used to derive a prediction model for mortality comprising four empirically weighted items (temperature, blood pressure, respiratory status, response to noxious stimuli). This Transport Risk Index of Physiologic Stability, version II (TRIPS-II) was then validated for prediction of 7-day and total NICU mortality. TRIPS-II discriminated 7-day (receiver operating curve [ROC] area, 0.90) and total NICU mortality (ROC area, 0.87) from survival. Furthermore, there was a direct association between changes in TRIPS-II at 12 and 24 hours and mortality. There was good calibration across the full range of TRIPS-II scores and the gestational age at birth, and addition of TRIPS-II improved performance of prediction models that use gestational age and baseline population risk variables. TRIPS-II is a validated benchmarking tool for assessing infant illness severity at admission and for up to 24 hours after. Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Some connectivity indices and zagreb index of polyhex nanotubes.

Science.gov (United States)

Farahani, Mohammad Reza

2012-12-01

Several topological indices are investigated in polyhex nanotubes: Randić connectivity index, sum-connectivity index, atom-bond connectivity index, geometric-arithmetic index, First and Second Zagreb indices and Zagreb polynomials. Formulas for calculating the above topological descriptors in polyhex zigzag TUZC6[m,n] and armchair TUAC6[m,n] nanotube families are given.

Psychopathological dimensions in subjects with hereditary ATTR V30M amyloidosis and their relation with life events due to the disease.

Science.gov (United States)

Lopes, Alice; Fonseca, Isabel; Sousa, Alexandra; Rodrigues, Carla; Branco, Margarida; Coelho, Teresa; Sequeiros, Jorge; Freitas, Paula

2018-03-01

Chronic physical illness has been associated with emotional distress. Chronic diseases may change usual family patterns with economic, social and family losses. Hereditary ATTR V30M amyloidosis is a rare, fatal inherited systemic amyloidosis, with chronic evolution and beginning in adulthood. To evaluate psychopathological dimensions and how they correlated with disease-related life events, 209 symptomatic and asymptomatic carriers, participated in the study. Sociodemographic and Family and Personal History Disease questionnaires and brief symptom inventory (BSI) were applied. BSI indices, global severity index (GSI), positive symptom index (PSI) and positive symptom total (PST) scored higher than general population. Independent predictors for GSI >0.83 were female sex (OR = 3.46, p = .005) and being symptomatic carriers (OR = 3.03, p = .039). Independent predictors of a PST >26.99 were female sex (OR = 3.74, p = .012) symptomatic carrier (OR = 5.32, p = .025), age between 15 and 24 years at affected parent's death (OR = 5.26, p = .04). Independent predictors of a PSI >1.56 were being asymptomatic carrier (OR = 6.3, p = .036); to have children (OR = 3.19, p = .043) and have ≤14 years at parent's disease onset (OR = 6.39, p = .05). Results point to an important vulnerability of this population for psychological distress and psychiatric disease. Early life events related to disease, being sick and sex are associated with psychopathological distress.

Integrated analysis of two biomarkers in Sciades herzbergii (Ariidae, Siluriformes, to assess the environmental impact at São Marcos' Bay, Maranhão, Brazil

Directory of Open Access Journals (Sweden)

Débora Batista Pinheiro-Sousa

2013-04-01

Full Text Available Guribu catfish (Sciades herzbergii is a resident species in estuaries of Maranhão, Brazil. The aim of this work was to determine the feasibility of integrated analysis of the branchial lesions and gonadosomatic index of Sciades herzbergii in order to evaluate the effects of pollutants in São Marcos' Bay. The first site (S1 is located near the Ilha dos Caranguejos and was used as a reference area for being an environmental protection area. The second site (S2 is located near the ALUMAR/ALCOA port, and was used as a potentially polluted area. Fish were collected at each site, forty-eight in S1 and forty in S2. Gills were fixed in 10% formalin, and usual histological techniques were used in the first right gill arch, with inclusion in paraffin and sections of 5 µm thickness. There were no histopathological changes in animals captured at the reference site. However, in those catfish collected in the potentially contaminated area it was observed several branchial lesions, such as lifting of the lamellar epithelium, fusion of some secondary lamellae, hypertrophy of epithelial cells and lamellar aneurysm. The analysis using the gonadosomatic index (GSI showed significant differences, being higher in fish analyzed from the reference area (P < 0.05. The branchial lesions and GSI were sensitive for monitoring environmental impacts of different locations at São Marcos' Bay, Maranhão, Brazil.

Ambiguities in the relationship between gonadal steroids and reproduction in axolotls (Ambystoma mexicanum).

Science.gov (United States)

Eisthen, Heather L; Krause, Brianne Chung

2012-05-01

Axolotls (Ambystoma mexicanum) are aquatic salamanders that are widely used in research. Axolotls have been bred in laboratories for nearly 150 years, yet little is known about the basic biology of reproduction in these animals. We investigated the effects of changing day length, time of year, and food availability on levels of circulating estradiol and androgens in adult female and male axolotls, respectively. In addition, we examined the effects of these variables on the mass of ovaries, oviducts, and eggs in females and on mass of testes in males relative to each individual's body weight, to calculate a form of gonadosomatic index (GSI). In both sexes, GSI was not correlated with levels of circulating steroids. In female axolotls, estradiol levels were influenced by food availability, changes in day length, and season, even when animals were held at a constant temperature and day length was decorrelated with calendar date. In addition, the mass of ovaries, oviducts, and eggs varied seasonally, peaking in the winter months and declining during the summer months, even though our animals were not breeding and shedding eggs. In males, levels of androgens appeared to vary independently of external conditions, but GSI varied dramatically with changes in day length. These results suggest that reproduction in axolotls may vary seasonally, as it does in many other ambystomid species, although both male and female axolotls are capable of reproducing several times each year. The physiological basis of this ability remains enigmatic, given the indications of seasonality contained in our data. Copyright © 2012 Elsevier Inc. All rights reserved.

Concurrent chart review provides more accurate documentation and increased calculated case mix index, severity of illness, and risk of mortality.

Science.gov (United States)

Frazee, Richard C; Matejicka, Anthony V; Abernathy, Stephen W; Davis, Matthew; Isbell, Travis S; Regner, Justin L; Smith, Randall W; Jupiter, Daniel C; Papaconstantinou, Harry T

2015-04-01

Case mix index (CMI) is calculated to determine the relative value assigned to a Diagnosis-Related Group. Accurate documentation of patient complications and comorbidities and major complications and comorbidities changes CMI and can affect hospital reimbursement and future pay for performance metrics. Starting in 2010, a physician panel concurrently reviewed the documentation of the trauma/acute care surgeons. Clarifications of the Centers for Medicare and Medicaid Services term-specific documentation were made by the panel, and the surgeon could incorporate or decline the clinical queries. A retrospective review of trauma/acute care inpatients was performed. The mean severity of illness, risk of mortality, and CMI from 2009 were compared with the 3 subsequent years. Mean length of stay and mean Injury Severity Score by year were listed as measures of patient acuity. Statistical analysis was performed using ANOVA and t-test, with p reimbursement and more accurately stratify outcomes measures for care providers. Copyright © 2015 American College of Surgeons. Published by Elsevier Inc. All rights reserved.

Misery Index Corrected by Informality: Applicable to Venezuela

Directory of Open Access Journals (Sweden)

Josefa Ramoni Perazzi

2013-11-01

Full Text Available This paper suggests a variation of the IMO index (Okun's Misery Index, adapting it to markets with these characteristics, adding the ESI level (Employment in the Informal Sector to the unemployment level. This research compares the evolution of several standard misery indexes in several zones during the last decades, with emphasis on the case of Venezuela, for which the new proposed index is also estimated. Results show improvement in the well-being of groups of countries under study, compared to the deterioration of the indicator in Venezuela. In general terms, the IMO is controlled by unemployment, except in Venezuela. However, preponderance of inflation over unemployment in this country seems to occur by the underestimate that the unemployment rate has on the Venezuelan labor market situation.

Investigation into the applicability of Bond Work Index (BWI) and Hardgrove Grindability Index (HGI) tests for several biomasses compared to Colombian La Loma coal

OpenAIRE

Williams, Orla; Eastwick, Carol; Kingman, Sam; Giddings, Donald; Lormor, Stephen; Lester, Edward

2015-01-01

With increasing quantities of biomass being combusted in coal fired power stations, there is an urgent need to be able to predict the grindability of biomass in existing coal mills, but currently no standard biomass grindability test exists. In this study, the applicability of the Hardgrove Grindability Index (HGI) and Bond Work Index (BWI) as standard grindability tests for biomass were investigated for commercially sourced wood pellets, steam exploded pellets, torrefied pellets, sunflower p...

The impact of hydraulic flow unit & reservoir quality index on pressure profile and productivity index in multi-segments reservoirs

Directory of Open Access Journals (Sweden)

Salam Al-Rbeawi

2017-12-01

Full Text Available The objective of this paper is studying the impact of the hydraulic flow unit and reservoir quality index (RQI on pressure profile and productivity index of horizontal wells acting in finite reservoirs. Several mathematical models have been developed to investigate this impact. These models have been built based on the pressure distribution in porous media, depleted by a horizontal well, consist of multi hydraulic flow units and different reservoir quality index. The porous media are assumed to be finite rectangular reservoirs having different configurations and the wellbores may have different lengths. Several analytical models describing flow regimes have been derived wherein hydraulic flow units and reservoir quality index have been included in addition to rock and fluid properties. The impact of these two parameters on reservoir performance has also been studied using steady state productivity index.It has been found that both pressure responses and flow regimes are highly affected by the existence of multiple hydraulic flow units in the porous media and the change in reservoir quality index for these units. Positive change in the RQI could lead to positive change in both pressure drop required for reservoir fluids to move towards the wellbore and hence the productivity index.

Consciousness Indexing and Outcome Prediction with Resting-State EEG in Severe Disorders of Consciousness.

Science.gov (United States)

Stefan, Sabina; Schorr, Barbara; Lopez-Rolon, Alex; Kolassa, Iris-Tatjana; Shock, Jonathan P; Rosenfelder, Martin; Heck, Suzette; Bender, Andreas

2018-04-17

We applied the following methods to resting-state EEG data from patients with disorders of consciousness (DOC) for consciousness indexing and outcome prediction: microstates, entropy (i.e. approximate, permutation), power in alpha and delta frequency bands, and connectivity (i.e. weighted symbolic mutual information, symbolic transfer entropy, complex network analysis). Patients with unresponsive wakefulness syndrome (UWS) and patients in a minimally conscious state (MCS) were classified into these two categories by fitting and testing a generalised linear model. We aimed subsequently to develop an automated system for outcome prediction in severe DOC by selecting an optimal subset of features using sequential floating forward selection (SFFS). The two outcome categories were defined as UWS or dead, and MCS or emerged from MCS. Percentage of time spent in microstate D in the alpha frequency band performed best at distinguishing MCS from UWS patients. The average clustering coefficient obtained from thresholding beta coherence performed best at predicting outcome. The optimal subset of features selected with SFFS consisted of the frequency of microstate A in the 2-20 Hz frequency band, path length obtained from thresholding alpha coherence, and average path length obtained from thresholding alpha coherence. Combining these features seemed to afford high prediction power. Python and MATLAB toolboxes for the above calculations are freely available under the GNU public license for non-commercial use ( https://qeeg.wordpress.com ).

Psychometric evaluation of the Major Depression Inventory (MDI) as depression severity scale using the LEAD (Longitudinal Expert Assessment of All Data) as index of validity

DEFF Research Database (Denmark)

Bech, Per; Timmerby, N; Martiny, K

2015-01-01

BACKGROUND: The Major Depression Inventory (MDI) was developed to cover the universe of depressive symptoms in DSM-IV major depression as well as in ICD-10 mild, moderate, and severe depression. The objective of this study was to evaluate the standardization of the MDI as a depression severity......-IV major depression. The conventional VAS scores for no, mild, moderate, and severe depression were used for the standardization of the MDI. RESULTS: The inter-correlation for the MDI with the clinician ratings (VAS, MES, HAM-D17 and HAM-D6) increased over the rating weeks in terms of Pearson coefficients....... After nine weeks of therapy the coefficient ranged from 0.74 to 0.83. Using the clinician-rated VAS depression severity scale, the conventional MDI cut-off scores for no or doubtful depression, and for mild, moderate and severe depression were confirmed. CONCLUSIONS: Using the VAS as index of external...

Challenges in Evaluating the Severity of Fibropapillomatosis: A Proposal for Objective Index and Score System for Green Sea Turtles (Chelonia mydas) in Brazil.

Science.gov (United States)

Rossi, Silmara; Sánchez-Sarmiento, Angélica María; Vanstreels, Ralph Eric Thijl; Dos Santos, Robson Guimarães; Prioste, Fabiola Eloisa Setim; Gattamorta, Marco Aurélio; Grisi-Filho, José Henrique Hildebrand; Matushima, Eliana Reiko

2016-01-01

Fibropapillomatosis (FP) is a neoplastic disease that affects marine turtles worldwide, especially green sea turtles (Chelonia mydas). FP tumors can develop on the body surface of marine turtles and also internally in the oral cavity and viscera. Depending on their quantity, size and anatomical distribution, these tumors can interfere with hydrodynamics and the ability to feed, hence scoring systems have been proposed in an attempt to quantify the clinical manifestation of FP. In order to establish a new scoring system adapted to geographic regions, we examined 214 juvenile green sea turtles with FP caught or rescued at Brazilian feeding areas, counted their 7466 tumors and classified them in relation to their size and anatomical distribution. The patterns in quantity, size and distribution of tumors revealed interesting aspects in the clinical manifestation of FP in specimens studied in Brazil, and that FP scoring systems developed for other areas might not perform adequately when applied to sea turtles on the Southwest Atlantic Ocean. We therefore propose a novel method to evaluate the clinical manifestation of FP: fibropapillomatosis index (FPI) that provides the Southwest Atlantic fibropapillomatosis score (FPSSWA). In combination, these indexing and scoring systems allow for a more objective, rapid and detailed evaluation of the severity of FP in green sea turtles. While primarily designed for the clinical manifestation of FP currently witnessed in our dataset, this index and the score system can be adapted for other areas and compare the characteristics of the disease across regions. In conclusion, scoring systems to classify the severity of FP can assist our understanding on the environmental factors that modulate its development and its impacts on the individual and population health of green sea turtles.

Temporal Changes in Coupled Vegetation Phenology and Productivity are Biome-Specific in the Northern Hemisphere

Directory of Open Access Journals (Sweden)

Lanhui Wang

2017-12-01

Full Text Available Global warming has greatly stimulated vegetation growth through both extending the growing season and promoting photosynthesis in the Northern Hemisphere (NH. Analyzing the combined dynamics of such trends can potentially improve our current understanding on changes in vegetation functioning and the complex relationship between anthropogenic and climatic drivers. This study aims to analyze the relationships (long-term trends and correlations of length of vegetation growing season (LOS and vegetation productivity assessed by the growing season NDVI integral (GSI in the NH (>30°N to study any dependency of major biomes that are characterized by different imprint from anthropogenic influence. Spatial patterns of converging/diverging trends in LOS and GSI and temporal changes in the coupling between LOS and GSI are analyzed for major biomes at hemispheric and continental scales from the third generation Global Inventory Monitoring and Modeling Studies (GIMMS Normalized Difference Vegetation Index (NDVI dataset for a 32-year period (1982–2013. A quarter area of the NH is covered by converging trends (consistent significant trends in LOS and GSI, whereas diverging trends (opposing significant trends in LOS and GSI cover about 6% of the region. Diverging trends are observed mainly in high latitudes and arid/semi-arid areas of non-forest biomes (shrublands, savannas, and grasslands, whereas forest biomes and croplands are primarily characterized by converging trends. The study shows spatially-distinct and biome-specific patterns between the continental land masses of Eurasia (EA and North America (NA. Finally, areas of high positive correlation between LOS and GSI showed to increase during the period of analysis, with areas of significant positive trends in correlation being more widespread in NA as compared to EA. The temporal changes in the coupled vegetation phenology and productivity suggest complex relationships and interactions that are induced

A winter severity index for the state of Maine.

Science.gov (United States)

2009-01-01

Winter maintenance in the Sate of Maine consumes around twenty percent of the Bureau of : Maintenance and Operations budget each year. Costs are directly related to the length and severity : of a winter season. In addition, the cost of materials and ...

Optimized Data Indexing Algorithms for OLAP Systems

Directory of Open Access Journals (Sweden)

Lucian BORNAZ

2010-12-01

Full Text Available The need to process and analyze large data volumes, as well as to convey the information contained therein to decision makers naturally led to the development of OLAP systems. Similarly to SGBDs, OLAP systems must ensure optimum access to the storage environment. Although there are several ways to optimize database systems, implementing a correct data indexing solution is the most effective and less costly. Thus, OLAP uses indexing algorithms for relational data and n-dimensional summarized data stored in cubes. Today database systems implement derived indexing algorithms based on well-known Tree, Bitmap and Hash indexing algorithms. This is because no indexing algorithm provides the best performance for any particular situation (type, structure, data volume, application. This paper presents a new n-dimensional cube indexing algorithm, derived from the well known B-Tree index, which indexes data stored in data warehouses taking in consideration their multi-dimensional nature and provides better performance in comparison to the already implemented Tree-like index types.

Biomarkers and bioindicators of the environmental condition using a fish species (Pimelodus maculatus Lacepède, 1803 in a tropical reservoir in Southeastern Brazil

Directory of Open Access Journals (Sweden)

F. G. Araújo

2017-08-01

Full Text Available Abstract The Funil Reservoir receives a large amount of xenobiotics from the Paraíba do Sul River (PSR from large number of industries and municipalities in the watershed. This study aimed to assess environmental quality along the longitudinal profile of the Paraíba do Sul River–Funil Reservoir system, by using biomarkers and bioindicators in a selected fish species. The raised hypothesis is that Funil Reservoir acts as a filter for the xenobiotics of the PSR waters, improving river water quality downstream the dam. Two biomarkers, the ethoxyresorufin–O–deethylase activity (EROD, measured as fluorimetricly in S9 hepatic fraction, and the micronuclei frequency (MN, observed in erythrocytes of the cytoplasm, and three bioindicators, the hepatosomatic index (HSI, gonadosomatic index (GSI and condition factor (CF were used in Pimelodus maculatus, a fish species widely distributed in the system. Four zones were searched through a longitudinal gradient: 1, river upstream from the reservoir; 2, upper reservoir; 3, lower reservoir; 4, river downstream of the reservoir. EROD activity and HSI and GSI had significant differences among the zones (P<0.05. The upper reservoir had the lowest EROD activity and HSI, whereas the river downstream of the reservoir had the highest EROD and lowest GSI. The river upstream from the reservoir showed the highest HSI and GSI. It is suggested that the lowest environmental condition occur at the river downstream of the reservoir, where it seems to occur more influence of xenobiotics, which could be associated with hydroelectric plant operation. The hypothesis that Funil reservoir acts as a filter decanting pollution from the Paraíba do Sul River waters was rejected. These results are novel information on this subject for a native fish species and could be useful for future comparisons with other environments.

Generic Safety Issue (GSI) 171 -- Engineered Safety Feature (ESF) failure from a loop subsequent to LOCA: Assessment of plant vulnerability and CDF contributions

International Nuclear Information System (INIS)

Martinez-Guridi, G.; Samanta, P.; Chu, L.; Yang, J.

1998-01-01

Generic Safety Issue 171 (GSI-171), Engineered Safety Feature (ESF) from a Loss Of Offsite Power (LOOP) subsequent to a Loss Of Coolant Accident (LOCA), deals with an accident sequence in which a LOCA is followed by a LOOP. This issue was later broadened to include a LOOP followed by a LOCA. Plants are designed to handle a simultaneous LOCA and LOOP. In this paper, the authors address the unique issues that are involved i LOCA with delayed LOOP (LOCA/LOOP) and LOOP with delayed LOCA (LOOP/LOCA) accident sequences. LOCA/LOOP accidents are analyzed further by developing event-tree/fault-tree models to quantify their contributions to core-damage frequency (CDF) in a pressurized water reactor and a boiling water reactor (PWR and a BWR). Engineering evaluation and judgments are used during quantification to estimate the unique conditions that arise in a LOCA/LOOP accident. The results show that the CDF contribution of such an accident can be a dominant contributor to plant risk, although BWRs are less vulnerable than PWRs

First superheavy element experiments at the GSI recoil separator TASCA: The production and decay of element 114 in the 244Pu(48Ca,3-4n) reaction

International Nuclear Information System (INIS)

Gates, J. M.; Duellmann, Ch. E.; Schaedel, M.; Ackermann, D.; Block, M.; Bruechle, W.; Essel, H. G.; Hartmann, W.; Hessberger, F. P.; Huebner, A.; Jaeger, E.; Khuyagbaatar, J.; Kindler, B.; Krier, J.; Kurz, N.; Lommel, B.; Schaffner, H.; Schausten, B.; Schimpf, E.; Steiner, J.

2011-01-01

Experiments with the new recoil separator, Transactinide Separator and Chemistry Apparatus (TASCA), at the GSI were performed by using beams of 48 Ca to irradiate targets of 206-208 Pb, which led to the production of 252-254 No isotopes. These studies allowed for evaluation of the performance of TASCA when coupled to a new detector and electronics system. By following these studies, the isotopes of element 114 ( 288-291 114) were produced in irradiations of 244 Pu targets with 48 Ca beams at compound nucleus excitation energies around 41.7 and 37.5 MeV, demonstrating TASCA's ability to perform experiments with picobarn-level cross sections. A total of 15 decay chains were observed and were assigned to the decay of 288-291 114. A new α-decay branch in 281 Ds was observed, leading to the new nucleus 277 Hs.

Solid matrix priming with chitosan enhances seed germination and seedling invigoration in mung bean under salinity stress

Directory of Open Access Journals (Sweden)

Sujoy SEN

2016-09-01

Full Text Available The objective of present study was to evaluate the response of the mung bean seeds of ‘Sonali B1’ variety primed with chitosan in four different concentrations (0, 0.1%, 0.2% and 0.5% under salinity stress of five different concentrations (i.e., 0, 4, 6, 8 and 12 dS*mm-1 and halotolerance pattern by applying Celite as matrix at three different moisture levels (5%, 10% and 20%. Improved germination percentage, germination index, mean germination time, coefficient of velocity of germination along with root and shoot length was observed comparing with control. Germination stress tolerance index (GSI, plant height stress tolerance index (PHSI and root length stress tolerance index (RLSI were used to evaluate the tolerance of the mung bean seeds against salinity stress induced by chitosan. Results of GSI, PHSI, RLSI showing noteworthy inhibitory effect of salinity stress in control set was significantly less pronounced in chitosan treated seedlings. Chitosan can remarkably alleviate the detrimental effect of salinity up to the level of 6 dS*m-1, beyond which no improvement was noticed. In conclusion present investigation revealed that chitosan is an ideal elicitor for enhancing the speed of germination and seedling invigoration that synchronize with emergence of radicle and salinity stress tolerance.

Joint spatiotemporal variability of global sea surface temperatures and global Palmer drought severity index values

Science.gov (United States)

Apipattanavis, S.; McCabe, G.J.; Rajagopalan, B.; Gangopadhyay, S.

2009-01-01

Dominant modes of individual and joint variability in global sea surface temperatures (SST) and global Palmer drought severity index (PDSI) values for the twentieth century are identified through a multivariate frequency domain singular value decomposition. This analysis indicates that a secular trend and variability related to the El Niño–Southern Oscillation (ENSO) are the dominant modes of variance shared among the global datasets. For the SST data the secular trend corresponds to a positive trend in Indian Ocean and South Atlantic SSTs, and a negative trend in North Pacific and North Atlantic SSTs. The ENSO reconstruction shows a strong signal in the tropical Pacific, North Pacific, and Indian Ocean regions. For the PDSI data, the secular trend reconstruction shows high amplitudes over central Africa including the Sahel, whereas the regions with strong ENSO amplitudes in PDSI are the southwestern and northwestern United States, South Africa, northeastern Brazil, central Africa, the Indian subcontinent, and Australia. An additional significant frequency, multidecadal variability, is identified for the Northern Hemisphere. This multidecadal frequency appears to be related to the Atlantic multidecadal oscillation (AMO). The multidecadal frequency is statistically significant in the Northern Hemisphere SST data, but is statistically nonsignificant in the PDSI data.

Eating disorder severity and functional impairment

DEFF Research Database (Denmark)

Davidsen, Annika Helgadóttir; Hoyt, William T.; Poulsen, Stig Bernt

2017-01-01

Purpose: The aim was to examine duration of illness and body mass index as possible moderators of the relationship between eating disorder severity and functional impairment, as well as psychological distress as a possible mediator of this relationship. Methods: The study included 159 patients...... was measured with the Sheehan Disability Scale, and psychological distress was measured with the Symptom Check List-90-R. Duration of illness and body mass index were assessed clinically. Results: Duration of illness significantly moderated the relationship between eating disorder severity and functional...... impairment; the relationship was strongest for patients with a shorter duration of illness. Psychological distress partly mediated the relationship between eating disorder severity and functional impairment. Duration of illness significantly moderated the relationship between psychological distress...

178 - 181 Umar Bala

African Journals Online (AJOL)

DR. AMIN

2011-12-02

Dec 2, 2011 ... reservoir was investigated such as Fecundity for females, average egg diameter, Gonado Somatic. Index (GSI) ... of the contents of an egg, reporting protein, lipid, and carbohydrate ... multiplying cube root of the major axis by the square root ... species exhibited wide fluctuation in fecundity among member ...

genotype by environment interaction and grain yield stability

African Journals Online (AJOL)

Preferred Customer

among environments, GXE interaction and Interaction Principal Component Analysis (IPCA-I) but ... value closer to zero, Genotype Selection Index (GSI) of 4 each and AMMI stability value (ASV) of 0.124 and. 0.087 ..... Analysis of variance for grain yield using Additive Mean Effect and Multiple Interactions (AMMI) model.

Index Reduction and Discontinuity Handling Using Substitute Equations

NARCIS (Netherlands)

Fabian, G.; Beek, van D.A.; Rooda, J.E.

2001-01-01

Download at: http://se.wtb.tue.nl/~vanbeek/. Several techniques exist for index reduction and consistent initialization of higher index DAEs. Many such techniques change the original set of equations by differentiation, substitution, and/or introduction of new variables. This paper introduces

Substitute equations for index reduction and discontinuity handling

NARCIS (Netherlands)

Fabian, G.; Beek, van D.A.; Rooda, J.E.

2000-01-01

Several techniques exist for index reduction and consistent initialization of higher index DAEs. Many such techniques change the original set of equations by differentiation, substitution, and/or introduction of new variables. This paper introduces substitute equations as a new language element. By

The Association Between Body Mass Index and the Prevalence, Severity, and Frequency of Low Back Pain: Data From the Osteoarthritis Initiative.

Science.gov (United States)

Su, Charles A; Kusin, David J; Li, Samuel Q; Ahn, Uri M; Ahn, Nicholas U

2018-02-16

Cross-sectional study. To determine whether there is an association between body mass index (BMI) and the prevalence, severity, and frequency of low back pain and identify other potential patient risk factors for the development of low back pain. Many studies have implicated that a high BMI is a risk factor for low back pain. However, few studies have examined the association between increased BMI and the prevalence, severity, and frequency of low back pain. Data from the Osteoarthritis Initiative, a multicenter, prospective study of knee osteoarthritis, were used to conduct this study, which included 4796 patients. BMI was categorized according to the World Health Organization classification and the prevalence, severity, and frequency of low back pain were assessed. Logistic regression was performed to identify additional patient risk factors associated with low back pain. The prevalence of low back pain was found to be significantly higher in patients with an elevated BMI compared to those with normal or underweight BMI and demonstrated a stepwise increase with each BMI category. Approximately 47.4% of patients with normal or underweight BMI complained of low back pain compared with 72.8% of morbidly obese patients (P frequency or severity of low back pain episodes. Osteoarthritis of the back and depression were patient variables found to be associated with all three measures (prevalence, severity, and frequency) of low back pain. Elevated BMI is strongly associated with an increased prevalence of low back pain. Depression and osteoarthritis of the back are associated with the prevalence, severity, and frequency of low back pain. 3.

Calcification remodeling index characterized by cardiac CT as A novel parameter to predict the use of rotational atherectomy for coronary intervention of lesions with moderate to severe calcification

International Nuclear Information System (INIS)

Yu, Meng Meng; Li, Yue Hua; Li, Wen Bin; Lu, Zhi Gang; Wei, Meng; Zhang, Jia Yin

2017-01-01

To assess the feasibility of calcification characterization by coronary computed tomography angiography (CCTA) to predict the use of rotational atherectomy (RA) for coronary intervention of lesions with moderate to severe calcification. Patients with calcified lesions treated by percutaneous coronary intervention (PCI) who underwent both CCTA and invasive coronary angiography were retrospectively included in this study. Calcification remodeling index was calculated as the ratio of the smallest vessel cross-sectional area of the lesion to the proximal reference luminal area. Other parameters such as calcium volume, regional Agatston score, calcification length, and involved calcium arc quadrant were also recorded. A total of 223 patients with 241 calcified lesions were finally included. Lesions with RA tended to have larger calcium volume, higher regional Agatston score, more involved calcium arc quadrants, and significantly smaller calcification remodeling index than lesions without RA. Receiver operating characteristic curve analysis revealed that the best cutoff value of calcification remodeling index was 0.84 (area under curve = 0.847, p < 0.001). Calcification remodeling index ≤ 0.84 was the strongest independent predictor (odds ratio: 251.47, p < 0.001) for using RA. Calcification remodeling index was significantly correlated with the incidence of using RA to aid PCI. Calcification remodeling index ≤ 0.84 was the strongest independent predictor for using RA prior to stent implantation.

Calcification Remodeling Index Characterized by Cardiac CT as a Novel Parameter to Predict the Use of Rotational Atherectomy for Coronary Intervention of Lesions with Moderate to Severe Calcification

Science.gov (United States)

Yu, Mengmeng; Li, Yuehua; Li, Wenbin; Lu, Zhigang; Wei, Meng

2017-01-01

Objective To assess the feasibility of calcification characterization by coronary computed tomography angiography (CCTA) to predict the use of rotational atherectomy (RA) for coronary intervention of lesions with moderate to severe calcification. Materials and Methods Patients with calcified lesions treated by percutaneous coronary intervention (PCI) who underwent both CCTA and invasive coronary angiography were retrospectively included in this study. Calcification remodeling index was calculated as the ratio of the smallest vessel cross-sectional area of the lesion to the proximal reference luminal area. Other parameters such as calcium volume, regional Agatston score, calcification length, and involved calcium arc quadrant were also recorded. Results A total of 223 patients with 241 calcified lesions were finally included. Lesions with RA tended to have larger calcium volume, higher regional Agatston score, more involved calcium arc quadrants, and significantly smaller calcification remodeling index than lesions without RA. Receiver operating characteristic curve analysis revealed that the best cutoff value of calcification remodeling index was 0.84 (area under curve = 0.847, p < 0.001). Calcification remodeling index ≤ 0.84 was the strongest independent predictor (odds ratio: 251.47, p < 0.001) for using RA. Conclusion Calcification remodeling index was significantly correlated with the incidence of using RA to aid PCI. Calcification remodeling index ≤ 0.84 was the strongest independent predictor for using RA prior to stent implantation. PMID:28860893

Calcification remodeling index characterized by cardiac CT as A novel parameter to predict the use of rotational atherectomy for coronary intervention of lesions with moderate to severe calcification

Energy Technology Data Exchange (ETDEWEB)

Yu, Meng Meng; Li, Yue Hua; Li, Wen Bin; Lu, Zhi Gang; Wei, Meng; Zhang, Jia Yin [Shanghai Jiao Tong University Affiliated Sixth People' s Hospital, Shanghai (China)

2017-09-15

To assess the feasibility of calcification characterization by coronary computed tomography angiography (CCTA) to predict the use of rotational atherectomy (RA) for coronary intervention of lesions with moderate to severe calcification. Patients with calcified lesions treated by percutaneous coronary intervention (PCI) who underwent both CCTA and invasive coronary angiography were retrospectively included in this study. Calcification remodeling index was calculated as the ratio of the smallest vessel cross-sectional area of the lesion to the proximal reference luminal area. Other parameters such as calcium volume, regional Agatston score, calcification length, and involved calcium arc quadrant were also recorded. A total of 223 patients with 241 calcified lesions were finally included. Lesions with RA tended to have larger calcium volume, higher regional Agatston score, more involved calcium arc quadrants, and significantly smaller calcification remodeling index than lesions without RA. Receiver operating characteristic curve analysis revealed that the best cutoff value of calcification remodeling index was 0.84 (area under curve = 0.847, p < 0.001). Calcification remodeling index ≤ 0.84 was the strongest independent predictor (odds ratio: 251.47, p < 0.001) for using RA. Calcification remodeling index was significantly correlated with the incidence of using RA to aid PCI. Calcification remodeling index ≤ 0.84 was the strongest independent predictor for using RA prior to stent implantation.

Emergency Severity Index version 4: a valid and reliable tool in pediatric emergency department triage.

Science.gov (United States)

Green, Nicole A; Durani, Yamini; Brecher, Deena; DePiero, Andrew; Loiselle, John; Attia, Magdy

2012-08-01

The Emergency Severity Index version 4 (ESI v.4) is the most recently implemented 5-level triage system. The validity and reliability of this triage tool in the pediatric population have not been extensively established. The goals of this study were to assess the validity of ESI v.4 in predicting hospital admission, emergency department (ED) length of stay (LOS), and number of resources utilized, as well as its reliability in a prospective cohort of pediatric patients. The first arm of the study was a retrospective chart review of 780 pediatric patients presenting to a pediatric ED to determine the validity of ESI v.4. Abstracted data included acuity level assigned by the triage nurse using ESI v.4 algorithm, disposition (admission vs discharge), LOS, and number of resources utilized in the ED. To analyze the validity of ESI v.4, patients were divided into 2 groups for comparison: higher-acuity patients (ESI levels 1, 2, and 3) and lower-acuity patients (ESI levels 4 and 5). Pearson χ analysis was performed for categorical variables. For continuous variables, we conducted a comparison of means based on parametric distribution of variables. The second arm was a prospective cohort study to determine the interrater reliability of ESI v.4 among and between pediatric triage (PT) nurses and pediatric emergency medicine (PEM) physicians. Three raters (2 PT nurses and 1 PEM physician) independently assigned triage scores to 100 patients; k and interclass correlation coefficient were calculated among PT nurses and between the primary PT nurses and physicians. In the validity arm, the distribution of ESI score levels among the 780 cases are as follows: ESI 1: 2 (0.25%); ESI 2: 73 (9.4%); ESI 3: 289 (37%); ESI 4: 251 (32%); and ESI 5: 165 (21%). Hospital admission rates by ESI level were 1: 100%, 2: 42%, 3: 14.9%, 4: 1.2%, and 5: 0.6%. The admission rate of the higher-acuity group (76/364, 21%) was significantly greater than the lower-acuity group (4/415, 0.96%), P group was

Is Clinical Assessment of Addiction Severity of Individuals with Substance Use Disorder, Using the Addiction Severity Index, A Predictor of Future Inpatient Mental Health Hospitalization? A Nine-Year Registry Study.

