WorldWideScience

Sample records for silvicultural treatment effects

  1. [Silvicultural treatments and their selection effects].

    Science.gov (United States)

    Vincent, G

    1973-01-01

    Selection can be defined in terms of its observable consequences as the non random differential reproduction of genotypes (Lerner 1958). In the forest stands we are selecting during the improvements-fellings and reproduction treatments the individuals surpassing in growth or in production of first-class timber. However the silvicultural treatments taken in forest stands guarantee a permanent increase of forest production only in such cases, if they have been taken with respect to the principles of directional (dynamic) selection. These principles require that the trees determined for further growing and for forest regeneration are selected by their hereditary properties, i.e. by their genotypes.For making this selection feasible, our study deals with the genetic parameters and gives some examples of the application of the response, the selection differential, the heritability in the narrow and in the broad sense, as well as of the genetic and genotypic gain. On the strength of this parameter we have the possibility to estimate the economic success of several silvicultural treatments in forest stands.The mentioned examples demonstrate that the selection measures of a higher intensity will be manifested in a higher selection differential, in a higher genetic and genotypic gain and that the mentioned measures show more distinct effects in the variable populations - in natural forest - than in the population characteristic by a smaller variability, e.g. in many uniform artificially established stands.The examples of influences of different selection on the genotypes composition of population prove that genetics instructs us to differentiate the different genotypes of the same species and gives us at the same time a new criterions for evaluating selectional treatments. These criterions from economic point of view is necessary to consider in silviculture as advantageous even for the reason that we can judge from these criterions the genetical composition of forest stands

  2. The Effects of Silvicultural Treatment on Sirex noctilio Attacks and Tree Health in Northeastern United States

    Directory of Open Access Journals (Sweden)

    Kevin J. Dodds

    2014-11-01

    Full Text Available The invasive woodwasp Sirex noctilio (Hymenoptera: Siricidae is established in east-central North America. A replicated case study testing the effectiveness of silvicultural treatments for reducing the number of S. noctilio attacked trees in a stand was conducted in New York, USA. Silvicultural treatments reduced S. noctilio attacked trees by approximately 75% over the course of the study. There was no tree growth response to silvicultural treatments in the four years after thinning, but targeted removal of weakened trees removed potential S. noctilio habitat from treated stands. Two spectral vegetation indices were used to determine tree health in each treatment and potentially provide guidance for detection efforts. Silvicultural treatment significantly influenced the Red Edge Inflection Point, a strong indicator of chlorophyll content, and the Moisture Stress Index, a reflectance measurement sensitive to changes in foliar leaf water content, with the greatest differences occurring between control and treated blocks. Vegetation indices showed promise as a tool for aiding in stand prioritization for S. noctilio surveys or management activities.

  3. EFFECT OF POST-LOGGING SILVICULTURAL TREATMENT ON GROWTH RATES OF RESIDUAL STAND IN A TROPICAL FOREST

    Directory of Open Access Journals (Sweden)

    Haruni Krisnawati

    2010-12-01

    Full Text Available Post-logging silvicultural treatments are generally performed to improve yields of the remaining tree species by increasing their growth rate. In this study the effects of silvicultural treatment on the growth rates of commercial (dipterocarps and non-dipterocarps as well as non- commercial tree species in a tropical forest in West Kalimantan were examined and were compared to a control treatment. Silvicultural treatment applied was liberation of future crop trees from lianas and neighbouring competing trees. Treatments were applied to six plots of 80 m x 80 m each. The plots comprised 64 quadrats of 10 m x 10 m to allow better control of measurements. The treatment and control plots were established 6 years after logging. Effects were measured 2,4 and 7 years after treatment application. In all obser vation periods, the growth rates increased with silvicultural treatment. Overall, commercial dipterocarps, commercial non-dipterocarps and non-commercial tree species groups differed in response to silvicultural treatment. The growth rates of commercial tree species in plots that received silvicultural treatment were 62–97% higher than in the control plots. For non-commercial tree species, the increase of growth rates was 20–58%, compared to the control plots. These results indicate that the application of silvicultural treatments after logging could help improve the growth of the residual stands. These provide quantitative information that silvicultural treatments in logged-over forest should be considered as a viable management option and may guide the choice of cutting cycle.