Science.gov (United States)

Padyab, Mojgan; Armelius, Bengt-Åke; Armelius, Kerstin; Nyström, Siv; Blom, Björn; Grönlund, Ann-Sofie; Lundgren, Lena

2018-04-23

In Sweden, the Addiction Severity Index (ASI) is the Swedish National Board of Health and Welfare's recommended substance use disorder assessment tool and used routinely for patient intakes. Our study of 213 individuals assessed for substance use disorder with the ASI used nine years of the National Patient Register and examined whether clinical social workers' assessments of addiction severity at baseline were associated with later hospitalizations for mental health disorder (MHD). ASI composite scores and interviewer severity rating were used to measure clients' problems in seven areas (mental health, family and social relationships, employment, alcohol, drug use, health, and legal) at baseline. A stepwise regression method was used to assess the relative importance of ASI composite scores, MHD hospitalization two years prior to baseline, age, and gender for MHD hospitalization seven years post-baseline. Almost two-thirds of the individuals (63%) were hospitalized at least once for MHD in the seven years post-baseline. At the multivariable level, MHD hospitalization prior to baseline was the strongest predictor of future MHD hospitalization, followed by ASI composite scores for drug use, employment, mental health and, last, male gender. A key finding is that higher ASI composite scores for drug use and mental health are predictors of future need for MHD treatment. Future studies will replicate this effort with a national population of individuals with substance use disorder.

INDEXING AND INDEX FUNDS

Directory of Open Access Journals (Sweden)

HAKAN SARITAŞ

2013-06-01

Full Text Available Proponents of the efficient market hypothesis believe that active portfolio management is largely wasted effort and unlikely to justify the expenses incurred. Therefore, they advocate a passive investment strategy that makes no attempt to outsmart the market. One common strategy for passive management is indexing where a fund is designed to replicate the performance of a broad-based index of stocks and bonds. Traditionally, indexing was used by institutional investors, but today, the use of index funds proliferated among individual investors. Over the years, both international and domestic index funds have disproportionately outperformed the market more than the actively managed funds have.

A Countrywide House Price Index for 152 Years

DEFF Research Database (Denmark)

Lunde, Jens; Helding Madsen, Anders; Lundbæk Laursen, Maria

for Herengracht (the Netherlands), Norway, USA, France, and recently also Australia. Until now, the here presented house price index for Denmark is the longest countrywide house price index ever been published, based on official data, and qualitatively probably the best long house price index....... in house prices is depicted. The Danish house price index covering all the 152 years is in reality a simple average sale price index for houses. From 1920 on it was possible to construct another and a “pure” house price index, based on the Sales Price Appraisal Ratio (SPAR) method. Several challenges...... for creating the house price index arose, especially in converting the previous registered house prices in the statistics into current market prices. In real terms, the average sale price index increased more than the SPAR index for the years where the two indices were compared, and the difference express...

Validation of the German version of the insomnia severity index in adolescents, young adults and adult workers: results from three cross-sectional studies.

Science.gov (United States)

Gerber, Markus; Lang, Christin; Lemola, Sakari; Colledge, Flora; Kalak, Nadeem; Holsboer-Trachsler, Edith; Pühse, Uwe; Brand, Serge

2016-05-31

A variety of objective and subjective methods exist to assess insomnia. The Insomnia Severity Index (ISI) was developed to provide a brief self-report instrument useful to assess people's perception of sleep complaints. The ISI was developed in English, and has been translated into several languages including German. Surprisingly, the psychometric properties of the German version have not been evaluated, although the ISI is often used with German-speaking populations. The psychometric properties of the ISI are tested in three independent samples: 1475 adolescents, 862 university students, and 533 police and emergency response service officers. In all three studies, participants provide information about insomnia (ISI), sleep quality (Pittsburgh Sleep Quality Index), and psychological functioning (diverse instruments). Descriptive statistics, gender differences, homogeneity and internal consistency, convergent validity, and factorial validity (including measurement invariance across genders) are examined in each sample. The findings show that the German version of the ISI has generally acceptable psychometric properties and sufficient concurrent validity. Confirmatory factor analyses show that a 1-factor solution achieves good model fit. Furthermore, measurement invariance across gender is supported in all three samples. While the ISI has been widely used in German-speaking countries, this study is the first to provide empirical evidence that the German version of this instrument has good psychometric properties and satisfactory convergent and factorial validity across various age groups and both men and women. Thus, the German version of the ISI can be recommended as a brief screening measure in German-speaking populations.

Mental Health Status of Medical Students in Tehran: A Cross Sectional Study

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Mohammad-Reza Sohrabi

2015-12-01

Full Text Available Background: Mental health of medical students who will be responsible for community health has great importance. This study was designed to determine the prevalence of probable mental disorders during the internship period of medical students.    Methods: This descriptive cross sectional study evaluated 404 medical students of Shahid Beheshti University of Medical Sciences, in Tehran, the capital of Iran. The data collecting instrument was a self-rated questionnaire including standard mental health questionnaire SCL-90-R, demographic and socio-economic data. The score 0.7 and above were designated as possible cases of mental disorders. Analysis performed by SPSS software, version 14 (SPSS Inc, Chicago, Il, USA. p-value<0.05 was considered significant.  Results: 53.8% of participants were female, and 79.4% were single. From all participants, 14.1% had Global Severity Index (GSI score more than 0.7. Mean and standard deviation of GSI score was 0.32 (0.27. The frequency of probable mental disorder in medical students was 16.3% in somatization; 24.5% in obsessive-compulsive; 15.6% in interpersonal sensitivity; 16.8% in depression; 18.8% in anxiety; 14.6% in hostility; 11.4% in phobic anxiety; 16.8% in paranoid ideation and 13.9% in psychoticism. Students who had no children, lived in dormitory, had good economic status and were satisfied with their private life and studying course had significantly lower GSI scores.  Conclusion: Between 11 to 24% of the students had mental disorders in different dimensions and economic status, living place and number of children were related to the disorders.

The use of acupuncture in controlling the gag reflex in patients requiring an upper alginate impression: an audit.

Science.gov (United States)

Rosted, P; Bundgaard, M; Fiske, J; Pedersen, A M L

2006-12-09

A pronounced gag reflex (GR) can be a problem to both the acceptance and delivery of dental treatment. Despite a range of management strategies, some patients cannot accept even simple dental treatment. The aim of this study was to evaluate the use of acupuncture point CV-24 in controlling a profound gag reflex during dental treatment requiring an upper alginate impression. Members of the British Dental Acupuncture Society were invited to take part in an audit of the role of acupuncture point CV-24 in controlling the gag reflex. They were issued with patient inclusion criteria, a standardised procedure instruction sheet and a recording form. All patients fulfilling the inclusion criteria had an upper dental alginate impression taken (or an attempt made at it) before acupuncture, and a second upper alginate impression taken immediately after acupuncture of point CV-24. The GR assessment was undertaken prior to insertion of the acupuncture needle using the Gagging Severity Index (GSI); and after the acupuncture and impression taking using the Gagging Prevention Index (GPI). Both the GSI and GPI were recorded at three stages of the dental impression taking procedure, ie, when the empty impression tray was tried in the mouth, when the loaded tray was inserted into the mouth, and on completion of the impression taking. Twenty-one dentists submitted 64 case reports of which 37 fulfilled the inclusion criteria. Prior to acupuncture all 37 patients (20 females and 17 males with a mean age of 46.8 years) were unable to accept the impression taking. After acupuncture of point CV-24, an improvement of between 51-55% (mean 53%) for the three stages of impression taking was noticed. Thirty patients (81%) were able to accept the impression taking, whereas seven (19%) remained unable to tolerate the procedure. Assessed by the GSI and GPI, there was a significant decrease in GR scores at all three stages of the impression taking procedure (median 3 vs 1; 4 vs 2; 4 vs 2; p dental

Effect of geographical and ethnic variation on Dysphonia Severity Index: a study of Indian population.

Science.gov (United States)

Jayakumar, T; Savithri, S R

2012-01-01

Dysphonia Severity Index (DSI) is a widely used multiparametric approach to objectively quantify the voice quality. Few research groups have investigated the test-retest, interobserver variability, and influence of age and gender. They have also verified the application of DSI in various voice rehabilitation conditions. However, all these studies have been conducted on European population. There is a possibility of variation in the basic parameters of DSI across geographical and ethnic groups. Hence, the present study evaluated DSI in Indian population. One hundred twenty voluntary participants (60 males, 60 females) who had G(0) on the Grade, Roughness, Breathiness, Aesthenia, Strain (GRBAS) scale participated in the study (age range of 18-25 years, M=21.8, standard deviation=2.7). Maximum phonation time (MPT), frequency intensity, and jitter measurements were made using CSL 4500 (Kay Elemetrics, Pine Brook, NJ). Results showed noticeable difference between Indian and European population on MPT, Highest frequency (F(0)-High), and DSI values. Significant gender difference was also observed on MPT and F(0)-High. Test-retest reliability showed >95% for all the parameters. The MPT decrement lead to a reduction in the overall DSI value in both the genders. These results of the study caution voice professionals to reinvestigate and establish their own norms for their geographical and ethnic groups. Copyright © 2012 The Voice Foundation. Published by Mosby, Inc. All rights reserved.

New results from isochronous mass measurements of neutron-rich uranium fission fragments with the FRS-ESR-facility at GSI

Energy Technology Data Exchange (ETDEWEB)

Knoebel, R.; Litvinov, Yu.A.; Weick, H.; Bosch, F.; Boutin, D.; Dimopoulou, C.; Dolinskii, A.; Franczak, B.; Franzke, B.; Kozhuharov, C.; Kurcewicz, J.; Litvinov, S.A.; Matos, M.; Mazzocco, M.; Muenzenberg, G.; Nociforo, C.; Nolden, F.; Stadlmann, J.; Steck, M.; Winkler, M. [GSI Helmholtzzentrum fuer Schwerionenforschung GmbH, Darmstadt (Germany); Diwisch, M. [Justus-Liebig-Universitaet Giessen, II. Physikalisches Institut, Giessen (Germany); Geissel, H.; Plass, W.R.; Scheidenberger, C.; Chen, L. [GSI Helmholtzzentrum fuer Schwerionenforschung GmbH, Darmstadt (Germany); Justus-Liebig-Universitaet Giessen, II. Physikalisches Institut, Giessen (Germany); Patyk, Z. [National Centre for Nuclear Research - NCBJ Swierk, Warszawa (Poland); Sun, B. [GSI Helmholtzzentrum fuer Schwerionenforschung GmbH, Darmstadt (Germany); Beihang University, School of Physics and Nuclear Energy Engineering, Beijing (China); Hausmann, M. [Michigan State University, East Lansing, MI (United States); Nakajima, S.; Suzuki, T.; Yamaguchi, T. [Saitama University, Department of Physics, Saitama (Japan); Ohtsubo, T. [Niigata University, Department of Physics, Niigata (Japan); Ozawa, A. [University of Tsukuba, Institute of Physics, Ibaraki (Japan); Walker, P.M. [University of Surrey, Department of Physics, Guildford (United Kingdom)

2016-05-15

Masses of uranium fission fragments have been measured with the FRagment Separator (FRS) combined with the Experimental Storage Ring (ESR) at GSI. A 410-415 MeV/u {sup 238}U projectile beam was fast extracted from the synchrotron SIS-18 with an average intensity of 10{sup 9}/spill. The projectiles were focused on a 1g/cm{sup 2} beryllium target at the entrance of the FRS to create neutron-rich isotopes via abrasion-fission. The fission fragments were spatially separated with the FRS and injected into the isochronous storage ring ESR for fast mass measurements without applying cooling. The Isochronous Mass Spectrometry (IMS) was performed under two different experimental conditions, with and without B ρ-tagging at the high-resolution dispersive central focal plane of the FRS. The evaluation has been done for the combined data sets from both experiments with a new method of data analysis. The use of a correlation matrix has provided experimental mass values for 23 different neutron-rich isotopes for the first time and 6 masses with improved values. The new masses were obtained for nuclides in the element range from Se to Ce. The applied analysis has given access even to rare isotopes detected with an intensity of a few atoms per week. The novel data analysis and systematic error determination are described and the results are compared with extrapolations of experimental values and theoretical models. (orig.)

Psychosocial characteristics of drunk drivers assessed by the Addiction Severity Index, prediction of relapse.

Science.gov (United States)

Hubicka, Beata; Laurell, Hans; Bergman, Hans

2010-02-01

To investigate psychosocial characteristics and problems of a representative sample of Swedish drunk drivers with special consideration of the gender of the driver; analyze criminal records of the drivers before and after enrollment in the study; identify psychosocial predictors of relapse to drunk driving. Psychosocial characteristics were assessed by the Addiction Severity Index (ASI). Alcohol problems were additionally assessed by the Alcohol Use Disorders Identification Test (AUDIT). Criminal records were collected for the five year period before the enrollment, and for the subsequent two years, from Sweden's official crime statistics. About half of the investigated drivers had other psychosocial problems besides the drink driving offence. Female drivers had more alcohol, drug, psychiatric and relational problems, including with parents when growing up, than male drivers, but less previous and subsequent criminality. Heavily drunk drivers (blood alcohol concentration > or = 0.1%) had more problems with alcohol, legal status and employment and support than the other drunk drivers. Problems with legal status, family and social relations and alcohol use increased the risk of relapse in drunk driving, while medical problems seemed to be a protective factor. Different ASI risk factors were identified for relapse in either traffic offences or other crimes. As well as the drunk driving offence, drunk drivers often have other psychosocial problems, female drivers in particular. Already the blood alcohol concentration per se gives some indication of the psychosocial problem profile of a drunk driver and the ASI profile has some prognostic value for relapse in drunk driving.

Relationship between Affective Symptoms and Malnutrition Severity in Severe Anorexia Nervosa

Science.gov (United States)

Mattar, Lama; Huas, Caroline; group, EVHAN; Godart, Nathalie

2012-01-01

Background Very few studies have investigated the relationship between malnutrition and psychological symptoms in Anorexia Nervosa (AN). They have used only body weight or body mass index (BMI) for the nutritional assessment and did not always report on medication, or if they did, it was not included in the analysis of results, and they did not include confounding factors such as duration of illness, AN subtype or age. The present study investigates this relationship using indicators other than BMI/weight, among which body composition and biological markers, also considering potential confounders related to depression and anxiety. Methods 155 AN patients, (DSM-IV) were included consecutively upon admission to inpatient treatment. Depression, anxiety, obsessive behaviours and social functioning were measured using various scales. Nutritional status was measured using BMI, severity of weight loss, body composition, and albumin and prealbumin levels. Results No correlation was found between BMI at inclusion, fat-free mass index, fat mass index, and severity of weight loss and any of the psychometric scores. Age and medication are the only factors that affect the psychological scores. None of the psychological scores were explained by the nutritional indicators with the exception of albumin levels which was negatively linked to the LSAS fear score (p = 0.024; beta = −0.225). Only the use of antidepressants explained the variability in BDI scores (p = 0.029; beta = 0.228) and anxiolytic use explained the variability in HADs depression scores (p = 0.037; beta = 0.216). Conclusion The present study is a pioneer investigation of various nutritional markers in relation to psychological symptoms in severely malnourished AN patients. The clinical hypothesis that malnutrition partly causes depression and anxiety symptoms in AN in acute phase is not confirmed, and future studies are needed to back up our results. PMID:23185320

Exploring energy efficiency in several European countries. An attribution analysis of the Divisia structural change index

International Nuclear Information System (INIS)

Fernández González, P.

2015-01-01

Highlights: • We present a new attribution analysis approach to study structural change index. • Based on LMDI method, we decompose changes in AEI in the EU in 1995–2010. • Mild AEI drop as a result of structural change, particularly in Eastern economies. • Transport, hotels and restaurants: positive contributors, specifically in Western EU. • Strategies should be focused on Industry: the most influential sector in reducing AEI. - Abstract: This paper aims at exploring the influence that the changes in sectoral composition in most EU economies have had on aggregate energy intensity. We rely on the so-called Logarithmic Mean Divisia Index (LMDI) method, implemented within a multiplicative energy intensity approach. Then, based on the Index Decomposition Analysis (IDA), we present, develop and apply a new methodology that enables the exploration of the contribution of each sector to the percent change in the structural factors index. Our findings show: (a) a greater importance of the intensity factor over the structural one, (b) a positive influence of structural change in some ex-communist countries, and (c) a strong, negative contribution of the industrial sector (including construction) to changes in aggregate energy intensity in most European economies, particularly in the Western ones. In short, adaptation to more efficient techniques, innovation, R and D, and substitution for higher quality energies, seem to be the action lines to follow, although in former communist countries these strategies should be accompanied by other policies aiming at accelerating the transition processes

Assessing and mapping drought hazard in Africa and South-Central America with a Meteorological Drought Severity Index

Science.gov (United States)

Carrao, Hugo; Barbosa, Paulo; Vogt, Jürgen

2015-04-01

Drought is a recurring extreme climate event characterized by a temporary deficit of precipitation, soil moisture, streamflow, or any combination of the three taking place at the same time. The immediate consequences of short-term (i.e. a few weeks duration) droughts are, for example, a fall in crop production, poor pasture growth and a decline in fodder supplies from crop residues, whereas prolonged water shortages (e.g. of several months or years duration) may, amongst others, lead to a reduction in hydro-electrical power production and an increase of forest fires. As a result, comprehensive drought risk management is nowadays critical for many regions in the world. Examples are many African and South-and Central American countries that strongly depend on rain-fed agriculture for economic development with hydroelectricity and biomass as main sources of energy. Drought risk is the probability of harmful consequences, or expected losses resulting from interactions between drought hazard, i.e. the physical nature of droughts, and the degree to which a population or activity is vulnerable to its effects. As vulnerability to drought is increasing globally and certain tasks, such as distributive policies (e.g. relief aid, regulatory exemptions, or preparedness investments), require information on drought severity that is comparable across different climatic regions, greater attention has recently been directed to the development of methods for a standardized quantification of drought hazard. In this study we, therefore, concentrate on a methodology for assessing the severity of historical droughts and on mapping the frequency of their occurrence. To achieve these goals, we use a new Meteorological Drought Severity Index (MDSI). The motivation is twofold: 1) the observation that primitive indices of drought severity directly measure local precipitation shortages and cannot be compared geographically; and that 2) standardized indices of drought do not take into account

On the history of the connectivity index: from the connectivity index to the exact solution of the protein alignment problem.

Science.gov (United States)

Randić, M

2015-01-01

We briefly review the history of the connectivity index from 1975 to date. We hope to throw some light on why this unique, by its design, graph theoretical molecular descriptor continues to be of interest in QSAR, having wide use in applications in structure-property and structure-activity studies. We will elaborate on its generalizations and the insights it offered on applications in Multiple Regression Analysis (MRA). Going beyond the connectivity index we will outline several related developments in the development of molecular descriptors used in MRA, including molecular ID numbers (1986), the variable connectivity index (1991), orthogonal regression (1991), irrelevance of co-linearity of descriptors (1997), anti-connectivity (2006), and high discriminatory descriptors characterizing molecular similarity (2015). We will comment on beauty in QSAR and recent progress in searching for similarity of DNA, proteins and the proteome. This review reports on several results which are little known to the structure-property-activity community, the significance of which may surprise those unfamiliar with the application of discrete mathematics to chemistry. It tells the reader many unknown stories about the connectivity index, which may help the reader to better understand the meaning of this index. Readers are not required to be familiar with graph theory.

Sciades herzbergii oxidative stress biomarkers: an in situ study of an estuarine ecosystem (São Marcos' Bay, Maranhão, Brazil

Directory of Open Access Journals (Sweden)

Raimunda Nonata Fortes Carvalho-Neta

2010-01-01

Full Text Available In order to study the effects of environmental contamination on wild fish, sites were sampled in São Marcos' Bay. The first is located near the ALUMAR/ALCOA port, a potentially contaminated area. The second, located near the Coqueiro beach, was used as a reference area. The activity of antioxidant defence catalase (CAT and glutathione S-transferase (GST in S. herzbergii was compared with the biometric data and gonadosomatic index (GSI. The result showed that GSI decreased significantly in females (pO objetivo desse trabalho foi estudar os efeitos da contaminação ambiental em peixes amostrados em dois locais da Baía de São Marcos. O primeiro ponto está localizado próximo ao porto da ALUMAR/ALCOA, considerado como uma área potencialmente contaminada. O segundo ponto, situado na praia do Coqueiro, foi usado como uma área de referência. Dados da atividade da enzima de defesa antioxidante catalase (CAT e da glutationa S-transferase (GST em S. herzbergii foram comparados com os dados biométricos e o índice gonadossomático (GSI. Resultados mostraram que o GSI diminuiu significativamente em fêmeas (p <0.05 no local contaminado. A atividade da CAT foi mais alta nos peixes do local contaminado. Uma diferença significativa foi observada na atividade de GST de S. herzbergii no local contaminado e no local de referência (p <0.05. GSI possibilitou uma nova abordagem quanto à natureza da resposta de destoxificação nessa espécie de bagre porque este índice não apresentou correlação com as enzimas no local potencialmente contaminado, mas apresentou no local de referência. Assim, sugere-se que a boa correlação da GST/CAT e GSI poderia estar relacionada à reprodução dos animais no local de referência, mas não no local potencialmente contaminado. Se esse for o caso, pode-se concluir que GST/CAT e GSI podem ser utilizados como bons biomarcadores para avaliar contaminação aquática.

Contingency management of power system with Interline Power Flow Controller using Real Power Performance Index and Line Stability Index

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Akanksha Mishra

2016-03-01

Full Text Available As a result of privatization of the electrical industry the power transmission lines have to transfer power at their maximum transmission limits because of the competitive scenario of the electrical market. Hence, secured operation of power system has become one of the most important issues of modern era. In this paper, a probability of severity based placement strategy for Interline Power Flow Controller (IPFC has been proposed based on Composite Severity Index (CSI. The composite severity index provides an exact measure of stress in the line in terms of mega watt overloading and voltage instability. IPFC is placed on the line which has the highest probability of severity during the occurrence of different outages. The IPFC has been tuned for a multi-objective function using Differential Evolution (DE and the results have been compared with genetic Algorithm (GA. To verify the proposed method, it has been tested and implemented on IEEE 14 and 57 bus systems.

Therapeutic whole-body hypothermia reduces mortality in severe traumatic brain injury if the cooling index is sufficiently high: meta-analyses of the effect of single cooling parameters and their integrated measure.

Science.gov (United States)

Olah, Emoke; Poto, Laszlo; Hegyi, Peter; Szabo, Imre; Hartmann, Petra; Solymar, Margit; Petervari, Erika; Balasko, Marta; Habon, Tamas; Rumbus, Zoltan; Tenk, Judit; Rostas, Ildiko; Weinberg, Jordan; Romanovsky, Andrej A; Garami, Andras

2018-04-21

Therapeutic hypothermia was investigated repeatedly as a tool to improve the outcome of severe traumatic brain injury (TBI), but previous clinical trials and meta-analyses found contradictory results. We aimed to determine the effectiveness of therapeutic whole-body hypothermia on the mortality of adult patients with severe TBI by using a novel approach of meta-analysis. We searched the PubMed, EMBASE, and Cochrane Library databases from inception to February 2017. The identified human studies were evaluated regarding statistical, clinical, and methodological designs to ensure inter-study homogeneity. We extracted data on TBI severity, body temperature, mortality, and cooling parameters; then we calculated the cooling index, an integrated measure of therapeutic hypothermia. Forest plot of all identified studies showed no difference in the outcome of TBI between cooled and not cooled patients, but inter-study heterogeneity was high. On the contrary, by meta-analysis of RCTs which were homogenous with regards to statistical, clinical designs and precisely reported the cooling protocol, we showed decreased odds ratio for mortality in therapeutic hypothermia compared to no cooling. As independent factors, milder and longer cooling, and rewarming at < 0.25°C/h were associated with better outcome. Therapeutic hypothermia was beneficial only if the cooling index (measure of combination of cooling parameters) was sufficiently high. We conclude that high methodological and statistical inter-study heterogeneity could underlie the contradictory results obtained in previous studies. By analyzing methodologically homogenous studies, we show that cooling improves the outcome of severe TBI and this beneficial effect depends on certain cooling parameters and on their integrated measure, the cooling index.

Indexes of leading climate indicators for impact assessment

International Nuclear Information System (INIS)

Easterling, W.E.; Kates, R.W.

1995-01-01

Could users of climate information for impact assessment be overlooking an important source of information in climate indicators? We argue that indexes of leading climate indicators of impacts may be usable knowledge for consumers and may provide guidance to the global climate observing community concerning the types of data and information that users need. Five classes of indexes are suggested: Climate Extremes Index (CEI) and Greenhouse Climate Response Index (GCRI) - such are already available from scientists at the US National Climatic Data Center - plus proposed indexes of Hazard Warning, Ecosystem Health, and Energy Demand and Renewable Natural Resources. We conclude that the CEI and GCRI posses several necessary attributes to become usable knowledge; the other indexes have the potential to become usable knowledge, but remain to be implemented with climate data and fully evaluated. 34 refs

Detection of Independent Associations of Plasma Lipidomic Parameters with Insulin Sensitivity Indices Using Data Mining Methodology.

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Steffi Kopprasch

Full Text Available Glucolipotoxicity is a major pathophysiological mechanism in the development of insulin resistance and type 2 diabetes mellitus (T2D. We aimed to detect subtle changes in the circulating lipid profile by shotgun lipidomics analyses and to associate them with four different insulin sensitivity indices.The cross-sectional study comprised 90 men with a broad range of insulin sensitivity including normal glucose tolerance (NGT, n = 33, impaired glucose tolerance (IGT, n = 32 and newly detected T2D (n = 25. Prior to oral glucose challenge plasma was obtained and quantitatively analyzed for 198 lipid molecular species from 13 different lipid classes including triacylglycerls (TAGs, phosphatidylcholine plasmalogen/ether (PC O-s, sphingomyelins (SMs, and lysophosphatidylcholines (LPCs. To identify a lipidomic signature of individual insulin sensitivity we applied three data mining approaches, namely least absolute shrinkage and selection operator (LASSO, Support Vector Regression (SVR and Random Forests (RF for the following insulin sensitivity indices: homeostasis model of insulin resistance (HOMA-IR, glucose insulin sensitivity index (GSI, insulin sensitivity index (ISI, and disposition index (DI. The LASSO procedure offers a high prediction accuracy and and an easier interpretability than SVR and RF.After LASSO selection, the plasma lipidome explained 3% (DI to maximal 53% (HOMA-IR variability of the sensitivity indexes. Among the lipid species with the highest positive LASSO regression coefficient were TAG 54:2 (HOMA-IR, PC O- 32:0 (GSI, and SM 40:3:1 (ISI. The highest negative regression coefficient was obtained for LPC 22:5 (HOMA-IR, TAG 51:1 (GSI, and TAG 58:6 (ISI.Although a substantial part of lipid molecular species showed a significant correlation with insulin sensitivity indices we were able to identify a limited number of lipid metabolites of particular importance based on the LASSO approach. These few selected lipids with the closest

An Index of Loss Aversion

NARCIS (Netherlands)

Köbberling, V.; Wakker, P.P.

2005-01-01

To a considerable extent, risk aversion as it is commonly observed is caused by loss aversion. Several indexes of loss aversion have been proposed in the literature. The one proposed in this paper leads to a clear decomposition of risk attitude into three distinct components: basic utility,

An Index of Loss Aversion

NARCIS (Netherlands)

V. Köbberling (Veronika); P.P. Wakker (Peter)

2005-01-01

textabstractTo a considerable extent, risk aversion as it is commonly observed is caused by loss aversion. Several indexes of loss aversion have been proposed in the literature. The one proposed in this paper leads to a clear decomposition of risk attitude into three distinct components: basic

The reaction {sup 48}Ca+{sup 248}Cm{yields}{sup 296}116{sup *} studied at the GSI-SHIP

Energy Technology Data Exchange (ETDEWEB)

Hofmann, S. [GSI Helmholtzzentrum fuer Schwerionenforschung, Darmstadt (Germany); Goethe-Universitaet Frankfurt, Institut fuer Physik, Frankfurt (Germany); Heinz, S.; Mann, R.; Khuyagbaatar, J.; Ackermann, D.; Barth, W.; Block, M.; Burkhard, H.G.; Comas, V.F.; Dahl, L.; Heredia, J.A.; Kindler, B.; Kojouharov, I.; Lang, R.; Lommel, B.; Muenzenberg, G.; Tinschert, K. [GSI Helmholtzzentrum fuer Schwerionenforschung, Darmstadt (Germany); Maurer, J.; Hessberger, F.P. [GSI Helmholtzzentrum fuer Schwerionenforschung, Darmstadt (Germany); Johannes Gutenberg-Universitaet, Helmholtz-Institut Mainz, Mainz (Germany); Antalic, S.; Saro, S. [Comenius University, Department of Nuclear Physics and Biophysics, Bratislava (Slovakia); Eberhardt, K.; Kratz, J.V.; Runke, J.; Thoerle-Pospiech, P.; Trautmann, N. [Johannes Gutenberg-Universitaet Mainz, Mainz (Germany); Gostic, J.; Henderson, R.A.; Kenneally, J.M.; Moody, K.J.; Nelson, S.L.; Shaughnessy, D.A.; Stoyer, M.A.; Wilk, P.A. [Lawrence Livermore National Laboratory, Livermore, CA (United States); Leino, M.; Uusitalo, J. [University of Jyvaeskylae, Department of Physics, Jyvaeskylae (Finland); Nishio, K. [Japan Atomic Energy Agency, Tokai, Ibaraki (Japan); Popeko, A.G.; Yeremin, A.V. [Joint Institute for Nuclear Research, Dubna (Russian Federation)

2012-05-15

The synthesis of element 116 in fusion-evaporation reactions of a {sup 48}Ca beam with radioactive {sup 248}Cm targets was studied at the velocity filter SHIP of GSI in Darmstadt. At excitation energies of the compound nuclei of 40.9MeV, four decay chains were measured, which were assigned to the isotope {sup 292}116, and one chain, which was assigned to {sup 293}116. Measured cross-sections of (3.4{sub -1.6}{sup +2.7})pb and (0.9{sub -0.7}{sup +2.1}), respectively, and decay data of the chains agree with data measured previously at the Flerov Laboratory of Nuclear Reactions in Dubna. As a new result, one {alpha}-decay chain was measured, which terminates after four {alpha} decays by spontaneous fission. The {alpha} energies of the second-to-fourth decay are considerably higher than those measured for the {alpha} decays of {sup 289}114, {sup 285}Cn, and {sup 281}Ds and the spontaneous fission half-life is significantly longer than that of {sup 277}Hs measured in previous experiments. A possible assignment is discussed in the frame of excited quasiparticle states of nuclei populated in the decay chain from {sup 293}116. Also other possible assignments were considered and are discussed. At an excitation energy of 45.0MeV no events were observed resulting in a one-event cross-section limit of 1.6 pb. The technical aspects related with the use of radioactive target material at SHIP are described in detail. The experience gained in this experiment will serve as a basis for future experiments aiming to study still heavier elements at the velocity filter SHIP. (orig.)

Severe obesity is a limitation for the use of body mass index standard deviation scores in children and adolescents.

Science.gov (United States)

Júlíusson, Pétur B; Roelants, Mathieu; Benestad, Beate; Lekhal, Samira; Danielsen, Yngvild; Hjelmesaeth, Jøran; Hertel, Jens K

2018-02-01

We analysed the distribution of the body mass index standard deviation scores (BMI-SDS) in children and adolescents seeking treatment for severe obesity, according to the International Obesity Task Force (IOTF), World Health Organization (WHO) and the national Norwegian Bergen Growth Study (BGS) BMI reference charts and the percentage above the International Obesity Task Force 25 cut-off (IOTF-25). This was a cross-sectional study of 396 children aged four to 17 years, who attended a tertiary care obesity centre in Norway from 2009 to 2015. Their BMI was converted to SDS using the three growth references and expressed as the percentage above IOTF-25. The percentage of body fat was assessed by bioelectrical impedance analysis. Regardless of which BMI reference chart was used, the BMI-SDS was significantly different between the age groups, with a wider range of higher values up to 10 years of age and a more narrow range of lower values thereafter. The distributions of the percentage above IOTF-25 and percentage of body fat were more consistent across age groups. Our findings suggest that it may be more appropriate to use the percentage above a particular BMI cut-off, such as the percentage above IOTF-25, than the IOTF, WHO and BGS BMI-SDS in paediatric patients with severe obesity. ©2017 Foundation Acta Paediatrica. Published by John Wiley & Sons Ltd.

Cambios histomorfológicos en el ovario del pez capitán, Eremophilus mutisii Humboldt 1805 (Pisces: Trichomyteridae, durante el ciclo reproductivo anual,en la laguna del Muña, sistema río Bogotá, Colombia

Directory of Open Access Journals (Sweden)

Plutarco Cala Cala

1982-01-01

Full Text Available The principal aim of this investigation was to study the anual morpho-histological changes in the ovary of the fish capitan, Eremophilus mutisii, in the Rio Bogota basin in Colombia, with regard to the reproductive cycle, size of the mature fishes and seasonal changes in the environment. The fibs material was collected monthly. The gonads were fixed in Bouin's fixative. Subsequently they were washed several times in 70% ethanol. Transversal sections of about 5 cm in length, each of which produced 10 slides with 10 or so sections per slide, were taken from the center to the anterior portion of the right ovary of each fish, since no macroscopic significant differencie was observed in the oogenic process in the anterior, central and posterior portion of the ovary. The sections were dehydrated in tetrahydrofuran and embedded in paraffin. Sections were cut at 6 microns and stained with haematoxylin and eosin (H & E. The gonosomatic index (GSI or maturity index (MIl was calculated.

Modeling event building architecture for the triggerless data acquisition system for PANDA experiment at the HESR facility at FAIR/GSI

International Nuclear Information System (INIS)

Korcyl, K; Konorov, I; Kühn, W; Schmitt, L

2012-01-01

A novel architecture is being proposed for the data acquisition and trigger system of the PANDA experiment at the HESR facility at FAIR/GSI. The experiment will run without hardware trigger signal using timestamps to correlate detector data from a given time window. The broad physics program in combination with the high rate of 2 * 10 7 interactions per second requires very selective filtering algorithms accessing information from many detectors. Therefore the effective filtering will happen later than in today's systems ie. after the event building. To assess that, the complete architecture will be built of two stages: the data concentrator stage providing event building and the rate reduction stage. For the former stage, which requires a throughput of 100 GB/s to perform event building, we propose two layers of ATCA crates filled with Compute Nodes - modules designed at IHEP and University of Giessen for trigger and data acquisition systems. Currently each board is equipped with 5 Virtex4 FX60 FPGAs and high bandwidth connectivity is provided by 8 front panel RocketIO ports and 12 backplane ports for the inter-module communication. We designed simplified models of the components of the architecture and using the SystemC library as support for the discrete event simulations, demonstrate the expected throughput of the full-size system. We also show impact of some architectural choices and key parameters on the architecture's performance.

Impact of the cestode Triaenophorus nodulosus on the exotic Lepomis gibbosus and the autochthonous Perca fluviatilis.

Science.gov (United States)

Masson, G; Vanacker, M; Fox, M G; Beisel, J-N

2015-05-01

The effects of plerocercoids of the cestode Triaenophorus nodulosus infecting the livers of native Eurasian perch Perca fluviatilis and non-native pumpkinseed Lepomis gibbosus was investigated in 17 sites along the Moselle watershed. With a single exception, infected individuals were not observed in the main channel whether or not northern pike Esox lucius, a final host, was present. In ponds where the pike was present, the prevalence of T. nodulosus averaged 86% in Eurasian perch and 15% in pumpkinseed. The parasite was not present at all in ponds when pike were absent. Parasite load, hepatosomatic index (HSI), gonadosomatic index (GSI) and body condition index (CI) were compared between hosts in one site where parasite prevalence and fish abundance was highest. HSI in infected perch was significantly higher than in uninfected perch, whereas no differences in HSI were detected between infected and uninfected pumpkinseed. While perch were more frequently infected and had a greater average parasite load than pumpkinseed, there were no significant differences in either indicator between the two species. Furthermore, no significant differences in GSI or CI were observed between infected and uninfected fish in either species, by either gender or maturity stage. We hypothesize that pumpkinseed is more resistant to the parasite or less likely to feed upon infected copepods than perch.

the reproductive characteristics of mudskipper periophthalmus ...

African Journals Online (AJOL)

DJFLEX

was a reverse of that of the mean GSI. The implication of this is that the species draws down on the energy reserves in the liver for the recrudescence of the gonad. A trade-off was apparent in the body's use of resources for gonadal recrudescence. Consequently when the mean hepatosomanic index was low, mean gonad ...

Reproductive biology of feather back, chital (Notopterus chitala, Ham. cultured in a pond of Bangladesh

Directory of Open Access Journals (Sweden)

A.H.M. Kohinoor

2012-06-01

Full Text Available Studies on Gonadosomatic index (GSI, ova diameter and histology of the gonad were performed to understand reproductive biology of Feather back, Chital (Notopterus chitala for a period of 6 months from January to June 2010. Thirty live chital fish were used in this study. The mean GSI values for female chital were found to range between 0.20±0.013 and 4.63±0.50. The highest GSI value was found in June. The smallest diameter of ovum was recorded 0.04 mm (January and the largest was 4.00 mm (June. During the experimental period, the fecundity was ranged from 8,238 to 18,569 (mean 13,052±4607 in fish samples with body weight range from 1,296 to 2,360 (mean 1,742.50±474.44 g while the relative fecundity was 5.65 to 14.33. Histological study revealed that the percentage of late perinucleolus (LPN stage was highest in April and Cortical alveoli (CA stage appeared from April and reached to maximum in May. Vitellogenic stage (VG appeared in the month of May and chronologically increased through June. Vitellogenic stage (VG of oocyte as well as highest ova diameter reached to the peak in June. The variations in the gonad weight and GSI of the female fish reached to the peak during June indicating maturity of ovary and definite spawning season.

Perceived Self-Control is Related to Mental Distress in Patients Entering Substance Use Disorder Treatment.

Science.gov (United States)

Abel, Kristine Fiksdal; Skjærvø, Ingeborg; Ravndal, Edle; Clausen, Thomas; Bramness, Jørgen G

2018-01-05

Levels of mental distress are high in patients with substance use disorders (SUD) and investigation of correlates may broaden our understanding of this comorbidity. We investigated self-reported symptoms of mental distress among individuals entering either outpatient opioid maintenance treatment (OMT) or other inpatient SUD treatment and related factors, with a particular focus on perceived self-control. A cross-sectional study including substance users (n = 548; mean age 34 years; 27% women) entering treatment at 21 different treatment-centers across Norway, interviewed between December 2012 and April 2015. Symptoms of mental distress were assessed with Global Symptom Index (GSI) score. Adjusted relative risk ratios (RRR) with 95% confidence intervals (CI) were estimated through multinomial logistic regression. More than half of the participants in both treatment groups reported mental distress (GSI) above clinical cut-off. The use of alcohol and exposure to violence were associated with increased likelihood of high GSI for both patient groups. Also, lower perceived self-control was related to high GSI in both treatment groups. Symptoms of mental distress were equally common among patients entering OMT and those entering other inpatient SUD treatment, even if the patients differed on a number of clinical characteristics. Use of alcohol and exposure to violence were associated with more mental distress in both groups. Perceived self-control also appeared to be important when explaining symptoms of mental distress among these SUD patients.

Validation of exhaled volatile organic compounds analysis using electronic nose as index of COPD severity

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Finamore P

2018-05-01

Full Text Available Panaiotis Finamore,1 Claudio Pedone,1 Simone Scarlata,1 Alessandra Di Paolo,1 Simone Grasso,2 Marco Santonico,2 Giorgio Pennazza,2 Raffaele Antonelli Incalzi1 1Unit of Geriatrics, Campus Bio-Medico di Roma University, Rome, Italy; 2Unit of Electronics for Sensor Systems, Campus Bio-Medico di Roma University, Rome, Italy Aim: Six-minute walking test distance (6MWD and body mass index, obstruction, dyspnea and exercise (BODE index are measures of functional status in COPD patients, but require space, time and patient’s compliance. Exhaled volatile organic compounds (VOCs analysis via electronic nose is a quick and easy method that has already been used to discriminate COPD phenotypes. The aim of this study is to evaluate whether VOCs analysis can predict functional status and its variation over time in COPD patients.Methods: A monocentric prospective study with 1 year of follow-up was carried out. All patients underwent pulmonary function tests, arterial gas analysis, bioimpedance analysis, 6-minute walking test, and VOCs collection. Exhaled breath was collected with Pneumopipe® and analyzed using BIONOTE electronic nose. Outcomes prediction was performed by k-fold cross-validated partial least square discriminant analysis: accuracy, sensitivity and specificity as well as Cohen’s kappa for agreement were calculated.Results: We enrolled 63 patients, 60.3% men, with a mean age of 71 (SD: 8 years, median BODE index of 1 (interquartile range: 0–3 and mean 6MWD normalized by squared height (n6MWD of 133.5 (SD: 42 m/m2. The BIONOTE predicted baseline BODE score (dichotomized as BODE score <3 or ≥3 with an accuracy of 86% and quartiles of n6MWD with an accuracy of 79%. n6MWD decline more than the median value after 1 year was predicted with an accuracy of 86% by BIONOTE, 52% by Global Initiative for Chronic Obstructive Lung Disease (GOLD class and 78% by combined BIONOTE and GOLD class.Conclusion: Exhaled VOCs analysis identifies classes of BODE

Risk factors for mortality in fournier's gangrene in a general hospital: use of simplified founier gangrene severe index score (SFGSI

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Carlos Eugênio Lira Tenório

Full Text Available ABSTRACT Objective To evaluate risk factors for mortality in patients with Fournier's gangrene (FG, with emphasis in the Simplified Fournier Gangrene Severe Index Score (SFGSI. Materials and Methods This was a cross-sectional study that was carried out from January 2010 to December 2014, with 124 patients treated for FG in a General Hospital. Several clinical and laboratory variables, including SFGSI, were evaluated and correlated with mortality through univariate analysis and logistic regression. Results Of the 124 patients, 99 were men (79.8%, the mean age was 50.8±19.5 years and the main comorbidity was diabetes mellitus (51.6%. The mortality rate was 25.8%. Variables that presented independent correlation with mortality were the extension of the lesion to the abdomen (OR=4.0, CI=1.10-14.68, p=0.03, hematocrit (OR=0.81, CI=0.73-0.90, p2 result was the largest of the independent predictors of mortality (OR=50.2; CI=13.18-191.47; p2 presented a higher correlation with mortality than any variable tested alone. It seems to be a promising alternative to evaluate predictors of mortality in Fournier's gangrene. The main advantage is easy applicability because it contains only three parameters and can be used immediately after patient's admission.

Risk factors for mortality in fournier's gangrene in a general hospital: use of simplified founier gangrene severe index score (SFGSI).

Science.gov (United States)

Tenório, Carlos Eugênio Lira; Lima, Salvador Vilar Correia; Albuquerque, Amanda Vasconcelos de; Cavalcanti, Mariana Pauferro; Teles, Flávio

2018-01-01

To evaluate risk factors for mortality in patients with Fournier's gangrene (FG), with emphasis in the Simplified Fournier Gangrene Severe Index Score (SFGSI). This was a cross-sectional study that was carried out from January 2010 to December 2014, with 124 patients treated for FG in a General Hospital. Several clinical and laboratory variables, including SFGSI, were evaluated and correlated with mortality through univariate analysis and logistic regression. Of the 124 patients, 99 were men (79.8%), the mean age was 50.8±19.5 years and the main comorbidity was diabetes mellitus (51.6%). The mortality rate was 25.8%. Variables that presented independent correlation with mortality were the extension of the lesion to the abdomen (OR=4.0, CI=1.10-14.68, p=0.03), hematocrit (OR=0.81, CI=0.73-0.90, p2 result was the largest of the independent predictors of mortality (OR=50.2; CI=13.18-191.47; p2 presented a higher correlation with mortality than any variable tested alone. It seems to be a promising alternative to evaluate predictors of mortality in Fournier's gangrene. The main advantage is easy applicability because it contains only three parameters and can be used immediately after patient's admission. Copyright® by the International Brazilian Journal of Urology.

A simple centrality index for scientific social recognition

Science.gov (United States)

Kinouchi, Osame; Soares, Leonardo D. H.; Cardoso, George C.

2018-02-01

We introduce a new centrality index for bipartite networks of papers and authors that we call K-index. The K-index grows with the citation performance of the papers that cite a given researcher and can be seen as a measure of scientific social recognition. Indeed, the K-index measures the number of hubs, defined in a self-consistent way in the bipartite network, that cites a given author. We show that the K-index can be computed by simple inspection of the Web of Science platform and presents several advantages over other centrality indexes, in particular Hirsch h-index. The K-index is robust to self-citations, is not limited by the total number of papers published by a researcher as occurs for the h-index and can distinguish in a consistent way researchers that have the same h-index but very different scientific social recognition. The K-index easily detects a known case of a researcher with inflated number of papers, citations and h-index due to scientific misconduct. Finally, we show that, in a sample of twenty-eight physics Nobel laureates and twenty-eight highly cited non-Nobel-laureate physicists, the K-index correlates better to the achievement of the prize than the number of papers, citations, citations per paper, citing articles or the h-index. Clustering researchers in a K versus h plot reveals interesting outliers that suggest that these two indexes can present complementary independent information.

Overall severities of gastrointestinal symptoms in pediatric outpatients with and without autism spectrum disorder.

Science.gov (United States)

Thulasi, Venkatraman; Steer, Robert A; Monteiro, Iona M; Ming, Xue

2018-03-01

In order to determine the effectiveness of a Gastrointestinal Severity Index to screen for gastrointestinal disorders, the Gastrointestinal Severity Index was administered to 135 children with autism spectrum disorders and 146 comparisons with and without gastrointestinal disorders. The mean Gastrointestinal Severity Index scores of the groups were 3.53 ± 1.78, 3.15 ± 1.99, 0.81 ± 1.25, and 0.29 ± 0.76 (comparative pediatric patients with gastrointestinal disorder = autism spectrum disorder + gastrointestinal disorder > autism spectrum disorder-gastrointestinal disorder > comparative pediatric patients without gastrointestinal disorder, respectively), Ps disorders. The area under the receiver operating characteristic curve (0.97) for the comparison group was higher (P autism spectrum disorder children indicating that the Gastrointestinal Severity Index was more effective in screening for gastrointestinal disorders in comparisons. However, the same Gastrointestinal Severity Index cutoff score of 2 and above yielded, respectively, sensitivity and specificity rates of 92% and 93% for comparisons and 80% and 79% for autism spectrum disorder children. The negative and positive predictive values based on these sensitivity and specificity rates were calculated for a range of prevalences of gastrointestinal disorders and indicated that the Gastrointestinal Severity Index may be useful for screening children with and without autism spectrum disorder for gastrointestinal symptoms.

Elemental Concentrations in Urban Green Stormwater Infrastructure Soils.

Science.gov (United States)

Kondo, Michelle C; Sharma, Raghav; Plante, Alain F; Yang, Yunwen; Burstyn, Igor

2016-01-01

Green stormwater infrastructure (GSI) is designed to capture stormwater for infiltration, detention, evapotranspiration, or reuse. Soils play a key role in stormwater interception at these facilities. It is important to assess whether contamination is occurring in GSI soils because urban stormwater drainage areas often accumulate elements of concern. Soil contamination could affect hydrologic and ecosystem functions. Maintenance workers and the public may also be exposed to GSI soils. We investigated soil elemental concentrations, categorized as macro- and micronutrients, heavy metals, and other elements, at 59 GSI sites in the city of Philadelphia. Non-GSI soil samples 3 to 5 m upland of GSI sites were used for comparison. We evaluated differences in elemental composition in GSI and non-GSI soils; the comparisons were corrected for the age of GSI facility, underlying soil type, street drainage, and surrounding land use. Concentrations of Ca and I were greater than background levels at GSI sites. Although GSI facilities appear to accumulate Ca and I, these elements do not pose a significant human health risk. Elements of concern to human health, including Cd, Hg, and Pb, were either no different or were lower in GSI soils compared with non-GSI soils. However, mean values found across GSI sites were up to four times greater than soil cleanup objectives for residential use. Copyright © by the American Society of Agronomy, Crop Science Society of America, and Soil Science Society of America, Inc.

Spawning seasons of Rasbora tawarensis (Pisces: Cyprinidae in Lake Laut Tawar, Aceh Province, Indonesia

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Musman Musri

2010-05-01

Full Text Available Abstract Background Rasbora tawarensis is an endemic freshwater fish in Lake Laut Tawar, Aceh Province, Indonesia. Unfortunately, its status is regarded as critical endangered with populations decreasing in recent years. To date no information on the spawning activities of the fish are available. Therefore, this study provides a contribution to the knowledge on reproductive biology of R. tawarensis especially on spawning seasons as well as basic information for conservation of the species. Methods Monthly sampling was conducted from April 2008 to March 2009 by using selective gillnets. The gonadosomatic index, size composition and sex ratio were assessed. The gonadal development was evaluated based on macroscopic and microscopic examinations of the gonads. Results The gonadosomatic index (GSI varied between 6.65 to 18.16 in female and 4.94 to 8.56 for male. GSI of the female R. tawarensis was higher in March, September and December indicating the onset of reproductive seasons, the GSI and oocyte size being directly correlated with gonadal development stages. Although, a greater proportion of mature male than female was detected during the study, the sex ratio showed that the overall number of female was higher than male. The ovaries had multiple oocyte size classes at every stage of gonadal development, thus R. tawarensis can be classified as a group synchronous spawner or a fractional multiple spawner. Conclusion The spawning seasons of R. tawarensis were three times a year and September being the peak of the reproductive season and the female was the predominant sex. This species is classified as a group synchronous spawner.

Higher body mass index is associated with greater severity of alopecia in men with male-pattern androgenetic alopecia in Taiwan: a cross-sectional study.

Science.gov (United States)

Yang, Chao-Chun; Hsieh, Fu-Nien; Lin, Li-Yu; Hsu, Chao-Kai; Sheu, Hamm-Ming; Chen, WenChieh

2014-02-01

Obesity is a risk factor for multiple health problems, but its association with androgenetic alopecia (AGA) remains controversial. We sought to determine the association between body mass index (BMI) and alopecia severity in men with AGA and early-onset AGA. A cross-sectional study was conducted. The medical charts and photographs of men with a clinical diagnosis of AGA were reviewed. In all, 189 men were enrolled with a mean age of 30.8 years. In male-pattern AGA (n = 142), men with severe alopecia (grade V-VII) had higher BMI than those with mild to moderate alopecia (grade I-IV) (25.1 vs 22.8 kg/m(2), P = .01). After multivariate adjustments, the risk for severe alopecia was higher in the overweight or obese (BMI ≥24 kg/m(2)) subjects with male-pattern AGA (odds ratio 3.52, P < .01). In early-onset male-pattern AGA (n = 46), the risk for having severe alopecia was also higher in the overweight or obese subjects (odds ratio 4.97, P = .03). Parameters used to evaluate obesity were limited because of the retrospective nature of the study. Higher BMI was significantly associated with greater severity of hair loss in men with male-pattern AGA, especially in those with early-onset AGA. Copyright © 2013 American Academy of Dermatology, Inc. Published by Mosby, Inc. All rights reserved.

Association of body mass index with disease severity and prognosis in patients with non-cystic fibrosis bronchiectasis

International Nuclear Information System (INIS)

Qi, Q.; Li, T.; Li, J.C.; Li, Y.

2015-01-01

The objective of this observational, multicenter study was to evaluate the association of body mass index (BMI) with disease severity and prognosis in patients with non-cystic fibrosis bronchiectasis. A total of 339 patients (197 females, 142 males) diagnosed with non-cystic fibrosis bronchiectasis by high-resolution computed tomography were classified into four groups: underweight (BMI<18.5 kg/m 2 ), normal weight (18.5≤BMI<25.0 kg/m 2 ), overweight (25.0≤BMI<30.0 kg/m 2 ), and obese (BMI≥30.0 kg/m 2 ). Clinical variables expressing disease severity were recorded, and acute exacerbations, hospitalizations, and survival rates were estimated during the follow-up period. The mean BMI was 21.90 kg/m 2 . The underweight group comprised 28.61% of all patients. BMI was negatively correlated with acute exacerbations, C-reactive protein, erythrocyte sedimentation rate, radiographic extent of bronchiectasis, and chronic colonization by P. aeruginosa and positively correlated with pulmonary function indices. BMI was a significant predictor of hospitalization risk independent of relevant covariates. The 1-, 2-, 3-, and 4-year cumulative survival rates were 94%, 86%, 81%, and 73%, respectively. Survival rates decreased with decreasing BMI (χ 2 =35.16, P<0.001). The arterial carbon dioxide partial pressure, inspiratory capacity, age, BMI, and predicted percentage of forced expiratory volume in 1 s independently predicted survival in the Cox proportional hazard model. In conclusion, an underweight status was highly prevalent among patients with non-cystic fibrosis bronchiectasis. Patients with a lower BMI were prone to developing more acute exacerbations, worse pulmonary function, amplified systemic inflammation, and chronic colonization by P. aeruginosa. BMI was a major determinant of hospitalization and death risks. BMI should be considered in the routine assessment of patients with non-cystic fibrosis bronchiectasis

Association of body mass index with disease severity and prognosis in patients with non-cystic fibrosis bronchiectasis

Energy Technology Data Exchange (ETDEWEB)

Qi, Q.; Li, T. [Department of Respirology, Qilu Hospital of Shandong University, Jinan, Shandong Province (China); Li, J.C. [Neurosurgical Intensive Care Unit, the First Affiliated Hospital, Sun Yat-sen University, Guangzhou, Guangdong Province (China); Li, Y. [Department of Respirology, Qilu Hospital of Shandong University, Jinan, Shandong Province (China)

2015-07-10

The objective of this observational, multicenter study was to evaluate the association of body mass index (BMI) with disease severity and prognosis in patients with non-cystic fibrosis bronchiectasis. A total of 339 patients (197 females, 142 males) diagnosed with non-cystic fibrosis bronchiectasis by high-resolution computed tomography were classified into four groups: underweight (BMI<18.5 kg/m{sup 2}), normal weight (18.5≤BMI<25.0 kg/m{sup 2}), overweight (25.0≤BMI<30.0 kg/m{sup 2}), and obese (BMI≥30.0 kg/m{sup 2}). Clinical variables expressing disease severity were recorded, and acute exacerbations, hospitalizations, and survival rates were estimated during the follow-up period. The mean BMI was 21.90 kg/m{sup 2}. The underweight group comprised 28.61% of all patients. BMI was negatively correlated with acute exacerbations, C-reactive protein, erythrocyte sedimentation rate, radiographic extent of bronchiectasis, and chronic colonization by P. aeruginosa and positively correlated with pulmonary function indices. BMI was a significant predictor of hospitalization risk independent of relevant covariates. The 1-, 2-, 3-, and 4-year cumulative survival rates were 94%, 86%, 81%, and 73%, respectively. Survival rates decreased with decreasing BMI (χ{sup 2}=35.16, P<0.001). The arterial carbon dioxide partial pressure, inspiratory capacity, age, BMI, and predicted percentage of forced expiratory volume in 1 s independently predicted survival in the Cox proportional hazard model. In conclusion, an underweight status was highly prevalent among patients with non-cystic fibrosis bronchiectasis. Patients with a lower BMI were prone to developing more acute exacerbations, worse pulmonary function, amplified systemic inflammation, and chronic colonization by P. aeruginosa. BMI was a major determinant of hospitalization and death risks. BMI should be considered in the routine assessment of patients with non-cystic fibrosis bronchiectasis.

Association of body mass index with disease severity and prognosis in patients with non-cystic fibrosis bronchiectasis

Directory of Open Access Journals (Sweden)

Q. Qi

2015-08-01

Full Text Available The objective of this observational, multicenter study was to evaluate the association of body mass index (BMI with disease severity and prognosis in patients with non-cystic fibrosis bronchiectasis. A total of 339 patients (197 females, 142 males diagnosed with non-cystic fibrosis bronchiectasis by high-resolution computed tomography were classified into four groups: underweight (BMI<18.5 kg/m2, normal weight (18.5≤BMI<25.0 kg/m2, overweight (25.0≤BMI<30.0 kg/m2, and obese (BMI≥30.0 kg/m2. Clinical variables expressing disease severity were recorded, and acute exacerbations, hospitalizations, and survival rates were estimated during the follow-up period. The mean BMI was 21.90 kg/m2. The underweight group comprised 28.61% of all patients. BMI was negatively correlated with acute exacerbations, C-reactive protein, erythrocyte sedimentation rate, radiographic extent of bronchiectasis, and chronic colonization by P. aeruginosa and positively correlated with pulmonary function indices. BMI was a significant predictor of hospitalization risk independent of relevant covariates. The 1-, 2-, 3-, and 4-year cumulative survival rates were 94%, 86%, 81%, and 73%, respectively. Survival rates decreased with decreasing BMI (χ2=35.16, P<0.001. The arterial carbon dioxide partial pressure, inspiratory capacity, age, BMI, and predicted percentage of forced expiratory volume in 1 s independently predicted survival in the Cox proportional hazard model. In conclusion, an underweight status was highly prevalent among patients with non-cystic fibrosis bronchiectasis. Patients with a lower BMI were prone to developing more acute exacerbations, worse pulmonary function, amplified systemic inflammation, and chronic colonization by P. aeruginosa. BMI was a major determinant of hospitalization and death risks. BMI should be considered in the routine assessment of patients with non-cystic fibrosis bronchiectasis.

Progress on MEVVA source VARIS at GSI

Science.gov (United States)

Adonin, A.; Hollinger, R.

2018-05-01

For the last few years, the development of the VARIS (vacuum arc ion source) was concentrated on several aspects. One of them was the production of high current ion beams of heavy metals such as Au, Pb, and Bi. The requested ion charge state for these ion species is 4+. This is quite challenging to produce in vacuum arc driven sources for reasonable beam pulse length (>120 µs) due to the physical properties of these elements. However, the situation can be dramatically improved by using the composite materials or alloys with enhanced physical properties of the cathodes. Another aspect is an increase of the beam brilliance for intense U4+ beams by the optimization of the geometry of the extraction system. A new 7-hole triode extraction system allows an increase of the extraction voltage from 30 kV to 40 kV and also reduces the outer aperture of the extracted ion beam. Thus, a record beam brilliance for the U4+ beam in front of the RFQ (Radio-Frequency Quadrupole) has been achieved, exceeding the RFQ space charge limit for an ion current of 15 mA. Several new projectiles in the middle-heavy region have been successfully developed from VARIS to fulfill the requirements of the future FAIR (Facility for Antiproton and Ion Research) programs. An influence of an auxiliary gas on the production performance of certain ion charge states as well as on operation stability has been investigated. The optimization of the ion source parameters for a maximum production efficiency and highest particle current in front of the RFQ has been performed. The next important aspect of the development will be the increase of the operation repetition rate of VARIS for all elements especially for uranium to 2.7 Hz in order to provide the maximum availability of high current ion beams for future FAIR experiments.

Psychometric properties of the Sleep Condition Indicator and Insomnia Severity Index in the evaluation of insomnia disorder.

Science.gov (United States)

Wong, Mark Lawrence; Lau, Kristy Nga Ting; Espie, Colin A; Luik, Annemarie I; Kyle, Simon D; Lau, Esther Yuet Ying

2017-05-01

The Sleep Condition Indicator (SCI) and Insomnia Severity Index (ISI) are commonly used instruments to assess insomnia. We evaluated their psychometric properties, particularly their discriminant validity against structured clinical interview (according to DSM-5 and ICSD-3), and their concurrent validity with measures of sleep and daytime functioning. A total of 158 young adults, 16% of whom were diagnosed with DSM-5 insomnia disorder and 13% with ICSD-3 Chronic Insomnia by structured interview, completed the ISI and SCI twice in 7-14 days, in addition to measures of sleep and daytime function. The Chinese version of the SCI was validated with good psychometric properties (ICC = 0.882). A cutoff of ≥8 on the ISI, ≤5 on the SCI short form, and ≤21 on the SCI achieved high discriminant validity (AUC > 0.85) in identifying individuals with insomnia based on both DSM-5 and ICSD-3 criteria. The SCI and ISI had comparable associations with subjective (0.18 sleep (0.31 disorder. Moreover, they showed good concordance with measures of daytime dysfunction, as well as subjective and objective sleep. The SCI and ISI are recommended for use in clinical and research settings. Copyright © 2016 Elsevier B.V. All rights reserved.

Development of a cluster-jet target for PANDA

International Nuclear Information System (INIS)

Gruber, A.; Marton, J.; Widmann, E.; Zmeskal, J.; Orth, H.; Luehning, J.

2008-01-01

Full text: The Stefan Meyer Institut (SMI) is part of the international PANDA collaboration. The universal detector will be constructed at the future high-energy antiproton storage ring HESR at FAIR (Facility for Antiproton and Ion Research, GSI/Darmstadt). PANDA will use antiproton beams (1.5 to 15 GeV/c) for hadron physics in the charmonium region. The physics program of PANDA will encompass charmonium spectroscopy below and above open charm threshold, search for exotics (glueballs, hybrids), lambda and double-lambda hypernuclei studies and the investigation of in-medium modifications of charmed mesons - an experimentally unexplored field. SMI contributes to major parts of the PANDA detector like the hydrogen cluster-jet target and the vacuum system of the antiproton - target interaction zone. In order to reach the desired target density, an optimization of the cold head, the nozzle and the skimmer arrangement is essential. A density-profile monitor for the cluster-jet was designed and built at SMI. Several nozzle types will be studied using different gases, temperatures and inlet pressures. Additionally we, together with the cluster-jet target group at GSI, are carrying out R and D for improving the jet-density. The Genova/Fermilab cluster-jet target used for these measurements has been in use at Fermilab for the experiments E760 and E835 and has been transferred to GSI for this purpose. The setup of the density-profile monitor at SMI and several measurements at GSI will be presented. (author)

Refractive index contrast in porous silicon multilayers

Energy Technology Data Exchange (ETDEWEB)

Nava, R.; Mora, M.B. de la; Tagueena-Martinez, J. [Centro de Investigacion en Energia, Universidad Nacional Autonoma de Mexico, Temixco, Morelos (Mexico); Rio, J.A. del [Centro de Investigacion en Energia, Universidad Nacional Autonoma de Mexico, Temixco, Morelos (Mexico); Centro Morelense de Innovacion y Transferencia Tecnologica, Consejo de Ciencia y Tecnologia del Estado de Morelos (Mexico)

2009-07-15

Two of the most important properties of a porous silicon multilayer for photonic applications are flat interfaces and a relative large refractive index contrast between layers in the optical wavelength range. In this work, we studied the effect of the current density and HF electrolyte concentration on the refractive index of porous silicon. With the purpose of increasing the refractive index contrast in a multilayer, the refractive index of porous silicon produced at low current was studied in detail. The current density applied to produce the low porosity layers was limited in order to keep the electrolyte flow through the multilayer structure and to avoid deformation of layer interfaces. We found that an electrolyte composed of hydrofluoric acid, ethanol and glycerin in a ratio of 3:7:1 gives a refractive index contrast around 1.3/2.8 at 600 nm. Several multilayer structures with this refractive index contrast were fabricated, such as dielectric Bragg mirrors and microcavities. Reflectance spectra of the structures show the photonic quality of porous silicon multilayers produced under these electrochemical conditions. (copyright 2009 WILEY-VCH Verlag GmbH and Co. KGaA, Weinheim) (orig.)

[Severe rhabdomyolysis secondary to severe hypernatraemic dehydration].

Science.gov (United States)

Mastro-Martínez, Ignacio; Montes-Arjona, Ana María; Escudero-Lirio, Margarita; Hernández-García, Bárbara; Fernández-Cantalejo Padial, José

2015-01-01

Rhabdomyolysis is a rare paediatric condition. The case is presented of a patient in whom this developed secondary to severe hypernatraemic dehydration following acute diarrhoea. Infant 11 months of age who presented with vomiting, fever, diarrhoea and anuria for 15 hours. Parents reported adequate preparation of artificial formula and oral rehydration solution. He was admitted with malaise, severe dehydration signs and symptoms, cyanosis, and low reactivity. The laboratory tests highlighted severe metabolic acidosis, hypernatraemia and pre-renal kidney failure (Sodium [Na] plasma 181 mEq/L, urine density> 1030). He was managed in Intensive Care Unit with gradual clinical and renal function improvement. On the third day, slight axial hypotonia and elevated cell lysis enzymes (creatine phosphokinase 75,076 IU/L) were observed, interpreted as rhabdomyolysis. He was treated with intravenous rehydration up to 1.5 times the basal requirements, and he showed a good clinical and biochemical response, being discharged 12 days after admission without motor sequelae. Severe hypernatraemia is described as a rare cause of rhabdomyolysis and renal failure. In critically ill patients, it is important to have a high index of suspicion for rhabdomyolysis and performing serial determinations of creatine phosphokinase for early detection and treatment. Copyright © 2015 Sociedad Chilena de Pediatría. Publicado por Elsevier España, S.L.U. All rights reserved.

The Localized Scleroderma Skin Severity Index and Physician Global Assessment of Disease Activity: A Work in Progress Toward Development of Localized Scleroderma Outcome Measures

Science.gov (United States)

ARKACHAISRI, THASCHAWEE; VILAIYUK, SOAMARAT; LI, SUZANNE; O’NEIL, KATHLEEN M.; POPE, ELENA; HIGGINS, GLORIA C.; PUNARO, MARILYNN; RABINOVICH, EGLA C.; ROSENKRANZ, MARGALIT; KIETZ, DANIEL A.; ROSEN, PAUL; SPALDING, STEVEN J.; HENNON, TERESA R.; TOROK, KATHRYN S.; CASSIDY, ELAINE; MEDSGER, THOMAS A.