  4. POTENTIAL OF MULTI-TEMPORAL UAV-BORNE LIDAR IN ASSESSING EFFECTIVENESS OF SILVICULTURAL TREATMENTS

    Directory of Open Access Journals (Sweden)

    U. Vepakomma

    2017-08-01

    Full Text Available Silvicultural treatments are practiced to control resource competition and direct forest stand development to meet management objectives. Effective tracking of thinning and partial cutting treatments help in timely mitigation and ensuring future stand productivity. Based on a study conducted in autumn 2015, our findings in a white pine dominant forest stand in Petawawa (Ontario, Canada showed that almost all individual trees were detectable, structure of individual trees and undergrowth was well pronounced and underlying terrain below dense undisturbed canopy was well captured with UAS based Riegl Vux-1 lidar even at a range of 150 m. Thereafter, the site was re-scanned the following summer with the same system. Besides understanding the difference in distribution patterns due to foliage conditions, co-registering the two datasets, in the current study, we tested the potential of quantifying effectiveness of a partial cutting silvicultural system especially in terms of filling of 3D spaces through vertical or lateral growth and mortality in a very short period of time.

  5. Silvicultural treatments for converting loblolly pine to longleaf pine dominance: Effects on planted longleaf pine seedlings

    Science.gov (United States)

    Huifeng Hu; G.Geoff Wang; Joan L. Walker; Benjamin O. Knapp

    2012-01-01

    A field study was installed to test silvicultural treatments for establishing longleaf pine (Pinus palustris Mill) in loblolly pine (P. taeda L.) stands. Harvesting was used to create seven canopy treatments, four with uniformly distributed canopies at different residual basal areas [Control (16.2 m2/ha),...

  6. Simulating Silvicultural Treatments Using FIA Data

    Science.gov (United States)

    Christopher W. Woodall; Carl E. Fiedler

    2005-01-01

    Potential uses of the Forest Inventory and Analysis Database (FIADB) extend far beyond descriptions and summaries of current forest resources. Silvicultural treatments, although typically conducted at the stand level, may be simulated using the FIADB for predicting future forest conditions and resources at broader scales. In this study, silvicultural prescription...

  7. Habitat use by bats in two Indiana forests prior to silvicultural treatments for oak regeneration

    Science.gov (United States)

    Jeremy J. Sheets; Joseph E. Duchamp; Megan K. Caylor; Laura D' Acunto; John O. Whitaker; Virgil Jr. Brack; Dale W. Sparks

    2013-01-01

    As part of a study examining the effects of silvicultural treatments for oak regeneration on habitat use by bats, we surveyed forest stands prior to the implementation of treatments in two state forests in Indiana. Interior forest sites corresponding to areas designated for silvicultural treatments were surveyed for 2 nights each during the summers of 2007 and 2008....

  8. Effect of the silvicultural treatment on canopy properties, litter and seed production in beech coppices under conversion to high forest.

    Directory of Open Access Journals (Sweden)

    Andrea Cutini

    2010-12-01

    Full Text Available European beech (Fagus sylvatica L. is widely distributed in Italy where it covers 1035103 ha, mainly concentrated in the mountainous areas at altitudes above 900 m. The major part is represented by high forest often issued from the conversion of coppice woods, which in the past was the silvicultural system most widely applied mainly to provide fire wood. The social changes occurred in the second half of the last century –fire wood market crisis and the increasing importance of environmental issues- enhanced the conversion into high forest of large areas previously managed as coppice by means of different silvicultural treatments and practices. Nevertheless, the environmental benefits of this choice were not adequately investigated. Results of annual measurements (1992-2009 made in a beech coppice stand aged 65 are here reported. The study area is located on the Alpe di Catenaia, a pre-Apennine outcrop close to Arezzo (Central Italy. Variables strictly related to stand productivity and dynamics such as annual litter and seed production, leaf area index (LAI and transmittance (PAR were measured in the research area of Buca Zamponi to estimate the effects of two theses, natural evolution (TEST and conversion into high forest (DIR. Three thinnings were undertaken in the latter thesis in 1972, 1987 and 2002. Additional theses of natural evolution (CONTR and advance seed cutting (TS were added in 2002 in a nearby study area (Eremo della Casella. Results showed the high productivity of coppice stands, under conversion to high forest, with mean values of annual total litter, leaf litter and leaf area index of 5 Mg ha-1, 3 Mg ha-1 and 6 m2m-2, respectively. These findings confirm both the prompt response of beech to intensive thinning cycles and the reliability of undertaking coppice conversion into high forest. Furthermore, the positive trend observed in the ecological parameters and the high consistency of leaf fraction, highlight the still juvenile