2013-01-01

Objective To develop and evaluate a Localized Scleroderma (LS) Skin Severity Index (LoSSI) and global assessments’ clinimetric property and effect on quality of life (QOL). Methods A 3-phase study was conducted. The first phase involved 15 patients with LS and 14 examiners who assessed LoSSI [surface area (SA), erythema (ER), skin thickness (ST), and new lesion/extension (N/E)] twice for inter/intrarater reliability. Patient global assessment of disease severity (PtGA-S) and Children’s Dermatology Life Quality Index (CDLQI) were collected for intrarater reliability evaluation. The second phase was aimed to develop clinical determinants for physician global assessment of disease activity (PhysGA-A) and to assess its content validity. The third phase involved 2 examiners assessing LoSSI and PhysGA-A on 27 patients. Effect of training on improving reliability/validity and sensitivity to change of the LoSSI and PhysGA-A was determined. Results Interrater reliability was excellent for ER [intraclass correlation coefficient (ICC) 0.71], ST (ICC 0.70), LoSSI (ICC 0.80), and PhysGA-A (ICC 0.90) but poor for SA (ICC 0.35); thus, LoSSI was modified to mLoSSI. Examiners’ experience did not affect the scores, but training/practice improved reliability. Intrarater reliability was excellent for ER, ST, and LoSSI (Spearman’s rho = 0.71–0.89) and moderate for SA. PtGA-S and CDLQI showed good intrarater agreement (ICC 0.63 and 0.80). mLoSSI correlated moderately with PhysGA-A and PtGA-S. Both mLoSSI and PhysGA-A were sensitive to change following therapy. Conclusion mLoSSI and PhysGA-A are reliable and valid tools for assessing LS disease severity and show high sensitivity to detect change over time. These tools are feasible for use in routine clinical practice. They should be considered for inclusion in a core set of LS outcome measures for clinical trials. PMID:19833758

Improving carbon model phenology using data assimilation

Science.gov (United States)

Exrayat, Jean-François; Smallman, T. Luke; Bloom, A. Anthony; Williams, Mathew

2015-04-01

Carbon cycle dynamics is significantly impacted by ecosystem phenology, leading to substantial seasonal and inter-annual variation in the global carbon balance. Representing inter-annual variability is key for predicting the response of the terrestrial ecosystem to climate change and disturbance. Existing terrestrial ecosystem models (TEMs) often struggle to accurately simulate observed inter-annual variability. TEMs often use different phenological models based on plant functional type (PFT) assumptions. Moreover, due to a high level of computational overhead in TEMs they are unable to take advantage of globally available datasets to calibrate their models. Here we describe the novel CARbon DAta MOdel fraMework (CARDAMOM) for data assimilation. CARDAMOM is used to calibrate the Data Assimilation Linked Ecosystem Carbon version 2 (DALEC2) model using Bayes' Theorem within a Metropolis Hastings - Markov Chain Monte Carlo (MH-MCMC). CARDAMOM provides a framework which combines knowledge from observations, such as remotely sensed LAI, and heuristic information in the form of Ecological and Dynamical Constraints (EDCs). The EDCs are representative of real world processes and constrain parameter interdependencies and constrain carbon dynamics. We used CARDAMOM to bring together globally spanning datasets of LAI and the DALEC2 and DALEC2-GSI models. These analyses allow us to investigate the sensitivity ecosystem processes to the representation of phenology. DALEC2 uses an analytically solved model of phenology which is invariant between years. In contrast DALEC2-GSI uses a growing season index (GSI) calculated as a function of temperature, vapour pressure deficit (VPD) and photoperiod to calculate bud-burst and leaf senescence, allowing the model to simulate inter-annual variability in response to climate. Neither model makes any PFT assumptions about the phenological controls of a given ecosystem, allowing the data alone to determine the impact of the meteorological

Refractive index dependence of Papilio Ulysses butterfly wings reflectance spectra

Science.gov (United States)

Isnaeni, Muslimin, Ahmad Novi; Birowosuto, Muhammad Danang

2016-02-01

We have observed and utilized butterfly wings of Papilio Ulysses for refractive index sensor. We noticed this butterfly wings have photonic crystal structure, which causes blue color appearance on the wings. The photonic crystal structure, which consists of cuticle and air void, is approximated as one dimensional photonic crystal structure. This photonic crystal structure opens potential to several optical devices application, such as refractive index sensor. We have utilized small piece of Papilio Ulysses butterfly wings to characterize refractive index of several liquid base on reflectance spectrum of butterfly wings in the presence of sample liquid. For comparison, we simulated reflectance spectrum of one dimensional photonic crystal structure having material parameter based on real structure of butterfly wings. We found that reflectance spectrum peaks shifted as refractive index of sample changes. Although there is a slight difference in reflectance spectrum peaks between measured spectrum and calculated spectrum, the trend of reflectance spectrum peaks as function of sample's refractive index is the similar. We assume that during the measurement, the air void that filled by sample liquid is expanded due to liquid pressure. This change of void shape causes non-similarity between measured spectrum and calculated spectrum.

The airway microbiome in patients with severe asthma: Associations with disease features and severity.

Science.gov (United States)

Huang, Yvonne J; Nariya, Snehal; Harris, Jeffrey M; Lynch, Susan V; Choy, David F; Arron, Joseph R; Boushey, Homer

2015-10-01

Asthma is heterogeneous, and airway dysbiosis is associated with clinical features in patients with mild-to-moderate asthma. Whether similar relationships exist among patients with severe asthma is unknown. We sought to evaluate relationships between the bronchial microbiome and features of severe asthma. Bronchial brushings from 40 participants in the Bronchoscopic Exploratory Research Study of Biomarkers in Corticosteroid-refractory Asthma (BOBCAT) study were evaluated by using 16S ribosomal RNA-based methods. Relationships to clinical and inflammatory features were analyzed among microbiome-profiled subjects. Secondarily, bacterial compositional profiles were compared between patients with severe asthma and previously studied healthy control subjects (n = 7) and patients with mild-to-moderate asthma (n = 41). In patients with severe asthma, bronchial bacterial composition was associated with several disease-related features, including body mass index (P PERMANOVA), changes in Asthma Control Questionnaire (ACQ) scores (P < .01), sputum total leukocyte values (P = .06), and bronchial biopsy eosinophil values (per square millimeter, P = .07). Bacterial communities associated with worsening ACQ scores and sputum total leukocyte values (predominantly Proteobacteria) differed markedly from those associated with body mass index (Bacteroidetes/Firmicutes). In contrast, improving/stable ACQ scores and bronchial epithelial gene expression of FK506 binding protein (FKBP5), an indicator of steroid responsiveness, correlated with Actinobacteria. Mostly negative correlations were observed between biopsy eosinophil values and Proteobacteria. No taxa were associated with a TH2-related epithelial gene expression signature, but expression of TH17-related genes was associated with Proteobacteria. Patients with severe asthma compared with healthy control subjects or patients with mild-to-moderate asthma were significantly enriched in Actinobacteria, although the largest differences

Development of the Respiratory Index of Severity in Children (RISC score among young children with respiratory infections in South Africa.

Directory of Open Access Journals (Sweden)

Carrie Reed

Full Text Available OBJECTIVE: Pneumonia is a leading cause of death in children worldwide. A simple clinical score predicting the probability of death in a young child with lower respiratory tract infection (LRTI could aid clinicians in case management and provide a standardized severity measure during epidemiologic studies. METHODS: We analyzed 4,148 LRTI hospitalizations in children <24 months enrolled in a pneumococcal conjugate vaccine trial in South Africa from 1998-2001, to develop the Respiratory Index of Severity in Children (RISC. Using clinical data at admission, a multivariable logistic regression model for mortality was developed and statistically evaluated using bootstrap resampling techniques. Points were assigned to risk factors based on their coefficients in the multivariable model. A child's RISC score is the sum of points for each risk factor present. Separate models were developed for HIV-infected and non-infected children. RESULTS: Significant risk factors for HIV-infected and non-infected children included low oxygen saturation, chest indrawing, wheezing, and refusal to feed. The models also included age and HIV clinical classification (for HIV-infected children or weight-for-age (for non-infected children. RISC scores ranged up to 7 points for HIV-infected or 6 points for non-infected children and correlated with probability of death (0-47%, HIV-infected; 0-14%, non-infected. Final models showed good discrimination (area under the ROC curve and calibration (goodness-of-fit. CONCLUSION: The RISC score incorporates a simple set of risk factors that accurately discriminate between young children based on their risk of death from LRTI, and may provide an objective means to quantify severity based on the risk of mortality.

On the Selection of Optimal Index Configuration in OO Databases

NARCIS (Netherlands)

Choenni, R.S.; Bertino, E.; Blanken, Henk; Chang, S.C.

An operation in object-oriented databases gives rise to the processing of a path. Several database operations may result into the same path. The authors address the problem of optimal index configuration for a single path. As it is shown an optimal index configuration for a path can be achieved by

Water quality index for assessment of water quality of river ravi at ...

African Journals Online (AJOL)

Water quality of River Ravi, a tributary of Indus River System was evaluated by Water Quality Index (WQI) technique. A water quality index provides a single number that expresses overall water quality at a certain location and time based on several water quality parameters. The objective of an index is to turn complex water ...

Visceral adiposity index as an indicator of cardiometabolic risk in patients treated for craniopharyngioma.

Science.gov (United States)

Ferraù, Francesco; Spagnolo, Federica; Cotta, Oana Ruxandra; Cannavò, Laura; Alibrandi, Angela; Russo, Giuseppina Tiziana; Aversa, Tommaso; Trimarchi, Francesco; Cannavò, Salvatore

2017-11-01

Craniopharyngioma is associated with metabolic alterations leading to increased cardiovascular mortality. Recently, the visceral adiposity index has been proposed as a marker of visceral adipose tissue dysfunction and of the related cardiometabolic risk. The role of the visceral adiposity index has never been explored in craniopharyngioma patients. We assessed the cardiometabolic risk on the basis of the visceral adiposity index in craniopharyngioma patients. We evaluated data of 24 patients treated for craniopharyngioma in a single-centre. We investigated the relationship among patients' clinical and biochemical features, cardiovascular risk -assessed by the Framingham and the atherosclerotic cardiovascular disease risk scores-, visceral adiposity index and adipose tissue dysfunction severity. Increased visceral adiposity index was found in 8 patients (33%). Adipose tissue dysfunction resulted to be severe, moderate or mild in 5, 2 and 1 cases. Increased visceral adiposity index significantly correlated with the occurrence of metabolic syndrome (p 0.027), IRI (p 0.001), triglycerides (p < 0.001), HOMA-IR (p < 0.001) and with lower ISI-Matsuda (p 0.005) and HDL-cholesterol (p < 0.001). Higher degree of adipose tissue dysfunction associated with increased insulin resistance. No gender difference was found for visceral adiposity index, adipose tissue dysfunction severity, and cardiovascular risk scores. Patients with adulthood onset craniopharyngioma showed higher Framingham risk score (p 0.004), atherosclerotic cardiovascular disease 10-year (p < 0.001) and lifetime (p 0.018) risk scores than those with childhood onset disease. Visceral adiposity index is increased in one third of our patients with craniopharyngioma, even if metabolic syndrome does not occur. Increased visceral adiposity index and adipose tissue dysfunction severity correlate with insulin sensitivity parameters, do not correlate with Framingham or atherosclerotic cardiovascular

Exercise training with weight loss and either a high- or low-glycemic index diet reduces metabolic syndrome severity in older adults.

Science.gov (United States)

Malin, Steven K; Niemi, Nicole; Solomon, Thomas P J; Haus, Jacob M; Kelly, Karen R; Filion, Julianne; Rocco, Michael; Kashyap, Sangeeta R; Barkoukis, Hope; Kirwan, John P

2012-01-01

The efficacy of combining carbohydrate quality with exercise on metabolic syndrome risk is unclear. Thus, we determined the effects of exercise training with a low (LoGIx)- or high (HiGIx)-glycemic index diet on the severity of the metabolic syndrome (Z-score). Twenty-one adults (66.2±1.1 years; BMI=35.3±0.9 kg/m2) with the metabolic syndrome were randomized to 12 weeks of exercise (60 min/day for 5 days/week at about 85% HRmax) and provided a LoGIx (n=11) or HiGIx (n=10) diet. Z-scores were determined from: blood pressure, triglycerides (TGs), high-density lipoproteins (HDLs), fasting plasma glucose (FPG), and waist circumference (WC) before and after the intervention. Body composition, aerobic fitness, insulin resistance, and nonesterfied fatty acid (NEFA) suppression were also assessed. LoGIx and HiGIx diets decreased body mass and insulin resistance and increased aerobic fitness comparably (pdiets decreased the Z-score similarly as each intervention decreased blood pressure, TGs, FPG and WC (pdiet tended to suppress NEFA during insulin stimulation compared with the LoGIx diet (p=0.06). Our findings highlight that exercise with weight loss reduces the severity of the metabolic syndrome whether individuals were randomized to a HiGIx or a LoGIx diet.

Mental distress in treatment seeking young adults (18-25 years) with severe obesity compared with population controls of different body mass index levels: cohort study.

Science.gov (United States)

Dreber, H; Reynisdottir, S; Angelin, B; Tynelius, P; Rasmussen, F; Hemmingsson, E

2017-02-01

Young adults (18-25) with severe obesity constitute a challenging patient group, and there is limited evidence about their mental health status compared to population controls. Mental distress in treatment seeking young adults with severe obesity (n = 121, mean body mass index [BMI] = 39.8 kg m -2 ) was compared with matched (1:3 for age, gender and socioeconomic status) population controls of normal weight (n = 363, mean BMI = 22.4 kg m -2 ), as well as unmatched population controls with class I obesity (n = 105, mean BMI = 32.1 kg m -2 ) or severe obesity (n = 41, mean BMI = 39.7 kg m -2 ). Mental distress was measured by the General Health Questionnaire-12 (GHQ-12), and we quantified physician-diagnosed depression, present anxiety and suicide attempts. Poisson regression and linear regression analysis were used for analysing differences in mental distress between groups. Treatment seekers experienced more mental distress than normal weight controls as measured by continuous (adjusted mean: 3.9 vs. 2.2 points, P obesity (adjusted mean: 2.3 points) or severe obesity (adjusted mean: 2.1; both, P Young adult treatment seekers with severe obesity constitute a risk group for mental distress compared to population controls of different BMI levels. © 2017 World Obesity Federation.

IndexMed projects: new tools using the CIGESMED DataBase on Coralligenous for indexing, visualizing and data mining based on graphs

OpenAIRE

David , Romain; FERAL , Jean-Pierre; Archambeau , Anne; Bailly , Nicolas; Blanpain , Cyrille; Breton , Vincent; De Jode , Aurélie; Delavaud , Aurélie; Dias , Alrick; Gachet , Sophie; Guillemain , Dorian; Lecubin , Julien; Romier , Geneviève; Surace , Christian; Thierry De Ville D 'avray , Laure

2016-01-01

International audience; Data produced by the CIGESMED project (Coralligenous based Indicators to evaluate and monitor the "Good Environmental Status" of the MEDiterranean coastal waters) have a high potential for use by several stakeholders involved in environmental management. A new consortium called IndexMed whose task is to index Mediterranean biodiversity data, makes it possible to build graphs in order to analyse the CIGESMED data and develop new ways for data mining of coralligenous dat...

[Risk factors of venous thromboembolism recurrence and the predictive value of simplified pulmonary embolism severity index in medical inpatients].

Science.gov (United States)

Shi, C L; Zhou, H X; Tang, Y J; Wang, L; Yi, Q; Liang, Z A

2016-04-12

To explore the risk factors of venous thromboembolism (VTE) recurrence and the predictive value of simplified pulmonary embolism severity index (sPESI) in medical inpatients. A total of 149 consecutive patients with first diagnosed VTE from the medical departments of West China Hospital of Sichuan University from January 2011 and December 2012 were enrolled and followed-up for 24 months. The VTE recurrence rate was calculated and univariate and multivariate cox proportional hazards regression analysis were performed to identify the risk factors associated with VTE recurrence. All the patients were evaluated by sPESI, and survival analysis was used to explore its value in predicting VTE recurrence in these medical patients. Out of the included 149 patients, 23(15.4%) patients had VTE recurrence during the 2 years' follow-up and median recurrence time was 167 days. The univariate analysis showed bed rest, severe lung disease, nephrotic syndrome, inappropriate anticoagulant therapy, smoking, diabetes, and malignant neoplasm might be associated with VTE recurrence (P=0.043, 0.006, 0.009, 0.032, 0.098, 0.048, 0.021). Among these risk factors, the multivariate analysis revealed severe lung disease, nephrotic syndrome, and malignant neoplasm were the independent risk factors (HR=3.45, 5.67, 3.60; P=0.020, 0.020, 0.047); while for inappropriate anticoagulant therapy, the P value was marginal (HR=3.94, 95% CI: 0.99-15.63, P=0.051). The median sPESI scores of the patients with VTE recurrence was higher than that of the patients without VTE recurrence[1(1, 2) vs 0(0, 1), P=0.001], and patients with sPESI≥1 were associated with 5.57-fold increased risk of VTE recurrence compared with patients with sPESI=0 (95%CI: 1.79-17.30, P=0.001). Survival analysis also showed that the 2-year cumulative VTE recurrence rate of patients with sPESI≥1 was significant higher than that of patients with sPESI=0 (38.4% vs 5.7%, P=0.001). The medical VTE patients have high VTE recurrence risk

European larch phenology in the Alps: can we grasp the role of ecological factors by combining field observations and inverse modelling?

Science.gov (United States)

Migliavacca, M.; Cremonese, E.; Colombo, R.; Busetto, L.; Galvagno, M.; Ganis, L.; Meroni, M.; Pari, E.; Rossini, M.; Siniscalco, C.; Morra di Cella, U.

2008-09-01

Vegetation phenology is strongly influenced by climatic factors. Climate changes may cause phenological variations, especially in the Alps which are considered to be extremely vulnerable to global warming. The main goal of our study is to analyze European larch ( Larix decidua Mill.) phenology in alpine environments and the role of the ecological factors involved, using an integrated approach based on accurate field observations and modelling techniques. We present 2 years of field-collected larch phenological data, obtained following a specifically designed observation protocol. We observed that both spring and autumn larch phenology is strongly influenced by altitude. We propose an approach for the optimization of a spring warming model (SW) and the growing season index model (GSI) consisting of a model inversion technique, based on simulated look-up tables (LUTs), that provides robust parameter estimates. The optimized models showed excellent agreement between modelled and observed data: the SW model predicts the beginning of the growing season (BGS) with a mean RMSE of 4 days, while GSI gives a prediction of the growing season length (LGS) with a RMSE of 5 days. Moreover, we showed that the original GSI parameters led to consistent errors, while the optimized ones significantly increased model accuracy. Finally, we used GSI to investigate interactions of ecological factors during springtime development and autumn senescence. We found that temperature is the most effective factor during spring recovery while photoperiod plays an important role during autumn senescence: photoperiod shows a contrasting effect with altitude decreasing its influence with increasing altitude.

Yeast Interacting Proteins Database: YLR258W, YLR258W [Yeast Interacting Proteins Database

Lifescience Database Archive (English)

Full Text Available YLR258W GSY2 Glycogen synthase, similar to Gsy1p; expression induced by glucose limitation...bait as prey (3) YLR258W GSY2 Glycogen synthase, similar to Gsy1p; expression induced by glucose limitatio...pression induced by glucose limitation, nitrogen starvation, heat shock, and stationary phase; activity regu...LR258W Bait ORF YLR258W Bait gene name GSY2 Bait description Glycogen synthase, similar to Gsy1p; expression induced by glucose limit...ation, nitrogen starvation, heat shock, and stationary phase; activity regulated by

Hemolysis is associated with low reticulocyte production index and predicts blood transfusion in severe malarial anemia.

Directory of Open Access Journals (Sweden)

Rolf Fendel

Full Text Available BACKGROUND: Falciparum Malaria, an infectious disease caused by the apicomplexan parasite Plasmodium falciparum, is among the leading causes of death and morbidity attributable to infectious diseases worldwide. In Gabon, Central Africa, one out of four inpatients have severe malarial anemia (SMA, a life-threatening complication if left untreated. Emerging drug resistant parasites might aggravate the situation. This case control study investigates biomarkers of enhanced hemolysis in hospitalized children with either SMA or mild malaria (MM. METHODS AND FINDINGS: Ninety-one children were included, thereof 39 SMA patients. Strict inclusion criteria were chosen to exclude other causes of anemia. At diagnosis, erythrophagocytosis (a direct marker for extravascular hemolysis, EVH was enhanced in SMA compared to MM patients (5.0 arbitrary units (AU (interquartile range (IR: 2.2-9.6 vs. 2.1 AU (IR: 1.3-3.9, p<0.01. Furthermore, indirect markers for EVH, (i.e. serum neopterin levels, spleen size enlargement and monocyte pigment were significantly increased in SMA patients. Markers for erythrocyte ageing, such as CD35 (complement receptor 1, CD55 (decay acceleration factor and phosphatidylserine exposure (annexin-V-binding were investigated by flow cytometry. In SMA patients, levels of CD35 and CD55 on the red blood cell surface were decreased and erythrocyte removal markers were increased when compared to MM or reconvalescent patients. Additionally, intravascular hemolysis (IVH was quantified using several indirect markers (LDH, alpha-HBDH, haptoglobin and hemopexin, which all showed elevated IVH in SMA. The presence of both IVH and EVH predicted the need for blood transfusion during antimalarial treatment (odds ratio 61.5, 95% confidence interval (CI: 8.9-427. Interestingly, this subpopulation is characterized by a significantly lowered reticulocyte production index (RPI, p<0.05. CONCLUSIONS: Our results show the multifactorial pathophysiology of SMA

Development of an Integrated Moisture Index for predicting species composition

Science.gov (United States)

Louis R. Iverson; Charles T. Scott; Martin E. Dale; Anantha Prasad

1996-01-01

A geographic information system (GIS) approach was used to develop an Integrated Moisture Index (IMI), which was used to predict species composition for Ohio forests. Several landscape features (a slope-aspect shading index, cumulative flow of water downslope, curvature of the landscape, and the water-holding capacity of the soil) were derived from elevation and soils...

Conformity index: A review

International Nuclear Information System (INIS)

Feuvret, Loic; Noel, Georges; Mazeron, Jean-Jacques; Bey, Pierre

2006-01-01

We present a critical analysis of the conformity indices described in the literature and an evaluation of their field of application. Three-dimensional conformal radiotherapy, with or without intensity modulation, is based on medical imaging techniques, three-dimensional dosimetry software, compression accessories, and verification procedures. It consists of delineating target volumes and critical healthy tissues to select the best combination of beams. This approach allows better adaptation of the isodose to the tumor volume, while limiting irradiation of healthy tissues. Tools must be developed to evaluate the quality of proposed treatment plans. Dosimetry software provides the dose distribution in each CT section and dose-volume histograms without really indicating the degree of conformity. The conformity index is a complementary tool that attributes a score to a treatment plan or that can compare several treatment plans for the same patient. The future of conformal index in everyday practice therefore remains unclear

Validation of the Acoustic Voice Quality Index Version 03.01 and the Acoustic Breathiness Index in the Spanish language.

Science.gov (United States)

Delgado Hernández, Jonathan; León Gómez, Nieves M; Jiménez, Alejandra; Izquierdo, Laura M; Barsties V Latoszek, Ben

2018-05-01

The aim of this study was to validate the Acoustic Voice Quality Index 03.01 (AVQIv3) and the Acoustic Breathiness Index (ABI) in the Spanish language. Concatenated voice samples of continuous speech (cs) and sustained vowel (sv) from 136 subjects with dysphonia and 47 vocally healthy subjects were perceptually judged for overall voice quality and breathiness severity. First, to reach a higher level of ecological validity, the proportions of cs and sv were equalized regarding the time length of 3 seconds sv part and voiced cs part, respectively. Second, concurrent validity and diagnostic accuracy were verified. A moderate reliability of overall voice quality and breathiness severity from 5 experts was used. It was found that 33 syllables as standardization of the cs part, which represents 3 seconds of voiced cs, allows the equalization of both speech tasks. A strong correlation was revealed between AVQIv3 and overall voice quality and ABI and perceived breathiness severity. Additionally, the best diagnostic outcome was identified at a threshold of 2.28 and 3.40 for AVQIv3 and ABI, respectively. The AVQIv3 and ABI showed in the Spanish language valid and robust results to quantify abnormal voice qualities regarding overall voice quality and breathiness severity.

Evaluation of the severity of malocclusions in children affected by osteogenesis imperfecta with the peer assessment rating and discrepancy indexes.

Science.gov (United States)

Rizkallah, Jean; Schwartz, Stephane; Rauch, Frank; Glorieux, Francis; Vu, Duy-Dat; Muller, Katia; Retrouvey, Jean-Marc

2013-03-01

Osteogenesis imperfecta is a heritable disorder affecting bone and tooth development. Malocclusion is frequent in those affected by osteogenesis imperfecta, but this has not been studied in detail. The purpose of this study was to describe and quantify the severity of malocclusions in patients with osteogenesis imperfecta. Articulated dental casts were obtained from 49 patients diagnosed with osteogenesis imperfecta (ages 5-19 years; 28 female) and 49 age- and sex-matched control subjects who did not have osteogenesis imperfecta. Both groups were seeking orthodontic treatment. Malocclusions were scored by using the peer assessment rating (PAR) and the discrepancy index (DI). The average United Kingdom weighted PAR scores were 31.1 (SD, 14.5) for the osteogenesis imperfecta group and 22.7 (SD, 10.7) for the control group (P osteogenesis imperfecta and 21.6 (SD, 9.6) for the controls (P osteogenesis imperfecta group and 12.4 (SD, 6.8) for the control group (P osteogenesis imperfecta group, 7.1; control group, 0.3) for the DI parameters and anterior crossbite (osteogenesis imperfecta group, 13.0; control group, 3.8 [United Kingdom]) for the PAR. Both the PAR and the DI showed that malocclusions were significantly more severe in patients with osteogenesis imperfecta than in the control group. There was a higher incidence of Class III malocclusion associated with anterior and lateral open bites in patients affected by osteogenesis imperfecta. Copyright © 2013 American Association of Orthodontists. Published by Mosby, Inc. All rights reserved.

A comparison principle for an American option on several assets: Index and spread options

Directory of Open Access Journals (Sweden)

Peter Laurence

2003-07-01

Full Text Available Using the method of symmetrization, we compare the price of the American option on an index or spread to that of the solution of a parabolic variational inequality in one spatial variable. This comparison principle is established for a broad class of diffusion operators with time and state dependent coefficients. The purpose is to take a first step towards deriving symmmetrized problems whose solutions bound solutions of multidimensional American option problems with variable coefficients when the computation of the latter lies beyond the scope of the most powerful numerical methods.

The oxygen reactivity index and its relation to sensor technology in patients with severe brain lesions.

Science.gov (United States)

Dengler, Julius; Frenzel, Christin; Vajkoczy, Peter; Horn, Peter; Wolf, Stefan

2013-08-01

The oxygen reactivity index (ORx) has been introduced to assess the status of cerebral autoregulation after traumatic brain injury (TBI) or subarachnoid hemorrhage (SAH). Currently, there is some controversy about whether the ORx depends on the type of PbrO2-sensor technology used for its calculation. To examine if the probe technology does matter, we compared the ORx and the resulting optimal cerebral perfusion pressures (CPPopt) of simultaneously implanted Licox (CC1.SB, Integra Neuroscience, France) and Neurovent-PTO (Raumedic, Germany) probes in patients after aneurysmal SAH or severe TBI. Licox and Raumedic probes were implanted side by side in 11 patients after TBI or SAH. ORx and CPPopt were recorded continuously. The equivalence of both probes was examined using Bland-Altman analyses. The mean difference in ORx was 0.1, with Licox producing higher values. The limits of agreement regarding ORx ranged from -0.6 to +0.7. When both probes' ORx values were compared in each patient, no specific pattern in their relationship was seen. The mean difference in CPPopt was 0 mmHg with limits of agreement between -16.5 and +16.4 mmHg. Owing to the rather limited number of patients, we view the results of this study as preliminary. The main result is that Licox and Raumedic showed consistent differences in ORx and CPPopt. Therefore, ORx values of both probes cannot be interchanged and should not be viewed as equivalent. This should be taken into consideration when discussing ORx data generated by different PbrO2 probe types.

Heart rate variability analysis as an index of emotion regulation processes: interest of the Analgesia Nociception Index (ANI).

Science.gov (United States)

De Jonckheere, J; Rommel, D; Nandrino, J L; Jeanne, M; Logier, R

2012-01-01

Autonomic Nervous System (ANS) variations are strongly influence by emotion regulation processes. Indeed, emotional stimuli are at the origin of an activation of the ANS and the way an individual pass from a state of alert in the case of emotional situation to a state of calm is closely coupled with the ANS flexibility. We have previously described and developed an Analgesia Nociception Index (ANI) for real time pain measurement during surgical procedure under general anesthesia. This index, based on heart rate variability analysis, constitutes a measure of parasympathetic tone and can be used in several other environments. In this paper, we hypothesized that such an index could be used as a tool to investigate the processes of emotional regulation of a human subject. To test this hypothesis, we analyzed ANI's response to a negative emotional stimulus. This analysis showed that the index decreases during the emotion induction phase and returns to its baseline after 2 minutes. This result confirms that ANI could be a good indicator of parasympathetic changes in emotional situation.

Effects of Common Fig (Ficus carica Leaf Extracts on Sperm Parameters and Testis of Mice Intoxicated with Formaldehyde

Directory of Open Access Journals (Sweden)

Majid Naghdi

2016-01-01

Full Text Available Formaldehyde (FA is the leading cause of cellular injury and oxidative damage in testis that is one of the main infertility causes. There has been an increasing evidence of herbal remedies use in male infertility treatment. This assay examines the role of Ficus carica (Fc leaf extracts in sperm parameters and testis of mice intoxicated with FA. Twenty-five adult male mice were randomly divided into control; sham; FA-treated (10 mg/kg twice per day; Fc-treated (200 mg/kg; and FA + Fc-treated groups. Cauda epididymal spermatozoa were analyzed for viability, count, and motility. Testes were weighed and gonadosomatic index (GSI was calculated. Also, histoarchitecture of seminiferous tubules was assessed in the Haematoxylin and Eosin stained paraffin sections. The findings showed that FA significantly decreased GSI and increased percentage of immotile sperm compared with control group. Disorganized and vacuolated seminiferous epithelium, spermatogenic arrest, and lumen filled with immature germ cells were also observed in the testes. However, Fc leaf extracts improved sperm count, nonprogressive motility of spermatozoa, and GSI in FA-treated testes. Moreover, seminiferous tubule with spermatogenic arrest was rarely seen, indicating that Fc has the positive effects on testis and epididymal sperm parameters exposed with FA.

Are the Insomnia Severity Index and Pittsburgh Sleep Quality Index valid outcome measures for Cognitive Behavioral Therapy for Insomnia? Inquiry from the perspective of response shifts and longitudinal measurement invariance in their Chinese versions.

Science.gov (United States)

Chen, Po-Yi; Jan, Ya-Wen; Yang, Chien-Ming

2017-07-01

The purpose of this study was to examine whether the Insomnia Severity Index (ISI) and Pittsburgh Sleep Quality Index (PSQI) are valid outcome measures for Cognitive Behavioral Therapy for Insomnia (CBT-I). Specifically, we tested whether the factorial parameters of the ISI and the PSQI could remain invariant against CBT-I, which is a prerequisite to using their change scores as an unbiased measure of the treatment outcome of CBT-I. A clinical data set including scores on the Chinese versions of the ISI and the PSQI obtained from 114 insomnia patients prior to and after a 6-week CBT-I program in Taiwan was analyzed. A series of measurement invariance (MI) tests were conducted to compare the factorial parameters of the ISI and the PSQI before and after the CBT-I treatment program. Most factorial parameters of the ISI remained invariant after CBT-I. However, the factorial model of the PSQI changed after CBT-I treatment. An extra loading with three residual correlations was added into the factorial model after treatment. The partial strong invariance of the ISI supports that it is a valid outcome measure for CBT-I. In contrast, various changes in the factor model of the PSQI indicate that it may not be an appropriate outcome measure for CBT-I. Some possible causes for the changes of the constructs of the PSQI following CBT-I are discussed. Copyright © 2017 Elsevier B.V. All rights reserved.

Energy index decomposition methodology at the plant level

Science.gov (United States)

Kumphai, Wisit

Scope and method of study. The dissertation explores the use of a high level energy intensity index as a facility-level energy performance monitoring indicator with a goal of developing a methodology for an economically based energy performance monitoring system that incorporates production information. The performance measure closely monitors energy usage, production quantity, and product mix and determines the production efficiency as a part of an ongoing process that would enable facility managers to keep track of and, in the future, be able to predict when to perform a recommissioning process. The study focuses on the use of the index decomposition methodology and explored several high level (industry, sector, and country levels) energy utilization indexes, namely, Additive Log Mean Divisia, Multiplicative Log Mean Divisia, and Additive Refined Laspeyres. One level of index decomposition is performed. The indexes are decomposed into Intensity and Product mix effects. These indexes are tested on a flow shop brick manufacturing plant model in three different climates in the United States. The indexes obtained are analyzed by fitting an ARIMA model and testing for dependency between the two decomposed indexes. Findings and conclusions. The results concluded that the Additive Refined Laspeyres index decomposition methodology is suitable to use on a flow shop, non air conditioned production environment as an energy performance monitoring indicator. It is likely that this research can be further expanded in to predicting when to perform a recommissioning process.

Implications of adopting a biodiversity-based vulnerability index versus a shoreline environmental sensitivity index on management and policy planning along coastal areas.

Science.gov (United States)

Harik, G; Alameddine, I; Maroun, R; Rachid, G; Bruschi, D; Astiaso Garcia, D; El-Fadel, M

2017-02-01

In this study, a multi-criteria index was developed to assess anthropogenic stressors along the Mediterranean coastline. The index aimed at geo-locating pollution hotspots for informed decision making related to coastal zone management. The index was integrated in a Geographical Information System based geodatabase implemented at several pilot areas along the Northern (Italy and France), Eastern (Lebanon), and Southern (Tunisia) Mediterranean coastlines. The generated stressor maps were coupled with a biodiversity richness index and an environmental sensitivity index to produce vulnerability maps that can form the basis for prioritizing management and mitigation interventions towards the identification of pollution hotspots and the promotion of sustainable coastal zone management. The results identified significant differences between the two assessment methods, which can bias prioritization in decision making and policy planning depending on stakeholders' interests. The discrepancies emphasize the need for transparency and understanding of the underlying foundations behind vulnerability indices and mapping development. Copyright © 2016 Elsevier Ltd. All rights reserved.

[Discordance between mitral valve area (MVA) and pressure gradient in patients with mitral valve stenosis: mean transmitral valve gradient is a severity index or a tolerance index of severity of mitralss valve stenosis?

Science.gov (United States)

Najih, Hayat; Arous, Salim; Laarje, Aziza; Baghdadi, Dalila; Benouna, Mohamed Ghali; Azzouzi, Leila; Habbal, Rachida

2016-01-01

Rheumatic mitral valve stenosis (MVS) is a frequent valvulopathy in developing countries. However, industrialized countries have seen the emergence of new etiologies of MVS in recent years, in particular drug-induced and/or toxic valvular regurgitation and stenosis. For this reason, the echocardiographic assessment of MVS and especially the definition of objective diagnostic criteria for severe MVS remains relevant. The objectives are: to determine whether there is a direct causal link between mean transmitral gradient (MTG) and severity of MVS in patients with severe MVS or true severe MVS (primary criterion); to analyze different parameters determining mean transmitral gradient (MTG) (secondary criterion). We conducted a single-center cross-sectional study including all patients with severe or true severe MVS admitted to the Department of Cardiology, University Hospital Ibn Rushd, Casablanca over a period of one year (January 2014-December 2014). We analyzed data from two groups of patients separately: those with a mean transmitral gradientgradient>10mmHg (group 2). 50 patients with severe or true severe MVS have been included in the study. The average age of our patients was 41.7 years with a female predominance (sex ratio 0,25). 64% of patients had severe MVS and 36% of patients had true severe MVS. 52% (26 patients) had MTG gradient> 10mmHg, suggesting no direct correlation between the severity of MVS and MTG (Pearson's correlation coefficient R: -0,137). With regards to dyspnea, 80% of patients of group 1 had stage II NYHA dyspnea (classification system) and 70% of patients of group 2 had stage III NYHA dyspnea (41%) or IV NYHA dyspnea (29%), which means that there was a significant correlation between MTG and the severity of dyspnea (R: 0,586 and p: 0,001). The analytical study of heart rate and the presence of cardiac decompensation compared with mean gradient transmitral showed a significant correlation. Indeed, among patients in group 1, 96% had HR

A new index for differential diagnosis between mild hepatic lesions associated with chronic alcoholism (steatosis, steatofibrosis) and severe alcoholic liver disease (cirrhosis) by a combination of an aminopyrine breath test and a colloid hepatosplenic scintigraphy

International Nuclear Information System (INIS)

Urbain, D.; Jeghers, O.; Lenaers, A.; Wanet, P.; Abramovici, J.; Preux, C.

1984-01-01

The severity of liver disease is related not only to the degree of hepatocellular lesions but also to the hemodynamic changes created by extensive fibrosis. Theoretically, the combination of two tests providing information on these two aspects should allow a better identification of patients with severe alcoholic liver disease. In the present work our new functional index clearly improves the ability in differentiating mild alcoholic hepatic lesions from alcoholic cirrhosis. (orig.)

Item validity vs. item discrimination index: a redundancy?

Science.gov (United States)

Panjaitan, R. L.; Irawati, R.; Sujana, A.; Hanifah, N.; Djuanda, D.

2018-03-01

In several literatures about evaluation and test analysis, it is common to find that there are calculations of item validity as well as item discrimination index (D) with different formula for each. Meanwhile, other resources said that item discrimination index could be obtained by calculating the correlation between the testee’s score in a particular item and the testee’s score on the overall test, which is actually the same concept as item validity. Some research reports, especially undergraduate theses tend to include both item validity and item discrimination index in the instrument analysis. It seems that these concepts might overlap for both reflect the test quality on measuring the examinees’ ability. In this paper, examples of some results of data processing on item validity and item discrimination index were compared. It would be discussed whether item validity and item discrimination index can be represented by one of them only or it should be better to present both calculations for simple test analysis, especially in undergraduate theses where test analyses were included.

Prognostic validation of the body mass index, airflow obstruction, dyspnea, and exercise capacity (BODE) index in inoperable non-small-cell lung cancer.

Science.gov (United States)

Denehy, Linda; Hornsby, Whitney E; Herndon, James E; Thomas, Samantha; Ready, Neal E; Granger, Catherine L; Valera, Lauren; Kenjale, Aarti A; Eves, Neil D; Jones, Lee W

2013-12-01

To investigate the prognostic utility of the body mass index, severity of airflow obstruction, measures of exertional dyspnea, and exercise capacity (BODE) index in patients with inoperable non-small-cell lung cancer (NSCLC). One hundred consecutive patients with inoperable NSCLC and performance status 0 to 3 completed pulmonary function testing, the modified Medical Research Council dyspnea scale, a 6-minute walk test, and body mass index-the multidimensional 10-point BODE index. Cox proportional models were used to estimate the risk of all-cause mortality according to the BODE index with or without adjustment for traditional prognostic factors. Median follow-up was 31.5 months; 61 deaths (61%) were reported during this period. There was a significant univariate association between the BODE index score and mortality (adjusted p(trend) = 0.027). Compared with patients with a BODE index of 0, the adjusted hazard ratio for risk of death was 1.37 (95% confidence interval [CI], 0.74-2.55) for a BODE index of 1, 1.22 (95% CI, 0.45-3.25) for a BODE index of 2, and 2.44 (95% CI, 1.19-4.99) for a BODE index more than 2. The BODE index provided incremental prognostic information beyond that provided traditional markers of prognosis (adjusted p(trend) = 0.051). Every one-point increase in the BODE index, the risk of death increased by 25% (hazard ratio = 1.25; 95% CI, 1.27-4.64). The BODE index is a strong independent predictor of survival in inoperable NSCLC beyond traditional risk factors. Use of this multidimensional tool may improve risk stratification and prognostication in NSCLC.

Transient productivity index for numerical well test simulations

Energy Technology Data Exchange (ETDEWEB)

Blanc, G.; Ding, D.Y.; Ene, A. [Institut Francais du Petrole, Pau (France)] [and others

1997-08-01

The most difficult aspect of numerical simulation of well tests is the treatment of the Bottom Hole Flowing (BHF) Pressure. In full field simulations, this pressure is derived from the Well-block Pressure (WBP) using a numerical productivity index which accounts for the grid size and permeability, and for the well completion. This productivity index is calculated assuming a pseudo-steady state flow regime in the vicinity of the well and is therefore constant during the well production period. Such a pseudo-steady state assumption is no longer valid for the early time of a well test simulation as long as the pressure perturbation has not reached several grid-blocks around the well. This paper offers two different solutions to this problem: (1) The first one is based on the derivation of a Numerical Transient Productivity Index (NTPI) to be applied to Cartesian grids; (2) The second one is based on the use of a Corrected Transmissibility and Accumulation Term (CTAT) in the flow equation. The representation of the pressure behavior given by both solutions is far more accurate than the conventional one as shown by several validation examples which are presented in the following pages.

Indexation automatique des textes arabes : état de l’art

Directory of Open Access Journals (Sweden)

Mohamed Salim El Bazzi

2016-11-01

Full Text Available Document indexing is a crucial step in the text mining process. It is used to represent documents by the most relevant descriptors of their contents. Several approaches are proposed in the literature, particularly for English, but they are unusable for Arabic documents, considering its specific characteristics and its morphological complexity, grammar and vocabulary. In this paper, we present a reading in the state of the art of indexation methods and their contribution to improve Arabic document’s processing. We also propose a categorization of works according to the most used approaches and methods for indexing textual documents. We adopted a qualitative selection of papers and we retained papers approving notable indexation contributions and illustrating significant results

PROXIMAL DISABILITY AND SPINAL DEFORMITY INDEX IN PATIENTS WITH PROXIMAL FEMUR FRACTURES

Directory of Open Access Journals (Sweden)

Sylvio Mistro Neto

2015-12-01

Full Text Available Objective : To evaluate the quality of life related to the spine in patients with proximal femoral fractures. Methods : Study conducted in a tertiary public hospital in patients with proximal femoral fractures caused by low-energy trauma, through the Oswestry Disability Index questionnaire to asses complaints related to the spine at the time of life prior to the femoral fracture. The thoracic and lumbar spine of patients were also evaluated applying the radiographic index described by Gennant (Spinal Deformity Index, which assesses the number and severity of fractures. Results : Seventeen subjects completed the study. All had some degree of vertebral fracture. Patients were classified in the categories of severe and very severe disability in the questionnaire about quality of life. It was found that the higher SDI, the better the quality of life. Conclusion : There is a strong association of disability related to the spine in patients with proximal femoral fracture, and this complaint must be systematically evaluated in patients with appendicular fracture.

Atomic Force Microscopy Based Cell Shape Index

Science.gov (United States)

Adia-Nimuwa, Usienemfon; Mujdat Tiryaki, Volkan; Hartz, Steven; Xie, Kan; Ayres, Virginia

2013-03-01

Stellation is a measure of cell physiology and pathology for several cell groups including neural, liver and pancreatic cells. In the present work, we compare the results of a conventional two-dimensional shape index study of both atomic force microscopy (AFM) and fluorescent microscopy images with the results obtained using a new three-dimensional AFM-based shape index similar to sphericity index. The stellation of astrocytes is investigated on nanofibrillar scaffolds composed of electrospun polyamide nanofibers that has demonstrated promise for central nervous system (CNS) repair. Recent work by our group has given us the ability to clearly segment the cells from nanofibrillar scaffolds in AFM images. The clear-featured AFM images indicated that the astrocyte processes were longer than previously identified at 24h. It was furthermore shown that cell spreading could vary significantly as a function of environmental parameters, and that AFM images could record these variations. The new three-dimensional AFM-based shape index incorporates the new information: longer stellate processes and cell spreading. The support of NSF PHY-095776 is acknowledged.

Validation of the Hong Kong Cantonese Version of World Health Organization Five Well-Being Index for People with Severe Mental Illness.

Science.gov (United States)

Kong, C L; Lee, C C; Ip, Y C; Chow, L P; Leung, C H; Lam, Y C

2016-03-01

The World Health Organization Five Well-Being Index (WHO-5) has been developed to measure psychological wellbeing. Translation and linguistic validation of the WHO-5 into a Cantonese version has been accomplished for local use but it is not yet validated in people with severe mental illness in Hong Kong. This study aimed to examine the applicability of WHO-5 in measuring the psychological wellbeing dimension of people with severe mental illness. A brief and easily administrated tool to measure psychological wellbeing of people with severe mental illness can be used to provide an outcome measure in research studies and clinical trials. Subjects were randomly recruited from the Extended-Care Patient Intensive Treatment, Early Diversion and Rehabilitation Stepping-Stone Project (EXITERS) and the Rehabilitation Activity Centre (RAC) of Kwai Chung Hospital in Hong Kong. They were invited to complete the abbreviated version of Hong Kong Chinese World Health Organization Quality of Life (WHOQOL-BREF [HK]) and WHO-5 (Cantonese version) separately and concurrent validity was examined. A total of 84 subjects were recruited, 42 each from EXITERS and RAC. In all, 49 (58%) were male and 35 (42%) were female. The mean ± standard deviation age was 43.2 ± 9.7 years. Their mean duration of mental illness was 16.4 ± 10.5 years and the mean years of education was 10.17 ± 2.5 years, i.e. about junior secondary school level in Hong Kong. The internal consistency of the WHO-5 was satisfactory (0.86) and was comparable with previous reports. Regarding validity, 1-factor structure with an eigenvalue of 3.24 explained 64.8% of total variance of WHO-5 for people with severe mental illness. Concurrent validity was established with moderate correlation (0.41-0.51) between WHO-5 and 4 domains of the WHOQOL-BREF (HK). The WHO-5 (Cantonese version) is a reliable and valid tool to assess the psychological wellbeing of people with severe mental illness in Hong Kong. It can be used to monitor

Integrated study of biomass index in La Herreria (Sierra de Guadarrama)

Science.gov (United States)

Hernandez Díaz-Ambrona, Carlos G.

2016-04-01

Drought severity has many implications for society, including its impacts on the water supply, water pollution, reservoir management and ecosystem. There have been many attempts to characterize its severity, resulting in the numerous drought indices that have been developed (Niemeyer 2008). The'biomass index', based on satellite image derived Normalized Difference Vegetation Index (NDVI) has been used in several countries for pasture and forage crops for some years (Rao, 2010; Escribano-Rodriguez et al., 2014). NDVI generally provides a broad overview of the vegetation condition and spatial vegetation distribution in a region. Vegetative drought is closely related with weather impacts. However, in NDVI, the weather component gets subdued by the strong ecological component. Another vegetation index is Vegetation Condition Index (VCI) that separates the short-term weather-related NDVI fluctuations from the long-term ecosystem changes (Kogan, 1990). Therefore, while NDVI shows seasonal vegetation dynamics, VCI rescales vegetation dynamics between 0 and 100 to reflect relative changes in the vegetation condition from extremely bad to optimal (Kogan et al., 2003). In this work a pasture area at La Herreria (Sierra de Guadarrama, Spain) has been delimited. Then, NDVI historical data are reconstructed based on remote sensing imaging MODIS, with 500x500m2 resolution. From the closest meteorological station (Santolaria-Canales, 2015) records of weekly precipitation, temperature and evapotranspiration from 2001 till 2012 were obtained. Standard Precipitation Index (SPI), Crop Moisture Index (CMI) (Palmer, 1968) and Evapotranspiration-Precipitation Ratio (EPR) are calculated in an attempt to relate them to several vegetation indexes: NDVI, VCI and NDVI Change Ratio to Median (RMNDVI). The results are discussed in the context of pasture index insurance. References Escribano Rodriguez, J.Agustín, Carlos Gregorio Hernández Díaz-Ambrona and Ana María Tarquis Alfonso

Evacuation research: A reassessment

Energy Technology Data Exchange (ETDEWEB)

Vogt, B.M.; Sorensen, J.H.

1992-11-01

During the 1985 review of several plants technical specifications the US Nuclear Regulatory Commission (NRC) staff found that the protection system designs of some plants did not provide as complete a degree of online (at power) protection system surveillance testing capability as other plants undergoing staff review and evaluation at that time. This raised questions about the online testability of protection systems and the possibility that some nuclear power plant designs may not provide for complete online testing of their protection systems. Therefore, Generic Safety Issue (GSI)-120, ``Online Testability of Protection Systems`` was initiated. Project scope was limited to the Engineered Safety Features (ESFs) instrumentation and control testing. The major issue of concern relative to the resolution of GSI-120 deals with those ESF systems/components that cannot be tested during power operation, as actuating these systems/components could result in unwanted plant transient or trip conditions. These systems/components are tested during shutdown conditions. This report provides analysis and evaluation findings based on the review of selected issues necessary for the resolution of GSI-120. It also provides recommendations to close out GSI-120 and that no new requirements be placed on licensees of commercial light water nuclear power plants.

Evacuation research: A reassessment

Energy Technology Data Exchange (ETDEWEB)

Vogt, B.M.; Sorensen, J.H.

1992-11-01

During the 1985 review of several plants technical specifications the US Nuclear Regulatory Commission (NRC) staff found that the protection system designs of some plants did not provide as complete a degree of online (at power) protection system surveillance testing capability as other plants undergoing staff review and evaluation at that time. This raised questions about the online testability of protection systems and the possibility that some nuclear power plant designs may not provide for complete online testing of their protection systems. Therefore, Generic Safety Issue (GSI)-120, Online Testability of Protection Systems'' was initiated. Project scope was limited to the Engineered Safety Features (ESFs) instrumentation and control testing. The major issue of concern relative to the resolution of GSI-120 deals with those ESF systems/components that cannot be tested during power operation, as actuating these systems/components could result in unwanted plant transient or trip conditions. These systems/components are tested during shutdown conditions. This report provides analysis and evaluation findings based on the review of selected issues necessary for the resolution of GSI-120. It also provides recommendations to close out GSI-120 and that no new requirements be placed on licensees of commercial light water nuclear power plants.

Dendrochronological assessment of drought severity indices for Panola Mountain Research Watershed, Georgia, U.S.A.

Science.gov (United States)

McKee, A.; Aulenbach, B. T.

2015-12-01

Quantifying the relation between drought severity and tree growth is important to predict future growth rates as climate change effects the frequency and severity of future droughts. Two commonly used metrics of drought severity are the Standardized Precipitation Index (SPI) and the Palmer Drought Severity Index (PDSI). These indices are often calculated from proximal weather station data and therefore may not be very accurate at the local watershed scale. The accuracy of these commonly used measures of drought severity was compared to a recently developed, locally calibrated model of water limitation based on the difference between potential and actual evapotranspiration (ETDIFF). Relative accuracies of the drought indices were assessed on the strength of correlations with a 20-year tree-ring index chronology (1986-2006) developed from 22 loblolly pine (Pinus taeda) trees in water-limited landscape positions at the Panola Mountain Research Watershed (PMRW), a 41-hectare forested watershed located in north-central Georgia. We used SPI and PDSI index values from the weather station located at the Atlanta Airport, approximately 36 kilometers from PMRW. ETDIFF was calculated based on precipitation, temperature, runoff, and solar radiation data collected at PMRW. Annual index values for all three drought indices were calculated as the mean value over the growing season (May to September). All three indices had significant Pearson correlations with the tree-ring index (p = 0.044, 0.007, 0.002 for SPI, PDSI, and ETDIFF, respectively). The ETDIFF method had the strongest correlation (R2 = 0.40) compared to SPI and PDSI results (R2 = 0.19 and 0.32, respectively). Results suggest SPI and PDSI provided a general measure of drought conditions, however, the locally calibrated model of water limitation appears to measure drought severity more accurately. Future studies on the ecological effects of drought may benefit from adopting ETDIFF as a measure of drought severity.

A proposed instrument for the assessment of job satisfaction in Greek mental NHS hospitals.

Science.gov (United States)

Labiris, Georgios; Gitona, Kleoniki; Drosou, Vasiliki; Niakas, Dimitrios

2008-08-01

Since its introduction in 1983, the Greek NHS is under an almost constant reform, aiming improvement on the efficiency and the quality of provided services. The national program of psychiatric reform "Psychargos" introduced new models of therapeutic approach to the care of the mentally ill, that required expansion of the existing roles and development of new roles of the healthcare staff. Consequently, the efficient management of the healthcare workforce in Greek mental facilities was identified as a primary determinant of the successful implementation of the program. Primary objective of this study was the development of a research framework for the assessment of job satisfaction in Greek Mental Health Hospitals. Among the objectives was the evaluation of the capacity of the underlying motivators and hygiene factors and the identification of potential correlations of the global job satisfaction and the motivation and retention factors with the demographic, social and occupational characteristics of the employees. A custom questionnaire was developed, based on Herzberg two-factor theory, after a systematic review of the relevant literature. The instrument was constructed by two parts and 37 items. Ten items addressed the sociodemographic characteristics of the subjects, while the remaining 27 items were distributed in 11 subscales which addressed the global satisfaction index and the "retention" and the "motivation" variables. The instrument was validated by means of the Cronbach alpha for each subscale and by confirmatory factor analysis. The study was conducted at the Public Mental Hospital of Chania (PMHC). From the 300 employees of the PMHC, 133 subjects successfully responded to the questionnaire (response rate, 44.3%). In accordance to former surveys, subjects presented average scores in the global satisfaction index (GSI). The professional category of the employee was identified as the primary determinant of the GSI. Nurses presented statistically

Predicting severity of paranoid schizophrenia

OpenAIRE

Kolesnichenko Elena Vladimirovna

2015-01-01

Clinical symptoms, course and outcomes of paranoid schizophrenia are polymorphic. 206 cases of paranoid schizophrenia were investigated. Clinical predictors were collected from hospital records and interviews. Quantitative assessment of the severity of schizophrenia as special indexes was used. Schizoid, epileptoid, psychasthenic and conformal accentuation of personality in the premorbid, early onset of psychosis, paranoid and hallucinatory-paranoid variants of onset predicted more expressed ...

Evaluation of wheat genotypes for salinity tolerance using physiological indices as screening tool

International Nuclear Information System (INIS)

Zafar, S.; Niaz, M.; Kausar, A.

2015-01-01

Salinity is a major threat to world food security, to ensure future food needs of an increasing world population, development of salt tolerant crop varieties are necessary. Effective screening techniques for salinity tolerance would be beneficial in developing high yielding and salt tolerant wheat varieties. In the present study, an attempt for rapid screening of wheat genotypes for salt tolerance was made. Twenty wheat genotypes were evaluated for salinity tolerance under laboratory/green-house conditions using different physiological indices like germination stress tolerance index (GSI), shoot length stress tolerance index (SLSI), root length stress tolerance index (RLSI) , shoot dry biomass stress tolerance index (SDSI). The data was pooled together to different multivariate techniques including correlation and cluster analysis to assess the diversity for salt tolerance in wheat genotypes. Highly significant and positive correlations were found between GSI, SDWSI and RDWSI. Cluster analysis classified 20 genotypes into three divergent groups. The members of first cluster (Abadgharr, Bhakkar-2000, Chakwal-86, Kiran-95, LU-26-S, Margalla-99, Marvi Pak-81, Sarsabaz) exhibited adequate degree of salt tolerance on the basis of various physiological stress tolerance indices, whereas, cluster-2 included genotypes (Bhattai, Pasban-90, Shafaq-2006, Soghat-90) with medium level of salt tolerance and cluster-3 consisted of wheat genotypes (Inqilab-91, Iqbal-2000, Kohistan-97, PARI-73, Punjab-90, Sehar-2006 and Uqab-6) with lower level of salt tolerance and did not perform upto the mark. On the basis of results and scores obtained, indicated that physiological indices can be used as a selection tool for salinity tolerance in wheat. (author)

Development of a severity score for CRPS.

Science.gov (United States)

Harden, R Norman; Bruehl, Stephen; Perez, Roberto S G M; Birklein, Frank; Marinus, Johan; Maihofner, Christian; Lubenow, Timothy; Buvanendran, Asokumar; Mackey, Sean; Graciosa, Joseph; Mogilevski, Mila; Ramsden, Christopher; Schlereth, Tanja; Chont, Melissa; Vatine, Jean-Jacques

2010-12-01

The clinical diagnosis of Complex Regional Pain Syndrome (CRPS) is a dichotomous (yes/no) categorization necessary for clinical decision-making. However, such dichotomous diagnostic categories do not convey an individual's subtle and temporal gradations in severity of the condition, and have poor statistical power when used as an outcome measure in research. This study evaluated the validity and potential utility of a continuous type score to index severity of CRPS. Psychometric and medical evaluations were conducted in 114 CRPS patients and 41 non-CRPS neuropathic pain patients. Based on the presence/absence of 17 clinically-assessed signs and symptoms of CRPS, an overall CRPS Severity Score (CSS) was derived. The CSS discriminated well between CRPS and non-CRPS patients (pCRPS diagnoses using both IASP diagnostic criteria (Eta=0.69) and proposed revised criteria (Eta=0.77-0.88). Higher CSS was associated with significantly higher clinical pain intensity, distress, and functional impairments, as well as greater bilateral temperature asymmetry and thermal perception abnormalities (p'sCRPS, and support its validity as an index of CRPS severity. Its utility as an outcome measure in research studies is also suggested, with potential statistical advantages over dichotomous diagnostic criteria. Copyright © 2010. Published by Elsevier B.V.

Coupled hydrodynamic and ecological simulation for prognosticating land reclamation impacts in river estuaries

Science.gov (United States)

Xu, Yan; Cai, Yanpeng; Sun, Tao; Yang, Zhifeng; Hao, Yan

2018-03-01

A multiphase finite-element hydrodynamic model and a phytoplankton simulation approach are coupled into a general modeling framework. It can help quantify impacts of land reclamation. Compared with previous studies, it has the following improvements: a) reflection of physical currents and suitable growth areas for phytoplankton, (b) advancement of a simulation method to describe the suitability of phytoplankton in the sea water. As the results, water velocity is 16.7% higher than that of original state without human disturbances. The related filling engineering has shortened sediment settling paths, weakened the vortex flow and reduced the capacity of material exchange. Additionally, coastal reclamation lead to decrease of the growth suitability index (GSI), thus it cut down the stability of phytoplankton species approximately 4-12%. The proposed GSI can be applied to the management of coastal reclamation for minimizing ecological impacts. It will be helpful for facilitating identifying suitable phytoplankton growth areas.

The PAPAS index: a novel index for the prediction of hepatitis C-related fibrosis.

Science.gov (United States)

Ozel, Banu D; Poyrazoğlu, Orhan K; Karaman, Ahmet; Karaman, Hatice; Altinkaya, Engin; Sevinç, Eylem; Zararsiz, Gökmen

2015-08-01

Several noninvasive tests have been developed to determine the degree of hepatic fibrosis in patients with chronic hepatitis C (CHC) without performing liver biopsy. This study aimed to determine the performance of the PAPAS (Platelet/Age/Phosphatase/AFP/AST) index in patients with CHC for the prediction of significant fibrosis and cirrhosis and to compare it with other noninvasive tests. To date, no study has evaluated the application of the PAPAS index in CHC-associated liver fibrosis. This retrospective study included 137 consecutive patients with CHC who had undergone a percutaneous liver biopsy before treatment. The aspartate aminotransferase/platelet ratio (APRI), aspartate aminotransferase/alanine transaminase ratio (AAR), age-platelet index (API), FIB4, cirrhosis discriminate score (CDS), the Göteborg University cirrhosis index (GUCI), and PAPAS were calculated and compared with the diagnostic accuracies of all fibrosis indices between the groups F0-F2 (no-mild fibrosis) versus F3-F6 (significant fibrosis) and F0-F4 (no cirrhosis) versus F5-F6 (cirrhosis). To predict significant fibrosis, the area under curve (95% confidence interval) for FIB4 was 0.727 followed by GUCI (0.721), PAPAS≈APRI≈CDS (0.716), and API (0.68). To predict cirrhosis, the area under curve (95% confidence interval) for FIB4 was calculated to be 0.735, followed by GUCI (0.723), PAPAS≈APRI≈CDS≈(0.71), and API (0.66). No statistically significant difference was observed among these predictors to exclude both significant fibrosis and cirrhosis (P>0.05). The diagnostic capability of the PAPAS index has moderate efficiency and was not superior to other fibrosis markers for the identification of fibrosis in CHC patients. There is a need for more comprehensive prospective studies to help determine the diagnostic value of PAPAS for liver fibrosis.

Cardiovascular parameters to assess the severity of acute pulmonary embolism with computed tomography

Energy Technology Data Exchange (ETDEWEB)

Dian-Jiang Zhao; Da-Qing Ma; Wen He; Jian-Jun Wang; Yan Xu; Chun-Shuang Guan (Dept. of Radiology, Beijing Friendship Hospital, Capital Medical Univ., Beijing (China)), e-mail: madaqing@263.net

2010-05-15

Background: Computed tomographic pulmonary angiography (CTPA) has been established as a first-line test in the acute pulmonary embolism (APE) diagnostic algorithm, but the assessment of the severity of APE by this method remains to be explored. Purpose: To retrospectively evaluate right ventricular (RV) dysfunction and severity in patients with APE without underlying cardiopulmonary disease using helical computed tomography (CT). Material and Methods: Seventy-three patients (35 men and 38 women) were divided into two groups according to the clinical findings: severe APE (n=22) and non-severe APE (n=51). Pulmonary artery CT obstruction index was calculated according to the location and degree of clots in the pulmonary arteries. Cardiovascular parameters including RV short axis and left ventricular (LV) short axis, RV short axis to LV short axis (RV/LV) ratio, main pulmonary artery, azygous vein, and superior vena cava diameters were measured. Leftward bowing of the interventricular septum, reflux of contrast medium into the inferior vena cava and azygous vein, and bronchial artery dilatation were also recorded. The results were analyzed by Mann-Whitney U test, x2 test, Spearman's rank correlation coefficient, and the area under the receiver operating characteristic curve (Az). Results: CT obstruction index in patients with severe APE (median 43%) was higher than that of patients with non-severe APE (median 20%). Comparison of cardiovascular parameters between patients with severe and non-severe pulmonary embolism showed significant differences in RV short axis, LV short axis, RV/LV ratio, RV wall thickness, main pulmonary artery diameter, azygous vein diameter, leftward bowing of the interventricular septum, and bronchial artery dilatation. The correlation between CT obstruction indexes and cardiovascular parameters was significant. Spearman's rank correlation coefficient was highest between RV/LV ratio and CT obstruction index. Az values were

Modeling of multi-strata forest fire severity using Landsat TM data

Science.gov (United States)

Q. Meng; R.K. Meentemeyer

2011-01-01

Most of fire severity studies use field measures of composite burn index (CBI) to represent forest fire severity and fit the relationships between CBI and Landsat imagery derived differenced normalized burn ratio (dNBR) to predict and map fire severity at unsampled locations. However, less attention has been paid on the multi-strata forest fire severity, which...

Evaluation of the correlation between Scoring Feline Allergic Dermatitis and Feline Extent and Severity Index and skin hydration in atopic cats.

Science.gov (United States)

Szczepanik, Marcin P; Wilkołek, Piotr M; Adamek, Łukasz R; Zając, Marcin; Gołyński, Marcin; Sitkowski, Wiesław; Taszkun, Iwona

2018-02-01

Evaluation of the severity of clinical signs of cats with allergic skin diseases has used two scoring systems: Scoring Feline Allergic Dermatitis (SCORFAD) and the Feline Extent and Severity Index (FeDESI). The integrity of the cutaneous barrier can also be evaluated by measuring skin hydration. A correlation between the clinical score and skin hydration has been observed in humans and dogs with atopic dermatitis (AD). To demonstrate a correlation between the clinical score and skin hydration of cats affected with presumed AD. European short hair cats (n = 18): 11 females and seven males with a confirmed diagnosis of AD. SCORFAD and FeDESI scores were calculated and the measurements of skin hydration were assessed from seven body sites using corneometry. The correlation between the SCORFAD and FeDESI systems and skin hydration of each site, and the average skin hydration was calculated. There was a positive correlation between the SCORFAD score and skin hydration for the axilla, thorax and forelimb; for FeDESI and axilla and lumbar sites. There was a negative correlation between the FeDESI and skin hydration for the pinna (r = -0.47). Measurements of skin hydration could be a useful tool for the evaluation of allergic cats. There is limited evidence of any useful correlation between clinical scoring systems and measurements of hydration. The pinna may be a suitable region for the assessment of skin barrier function in normal and allergic cats. © 2017 ESVD and ACVD.

Radiation effects and risks: overview and a new risk perception index

International Nuclear Information System (INIS)

Rehani, M.M.

2015-01-01

Uncertainty provides opportunities for differences in perception, and radiation risks at low level of exposures involved in few computed tomography scans fall in this category. While there is good agreement among national and international organisations on risk probability of cancer, risk perception has barely been dealt with by these organisations. Risk perception is commonly defined as the subjective judgment that people make about the characteristics and severity of a risk. Severity and latency are important factors in perception. There is a need to connect all these. Leaving risk perception purely as a subjective judgement provides opportunities for people to amplifying risk. The author postulates a risk perception index as severity divided by latency that becomes determining factor for risk perception. It is hoped that this index will bring rationality in risk perception. (authors)

Scientometric Dilemma: Is H-index Adequate for Scientific Validity of Academic's Work?

Science.gov (United States)

Masic, Izet; Begic, Edin

2016-07-16

H-index is an index that attempts to measure the productivity and impact of published work of scientists. H-index has several advantages - it combines productivity with echo, is not sensitive to extreme values in terms of articles without citation or to articles with above-average number of citations and directly enables the identification of the most relevant articles with regard to the number of citations received. H-index has great potential in the academic community, but it still has not realistic indicator of the quality of work of one author. Authors described most used indices for scientific assessment.

Usefulness of modified Pulmonary Index Score (mPIS) as a quantitative tool for the evaluation of severe acute exacerbation in asthmatic children.

Science.gov (United States)

Koga, Takeshi; Tokuyama, Kenichi; Itano, Atsushi; Morita, Eiji; Ueda, Yutaka; Katsunuma, Toshio

2015-04-01

Acute exacerbation of asthma is divided qualitatively into mild, moderate, and severe attacks and respiratory failure. This system is, however, not suitable for estimating small changes in respiratory condition with time and for determining the efficacy of treatments, because it has a qualitative, but not quantitative nature. To evaluate the usefulness of quantitative estimation of asthma exacerbation, modified Pulmonary Index Score (mPIS) values were measured in 87 asthmatic children (mean age, 5.0 ± 0.4 years) during hospitalization. mPIS was calculated by adding the sum of scores for 6 items (scores of 0-3 were given for each item). These consisted of heart rate, respiratory rate, accessory muscle use, inspiratory-to-expiratory flow ratio, degree of wheezing, and oxygen saturation in room air. Measurements were made at visits and at hospitalization and were then made twice a day until discharge. mPIS values were highly correlated among raters. mPIS values at visits were 9.1 ± 0.1 and 12.6 ± 0.4 in subjects with moderate and severe attacks, respectively (p asthma attacks, including the determination of a treatment plan, and prediction of the period of hospitalization in admitted patients, although prospective studies would be required to establish our hypothesis. Copyright © 2014 Japanese Society of Allergology. Production and hosting by Elsevier B.V. All rights reserved.

A comparison study of psychological, family function marital and life satisfactions of polygamous and monogamous women in Jordan.

Science.gov (United States)

Al-Krenawi, Alean; Graham, John R; Al Gharaibeh, Fakir

2011-10-01

This study surveyed a 2009 convenience sampling of 199 women, 93 of whom were first (or senior) wives in polygamous marriages and 106 were wives in monogamous marriages. We deployed the McMaster Family Assessment Device (FAD), ENRICH marital satisfaction questionnaire, SCL-90 mental health symptoms checklist, Rosenberg self-esteem (SE) scale, and Diener, Emmons, Larsen, and Griffin life satisfaction scale, a basic sociodemographic scale, including attitudes towards polygamy. Women from polygamous families experienced more problems in family functioning, marital relations, and reported low self-esteem, less satisfaction with life, and more somatization, interpersonal sensitivity, depression, anxiety, hostility, paranoid ideation, psychoticism and their general severity index was higher (GSI). More women in polygamous marriages agreed with the practice of polygamy, as compared to their monogamous counterparts. The conclusion considers implications for mental health practice, policy, and further research.

Reproductive and bloom patterns of Pelagia noctiluca in the Strait of Messina, Italy

Science.gov (United States)

Milisenda, G.; Martinez-Quintana, A.; Fuentes, V. L.; Bosch-Belmar, M.; Aglieri, G.; Boero, F.; Piraino, S.