  9. Effects of silvicultural treatments on forest birds in the Rocky Mountains: implications and management recommendations

    Science.gov (United States)

    Richard L. Hutto; Sallie J. Hejl; Charles R. Preston; Deborah M. Finch

    1993-01-01

    The short-term effects of timber harvesting practices on landbird species vary widely among species. Thus, the maintenance of populations of all species will require a long-term management strategy that involves maintenance of a variety of habitats over a broad landscape.

  10. Effects of silvicultural treatment on the stability of black pine plantations.

    Directory of Open Access Journals (Sweden)

    Paolo Cantiani

    2010-12-01

    each intervention on the mensurational and mechanical stability parameters (H/D ratio H/Ddom ratio, are being analyzed. The stability parameters of the pine forest after three interventions (H/D ratio, crown ratio, horizontal crown projection and eccentricity of the crown have been also analyzed on a sample of trees per thesis and compared with those of trees grown in absence of competition. Sampled trees were sorted per social class. Results proved that type, interval and intensity of thinning related to the age of intervention are the main determinants of a successful treatment. Thinnings from below increase individual stability over time only when also trees living in the main crop layer are being removed. The trials showed the improvement of stability parameters following the intermediate thinning applied at the age of 45. The thesis of heavy thinning had the best performance as for the awaited purpose. st1\\:*{behavior:url(#ieooui } /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Tabella normale"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-parent:""; mso-padding-alt:0cm 5.4pt 0cm 5.4pt; mso-para-margin:0cm; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:10.0pt; font-family:"Times New Roman"; mso-ansi-language:#0400; mso-fareast-language:#0400; mso-bidi-language:#0400;}

  11. Adjusting slash pine growth and yield for silvicultural treatments

    Science.gov (United States)

    Stephen R. Logan; Barry D. Shiver

    2006-01-01

    With intensive silvicultural treatments such as fertilization and competition control now commonplace in today's slash pine (Pinus elliottii Engelm.) plantations, a method to adjust current growth and yield models is required to accurately account for yield increases due to these practices. Some commonly used ad-hoc methods, such as raising site...

  12. Nonnative plant response to silvicultural treatments: A model based on disturbance, propagule pressure, and competitive abilities

    Science.gov (United States)

    Steve Sutherland; Cara R. Nelson

    2010-01-01

    Invasion by nonnative plants can result in substantial adverse effects on the functions of native forest ecosystems, including nutrient cycling and fire regimes. Thus, forest managers need to be aware of the potential impacts of management activities, including silvicultural treatments, on nonnative vegetation. To aid in that effort, we created a conceptual model of...

  13. Putting out fire with gasoline: pitfalls in the silvicultural treatment of canopy fuels

    Science.gov (United States)

    Christopher R. Keyes; J. Morgan Varner

    2007-01-01

    There is little question that forest stand structure is directly related to fire behavior, and that canopy fuel structure may be altered using silvicultural methods to successfully modify forest fire behavior and reduce susceptibility to crown fire initiation and spread. Silvicultural treatments can remediate hazardous stand structures that have developed as a result...

  14. Effect of High-Intensity Wildfire and Silvicultural Treatments on Reptile Communities in Sand-Pine Scrub

    Science.gov (United States)

    Cathryn H. Greenberg; Daniel G. Neary; Larry D. Harris

    1994-01-01

    We tested whether the herpetofuunal response to clearcutting followed by site preparation was similar to high-intensity wildfire foIlowed by salvage logging in sand- pine scrub. Herpetofaunal communities were compared in three replicated 5- to 7-yearpost-disturbance treatments and mature sand-pine forest. The three disturbance treatments were (1) high-intensity...