2018-02-01

Investigations on sexual reproduction of jellyfish are essential to understanding mechanisms and patterns of outbreaks formation. Pelagia noctiluca (Forskål, 1775) (Scyphozoa) is known as the predominant jellyfish species with direct development in Western and Central Mediterranean Sea. In this paper we used integrated morphometric, histological, and biochemical approaches to investigate the annual reproductive biology of P. noctiluca from the Strait of Messina (South Thyrrenian Sea), a key proliferation area for this species due to favourable temperatures and high productivity. From November 2011 to September 2012, P. noctiluca sexual reproduction occurred throughout the year, with two seasonal peaks (autumn, spring) of spawning and embryonic development. Gonads of female P. noctiluca were characterized by a large amount of mature eggs of small size (diameter 200 μm) were detected during low availability of prey. Two morphometric indexes were applied: the Gonad-Somatic Index (GSI, gonadal/somatic tissue dry weight ratio) and Fecundity Index (FI, n° eggs mm-2 * gonadal dry weight). The FI showed longer spawning periods than the GSI, providing a better causal-mechanistic explanation for the year-round occurrence of P. noctiluca in the Strait of Messina. Protein contents of the gonads changed seasonally, with the highest concentrations during the pre-spawning periods. We suggest that investigations on jellyfish sexual reproduction can provide biological information relevant for understanding mechanisms of jellyfish blooms as well as for the management of coastal zones affected by outbreaks of gelatinous species.

Severe hypertriglyceridemia and factors associated with acute pancreatitis in an integrated health care system.

Science.gov (United States)

Rashid, Nazia; Sharma, Puza P; Scott, Ronald D; Lin, Kathy J; Toth, Peter P

2016-01-01

To evaluate patient characteristics, treatment patterns, comorbidities, and risk factors associated with the development of acute pancreatitis (AP) in patients with severe hypertriglyceridemia (HTG) in an integrated health care delivery system. We identified a retrospective cohort of severe HTG patients with a fasting triglyceride level ≥ 1000 mg/dL during January 1, 2007 to June 30, 2013 (index date) in an integrated health care delivery system. Patients were aged ≥18 years on index date and had 12 months of continuous membership and drug eligibility before the index date and during postindex including index date. Baseline patient characteristics, comorbidities, and risk factors were evaluated during 12-month preindex. Outcomes such as development of AP, treatment patterns, adherence to index therapy, and change in triglyceride (TG) laboratory levels were evaluated during postindex. Descriptive statistics were used to identify differences between patients developing AP vs no development of AP. A stepwise multivariate logistic regression and backward elimination method were used to assess statistically significant predictive factors associated with development of AP vs no AP. We identified 5550 patients with severe HTG, and 5.4% of these patients developed AP during postindex. Patients were mostly male (≥70%) in both groups; however, younger in the AP group (45 years ± 10.6) vs no AP group (50 years ± 11.4) with P value severe HTG are at a higher risk of developing AP. A number of comorbidities, risk factors, and baseline TG levels are associated with an increased incidence of AP. Patients with severe HTG are underdiagnosed, undertreated and are nonadherent to their index lipid therapy. There is a need to better define optimal approaches to treating severe HTG so as to reduce the incidence of AP. Economic studies are also needed to evaluate the burden of AP on various health care systems. Copyright © 2016 National Lipid Association. Published by

DNA Methylation at the DAT Promoter and Risk for Psychopathology: Intergenerational Transmission between School-Age Youths and Their Parents in a Community Sample

Directory of Open Access Journals (Sweden)

Silvia Cimino

2018-01-01

Full Text Available BackgroundThe effect of gene polymorphisms and promoter methylation, associated with maladaptive developmental outcomes, vary depending on environmental factors (e.g., parental psychopathology. Most studies have focused on 0- to 5-year-old children, adolescents, or adults, whereas there is dearth of research on school-age youths and pre-adolescents.MethodsIn a sample of 21 families recruited at schools, we addressed parents’ psychopathological symptoms (through SCL-90-R; offspring emotional–behavioral functioning (through CBCL-6–18; dopamine transporter gene (DAT1 for epigenetic status of the 5′-untranslated region (UTR and for genotype, i.e., variable number of tandem repeats polymorphism at the 3′-UTR. Possible associations were explored between bio-genetic and psychological characteristics within the same individual and between triplets of children, mothers, and fathers.ResultsDAT methylation of CpG at positions M1, M6, and M7 in mothers was correlated with maternal (phobic anxiety, whereas in fathers’ position M6 was related to paternal depression, anxiety, hostility, psychoticism, and higher Global Severity Index (GSI. No significant correlations were found between maternal and offspring DAT methylation. Significant correlations were found between fathers’ methylation at CpG M1 and children’s methylation at CpG M6. Linear regressions showed that mothers and fathers’ GSI predicted children’s methylation at CpG sites M2, M3, and M6, whereas fathers’ GSI predicted children’s methylation at CpG sites, particularly M1, M2, and M6. Moreover, offspring methylation of DAT at CpG M2 predicted somatic complaint, internalizing and attention problems; methylation of DAT at CpG M6 predicted withdraw.ConclusionThis study may have important clinical implication for the prevention and treatment of emotional–behavioral difficulties in children, as it adds to previous knowledge about the role of genetic and environmental factors in

Influence of cage farming on feeding and reproductive aspects of Pimelodus maculatus Lacépède, 1803 (Siluriformes: Pimelodidae in the Chavantes reservoir, Brazil - doi: 10.4025/actascibiolsci.v36i1.

Directory of Open Access Journals (Sweden)

Heleno Brandão

2013-09-01

Full Text Available This study evaluated the diet and reproductive aspects of the population of Pimelodus maculatus around net cage fish farming in order to assess the possible impacts of this activity. Monthly collections were performed from March 2008 to February 2009 on two populations: one close to the net cages (NC and one from an area not influenced by these cages denominated the “reference site” (RS. Results of the Alimentary Index (AI, Gonadosomatic Index (GSI, reproductive potential and histological analysis were obtained for both NC and RS populations. The population from NC used leftover food (ration that escapes from net cages as the main food item (99.3%. For the RS population, the detritus item was the more important food source (51.7%. The Detrended Correspondence Analysis (DCA showed that the use of food resources was different between the two sites. The reproductive period of the species (indicated by the GSI revealed that the population of the NC showed an extended reproductive period compared to RS. The histology of the ovaries indicated that the specimens in the NC were spawning capable. This study indicates that fish farming activities influence the species P. maculatus in the Chavantes reservoir by adding a new resource to the food web.

Predicting 30-Day Readmissions in an Asian Population: Building a Predictive Model by Incorporating Markers of Hospitalization Severity.

Directory of Open Access Journals (Sweden)

Lian Leng Low

Full Text Available To reduce readmissions, it may be cost-effective to consider risk stratification, with targeting intervention programs to patients at high risk of readmissions. In this study, we aimed to derive and validate a prediction model including several novel markers of hospitalization severity, and compare the model with the LACE index (Length of stay, Acuity of admission, Charlson comorbidity index, Emergency department visits in past 6 months, an established risk stratification tool.This was a retrospective cohort study of all patients ≥ 21 years of age, who were admitted to a tertiary hospital in Singapore from January 1, 2013 through May 31, 2015. Data were extracted from the hospital's electronic health records. The outcome was defined as unplanned readmissions within 30 days of discharge from the index hospitalization. Candidate predictive variables were broadly grouped into five categories: Patient demographics, social determinants of health, past healthcare utilization, medical comorbidities, and markers of hospitalization severity. Multivariable logistic regression was used to predict the outcome, and receiver operating characteristic analysis was performed to compare our model with the LACE index.74,102 cases were enrolled for analysis. Of these, 11,492 patient cases (15.5% were readmitted within 30 days of discharge. A total of fifteen predictive variables were strongly associated with the risk of 30-day readmissions, including number of emergency department visits in the past 6 months, Charlson Comorbidity Index, markers of hospitalization severity such as 'requiring inpatient dialysis during index admission, and 'treatment with intravenous furosemide 40 milligrams or more' during index admission. Our predictive model outperformed the LACE index by achieving larger area under the curve values: 0.78 (95% confidence interval [CI]: 0.77-0.79 versus 0.70 (95% CI: 0.69-0.71.Several factors are important for the risk of 30-day readmissions

Bibliographic index to photonuclear reaction data (1955--1992)

Energy Technology Data Exchange (ETDEWEB)

Asami, Tetsuo [Data Engineering, Inc., Yokohama (Japan); Nakagawa, Tsuneo [Japan Atomic Energy Research Inst., Tokai, Ibaraki (Japan). Dept. of Reactor Engineering

1993-10-01

Japanese Nuclear Data Committee (JNDC) has a plan to compile the evaluated data library for photon-induced nuclear reaction cross sections, and the work on the data evaluation is in progress at the present. In the evaluations for these data a bibliographic index for neutron nuclear data is required. As the bibliographic index to photonuclear reactions, several excellent compilations have been done at some research institutes in the world, and have contributed to various basic and applied researches on the photonuclear reactions. For example, there are the abstract sheets published by US National Bureau of Standards and the data index published regularly in Russia. On the other hand, the four-center network on nuclear data (US National Nuclear Data Center at Brookhaven, Russian Nuclear Data Center at Obninsk, NEA Data Bank at Paris and IAEA Nuclear Data Section at Vienna) compiles and exchanges the numerical data on photonuclear reactions as well as on neutron-induced ones, in the EXFOR format. Those numerical data are available for users. There is, however, no bibliographic index to photonuclear reactions, available for general users. Therefore, the present work to make a photonuclear reaction data index has been done urgently to contribute to the above-mentioned data evaluation. Although these data might be still incomplete and have some defects, we have decided to serve this as the first edition of our photonuclear reaction index.

Environmental/Biomedical Terminology Index

International Nuclear Information System (INIS)

Huffstetler, J.K.; Dailey, N.S.; Rickert, L.W.; Chilton, B.D.

1976-12-01

The Information Center Complex (ICC), a centrally administered group of information centers, provides information support to environmental and biomedical research groups and others within and outside Oak Ridge National Laboratory. In-house data base building and development of specialized document collections are important elements of the ongoing activities of these centers. ICC groups must be concerned with language which will adequately classify and insure retrievability of document records. Language control problems are compounded when the complexity of modern scientific problem solving demands an interdisciplinary approach. Although there are several word lists, indexes, and thesauri specific to various scientific disciplines usually grouped as Environmental Sciences, no single generally recognized authority can be used as a guide to the terminology of all environmental science. If biomedical terminology for the description of research on environmental effects is also needed, the problem becomes even more complex. The building of a word list which can be used as a general guide to the environmental/biomedical sciences has been a continuing activity of the Information Center Complex. This activity resulted in the publication of the Environmental Biomedical Terminology Index

Age and stress as determinants of the severity of hyperthyroidism caused by Graves' disease in newly diagnosed patients.

Science.gov (United States)

Vos, Xander G; Smit, Natalie; Endert, Erik; Brosschot, Jos F; Tijssen, Jan G P; Wiersinga, Wilmar M

2009-02-01

The evidence that stress may provoke Graves' hyperthyroidism in genetically susceptible subjects is substantial. Whether exposure to stress is related to the severity of thyrotoxicosis has not been studied. Advancing age is associated with not only less severe Graves' hyperthyroidism but also self-reported stress. We tested the hypothesis whether advancing age is associated with less exposure to stress, resulting in a lower immunological response, and less severe Graves' hyperthyroidism. Cross-sectional multicenter study. Two hundred and sixty-three consecutive untreated patients with a first episode of Graves' hyperthyroidism were included. The severity of Graves' hyperthyroidism was evaluated biochemically (freeT(4)-index and freeT(3)-index, thyrotropin-binding inhibitory immunoglobulin (TBII)) and clinically by the hyperthyroid symptom scale score (HSS score). Stress exposure was quantitated by three questionnaires. Advancing age was associated with less severe Graves' hyperthyroidism, both biochemically by lower serum freeT(3)-index and freeT(4)-index (Phyperthyroidism. Advancing age was associated with lower scores for stress exposure. Multivariate regression analysis showed that HSS score was independently related to the tendency to report negative feelings (Phyperthyroidism. Because no direct relationship exists between stress exposure and TBII or freeT(3)-index and freeT(4)-index, we reject our hypothesis that less stress is causally related to biochemically less severe Graves' hyperthyroidism in old age. HSS score is primarily determined by negative feelings and not by age.

Development of resilience evaluation method for nuclear power plants. Part 3. Study of evaluation method and applicability of resilience index

International Nuclear Information System (INIS)

Suzuki, Masaaki; Demachi, Kazuyuki; Miyano, Hiroshi

2017-01-01

We have developed a new index, called the resilience index, that evaluates the dynamic stability of the system safety of a nuclear power plant during a severe accident by considering the ability to recover system safety functions that have become lost in the situation. In this paper, a detailed evaluation procedure for the resilience index is described. The system safety of a pressurized water reactor plant during a severe accident is then assessed according to the resilience index in order to discuss the applicability of the index. We find that the resilience index successfully represents management capability and, therefore, the resilience capability of a nuclear power plant. (author)

Development of resilience evaluation method for nuclear power plants. Part 3. Study on evaluation method and applicability of resilience index

International Nuclear Information System (INIS)

Suzuki, Masaaki; Demachi, Kazuyuki; Murakami, Kenta

2016-01-01

We have developed a new index, called the resilience index, that evaluates the dynamic stability of the system safety of a nuclear power plant during a severe accident by considering the ability to recover system safety functions that have become lost in the situation. In this paper, a detailed evaluation procedure for the resilience index is described. The system safety of a PWR plant during a severe accident is then assessed according to the resilience index in order to discuss the applicability of the index. We find that the resilience index successfully represents management capability and, therefore, the resilience capability of a nuclear power plant. (author)

Walkability Index

Science.gov (United States)

The Walkability Index dataset characterizes every Census 2010 block group in the U.S. based on its relative walkability. Walkability depends upon characteristics of the built environment that influence the likelihood of walking being used as a mode of travel. The Walkability Index is based on the EPA's previous data product, the Smart Location Database (SLD). Block group data from the SLD was the only input into the Walkability Index, and consisted of four variables from the SLD weighted in a formula to create the new Walkability Index. This dataset shares the SLD's block group boundary definitions from Census 2010. The methodology describing the process of creating the Walkability Index can be found in the documents located at ftp://newftp.epa.gov/EPADataCommons/OP/WalkabilityIndex.zip. You can also learn more about the Smart Location Database at https://edg.epa.gov/data/Public/OP/Smart_Location_DB_v02b.zip.

Melatonin Induced Changes in Specific Growth Rate, Gonadal Maturity, Lipid and Protein Production in Nile Tilapia (Linnaeus 1758

Directory of Open Access Journals (Sweden)

Ruchi Singh

2012-01-01

Full Text Available We have investigated the effect of melatonin (MLT on specific growth rate (SGR% day−1, condition factor (k, gonado-somatic-index (GSI, histological structures of gonads, serum as well as gonadal protein and lipid in Nile tilapia Oreochromis niloticus. MLT treatment in the dose of 25 μg/L for three weeks reduced SGR% day−1 (0.9±0.04 as compared to control (1.23±0.026. The GSI value was significantly (p<0.05 reduced to 1.77±0.253 from control where it was 2.56±0.25. Serum protein level increased from 9.33±2.90 mg/ml (control to 11.67±1.45 mg/ml after MLT treatment while there was depressed serum triglycerides (86.16±1.078 mg/dl and cholesterol (126.66±0.88 mg/dl as compared to control values where these were 123.0±1.23 mg/dl and 132.0±1.65 mg/dl respectively. Histological structure of ovary showed small eggs of early perinucleolus stage after MLT treatment while testicular structure of control and MLT treated fish was more or less similar. It is concluded that exogenous melatonin suppressed SGR% day−1, GSI, ovarian cellular activity, protein and lipid biosynthesis, in tilapia suggesting that melatonin is useful in manipulating the gonadal maturity in fishes.

A simple assessment scheme for severe accident consequences using release parameters

Energy Technology Data Exchange (ETDEWEB)

Silva, Kampanart, E-mail: kampanarts@tint.or.th [Thailand Institute of Nuclear Technology, 16 Vibhavadi-Rangsit Rd., Latyao, Chatuchak, 10900 (Thailand); Okamoto, Koji [The University of Tokyo, 7-3-1 Hongo, Bunkyo, Tokyo 113-8654 (Japan)

2016-08-15

Highlights: • Nuclear accident consequence index can assess overall consequences of an accident. • Correlations between the index and release parameters are developed. • Relation between the index and release amount follows power function. • The exponent of the power function is the key to the relation. - Abstract: Nuclear accident consequence index (NACI) which can assess the overall consequences of a severe accident on people and the environment is developed based on findings from previous studies. It consists of three indices: radiation effect index, relocation index and decontamination index. Though the NACI can cover large range of consequences, its assessment requires extensive resources. The authors then attempt to simplify the assessment, by investigating the relations between the release parameters and the NACI, in order to use the release parameters for severe accident consequence assessment instead of the NACI. NACI and its components increase significantly when the release amount is increased, while the influences of the release period and the release starting time on the NACI are nearly negligible. Relations between the release amount and the NACI and its components follow simple power functions (y = ax{sup b}). The exponent of the power functions seems to be the key to the relations. The exponent of the relation between the release amount and the NACI was around 0.8–1.0 when the release amount is smaller than 100 TBq, and it increased to around 1.3–1.4 when the release amount is equal to or larger than 100 TBq.

A percutaneous drainage protocol for severe and moderately severe acute pancreatitis.

Science.gov (United States)

Sugimoto, Motokazu; Sonntag, David P; Flint, Greggory S; Boyce, Cody J; Kirkham, John C; Harris, Tyler J; Carr, Sean M; Nelson, Brent D; Barton, Joshua G; Traverso, L William

2015-11-01

According to the revised Atlanta classification, severe and moderately severe acute pancreatitis (AP) includes patients with pancreatic and peripancreatic collections with or without organ failure. These collections suggest the presence of pancreatic juice leakage. The aim of this study was to evaluate the efficacy of a percutaneous catheter drainage (PCD) protocol designed to control leakage and decrease disease severity. Among 663 patients with clinical AP, 122 were classified as moderately severe or severe AP (all had collections). The computed tomography severity index (CTSI) score was calculated. The indication for PCD was based on progressive clinical signs and symptoms. Drain patency, position, and need for additional drainage sites were assessed using CT scans and drain studies initially every 3 days using a proactive protocol. Drain fluid was examined for amylase concentration and microbiological culture. Clinicopathological variables for patients with and without PCD were compared. Since there was no mortality, we used prolonged drainage time to measure the success of PCD. Within the group treated with PCD, variables that resulted in prolonged drainage time were analyzed. PCD was used in 47/122 (39 %) patients of which 33/47 (70 %) had necrosis. PCD cases had a median CTSI of 8 and were classified as moderately severe AP (57 %) and severe AP (43 %). Inhospital mortality was zero. Surgical necrosectomy was not required for patients with necrosis. Independent risk factors for prolonged drainage time were persistent organ failure >48 h (P = 0.001), CTSI 8-10 (P = 0.038), prolonged duration of amylase-rich fluid in drains (P drainage fluid resulting in a mortality rate of zero.

Laterality of cerebral hemispheres on CT scan and gross motor function in severely handicapped children

Energy Technology Data Exchange (ETDEWEB)

Iwasaki, Nobuaki; Hamano, Kenzo; Nakamoto, Natsue; Okada, Yusuke [Tsukuba Univ., Ibaraki (Japan); Takeya, Toshiki

1997-06-01

The relation between brain damage and gross motor function in severely handicapped children (spastic type) was studied. The subjects were fifteen cases with laterality in their cerebral hemisphere CT scans (laterality group) and 28 cases with no laterality (control group). All cases were divided into four groups according to the level of gross motor function. The grade of brain damage was estimated based on CT scan analysis using the following parameters and index: maximum frontal extracerebral space (ES), maximum width of Sylvian fissure (SY), Evans` ratio, and cella media index. In the laterality group, the parameters and index were measured for both cerebral hemispheres, respectively. In the more severely disturbed hemisphere of the laterality group, ES and SY were significantly enlarged compared with those of the cases with the same level of motor function in the control group (p<0.01). In the less severely disturbed hemisphere of the laterality group, the ES, SY, Evans` ratio and cell media index were not significantly enlarged compared to cases with the same level of motor function as the control group. These findings may indicate that gross motor function of severely handicapped children is closely related to the less severely disturbed cerebral hemisphere. (author)

Laterality of cerebral hemispheres on CT scan and gross motor function in severely handicapped children

International Nuclear Information System (INIS)

Iwasaki, Nobuaki; Hamano, Kenzo; Nakamoto, Natsue; Okada, Yusuke; Takeya, Toshiki.

1997-01-01

The relation between brain damage and gross motor function in severely handicapped children (spastic type) was studied. The subjects were fifteen cases with laterality in their cerebral hemisphere CT scans (laterality group) and 28 cases with no laterality (control group). All cases were divided into four groups according to the level of gross motor function. The grade of brain damage was estimated based on CT scan analysis using the following parameters and index: maximum frontal extracerebral space (ES), maximum width of Sylvian fissure (SY), Evans' ratio, and cella media index. In the laterality group, the parameters and index were measured for both cerebral hemispheres, respectively. In the more severely disturbed hemisphere of the laterality group, ES and SY were significantly enlarged compared with those of the cases with the same level of motor function in the control group (p<0.01). In the less severely disturbed hemisphere of the laterality group, the ES, SY, Evans' ratio and cell media index were not significantly enlarged compared to cases with the same level of motor function as the control group. These findings may indicate that gross motor function of severely handicapped children is closely related to the less severely disturbed cerebral hemisphere. (author)

Modification of Low Refractive Index Polycarbonate for High Refractive Index Applications

Directory of Open Access Journals (Sweden)

Gunjan Suri

2009-01-01

Full Text Available Polycarbonates and polythiourethanes are the most popular materials in use today, for optical applications. Polycarbonates are of two types which fall in the category of low refractive index and medium refractive index. The present paper describes the conversion of low refractive index polycarbonates into high refractive index material by the use of a high refractive index monomer, polythiol, as an additive. Novel polycarbonates, where the properties of refractive index and Abbe number can be tailor made, have been obtained. Thermal studies and refractive index determination indicate the formation of a new polymer with improved properties and suitable for optical applications.

Geomagnetic Dst index forecast based on IMF data only

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G. Pallocchia

2006-05-01

Full Text Available In the past years several operational Dst forecasting algorithms, based on both IMF and solar wind plasma parameters, have been developed and used. We describe an Artificial Neural Network (ANN algorithm which calculates the Dst index on the basis of IMF data only and discuss its performance for several individual storms. Moreover, we briefly comment on the physical grounds which allow the Dst forecasting based on IMF only.

Sequential Oxygenation Index and Organ Dysfunction Assessment within the First 3 Days of Mechanical Ventilation Predict the Outcome of Adult Patients with Severe Acute Respiratory Failure

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Hsu-Ching Kao

2013-01-01

Full Text Available Objective. To determine early predictors of outcomes of adult patients with severe acute respiratory failure. Method. 100 consecutive adult patients with severe acute respiratory failure were evaluated in this retrospective study. Data including comorbidities, Sequential Organ Failure Assessment (SOFA score, Acute Physiological Assessment and Chronic Health Evaluation II (APACHE II score, PaO2, FiO2, PaO2/FiO2, PEEP, mean airway pressure (mPaw, and oxygenation index (OI on the 1st and the 3rd day of mechanical ventilation, and change in OI within 3 days were recorded. Primary outcome was hospital mortality; secondary outcome measure was ventilator weaning failure. Results. 38 out of 100 (38% patients died within the study period. 48 patients (48% failed to wean from ventilator. Multivariate analysis showed day 3 OI ( and SOFA ( score were independent predictors of hospital mortality. Preexisting cerebrovascular accident (CVA ( was the predictor of weaning failure. Results from Kaplan-Meier method demonstrated that higher day 3 OI was associated with shorter survival time (log-Rank test, . Conclusion. Early OI (within 3 days and SOFA score were predictors of mortality in severe acute respiratory failure. In the future, prospective studies measuring serial OIs in a larger scale of study cohort is required to further consolidate our findings.

Validating the cross-cultural factor structure and invariance property of the Insomnia Severity Index: evidence based on ordinal EFA and CFA.

Science.gov (United States)

Chen, Po-Yi; Yang, Chien-Ming; Morin, Charles M

2015-05-01

The purpose of this study is to examine the factor structure of the Insomnia Severity Index (ISI) across samples recruited from different countries. We tried to identify the most appropriate factor model for the ISI and further examined the measurement invariance property of the ISI across samples from different countries. Our analyses included one data set collected from a Taiwanese sample and two data sets obtained from samples in Hong Kong and Canada. The data set collected in Taiwan was analyzed with ordinal exploratory factor analysis (EFA) to obtain the appropriate factor model for the ISI. After that, we conducted a series of confirmatory factor analyses (CFAs), which is a special case of the structural equation model (SEM) that concerns the parameters in the measurement model, to the statistics collected in Canada and Hong Kong. The purposes of these CFA were to cross-validate the result obtained from EFA and further examine the cross-cultural measurement invariance of the ISI. The three-factor model outperforms other models in terms of global fit indices in Taiwan's population. Its external validity is also supported by confirmatory factor analyses. Furthermore, the measurement invariance analyses show that the strong invariance property between the samples from different cultures holds, providing evidence that the ISI results obtained in different cultures are comparable. The factorial validity of the ISI is stable in different populations. More importantly, its invariance property across cultures suggests that the ISI is a valid measure of the insomnia severity construct across countries. Copyright © 2014 Elsevier B.V. All rights reserved.

Recent developments in the synthesis of super heavy elements

International Nuclear Information System (INIS)

Ackermann, D.

2001-01-01

Throughout the passed two decades isotopes of the elements with atomic numbers 107-112 have been synthesized and unambiguously identified at the velocity filter SHIP at GSI. In a recent experiment at SHIP the results for element 112 have been confirmed and a third decay chain of the isotope 277 112 has been observed. Cold fusion reactions using Pb- and Bi- targets and evaporation residue(ER)-α-α correlations together with an efficient separation and detection system are the major ingredients for the success of these experiments. The sensitivity limit of the set-up at GSI has reached the 1pb level. For a systematic investigation in this region of the chart of nuclei and to synthesize heavier nuclei this limit has to be pushed to even lower values. An extensive development program is pursued at SHIP in order to reach at least an order of magnitude lower cross sections. Systematic investigations, the construction of decay chain networks and mass measurements are some of the possible approaches to study the decay chains attributed to isotopes of the elements 114, 116 and 118 at Dubna and Berkeley, which are, in contrast to those observed at GSI, not connected to decays of known isotopes. For the Berkeley results, in particular, several trials of confirmation have been undertaken at various laboratories including GSI

An index to quantify an individual's scientific research valid across disciplines

OpenAIRE

Batista, Pablo Diniz; Campiteli, Monica Guimaraes; Kinouchi, Osame; Martinez, Alexandre Souto

2005-01-01

The number h of papers with at least h citations has been proposed to evaluate individual's scientific research production. This index is robust in several ways but yet strongly dependent on the research field. We propose a complementary index hI = h^2/N_t, with N_t being the total number of authors in the considered h papers. A researcher with index hI has hI papers with at least hI citation if he/she had published alone. We have obtained the rank plots of h and hI for four Brazilian scienti...

The effect of the addition of cow brain powder in commercial feed on the gonadal maturity of comet goldfish (Carassius auratus auratus)

Science.gov (United States)

Andriani, Y.; Subhan, U.; Rosidah; Iskandar; Zidni, I.; Abdillah, A. M.

2018-04-01

The aim of this research was to analysis the effect of addition bovine’s brain meal in artificial feed on gonad maturity and to find out the best time of gonad maturity in comet fish.This research was conducted at Fourth Building Hatchery Faculty of Fisheries and Marine Sciences Padjadjaran University on November 2014 until Januari 2015. Freeze drying of bovine brain was conducted at Research Center Inter University Bandung Institute of Technology. The research was using Completely Randomized Design (CRD) with four treatments and three replications.The treatment were 20 mg/kg, 35 mg/kg, 50mg/kg and control. The parameters of this research are Gonado Somatic Index (GSI) and egg maturity level. Addition of bovine brain meal in feed with the dose of 50 mg/kg are giving the best result until 45 days of the care time against gonad maturity of comet fish with GSI result 12.93 %, egg maturity level ripe phase 21.115 and fecundity 1520 grain/g.

Spawning Characteristics and Artificial Hatching of Female Mottled Skate, Beringraja pulchra in the West Coast of Korea.

Science.gov (United States)

Kang, Hee-Woong; Jo, Yeong-Rok; Kang, Duk-Yong; Jeong, Gyeong-Suk; Jo, Hyun-Su

2013-09-01

The gonadsomatic index (GSI) of mottled skate was the highest in April, GSI and HSI showed a reverse phase for its reproductive cycle. The fish had one pair of egg capsules, having 1 to 7 fertilized eggs, and spawned all the year round. When surveying the reproductive characteristics of females over 63 ㎝ in disc width, we found the spawning peak was between April to June, and the appearance ratio of egg capsules was the highest in May (32.1%). The eggs were hatched at 8°C, 13°C, 18°C, water temperature (12.8 to 24.2°C), and the best hatching temperature was 18°C. The number of fish hatched was 4 to 5 fish/egg capsules, and the hatching rate was 100%. The sex ratios of hatching larvae were 45.5% female and 54.5% male. Therefore this study will provide fundamental data and information for artificial reproduction of the mottled skate.

Effect of soil contaminated by diesel oil on the germination of seeds and the growth of Schinus terebinthifolius Raddi (Anacardiaceae Seedlings

Directory of Open Access Journals (Sweden)

Cleusa Bona

2011-12-01

Full Text Available The effect of soil polluted by diesel oil on the germination of seeds and the growth of Schinus terebinthifolius Raddi seedlings was analyzed at different times after contamination of the soil. The experiments were conducted under greenhouse conditions, with four treatments and five repetitions. The four treatments included: soil contaminated 30 (T30, 90 (T90 or 180 (T180 days before planting as well as a non-polluted soil (T0 (control. Soil saturated to 50% of its maximum retention capacity (MRC was contaminated with diesel oil at a rate of 92.4 mL per kg. The germination rate and germination speed index (GSI were significantly affected only in T30. The development of the plants was affected significantly in all the treatments, with reductions of biomass and eophyll area. It could be concluded that diesel oil significantly affected the germination, GSI and seedling growth of S. terebinthifolius, but the toxic effect decreased over the time.

Degenerative lumbar spinal stenosis: correlation with Oswestry Disability Index and MR imaging.

Science.gov (United States)

Sirvanci, Mustafa; Bhatia, Mona; Ganiyusufoglu, Kursat Ali; Duran, Cihan; Tezer, Mehmet; Ozturk, Cagatay; Aydogan, Mehmet; Hamzaoglu, Azmi

2008-05-01

Because neither the degree of constriction of the spinal canal considered to be symptomatic for lumbar spinal stenosis nor the relationship between the clinical appearance and the degree of a radiologically verified constriction is clear, a correlation of patient's disability level and radiographic constriction of the lumbar spinal canal is of interest. The aim of this study was to establish a relationship between the degree of radiologically established anatomical stenosis and the severity of self-assessed Oswestry Disability Index in patients undergoing surgery for degenerative lumbar spinal stenosis. Sixty-three consecutive patients with degenerative lumbar spinal stenosis who were scheduled for elective surgery were enrolled in the study. All patients underwent preoperative magnetic resonance imaging and completed a self-assessment Oswestry Disability Index questionnaire. Quantitative image evaluation for lumbar spinal stenosis included the dural sac cross-sectional area, and qualitative evaluation of the lateral recess and foraminal stenosis were also performed. Every patient subsequently answered the national translation of the Oswestry Disability Index questionnaire and the percentage disability was calculated. Statistical analysis of the data was performed to seek a relationship between radiological stenosis and percentage disability recorded by the Oswestry Disability Index. Upon radiological assessment, 27 of the 63 patients evaluated had severe and 33 patients had moderate central dural sac stenosis; 11 had grade 3 and 27 had grade 2 nerve root compromise in the lateral recess; 22 had grade 3 and 37 had grade 2 foraminal stenosis. On the basis of the percentage disability score, of the 63 patients, 10 patients demonstrated mild disability, 13 patients moderate disability, 25 patients severe disability, 12 patients were crippled and three patients were bedridden. Radiologically, eight patients with severe central stenosis and nine patients with moderate

Utility of the Instability Severity Index Score in Predicting Failure After Arthroscopic Anterior Stabilization of the Shoulder.

Science.gov (United States)

Phadnis, Joideep; Arnold, Christine; Elmorsy, Ahmed; Flannery, Mark

2015-08-01

The redislocation rate after arthroscopic stabilization for anterior glenohumeral instability is up to 30%. The Instability Severity Index Score (ISIS) was developed to preoperatively rationalize the risk of failure, but it has not yet been validated by an independent group. To assess the utility of the ISIS in predicting failure of arthroscopic anterior shoulder stabilization and to identify other preoperative factors for failure. Case-control study; Level of evidence, 3. A case-control study was performed on 141 consecutive patients, comparing those who suffered failure of arthroscopic stabilization with those who had successful arthroscopic stabilization. The mean follow-up time was 47 months (range, 24-132 months). The ISIS was applied retrospectively, and an analysis was performed to establish independent risk factors for failure. A receiver operator coefficient curve was constructed to set a threshold ISIS for considering alternative surgery. Of 141 patients, 19 (13.5%) suffered recurrent instability. The mean ISIS of the failed stabilization group was higher than that of the successful stabilization group (5.1 vs 1.7; P surgery (P < .001), age at first dislocation (P = .01), competitive-level participation in sports (P < .001), and participation in contact or overhead sports (P = .03). The presence of glenoid bone loss carried the highest risk of failure (70%). There was a 70% risk of failure if the ISIS was ≥4, as opposed to a 4% risk of failure if the ISIS was <4. This is the first completely independent study to confirm that the ISIS is a useful preoperative tool. It is recommended that surgeons consider alternative forms of stabilization if the ISIS is ≥4. © 2015 The Author(s).

A generalized cost Malmquist index in DEA for DMUs with negative data

Directory of Open Access Journals (Sweden)

Ghasem Tohidi

2014-10-01

Full Text Available In some data envelopment analysis (DEA applications, some inputs of DMUs have negative values with positive cost. This paper generalizes the global cost Malmquist productivity index to compare the productivity of different DMUs with negative inputs in any two periods of times under variable returns to scale (VRS technology, and then the generalized index is decomposed to several components. The obtained components are computed using the nonparametric linear programming models, known as DEA. To illustrate the generalized index and its components, a numerical example at three successive periods of time is given.

Autistic traits in children with ADHD index clinical and cognitive problems.

Science.gov (United States)

Cooper, Miriam; Martin, Joanna; Langley, Kate; Hamshere, Marian; Thapar, Anita

2014-01-01

Traits of autistic spectrum disorders (ASD) occur frequently in attention deficit hyperactivity disorder (ADHD), but the significance of their presence in terms of phenotype and underlying neurobiology is not properly understood. This analysis aimed to determine whether higher levels of autistic traits, as measured by the Social Communication Questionnaire (SCQ), index a more severe presentation in a large, rigorously phenotyped sample of children with ADHD (N=711). Regression analyses were used to examine association of SCQ scores with core ADHD features, clinical comorbidities and cognitive and developmental features, with adjustment for putative confounders. For outcomes showing association with total SCQ score, secondary analyses determined levels of differential association of the three ASD sub-domains. Results suggest that increasing ASD symptomatology within ADHD is associated with a more severe phenotype in terms of oppositional, conduct and anxiety symptoms, lower full-scale IQ, working memory deficits and general motor problems. These associations persisted after accounting for ADHD severity, suggesting that autistic symptomatology independently indexes the severity of comorbid impairments in the context of ADHD. Sub-domain scores did not show unique contributions to most outcomes, except that social deficits were independently associated with oppositional symptoms and repetitive behaviours independently predicted hyperactive-impulsive symptoms and motor problems. It would be worthwhile for clinicians to consider levels of socio-communicative and repetitive traits in those with ADHD who do not meet diagnostic criteria for ASD, as they index higher levels of phenotypic complexity, which may have implications for efficacy of interventions.

The e-index, complementing the h-index for excess citations.

Directory of Open Access Journals (Sweden)

Chun-Ting Zhang

Full Text Available BACKGROUND: The h-index has already been used by major citation databases to evaluate the academic performance of individual scientists. Although effective and simple, the h-index suffers from some drawbacks that limit its use in accurately and fairly comparing the scientific output of different researchers. These drawbacks include information loss and low resolution: the former refers to the fact that in addition to h(2 citations for papers in the h-core, excess citations are completely ignored, whereas the latter means that it is common for a group of researchers to have an identical h-index. METHODOLOGY/PRINCIPAL FINDINGS: To solve these problems, I here propose the e-index, where e(2 represents the ignored excess citations, in addition to the h(2 citations for h-core papers. Citation information can be completely depicted by using the h-index together with the e-index, which are independent of each other. Some other h-type indices, such as a and R, are h-dependent, have information redundancy with h, and therefore, when used together with h, mask the real differences in excess citations of different researchers. CONCLUSIONS/SIGNIFICANCE: Although simple, the e-index is a necessary h-index complement, especially for evaluating highly cited scientists or for precisely comparing the scientific output of a group of scientists having an identical h-index.

Refractive index as materials property. Der Brechungsindex als Stoffeigenschaft

Energy Technology Data Exchange (ETDEWEB)

Zilian, U. (Ciba-Geigy AG, Basel (Switzerland))

1991-10-01

The investigation of the relationship between refractive index (n) and molecular structure of a series of gases, liquids, and solids led to the conclusion that the refractive index of a substance is an independent molecular property. Light is refracted by two types of electron pairs. a) Bonding Electron Pairs (BEP) and b) Response Electron Pairs (REP). - Paraffins exhibit only BEPs which can easily be counted. REP is a new term we introduce to quantify the effects of several nonbonding electrons. The inert gases, for example, refract solely with REPs. They can be determined, and the most important ones are herein tabulated or delineated in the text. For compounds with known formular weight (M) and density (d), the refractive index can be simply calculated using the following formula. (orig.).

Refractive index dispersion law of silica aerogel

International Nuclear Information System (INIS)

Bellunato, T.; Calvi, M.; Matteuzzi, C.; Musy, M.; Perego, D.L.; Storaci, B.

2007-01-01

This paper presents measurements of the refractive index of a hygroscopic silica aerogel block at several wavelengths. The measurements, performed with a monochromator, have been compared with different parameterisations for n(λ), in order to determine the best chromaticity law for the aerogel. This is an important input for design and operation of RICH detectors with silica aerogel radiator. (orig.)

Selection and identification of oleaginous yeast isolated from soil, animal feed and ruminal fluid for use as feed supplement in dairy cattle.

Science.gov (United States)

Paserakung, A; Pattarajinda, V; Vichitphan, K; Froetschel, M A

2015-10-01

The purpose of this study was to select oleaginous yeast for microbial lipid production. Sixty-four yeast isolates were obtained from soil (GSY1-12), animal feeds (FDY1-21), and ruminal fluid (RMY1-31) using yeast extract peptone dextrose (YPD) agar. The cultivation of these isolates on nitrogen limited-medium revealed that GSY2 to GSY6, GSY10, FDY2, FDY12 and FDY14 accumulated lipid over 20% of dry biomass. Therefore, they were preliminarily classified as oleaginous yeast. In subsequent experiment, an 8 × 3 factorial in completely randomized design was conducted to examine the effect of eight oleaginous yeast strains and three nitrogen sources (peptone, (NH4 )2 SO4 , urea) on lipid accumulation when using molasses as substrate. The result illustrated that only GSY3 and GSY10 accumulated lipid over 20% of biomass when using peptone or (NH4 )2 SO4 but urea did not. However, GSY10 gave higher biomass and lipid yield than GSY3 (P yeast for microbial lipid production from molasses. This study illustrated the ability of T. asahii GSY10 to utilize molasses and (NH4 )2 SO4 for synthesizing and accumulating cellular lipid of which oleic acid (C18:1 ) was predominant. This yeast would be used for microbial lipid production used as feed supplement in dairy cattle. © 2015 The Society for Applied Microbiology.

Triglyceride glucose index and common carotid wall shear stress.

Science.gov (United States)

Tripolino, Cesare; Irace, Concetta; Scavelli, Faustina B; de Franceschi, Maria S; Esposito, Teresa; Carallo, Claudio; Gnasso, Agostino

2014-02-01

Alterations in wall shear stress contribute to both clinical and subclinical atherosclerosis. Several conditions such as hypertension, diabetes, and obesity can impair shear stress, but the role of insulin resistance has never been investigated. The present study was designed to investigate whether insulin resistance assessed by TyG Index associates with wall shear stress in the common carotid artery. One hundred six individuals were enrolled. Blood pressure, lipids, glucose, and cigarette smoking were evaluated. TyG Index was calculated as log[fasting triglycerides × fasting glucose / 2]. Subjects underwent blood viscosity measurement and echo-Doppler evaluation of carotid arteries to calculate wall shear stress. The association between TyG Index and carotid wall shear stress was assessed by simple and multiple regression analyses. TyG Index was significantly and inversely associated with carotid wall shear stress both in simple (r = -0.44, P glucose greater than 100 mg/dL, and triglycerides greater than 150 mg/dL. The present findings suggest that increasing insulin resistance, as assessed by TyG Index, associates with atherosclerosis-prone shear stress reduction in the common carotid artery.

New approaches for calculating Moran's index of spatial autocorrelation.

Science.gov (United States)

Chen, Yanguang

2013-01-01

Spatial autocorrelation plays an important role in geographical analysis; however, there is still room for improvement of this method. The formula for Moran's index is complicated, and several basic problems remain to be solved. Therefore, I will reconstruct its mathematical framework using mathematical derivation based on linear algebra and present four simple approaches to calculating Moran's index. Moran's scatterplot will be ameliorated, and new test methods will be proposed. The relationship between the global Moran's index and Geary's coefficient will be discussed from two different vantage points: spatial population and spatial sample. The sphere of applications for both Moran's index and Geary's coefficient will be clarified and defined. One of theoretical findings is that Moran's index is a characteristic parameter of spatial weight matrices, so the selection of weight functions is very significant for autocorrelation analysis of geographical systems. A case study of 29 Chinese cities in 2000 will be employed to validate the innovatory models and methods. This work is a methodological study, which will simplify the process of autocorrelation analysis. The results of this study will lay the foundation for the scaling analysis of spatial autocorrelation.

New approaches for calculating Moran's index of spatial autocorrelation.

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Yanguang Chen

Full Text Available Spatial autocorrelation plays an important role in geographical analysis; however, there is still room for improvement of this method. The formula for Moran's index is complicated, and several basic problems remain to be solved. Therefore, I will reconstruct its mathematical framework using mathematical derivation based on linear algebra and present four simple approaches to calculating Moran's index. Moran's scatterplot will be ameliorated, and new test methods will be proposed. The relationship between the global Moran's index and Geary's coefficient will be discussed from two different vantage points: spatial population and spatial sample. The sphere of applications for both Moran's index and Geary's coefficient will be clarified and defined. One of theoretical findings is that Moran's index is a characteristic parameter of spatial weight matrices, so the selection of weight functions is very significant for autocorrelation analysis of geographical systems. A case study of 29 Chinese cities in 2000 will be employed to validate the innovatory models and methods. This work is a methodological study, which will simplify the process of autocorrelation analysis. The results of this study will lay the foundation for the scaling analysis of spatial autocorrelation.

Chinese adaptation and validation of the patellofemoral pain severity scale.

Science.gov (United States)

Cheung, Roy T H; Ngai, Shirley P C; Lam, Priscillia L; Chiu, Joseph K W; Fung, Eric Y H

2013-05-01

This study validated the Patellofemoral Pain Severity Scale translated into Chinese. The Chinese Patellofemoral Pain Severity Scale was translated from the original English version following standard forward and backward translation procedures recommended by the International Society for Pharmacoeconomics and Outcomes Research. The survey was then conducted in clinical settings by a questionnaire comprising the Chinese Patellofemoral Pain Severity Scale, Kujala Scale and Western Ontario and McMaster Universities (WOMAC) Osteoarthritis Index. Eighty-four Chinese reading patients with patellofemoral pain were recruited from physical therapy clinics. Internal consistency of the translated instrument was measured by Cronbach alpha. Convergent validity was examined by Spearman rank correlation coefficient (rho) tests by comparing its score with the validated Chinese version of the Kujala Scale and the WOMAC Osteoarthritis Index while the test-retest reliability was evaluated by administering the questionnaires twice. Cronbach alpha values of individual questions and their overall value were above 0.85. Strong association was found between the Chinese Patellofemoral Pain Severity Scale and the Kujala Scale (rho = -0.72, p coefficient = 0.98) was demonstrated. The Chinese translated version of the Patellofemoral Pain Severity Scale is a reliable and valid instrument for patients with patellofemoral pain.

Tribute to Hans Sann

CERN Multimedia

2003-01-01

1945-2003 Hans Sann, an internationally recognized scientist, beloved colleague and friend, died in a tragic car accident, on May 27th, on one of his many travels to CERN. Employed at GSI, in Darmstadt, since 1979, Hans Sann devoted most of his scientific career to the development of large size gas detectors for nuclear and high-energy physics experiments at GSI, CERN and Berkeley. One of his main achievements, among many others, was the famous MUSIC detector, on which several projects at GSI, Berkeley and other research Institutes were based. The innovative results obtained in the study of the fluid-gas transition in nuclear matter would not have been possible without his contribution and the application of the MUSIC detector. A member of the ALICE Collaboration since 1996, Hans was leading two main ALICE sub-programmes, the development of the gas system and the cooling system for the TPC detector. In addition, he was involved in the development of a new technological concept for the resistor chain of the ...

Incremental predictive validity of the Addiction Severity Index psychiatric composite score in a consecutive cohort of patients in residential treatment for drug use disorders.

Science.gov (United States)

Thylstrup, Birgitte; Bloomfield, Kim; Hesse, Morten

2018-01-01

The Addiction Severity Index (ASI) is a widely used assessment instrument for substance abuse treatment that includes scales reflecting current status in seven potential problem areas, including psychiatric severity. The aim of this study was to assess the ability of the psychiatric composite score to predict suicide and psychiatric care after residential treatment for drug use disorders after adjusting for history of psychiatric care. All patients treated for drug use disorders in residential treatment centers in Denmark during the years 2000-2010 with complete ASI data were followed through national registers of psychiatric care and causes of death (N=5825). Competing risks regression analyses were used to assess the incremental predictive validity of the psychiatric composite score, controlling for previous psychiatric care, length of intake, and other ASI composite scores, up to 12years after discharge. A total of 1769 patients received psychiatric care after being discharged from residential treatment (30.3%), and 27 (0.5%) committed suicide. After adjusting for all covariates, psychiatric composite score was associated with a higher risk of receiving psychiatric care after residential treatment (subhazard ratio [SHR]=3.44, psuicide (SHR=11.45, pdrug use disorders who could benefit from additional mental health treatment. Copyright © 2017 Elsevier Ltd. All rights reserved.

Drought Forecasting by SPI Index and ANFIS Model Using Fuzzy C-mean Clustering

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mehdi Komasi

2013-08-01

Full Text Available Drought is the interaction between environment and water cycle in the world and affects natural environment of an area when it persists for a longer period. So, developing a suitable index to forecast the spatial and temporal distribution of drought plays an important role in the planning and management of natural resources and water resource systems. In this article, firstly, the drought concept and drought indexes were introduced and then the fuzzy neural networks and fuzzy C-mean clustering were applied to forecast drought via standardized precipitation index (SPI. The results of this research indicate that the SPI index is more capable than the other indexes such as PDSI (Palmer Drought Severity Index, PAI (Palfai Aridity Index and etc. in drought forecasting process. Moreover, application of adaptive nero-fuzzy network accomplished by C-mean clustering has high efficiency in the drought forecasting.

A comparison of footprint indexes calculated from ink and electronic footprints.

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Urry, S R; Wearing, S C

2001-04-01

Pressure platforms offer the potential to measure and record electronic footprints rapidly; however, the accuracy of geometric indexes derived from these prints has not been investigated. A comparison of conventional ink footprints with simultaneously acquired electronic prints revealed significant differences in several geometric indexes. The contact area was consistently underestimated by the electronic prints and resulted in a significant change in the arch index. The long plantar angle was poorly correlated between techniques. This study demonstrated that electronic footprints, derived from a pressure platform, are not representative of the equivalent ink footprints and, consequently, should not be interpreted with reference to literature on conventional footprints.

Vegetation burn severity mapping using Landsat-8 and WorldView-2

Science.gov (United States)

Wu, Zhuoting; Middleton, Barry R.; Hetzler, Robert; Vogel, John M.; Dye, Dennis G.

2015-01-01

We used remotely sensed data from the Landsat-8 and WorldView-2 satellites to estimate vegetation burn severity of the Creek Fire on the San Carlos Apache Reservation, where wildfire occurrences affect the Tribe's crucial livestock and logging industries. Accurate pre- and post-fire canopy maps at high (0.5-meter) resolution were created from World- View-2 data to generate canopy loss maps, and multiple indices from pre- and post-fire Landsat-8 images were used to evaluate vegetation burn severity. Normalized difference vegetation index based vegetation burn severity map had the highest correlation coefficients with canopy loss map from WorldView-2. Two distinct approaches - canopy loss mapping from WorldView-2 and spectral index differencing from Landsat-8 - agreed well with the field-based burn severity estimates and are both effective for vegetation burn severity mapping. Canopy loss maps created with WorldView-2 imagery add to a short list of accurate vegetation burn severity mapping techniques that can help guide effective management of forest resources on the San Carlos Apache Reservation, and the broader fire-prone regions of the Southwest.

University building safety index measurement using risk and implementation matrix

Science.gov (United States)

Rahman, A.; Arumsari, F.; Maryani, A.

2018-04-01

Many high rise building constructed in several universities in Indonesia. The high-rise building management must provide the safety planning and proper safety equipment in each part of the building. Unfortunately, most of the university in Indonesia have not been applying safety policy yet and less awareness on treating safety facilities. Several fire accidents in university showed that some significant risk should be managed by the building management. This research developed a framework for measuring the high rise building safety index in university The framework is not only assessed the risk magnitude but also designed modular building safety checklist for measuring the safety implementation level. The safety checklist has been developed for 8 types of the university rooms, i.e.: office, classroom, 4 type of laboratories, canteen, and library. University building safety index determined using risk-implementation matrix by measuring the risk magnitude and assessing the safety implementation level. Building Safety Index measurement has been applied in 4 high rise buildings in ITS Campus. The building assessment showed that the rectorate building in secure condition and chemical department building in beware condition. While the library and administration center building was in less secure condition.

Environmental/Biomedical Terminology Index

Energy Technology Data Exchange (ETDEWEB)

Huffstetler, J.K.; Dailey, N.S.; Rickert, L.W.; Chilton, B.D.

1976-12-01

The Information Center Complex (ICC), a centrally administered group of information centers, provides information support to environmental and biomedical research groups and others within and outside Oak Ridge National Laboratory. In-house data base building and development of specialized document collections are important elements of the ongoing activities of these centers. ICC groups must be concerned with language which will adequately classify and insure retrievability of document records. Language control problems are compounded when the complexity of modern scientific problem solving demands an interdisciplinary approach. Although there are several word lists, indexes, and thesauri specific to various scientific disciplines usually grouped as Environmental Sciences, no single generally recognized authority can be used as a guide to the terminology of all environmental science. If biomedical terminology for the description of research on environmental effects is also needed, the problem becomes even more complex. The building of a word list which can be used as a general guide to the environmental/biomedical sciences has been a continuing activity of the Information Center Complex. This activity resulted in the publication of the Environmental Biomedical Terminology Index (EBTI).

Influence of hydrodynamic cavitation on the rheological properties and microstructure of formulated Greek-style yogurts.

Science.gov (United States)

Meletharayil, G H; Metzger, L E; Patel, Hasmukh A

2016-11-01

With limited applications of acid whey generated during the manufacture of Greek yogurts, an alternate processing technology to sidestep the dewheying process was developed. Milk protein concentrate (MPC) and carbon dioxide-treated milk protein concentrate (TMPC) were used as sources of protein to fortify skim milk to 9% (wt/wt) protein for the manufacture of Greek-style yogurts (GSY). The GSY bases were inoculated and fermented with frozen direct vat set yogurt culture to a pH of 4.6. Owing to the difference in buffering of MPC and TMPC, GSY with TMPC and MPC exhibited different acidification kinetics, with GSY containing TMPC having a lower fermentation time. The GSY with TMPC had a titratable acidity of 1.45% lactic acid and was comparable to acidity of commercial Greek yogurt (CGY). Hydrodynamic cavitation at 4 different rotor speeds (0, 15, 30, and 60 Hz) as a postfermentation tool reduced the consistency coefficient (K) of GSY containing TMPC from 79.4 Pa·s n at 0 Hz to 17.59 Pa·s n at 60 Hz. Similarly for GSY containing MPC, K values decreased from 165.74 Pa·s n at 0 Hz to 53.04 Pa·s n at 60 Hz. The apparent viscosity (η 100 ) was 0.25 Pa·s for GSY containing TMPC and 0.66 Pa·s for GSY containing MPC at 60 Hz. The CGY had a η 100 value of 0.74 Pa·s. Small amplitude rheological analysis performed on GSY indicated a loss of elastic modulus dependency on frequency caused by the breakdown of protein interactions with increasing cavitator rotor speeds. A steady decrease in hardness and adhesiveness values of GSY was observed with increasing cavitational intensities. Numbers of grains with a perimeter of >1mm of cavitated GSY with TMPC and MPC were 35 and 13 grains/g of yogurt, respectively, and were lower than 293 grains/g observed in CGY. The water-holding capacity of GSY was higher than that observed for a commercial strained Greek yogurt. The ability to scale up the process of hydrodynamic cavitation industrially, and the ease of controlling events of

Analysis of changes in tornadogenesis conditions over Northern Eurasia based on a simple index of atmospheric convective instability

Science.gov (United States)

Chernokulsky, A. V.; Kurgansky, M. V.; Mokhov, I. I.

2017-12-01

A simple index of convective instability (3D-index) is used for analysis of weather and climate processes that favor to the occurrence of severe convective events including tornadoes. The index is based on information on the surface air temperature and humidity. The prognostic ability of the index to reproduce severe convective events (thunderstorms, showers, tornadoes) is analyzed. It is shown that most tornadoes in North Eurasia are characterized by high values of the 3D-index; furthermore, the 3D-index is significantly correlated with the available convective potential energy. Reanalysis data (for recent decades) and global climate model simulations (for the 21st century) show an increase in the frequency of occurrence of favorable for tornado formation meteorological conditions in the regions of Northern Eurasia. The most significant increase is found on the Black Sea coast and in the south of the Far East.

Evaluation of Helkimo anamnestic and dysfunction index in identical twins

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Kučević Esad H.

2016-01-01

Full Text Available Introduction: In 1974 Marti Helkimo designed special questionnaires which were used for entering adequate contemporary data collected by medical history, analyzing the functions of the orofacial system and analyzing occlusion. Data were evaluated numerically with 0, 1 or 5, depending on the severity of the relevant findings and severity of clinical signs or symptoms of dysfunction. Objective: The aim of the research was to establish and evaluate specially designed Helkimos anamnestic and dysfunction index in monozygotic twins. Materials and Methods: A longitudinal prospective study was carried out on a randomized sample of 30 pairs of twins, 20 to 40 years old, and of both sexes. Dedicated design of the questionnaire made it possible to calculate the Helkimos anamnestic index (Ai, based on subjective feeling and positive or negative answers of subjects about the state of their masticatory apparatus. The clinical dysfunction index (Di represents objective functional analysis of structural and functional disorders of the orofacial complex, because it monitors multiple parameters. Kinematics of the lower jaw, conditions and limited function of the temporomandibular joints, the presence or absence of painful sensations during mandible movements during palpation of the joints and masticatory muscles, and the overall quantification of the incidence of craniomandibular dysfunction were all monitored and evaluated. The study was conducted in accordance with the local and international laws and ethical standards. Results: Medical records of 47 (78.3% twins did not present the signs and symptoms of craniomandibular dysfunction, i.e., Ai = 0. Twelve respondents were aware of the existence of mild signs of craniomandibular disorders (CMD. Acute and expressed craniomandibular disorder was identified in one of the twins Ai II 1 (1.7%. By evaluating and analyzing the results obtained using Helkimo analysis, positive dysfunction index (Di> 0, or certain signs

Index admission laparoscopic cholecystectomy for acute cholecystitis restores Gastrointestinal Quality of Life Index (GIQLI) score.

Science.gov (United States)

Yu, Hongyan; Chan, Esther Ern-Hwei; Lingam, Pravin; Lee, Jingwen; Woon, Winston Wei Liang; Low, Jee Keem; Shelat, Vishal G

2018-02-01

Previous studies have evaluated quality of life (QoL) in patients who underwent laparoscopic cholecystectomy (LC) for cholelithiasis. The purpose of this study was to evaluate QoL after index admission LC in patients diagnosed with acute cholecystitis (AC) using the Gastrointestinal Quality of Life Index (GIQLI) questionnaire. Patients ≥21 years admitted to Tan Tock Seng Hospital, Singapore for AC and who underwent index admission LC between February 2015 and January 2016 were evaluated using the GIQLI questionnaire preoperatively and 30 days postoperatively. A total of 51 patients (26 males, 25 females) with a mean age of 60 years (24-86 years) were included. Median duration of abdominal pain at presentation was 2 days (1-21 days). 45% of patients had existing comorbidities, with diabetes mellitus being most common (33%). 31% were classified as mild AC, 59% as moderate and 10% as severe AC according to Tokyo Guideline 2013 (TG13) criteria. Post-operative complications were observed in 8 patients, including retained common bile duct stone (n=1), wound infection (n=2), bile leakage (n=2), intra-abdominal collection (n=1) and atrial fibrillation (n=2). 86% patients were well at 30 days follow-up and were discharged. A significant improvement in GIQLI score was observed postoperatively, with mean total GIQLI score increasing from 106.0±16.9 (101.7-112.1) to 120.4±18.0 (114.8-125.9) ( p <0.001). Significant improvements were also observed in GIQLI subgroups of gastrointestinal symptoms, physical status, emotional status and social function status. Index admission LC restores QoL in patients with AC as measured by GIQLI questionnaire.

Proposal of a service delivery integration index of home care for older persons: application in several European cities.

NARCIS (Netherlands)

Henrard, J.C.; Ankri, J.; Frijters, D.; Carpenter, I.; Topinkova, E.; Garms-Homolova, V.; Finne-Soveri, H.; Wergeland Sorbye, L.; Jonsson, P.V.; Ljunggren, G.; Schroll, M.; Wagner, C.; Bernabei, R.

2006-01-01

PURPOSE: To propose an integration index of home care delivery to older persons, to study its validity and to apply it to home care services of European cities. THEORY: Home care delivery integration was based on two dimensions referring to process-centred integration and organisational structure

Bounds and inequalities relating h-index, g-index, e-index and generalized impact factor: an improvement over existing models.

Science.gov (United States)

Abbas, Ash Mohammad

2012-01-01

In this paper, we describe some bounds and inequalities relating h-index, g-index, e-index, and generalized impact factor. We derive the bounds and inequalities relating these indexing parameters from their basic definitions and without assuming any continuous model to be followed by any of them. We verify the theorems using citation data for five Price Medalists. We observe that the lower bound for h-index given by Theorem 2, [formula: see text], g ≥ 1, comes out to be more accurate as compared to Schubert-Glanzel relation h is proportional to C(2/3)P(-1/3) for a proportionality constant of 1, where C is the number of citations and P is the number of papers referenced. Also, the values of h-index obtained using Theorem 2 outperform those obtained using Egghe-Liang-Rousseau power law model for the given citation data of Price Medalists. Further, we computed the values of upper bound on g-index given by Theorem 3, g ≤ (h + e), where e denotes the value of e-index. We observe that the upper bound on g-index given by Theorem 3 is reasonably tight for the given citation record of Price Medalists.

Achievement in research on ion beam application under the scientific cooperation program with the Gesellschaft fuer schwerionenforschung mbH

Energy Technology Data Exchange (ETDEWEB)

Yoshida, Masaru; Maekawa, Yasunari (eds.) [Japan Atomic Energy Research Inst., Takasaki, Gunma (Japan). Takasaki Radiation Chemistry Research Establishment

2003-03-01

The Japan Atomic Energy Research Institute (JAERI) and the Gasellshaft fuer Schwerionenforshung mbH (GSI) signed a memorandum of 'Research and Development in the Field of Ion Beam Application' in January, 1991 and started the cooperative research program. The cooperation has been implemented by means of joint research between JAERI and GSI, exchange of scientific and technical experts, and providing mutual exchange of research materials as well as technical information. This report summarizes the cooperative research activities under the cooperative research program in the last 12 years. The list of publications and several articles relating to this cooperative research program are attached as an appendix. All the attached articles are reprinted with permission from the publishers. (author)

Development and validation of an ICD-10-based disability predictive index for patients admitted to hospitals with trauma.

Science.gov (United States)

Wada, Tomoki; Yasunaga, Hideo; Yamana, Hayato; Matsui, Hiroki; Fushimi, Kiyohide; Morimura, Naoto

2018-03-01

There was no established disability predictive measurement for patients with trauma that could be used in administrative claims databases. The aim of the present study was to develop and validate a diagnosis-based disability predictive index for severe physical disability at discharge using the International Classification of Diseases, 10th revision (ICD-10) coding. This retrospective observational study used the Diagnosis Procedure Combination database in Japan. Patients who were admitted to hospitals with trauma and discharged alive from 01 April 2010 to 31 March 2015 were included. Pediatric patients under 15 years old were excluded. Data for patients admitted to hospitals from 01 April 2010 to 31 March 2013 was used for development of a disability predictive index (derivation cohort), while data for patients admitted to hospitals from 01 April 2013 to 31 March 2015 was used for the internal validation (validation cohort). The outcome of interest was severe physical disability defined as the Barthel Index score of predictive index for each patient was defined as the sum of the scores. The predictive performance of the index was validated using the receiver operating characteristic curve analysis in the validation cohort. The derivation cohort included 1,475,158 patients, while the validation cohort included 939,659 patients. Of the 939,659 patients, 235,382 (25.0%) were discharged with severe physical disability. The c-statistics of the disability predictive index was 0.795 (95% confidence interval [CI] 0.794-0.795), while that of a model using the disability predictive index and patient baseline characteristics was 0.856 (95% CI 0.855-0.857). Severe physical disability at discharge may be well predicted with patient age, sex, CCI score, and the diagnosis-based disability predictive index in patients admitted to hospitals with trauma. Copyright © 2018 Elsevier Ltd. All rights reserved.

Predicting relapse in major depressive disorder using patient-reported outcomes of depressive symptom severity, functioning, and quality of life in the Individual Burden of Illness Index for Depression (IBI-D).

Science.gov (United States)

Ishak, Waguih William; Greenberg, Jared M; Cohen, Robert M

2013-10-01

Patients with Major Depressive Disorder (MDD) often experience unexpected relapses, despite achieving remission. This study examines the utility of a single multidimensional measure that captures variance in patient-reported Depressive Symptom Severity, Functioning, and Quality of Life (QOL), in predicting MDD relapse. Complete data from remitted patients at the completion of 12 weeks of citalopram in the STAR*D study were used to calculate the Individual Burden of Illness index for Depression (IBI-D), and predict subsequent relapse at six (n=956), nine (n=778), and twelve months (n=479) using generalized linear models. Depressive Symptom Severity, Functioning, and QOL were all predictors of subsequent relapse. Using Akaike information criteria (AIC), the IBI-D provided a good model for relapse even when Depressive Symptom Severity, Functioning, and QOL were combined in a single model. Specifically, an increase of one in the IBI-D increased the odds ratio of relapse by 2.5 at 6 months (β=0.921 ± 0.194, z=4.76, pDepressive Symptom Severity in the IBI-D is useful in assessing the full burden of illness and in adequately predicting relapse, in MDD. © 2013 Elsevier B.V. All rights reserved.

Use of micellar casein concentrate for Greek-style yogurt manufacturing: effects on processing and product properties.

Science.gov (United States)

Bong, D D; Moraru, C I

2014-03-01

The objective of this work was to develop and optimize an alternative make process for Greek-style yogurt (GSY), in which the desired level of protein was reached by fortification with micellar casein concentrate (MCC) obtained from milk by microfiltration. Two MCC preparations with 58 and 88% total protein (MCC-58 and MCC-88) were used to fortify yogurt milk to 9.80% (wt/wt) protein. Strained GSY of similar protein content was used as the control. Yogurt milk bases were inoculated with 0.02% (wt/wt) or 0.04% (wt/wt) direct vat set starter culture and fermented until pH 4.5. The acidification rate was faster for the MCC-fortified GSY than for the control, regardless of the inoculation level, which was attributed to the higher nonprotein nitrogen content in the MCC-fortified milk. Steady shear rate rheological analysis indicated a shear-thinning behavior for all GSY samples, which fitted well with the power law model. Dynamic rheological analysis at 5°C showed a weak frequency dependency of the elastic modulus (G') and viscous modulus (G") for all GSY samples, with G' > G", indicating a weak gel structure. Differences in the magnitude of viscoelastic parameters between the 2 types of GSY were found, with G' of MCC-fortified GSY yogurt. Differences were also noticed in water-holding capacity, which was lower for the MCC-fortified GSY compared with the control, attributed to lower serum protein content in the former. Despite some differences in the physicochemical characteristics of the final product compared with GSY manufactured by straining, the alternative process developed here is a feasible alternative to the traditional GSY make process, with environmental and possibly financial benefits to the dairy industry. Copyright © 2014 American Dairy Science Association. Published by Elsevier Inc. All rights reserved.

Green Infrastructure Simulation and Optimization to Achieve Combined Sewer Overflow Reductions in Philadelphia's Mill Creek Sewershed

Science.gov (United States)

Cohen, J. S.; McGarity, A. E.

2017-12-01

The ability for mass deployment of green stormwater infrastructure (GSI) to intercept significant amounts of urban runoff has the potential to reduce the frequency of a city's combined sewer overflows (CSOs). This study was performed to aid in the Overbrook Environmental Education Center's vision of applying this concept to create a Green Commercial Corridor in Philadelphia's Overbrook Neighborhood, which lies in the Mill Creek Sewershed. In an attempt to further implement physical and social reality into previous work using simulation-optimization techniques to produce GSI deployment strategies (McGarity, et al., 2016), this study's models incorporated land use types and a specific neighborhood in the sewershed. The low impact development (LID) feature in EPA's Storm Water Management Model (SWMM) was used to simulate various geographic configurations of GSI in Overbrook. The results from these simulations were used to obtain formulas describing the annual CSO reduction in the sewershed based on the deployed GSI practices. These non-linear hydrologic response formulas were then implemented into the Storm Water Investment Strategy Evaluation (StormWISE) model (McGarity, 2012), a constrained optimization model used to develop optimal stormwater management practices on the watershed scale. By saturating the avenue with GSI, not only will CSOs from the sewershed into the Schuylkill River be reduced, but ancillary social and economic benefits of GSI will also be achieved. The effectiveness of these ancillary benefits changes based on the type of GSI practice and the type of land use in which the GSI is implemented. Thus, the simulation and optimization processes were repeated while delimiting GSI deployment by land use (residential, commercial, industrial, and transportation). The results give a GSI deployment strategy that achieves desired annual CSO reductions at a minimum cost based on the locations of tree trenches, rain gardens, and rain barrels in specified land

A PRELIMINARY HISTOLOGICAL STUDY ON OVARIUM DEVELOPMENT IN MIRROR CARP AND SCALED CARP (Cyprinus carpio L., 1758) INTRODUCED INTO GELINGÜLLÜ RESERVOIR, TURKEY

OpenAIRE

Erkmen, Belda; Kırankaya, Şerife Gülsün

2016-01-01

Carp(Cyprinus carpio) is the most common species of the Cyprinidae familyand is among the important species commercially caught in the GelingüllüReservoir, Yozgat, Turkey. In this study, the reproductive biology of mirrorcarp and scaled carp in Gelingüllü Reservoir was studied in terms of thegonadosomatic index (GSI), fecundity, and ovarian histology. Ovaries wereclassified into 5 maturity stages based on histological data, as follows: 1.Chromatin-nucleolus stage (oocyte diameter is 20-60 µm)...

The Airway Microbiome in Severe Asthma: Associations with Disease Features and Severity

Science.gov (United States)

Huang, Yvonne J.; Nariya, Snehal; Harris, Jeffrey M.; Lynch, Susan V.; Choy, David F.; Arron, Joseph R.; Boushey, Homer

2015-01-01

Background Asthma is heterogeneous, and airway dysbiosis is associated with clinical features in mild-moderate asthma. Whether similar relationships exist among patients with severe asthma is unknown. Objective To evaluate relationships between the bronchial microbiome and features of severe asthma. Methods Bronchial brushings from 40 participants in the BOBCAT study (Bronchoscopic Exploratory Research Study of Biomarkers in Corticosteroid-refractory Asthma) were evaluated using 16S rRNA-based methods. Relationships to clinical and inflammatory features were analyzed among microbiome-profiled subjects. Secondarily, bacterial compositional profiles were compared between severe asthmatics, and previously studied healthy controls (n=7), and mild-moderate asthma subjects (n=41). Results In severe asthma, bronchial bacterial composition was associated with several disease-related features, including body-mass index (BMI; Bray-Curtis distance PERMANOVA, p < 0.05), changes in Asthma Control Questionnaire (ACQ) scores (p < 0.01), sputum total leukocytes (p = 0.06) and bronchial biopsy eosinophils (per mm2; p = 0.07). Bacterial communities associated with worsening ACQ and sputum total leukocytes (predominantly Proteobacteria) differed markedly from those associated with BMI (Bacteroidetes/Firmicutes). In contrast, improving/stable ACQ and bronchial epithelial gene expression of FKBP5, an indicator of steroid responsiveness, correlated with Actinobacteria. Mostly negative correlations were observed between biopsy eosinophils and Proteobacteria. No taxa were associated with a T-helper type 2-related epithelial gene expression signature, but expression of Th17-related genes was associated with Proteobacteria. Severe asthma subjects, compared to healthy controls or mild-moderate asthmatics, were significantly enriched in Actinobacteria, although the largest differences observed involved a Klebsiella genus member (7.8 fold-increase in severe asthma, padj < 0.001) Conclusions

Risk factors for cardiovascular disease in patients with COPD: mild-to-moderate COPD versus severe-to-very severe COPD

Directory of Open Access Journals (Sweden)

Laura Miranda de Oliveira Caram

Full Text Available ABSTRACT Objective: To assess and compare the prevalence of comorbidities and risk factors for cardiovascular disease (CVD in COPD patients according to disease severity. Methods: The study included 25 patients with mild-to-moderate COPD (68% male; mean age, 65 ± 8 years; mean FEV1, 73 ± 15% of predicted and 25 with severe-to-very severe COPD (males, 56%; mean age, 69 ± 9 years; mean FEV1, 40 ± 18% of predicted. Comorbidities were recorded on the basis of data obtained from medical charts and clinical evaluations. Comorbidities were registered on the basis of data obtained from medical charts and clinical evaluations. The Charlson comorbidity index was calculated, and the Hospital Anxiety and Depression Scale (HADS score was determined. Results: Of the 50 patients evaluated, 38 (76% had been diagnosed with at least one comorbidity, 21 (42% having been diagnosed with at least one CVD. Twenty-four patients (48% had more than one CVD. Eighteen (36% of the patients were current smokers, 10 (20% had depression, 7 (14% had dyslipidemia, and 7 (14% had diabetes mellitus. Current smoking, depression, and dyslipidemia were more prevalent among the patients with mild-to-moderate COPD than among those with severe-to-very severe COPD (p < 0.001, p = 0.008, and p = 0.02, respectively. The prevalence of high blood pressure, diabetes mellitus, alcoholism, ischemic heart disease, and chronic heart failure was comparable between the two groups. The Charlson comorbidity index and HADS scores did not differ between the groups. Conclusions: Comorbidities are highly prevalent in COPD, regardless of its severity. Certain risk factors for CVD, themselves classified as diseases (including smoking, dyslipidemia, and depression, appear to be more prevalent in patients with mild-to-moderate COPD.

Estimation of Forest Fire-fighting Budgets Using Climate Indexes

NARCIS (Netherlands)

Xu, Z.; Kooten, van G.C.

2012-01-01

Given the complexity and relative short length of current predicting system for fire behavior, it is inappropriate to be referred for planning fire-fighting budgets of BC government due to the severe uncertainty of fire behavior across fire seasons. Therefore, a simple weather derived index for

Abnormalities of Psycho-Emotional State among Patients with Excoriated Acne

Directory of Open Access Journals (Sweden)

E. A. Il’chevskaya

2017-01-01

Full Text Available The psychopathological features of patients with excoriated acne are analysed. An integrative anx-iety test among 43 patients (mean age 24.7±7.1 years demonstrated borderline values and a high level of personal anxiety in 46.5% of cases; assessment according to the Beck Depression Inventory revealed subdepression among 25.6% and depression among 13.9% of patients; the Global Severity Index (GSI of the Symptom Checklist-90-R (SCL-90-R was in the zone of elevated and high val-ues among 31.1% of patients. The greatest deviations from the norm were observed in the areas of interpersonal sensitivity among 34.9% of patients; dev phobic anxiety – 30.2%; paranoia – 30.2%; while somatisation of complaints was observed among 27.9% of patients. The obsessive-compulsive subscale exceeded normative values among 21% of patients. 

Mapping burned areas and burn severity patterns across the Mediterranean region

Science.gov (United States)

Kalogeropoulos, Christos; Amatulli, Giuseppe; Kempeneers, Pieter; Sedano, Fernando; San Miguel-Ayanz, Jesus; Camia, Andrea

2010-05-01

The Mediterranean region is highly susceptible to wildfires. On average, about 60,000 fires take place in this region every year, burning on average half a million hectares of forests and natural vegetation. Wildfires cause environmental degradation and affect the lives of thousands of people in the region. In order to minimize the consequences of these catastrophic events, fire managers and national authorities need to have in their disposal accurate and updated spatial information concerning the size of the burned area as well as the burn severity patterns. Mapping burned areas and burn severity patterns is necessary to effectively support the decision-making process in what concerns strategic (long-term) planning with the definition of post-fire actions at European and national scales. Although a comprehensive archive of burnt areas exists at the European Forest Fire Information System, the analysis of the severity of the areas affected by forest fires in the region is not yet available. Fire severity is influenced by many variables, including fuel type, topography and meteorological conditions before and during the fire. The analysis of fire severity is essential to determine the socio-economic impact of forest fires, to assess fire impacts, and to determine the need of post-fire rehabilitation measures. Moreover, fire severity is linked to forest fire emissions and determines the rate of recovery of the vegetation after the fire. Satellite imagery can give important insights about the conditions of the live fuel moisture content and can be used to assess changes on vegetation structure and vitality after forest fires. Fire events occurred in Greece, Portugal and Spain during the fire season of 2009 were recorded and analyzed in a GIS environment. The Normalized Difference Vegetation Index (NDVI), the Enhanced Vegetation Index (EVI) and the Normalized Burn Ratio (NBR) were calculated from 8-days composites MODIS/TERRA imagery from March to October 2009. In

A case study of aerosol data assimilation with the Community Multi-scale Air Quality Model over the contiguous United States using 3D-Var and optimal interpolation methods

Directory of Open Access Journals (Sweden)

Y. Tang

2017-12-01

Full Text Available This study applies the Gridpoint Statistical Interpolation (GSI 3D-Var assimilation tool originally developed by the National Centers for Environmental Prediction (NCEP, to improve surface PM2.5 predictions over the contiguous United States (CONUS by assimilating aerosol optical depth (AOD and surface PM2.5 in version 5.1 of the Community Multi-scale Air Quality (CMAQ modeling system. An optimal interpolation (OI method implemented earlier (Tang et al., 2015 for the CMAQ modeling system is also tested for the same period (July 2011 over the same CONUS. Both GSI and OI methods assimilate surface PM2.5 observations at 00:00, 06:00, 12:00 and 18:00 UTC, and MODIS AOD at 18:00 UTC. The assimilations of observations using both GSI and OI generally help reduce the prediction biases and improve correlation between model predictions and observations. In the GSI experiments, assimilation of surface PM2.5 (particle matter with diameter < 2.5 µm leads to stronger increments in surface PM2.5 compared to its MODIS AOD assimilation at the 550 nm wavelength. In contrast, we find a stronger OI impact of the MODIS AOD on surface aerosols at 18:00 UTC compared to the surface PM2.5 OI method. GSI produces smoother result and yields overall better correlation coefficient and root mean squared error (RMSE. It should be noted that the 3D-Var and OI methods used here have several big differences besides the data assimilation schemes. For instance, the OI uses relatively big model uncertainties, which helps yield smaller mean biases, but sometimes causes the RMSE to increase. We also examine and discuss the sensitivity of the assimilation experiments' results to the AOD forward operators.

The prognostic value of pulmonary embolism severity index in acute pulmonary embolism: a meta-analysis

Directory of Open Access Journals (Sweden)

Zhou Xiao-Yu

2012-12-01

Full Text Available Abstract Background Prognostic assessment is important for the management of patients with acute pulmonary embolism (APE. Pulmonary Embolism Severity Index (PESI and simple PESI (sPESI are new emerged prognostic assessment tools for APE. The aim of this meta-analysis is to assess the accuracy of the PESI and the sPESI to predict prognostic outcomes (all-cause and PE-related mortality, serious adverse events in APE patients, and compare between these two PESIs. Methods MEDLINE and EMBASE database were searched up to June 2012 using the terms “Pulmonary Embolism Severity Index” and “pulmonary embolism”. Summary odds ratio (OR with 95% confidence intervals (CIs for prognostic outcomes in low risk PESI versus high risk PESI were calculated. Summary receiver operating characteristic curve (SROC used to estimate overall predicting accuracies of prognostic outcomes. Results Twenty-one studies were included in this meta-analysis. The results showed low-risk PESI was significantly associated with lower all-cause mortality (OR 0.13; 95% CI 0.12 to 0.15, PE-related mortality (OR 0.09; 95% CI 0.05 to 0.17 and serious adverse events (OR 0.34; 95% CI 0.29 to 0.41, with no homogeneity across studies. In sPESI subgroup, the OR of all-cause mortality, PE-related mortality, and serious adverse events was 0.10 (95% CI 0.08 to 0.14, 0.09 (95% CI 0.03 to 0.26 and 0.40 (95% CI 0.31 to 0.51, respectively; while in PESI subgroup, the OR was 0.14 (95% CI 0.13 to 0.16, 0.09 (95% CI 0.04 to 0.21, and 0.30 (95% CI 0.23 to 0.38, respectively. For accuracy analysis, the pooled sensitivity, the pooled specificity, and the overall weighted AUC for PESI predicting all-cause mortality was 0.909 (95% CI: 0.900 to 0.916, 0.411 (95% CI: 0.407 to 0.415, and 0.7853±0.0058, respectively; for PE-related mortality, it was 0.953 (95% CI: 0.913 to 0.978, 0.374 (95% CI: 0.360 to 0.388, and 0.8218±0.0349, respectively; for serious adverse events, it was 0.821 (95% CI: 0.795 to 0

Bounding the HL-index of a graph: a majorization approach.

Science.gov (United States)

Clemente, Gian Paolo; Cornaro, Alessandra

2016-01-01

In mathematical chemistry, the median eigenvalues of the adjacency matrix of a molecular graph are strictly related to orbital energies and molecular orbitals. In this regard, the difference between the occupied orbital of highest energy (HOMO) and the unoccupied orbital of lowest energy (LUMO) has been investigated (see Fowler and Pisansky in Acta Chim. Slov. 57:513-517, 2010). Motivated by the HOMO-LUMO separation problem, Jaklič et al. in (Ars Math. Contemp. 5:99-115, 2012) proposed the notion of HL -index that measures how large in absolute value are the median eigenvalues of the adjacency matrix. Several bounds for this index have been provided in the literature. The aim of the paper is to derive alternative inequalities to bound the HL -index. By applying majorization techniques and making use of some known relations, we derive new and sharper upper bounds for this index. Analytical and numerical results show the performance of these bounds on different classes of graphs.

Analysis of factors influencing survival in patients with severe acute pancreatitis.

Science.gov (United States)

Kim, Yeon Ji; Kim, Dae Bum; Chung, Woo Chul; Lee, Ji Min; Youn, Gun Jung; Jung, Yun Duk; Choi, Sooa; Oh, Jung Hwan

2017-08-01

Acute pancreatitis (AP) ranges from a mild and self-limiting disease to a fulminant illness with significant morbidity and mortality. Severe acute pancreatitis (SAP) is defined as persistent organ failure lasting for 48 h. We aimed to determine the factors that predict survival and mortality in patients with SAP. We reviewed a consecutive series of patients who were admitted with acute pancreatitis between January 2003 and January 2013. A total of 1213 cases involving 660 patients were evaluated, and 68 cases with SAP were selected for the study. Patients were graded based on the Computer Tomography Severity Index (CTSI), the bedside index for severity (BISAP), and Ranson's criteria. The frequency of SAP was 5.6% (68/1213 cases). Among these patients, 17 died due to pancreatitis-induced causes. We compared several factors between the survivor (n = 51) and non-survivor (n = 17) groups. On multivariate analysis, there were significant differences in the incidence of diabetes mellitus (p = .04), Ranson score (p = .03), bacteremia (p = .05) and body mass index (BMI) (p = .02) between the survivor and non-survivor groups. Bacteremia, high Ranson score, DM, and lower BMI were closely associated with mortality in patients with SAP. When patients with SAP show evidence of bacteremia or diabetes, aggressive treatment is necessary. For the prediction of disease mortality, the Ranson score might be a useful tool in SAP.

The case for indexed price caps for U.S. electric utilities

International Nuclear Information System (INIS)

Lowry, M.N.

1991-01-01

Indexed price caps are a promising alternative to traditional, cost-of-service utility rate regulation. In just a decade, they have sprung from the drawing boards of economists to use by major utilities in a number of industries. Several authors have discussed the merits of indexed price caps for U.S. electric utilities. Despite their efforts, many parties to electric utility policy making are unfamiliar with the subject. This is unsurprising given the policy controversies that already embroil the industry. It is also unfortunate, since indexed price caps may help solve some of the problems that prompt these controversies. Indexed price caps can improve electric utility rate regulation in two ways. Utilities would have strong incentives to improve performance without the micromanagement that increasingly characterizes state-level regulation. Utilities could also be granted more extensive marketing freedoms, since indexes can protect customers from cross-subsidization. Two areas of concern about indexed price cap plans have emerged in recent discussions that the author has held with officials of electric utilities, intervenor groups, and regulatory agencies. Officials are often unclear on plan details, and therefore may not appreciate the degree of flexibility that is possible in plan design. Confusion over the available options in price cap adjustment indexes and the logic behind them is especially widespread. Officials also desire a clearer expression of how indexed price caps can coexist with current regulatory initiatives. This article details the major attributes of index plans, provides a brief history of indexing, discusses index design options in depth, and concludes with a vision of how indexed price caps can be made operational in today's electric utility industry

Impact of afterload on the assessment of severity of aortic stenosis.

Science.gov (United States)

Chang, Sung-A; Kim, Hyung-Kwan; Sohn, Dae-Won

2012-06-01

Aortic stenosis (AS) is increasingly diagnosed in current aging society. Echocardiography is the most important tool in the assessment of AS and its severity. However, load-dependency of Doppler measurement could affect the accuracy of AS severity assessment. We tried to evaluate the impact of afterload on the assessment of AS severity by modification of afterload using pneumatic compression (Pcom). Forty patients diagnosed as moderate or severe AS [effective orifice area of aortic valve (EOA(AV)) by continuity equation of < 1.5 cm(2)] were consecutively enrolled. Patients with severely uncontrolled hypertension, severe left ventricular (LV) dysfunction, and other significant valve disease were excluded. Comprehensive echocardiography was performed at baseline to assess AS severity. Then, pneumatic compression of the lower extremities by 100 mmHg was applied to increase LV afterload. After 3 minutes, echocardiography was repeated to assess AS severity. Mean blood pressure was significantly increased under Pcom (p < 0.001), while heart rate remained unchanged. Peak aortic valve velocity (V(max)) was slightly, but significantly decreased under Pcom (p = 0.03). However, Doppler velocity index and EOA(AV) by continuity equation were not affected by Pcom. AS severity assessment by echocardiography was not dependent on the change of LV afterload imposed by Pcom. AV V(max) was slightly decreased with LV afterload increment, but these changes were too small to alter treatment plan of AS patients. EOA(AV) and Doppler velocity index are more stable parameters for AS severity assessment.

New Safety rules

CERN Multimedia

Safety Commission

2008-01-01

The revision of CERN Safety rules is in progress and the following new Safety rules have been issued on 15-04-2008: Safety Procedure SP-R1 Establishing, Updating and Publishing CERN Safety rules: http://cern.ch/safety-rules/SP-R1.htm; Safety Regulation SR-S Smoking at CERN: http://cern.ch/safety-rules/SR-S.htm; Safety Regulation SR-M Mechanical Equipment: http://cern.ch/safety-rules/SR-M.htm; General Safety Instruction GSI-M1 Standard Lifting Equipment: http://cern.ch/safety-rules/GSI-M1.htm; General Safety Instruction GSI-M2 Standard Pressure Equipment: http://cern.ch/safety-rules/GSI-M2.htm; General Safety Instruction GSI-M3 Special Mechanical Equipment: http://cern.ch/safety-rules/GSI-M3.htm. These documents apply to all persons under the Director General’s authority. All Safety rules are available at the web page: http://www.cern.ch/safety-rules The Safety Commission

Total skin clearance results in improvements in health-related quality of life and reduced symptom severity among patients with moderate to severe psoriasis.

Science.gov (United States)

Viswanathan, Hema N; Chau, Dina; Milmont, Cassandra E; Yang, Wenjjing; Erondu, Ngozi; Revicki, Dennis A; Klekotka, Paul

2015-06-01

Newer therapies provide high levels of skin clearance in patients with moderate to severe psoriasis. However, insufficient evidence exists on the impact of total skin clearance from the patient's perspective. To examine effects of total skin clearance on health-related quality of life (HRQoL) and psoriasis symptom severity in subjects with moderate to severe psoriasis. Pooled data from a phase 2 dose-ranging trial in psoriasis using brodalumab (antibody to interleukin-17 receptor A) were used to compare subjects with static physician global assessment (sPGA) 1 versus sPGA 0 and subjects with Psoriasis Area and Severity Index (PASI) 75 to Quality Index (DLQI = 0) and no psoriasis symptoms (Psoriasis Symptom Inventory = 0). Of subjects with sPGA 0 (clear) and 1 (almost clear), 61.4% and 45.7% had a DLQI = 0 (p = 0.15), and 65.5% and 32.6% had a Psoriasis Symptom Inventory = 0 (p = 0.001), respectively. Significantly more subjects with sPGA 1 continued to report itching, redness, scaling, and flaking compared to subjects with sPGA 0. Similar results were observed based on PASI score. A higher proportion of subjects with total skin clearance reported no impairment in HRQoL and no psoriasis symptoms than those who were almost clear.

Complete cumulative index (1963-1983)

International Nuclear Information System (INIS)

1983-01-01

This complete cumulative index covers all regular and special issues and supplements published by Atomic Energy Review (AER) during its lifetime (1963-1983). The complete cumulative index consists of six Indexes: the Index of Abstracts, the Subject Index, the Title Index, the Author Index, the Country Index and the Table of Elements Index. The complete cumulative index supersedes the Cumulative Indexes for Volumes 1-7: 1963-1969 (1970), and for Volumes 1-10: 1963-1972 (1972); this Index also finalizes Atomic Energy Review, the publication of which has recently been terminated by the IAEA

Negative index effects from a homogeneous positive index prism

Science.gov (United States)

Marcus, Sherman W.; Epstein, Ariel

2017-12-01

Cellular structured negative index metamaterials in the form of a right triangular prism have often been tested by observing the refraction of a beam across the prism hypotenuse which is serrated in order to conform to the cell walls. We show that not only can this negative index effect be obtained from a homogeneous dielectric prism having a positive index of refraction, but in addition, for sampling at the walls of the cellular structure, the phase in the material has the illusory appearance of moving in a negative direction. Although many previous reports relied on refraction direction and phase velocity of prism structures to verify negative index design, our investigation indicates that to unambiguously demonstrate material negativity additional empirical evidence is required.

Assessment of reproductive effects in largemouth bass (Micropterus salmoides) exposed to bleached/unbleached kraft mill effluents.

Science.gov (United States)

Sepúlveda, M S; Ruessler, D S; Denslow, N D; Holm, S E; Schoeb, T R; Gross, T S

2001-11-01

This study evaluated the potential effects of different concentrations of bleached/unbleached kraft mill effluent (B/UKME) on several reproductive endpoints in adult largemouth bass (Micropterus salmoides). The kraft mill studied produces a 50/50 mix of bleached/unbleached market pulp with an estimated release of 36 million gal of effluent/day. Bleaching sequences were C90d10EopHDp and CEHD for softwood (pines) and hardwoods (mainly tupelo, gums, magnolia, and water oaks), respectively. Bass were exposed to different effluent concentrations (0 [controls, exposed to well water], 10, 20, 40, or 80%) for either 28 or 56 days. At the end of each exposure period, fish were euthanized, gonads collected for histological evaluation and determination of gonadosomatic index (GSI), and plasma was analyzed for 17beta-estradiol, 11-ketotestosterone, and vitellogenin (VTG). Largemouth bass exposed to B/UKME responded with changes at the biochemical level (decline in sex steroids in both sexes and VTG in females) that were usually translated into tissue/organ-level responses (declines in GSI in both sexes and in ovarian development in females). Although most of these responses occurred after exposing fish to 40% B/UKME concentrations or greater, some were observed after exposures to 20% B/UKME. These threshold concentrations fall within the 60% average yearly concentration of effluent that exists in the stream near the point of discharge (Rice Creek), but are above the <10% effluent concentration present in the St. Johns River. The chemical(s) responsible for such changes as well as their mode(s) of action remain unknown at this time.

Feeding and energetics of the great scallop, Pecten maximus, through a DEB model

Science.gov (United States)

Lavaud, Romain; Flye-Sainte-Marie, Jonathan; Jean, Fred; Emmery, Antoine; Strand, Øivind; Kooijman, Sebastiaan A. L. M.

2014-11-01

We developed a full life-cycle bioenergetic model for the great scallop Pecten maximus relying on the concepts of the Dynamic Energy Budget (DEB) theory. The covariation method was implemented to estimate the parameters of a standard DEB model. Such models are able to predict various metabolic processes from a food availability marker and temperature in the environment. However, suspension-feeders are likely to feed on various trophic sources, from microalgae cells to detritus. They are also able to sort and select food particles very efficiently, depending on their size, energetic value or quality. The present model includes a mechanistic description of the feeding processes, based on Kooijman's Synthesizing Unit principle which allows to deal with several food sources. Moreover we tested the hypothesis of a differential selectivity between two potential substrates (phytoplankton cell and the remaining particulate organic matter). Simulations of shell length, daily shell growth rate, dry weight and gonado-somatic index (GSI) variations were realized and compared to field data from a monitoring conducted in the Bay of Brest (Brittany, France) for six years. The model shows its capacity to efficiently reproduce all life history traits of the wild great scallops. Predicted length data were estimated to the nearest millimeter. The fit of simulated weights to observed data was very satisfactory. GSI predictions were also in accordance with observations but improvements are required to better capture the sharp increase of gametogenesis at the beginning of the year. Finally, results bring evidences that P. maximus is actually preferentially feed on living algae cells rather than on the rest of organic particles.

Parenting Stress Related to Behavioral Problems and Disease Severity in Children with Problematic Severe Asthma.

Science.gov (United States)

Verkleij, Marieke; van de Griendt, Erik-Jonas; Colland, Vivian; van Loey, Nancy; Beelen, Anita; Geenen, Rinie

2015-09-01

Our study examined parenting stress and its association with behavioral problems and disease severity in children with problematic severe asthma. Research participants were 93 children (mean age 13.4 ± 2.7 years) and their parents (86 mothers, 59 fathers). As compared to reference groups analyzed in previous research, scores on the Parenting Stress Index in mothers and fathers of the children with problematic severe asthma were low. Higher parenting stress was associated with higher levels of internalizing and externalizing behavioral problems in children (Child Behavior Checklist). Higher parenting stress in mothers was also associated with higher airway inflammation (FeNO). Thus, although parenting stress was suggested to be low in this group, higher parenting stress, especially in the mother, is associated with more airway inflammation and greater child behavioral problems. This indicates the importance of focusing care in this group on all possible sources of problems, i.e., disease exacerbations and behavioral problems in the child as well as parenting stress.

The COPD Helplessness Index: a new tool to measure factors affecting patient self-management.

Science.gov (United States)

Omachi, Theodore A; Katz, Patricia P; Yelin, Edward H; Iribarren, Carlos; Knight, Sara J; Blanc, Paul D; Eisner, Mark D

2010-04-01

Psychologic factors affect how patients with COPD respond to attempts to improve their self-management skills. Learned helplessness may be one such factor, but there is no validated measure of helplessness in COPD. We administered a new COPD Helplessness Index (CHI) to 1,202 patients with COPD. Concurrent validity was assessed through association of the CHI with established psychosocial measures and COPD severity. The association of helplessness with incident COPD exacerbations was then examined by following subjects over a median 2.1 years, defining COPD exacerbations as COPD-related hospitalizations or ED visits. The CHI demonstrated internal consistency (Cronbach alpha = 0.75); factor analysis was consistent with the CHI representing a single construct. Greater CHI-measured helplessness correlated with greater COPD severity assessed by the BODE (Body-mass, Obstruction, Dyspnea, Exercise) Index (r = 0.34; P Controlling for sociodemographics and smoking status, helplessness was prospectively associated with incident COPD exacerbations (hazard ratio = 1.31; P controlling for the BODE Index, helplessness remained predictive of COPD exacerbations among subjects with BODE Index useful tool in analyzing differential clinical responses mediated by patient-centered attributes.

Clinical features of unspecified functional bowel disorder in servicemen from a Chinese army unit

Directory of Open Access Journals (Sweden)

Xin YAO

2017-02-01

Full Text Available Objective　To investigate clinical manifestation of unspecified functional bowel disorder (UFBD, the features of coexistence with functional gastrointestinal disorder (FGID and its relationship with psychological factors and sleep disturbance in the Chinese Army servicemen. Methods　cFGIDs were diagnosed based on the Rome Ⅲ Modular Questionnaire. The subjects were 189 servicemen with UFBD (UFBD group and 372 without FGID (control group. All subjects completed symptom checklist 90 (SCL-90 and Pittsburgh Sleep Quality Index (PSQI questionnaire. Results　'Have to rush to the toilet when having a desire to defecate' was the most frequent symptom of UFBD (93.7%. More than one half of UFBD patients had the symptom 'a feeling of incomplete emptying as bowel movements' or 'straining during bowel movements'. Twenty-eight percent of UFBD subjects had combined FGID (namely cFGID. Among them, the most frequent was proctalgia fugax (7.9%, followed by cyclic vomiting syndrome (6.3%, functional fecal incontinence (6.3%, functional dyspepsia (4.8% and belching (4.8%. The UFBD group scored significantly higher than the control group in the global severity index (GSI and in all SCL-90 subscales (P0.05. Conclusion　Pathogenesis of UFBD may be closely correlated with psychiatric and psychological factors and sleep disturbance. cFGID are associated with an increased severity of psychopathological features. DOI: 10.11855/j.issn.0577-7402.2017.01.15

The Economic Freedom Index : A Review

OpenAIRE

Ruperto P. Alonzo

2002-01-01

The economic freedom index (EFI) is one of several cross-country yardsticks that incorporate dimensions of progress and well-being that go beyond what conventional economic indicators tell us. It is a composite of 21 indicators that include “personal choice, protection of private property, and freedom of exchange.” It is one of the few measures where the Philippines ranks higher than most of its neighbors; the Philippines was in fact 29th among 123 countries rated for 1999, while neighboring ...

Acute Respiratory Distress Syndrome in Severe Brain Injury

Directory of Open Access Journals (Sweden)

Yu. A. Churlyaev

2009-01-01

Full Text Available Objective: to study the development of acute respiratory distress syndrome (ARDS in victims with isolated severe brain injury (SBI. Subject and methods. 171 studies were performed in 16 victims with SBI. Their general condition was rated as very critical. The patients were divided into three groups: 1 non-ARDS; 2 Stage 1 ARDS; and 3 Stage 2 ARDS. The indicators of Stages 1 and 2 were assessed in accordance with the classification proposed by V. V. Moroz and A. M. Golubev. Intracranial pressure (ICP, extravascular lung water index, pulmonary vascular permeability, central hemodynamics, oxygenation index, lung anastomosis, the X-ray pattern of the lung and brain (computed tomography, and its function were monitored. Results. The hemispheric cortical level of injury of the brain with function compensation of its stem was predominantly determined in the controls; subcompensation and decompensation were ascertained in the ARDS groups. According to the proposed classification, these patients developed Stages 1 and 2 ARDS. When ARDS developed, there were rises in the level of extravascular lung fluid and pulmonary vascular permeability, a reduction in the oxygenation index (it was 6—12 hours later as compared with them, increases in a lung shunt and ICP; X-ray study revealed bilateral infiltrates in the absence of heart failure in Stage 2 ARDS. The correlation was positive between ICP and extravascular lung water index, and lung vascular permeability index (r>0.4;p<0.05. Conclusion. The studies have indicated that the classification proposed by V. V. Moroz and A. M. Golubev enables an early diagnosis of ARDS. One of its causes is severe brainstem injury that results in increased extravascular fluid in the lung due to its enhanced vascular permeability. The ICP value is a determinant in the diagnosis of secondary brain injuries. Key words: acute respiratory distress syndrome, extravascu-lar lung fluid, pulmonary vascular permeability, brain injury

Assessment of PANC3 score in predicting severity of acute pancreatitis

Directory of Open Access Journals (Sweden)

Avreen Singh Shah

2017-01-01

Full Text Available Introduction: Acute pancreatitis is inflammatory process of the pancreas associated with local and systemic complications. At present, there are lots of scores (such as Ransons, APACHE II, bedside index for severity in acute pancreatitis that help us in predicting severity at the time of admission but these are time consuming or require complex calculation and are costly. Material and Methods: PANC3 Scoring System is one of the better systems because the three criteria used (hematocrit, body mass index, and pleural effusion are simple, easy to assess, readily available, and economic. In this prospective study, 100 cases were evaluated to see the prospects of PANC3 scoring in predicting the severity of acute pancreatitis as decided by modified Marshals score. Results: The results showed that PANC3 score had a 96.43% specificity, 75% sensitivity, 80% positive predictive value, and 95.29% negative predictive value. Conclusion: Hence, the PANC3 score is a cost-effective, promising score that helps in predicting the severity of acute pancreatitis leading to prompt treatment and early referral to higher center.

Seasonal and PAH impact on DNA strand-break levels in gills of transplanted zebra mussels.

Science.gov (United States)

Michel, Cécile; Bourgeault, Adeline; Gourlay-Francé, Catherine; Palais, Frédéric; Geffard, Alain; Vincent-Hubert, Françoise

2013-06-01

Genotoxicity endpoints are useful tools to biomonitor the physicochemical and biological quality of aquatic ecosystems. A caging study on the freshwater bivalve Dreissena polymorpha was planned to run over four seasons in the Seine River basin in order to assess whether DNA damage measured in transplanted mussels to polluted area vary according to seasonal changes. Three sites were chosen along the Seine River, one upstream from Paris and two downstream, corresponding to a chemical gradient of water contamination. The DNA strand break (comet assay) and chromosomal damage (micronucleus test) were measured in caged mussels at each site and in winter, spring and summer, along with PAH water contamination, PAH bioaccumulation, the mussel condition index (CI), the gonado-somatic index (GSI) and the filtration rate (FR). The level of DNA strand break measured in winter was low and increased in spring, concomitantly with FR and GSI. Over the same period, micronucleus (MN) frequency and PAH bioaccumulation decreased significantly in caged mussels, with both parameters positively correlated to each other. DNA strand-break levels and MN frequencies showed inter-site variations corresponding to the chemical contamination gradient. These two genotoxicity endpoints usefully complement each other in field studies. These results show that the MN test and comet assay, when applied to gill cells of caged zebra mussels, are sensitive tools for freshwater genotoxicity monitoring. Copyright © 2013. Published by Elsevier Inc.

Toward the Development of an Objective Index of Dysphonia Severity: A Four-Factor Acoustic Model

Science.gov (United States)

Awan, Shaheen N.; Roy, Nelson

2006-01-01

During assessment and management of individuals with voice disorders, clinicians routinely attempt to describe or quantify the severity of a patient's dysphonia. This investigation used acoustic measures derived from sustained vowel samples to predict dysphonia severity (as determined by auditory-perceptual ratings), for a diverse set of voice…

IndexCat

Data.gov (United States)

U.S. Department of Health & Human Services — IndexCat provides access to the digitized version of the printed Index-Catalogue of the Library of the Surgeon General's Office; eTK for medieval Latin texts; and...

Safer Roads: Comparisons Between Road Assessment Program and Composite Road Safety Index Method

Directory of Open Access Journals (Sweden)

Mohd Razelan Intan Suhana

2017-01-01

Full Text Available In most countries, crash statistics have becoming very crucial in evaluating road’s safety level. In Malaysia, these data are very important in deciding crash-prone areas known as black spot where specific road improvements plan will be proposed. However due to the unavailability of reliable crash data in many developing countries, appropriate road maintenance measures are facing great troubles. In light of that, several proactive methods in defining road’s safety level such as Road Assessment Program (RAP have emerged. This research aim to compare two proactive methods that have been tested in Malaysian roads ; road assessment program and road environment risk index which was developed based on composite index theory in defining road’s safety level. Composite road environment risk index was combining several crucial environment indicators, assigning weight and aggregating the individual index together to form a single value representing the road’s safety level. Based on the results, it can be concluded that both road assessment program and composite road environment risk index are contradicted in six different ways such as type of speed used, type of analysis used and their final outcomes. However, with an aim to promote safer roads, these two methods can be used concurrently as the outcomes in both methods seems to fulfil each other’s gap very well.