  15. Interactions between near-ground temperature and radiation, silvicultural treatments and frost damage to Norway spruce seedlings

    OpenAIRE

    Langvall, Ola

    2000-01-01

    Several different silvicultural treatments were studied in two experiments. In the first, mechanical scarification, slash removal, vegetation control, clear-cut age and seedling types were investigated with respect to frost injury to Norway spruce (Picea abies (L.) Karst.) seedlings. Frost damage was also related to near-ground minimum temperature. In the other experiment, the effects of Scots pine (Pinus sylvestris (L.)) shelterwood density gradients, ranging from dense, uncut forest to comp...

  16. Short-term response of small mammals following oak regeneration silviculture treatments.

    Science.gov (United States)

    Amy L. Raybuck; Christopher E. Moorman; Christopher S. DePerno; Kevin Gross; Dean M. Simon; Gordon S. Warburton

    2012-01-01

    Upland, mixed-oak forests in the eastern United States have experienced widespread oak regeneration failure, largely due to cessation of anthropogenic disturbance. Silvicultural practices used to promote advance oak regeneration may affect ground-dwelling mammals. From May to August 2008 (pre-treatment), 2010 (first year post-treatment), and 2011 (second year post-...

  17. Silvicultural treatments enhance growth rates of future crop trees in a tropical dry forest

    NARCIS (Netherlands)

    Villegas, Z.; Peña-Claros, M.; Mostacedo, B.; Alarcón, A.; Licona, J.C.; Leaño, C.; Pariona, W.; Choque, U.

    2009-01-01

    Silvicultural treatments are often needed in selectively logged tropical forest to enhance the growth rates of many commercial tree species and, consequently, for recovering a larger proportion of the initial volume harvested over the next cutting cycle. The available data in the literature suggest,

  18. The Effect of Silvicultural Management on Regeneration, Growth ...

    African Journals Online (AJOL)

    improved management, including protection from interference, culm yield of ... silvicultural measure helped boosting up of bamboo productivity (Midmore 2009). .... experiment was replicated three times, making the total number of plots ( ...

  19. Forest structure of oak plantations after silvicultural treatment to enhance habitat for wildlife

    Science.gov (United States)

    Twedt, Daniel J.; Phillip, Cherrie-Lee P.; Guilfoyle, Michael P.; Wilson, R. Randy; Schweitzer, Callie Jo; Clatterbuck, Wayne K.; Oswalt, Christopher M.

    2016-01-01

    During the past 30 years, thousands of hectares of oak-dominated bottomland hardwood plantations have been planted on agricultural fields in the Mississippi Alluvial Valley. Many of these plantations now have closed canopies and sparse understories. Silvicultural treatments could create a more heterogeneous forest structure, with canopy gaps and increased understory vegetation for wildlife. Lack of volume sufficient for commercial harvest in hardwood plantations has impeded treatments, but demand for woody biomass for energy production may provide a viable means to introduce disturbance beneficial for wildlife. We assessed forest structure in response to prescribed pre-commercial perturbations in hardwood plantations resulting from silvicultural treatments: 1) row thinning by felling every fourth planted row; 2) multiple patch cuts with canopy gaps of gaps appear likely to be filled by regenerating saplings.

  20. Woodland salamander responses to a shelterwood harvest-prescribed burn silvicultural treatment within Appalachian mixed-oak forests

    Science.gov (United States)

    Ford, W. Mark; Mahoney, Kathleen R.; Russell, Kevin R.; Rodrigue, Jane L.; Riddle, Jason D.; Schuler, Thomas M.; Adams, Mary Beth

    2015-01-01

    silvicultural treatment compared to previous research within the same study area that examined pre-harvest fire effects. However, because of the multi-faceted complexities of this specific silvicultural system, continued research is warranted that evaluates long-term, additive impacts on woodland salamanders within managed central Appalachian deciduous forests.

  1. Forest adaptation to global climate change through silvicultural treatments and genetic improvement

    International Nuclear Information System (INIS)

    Farnum, P.

    1991-01-01

    The research being conducted by one forest products company into silviculture and plant genetics as a response to future problems caused by the greenhouse effect is reviewed. The company's research priorities have been adjusted to be technologically prepared for greenhouse-effect warming, including the effects of fire, shorter planting seasons, insect problems, and drought-related mortality. The review focuses on research into improving drought-related mortality by developing drought-resistant trees and then growing such trees by making use of biotechnological techniques such as somatic embryogenesis. In silvicultural research, emphasis is placed on quantifying how thinning can mitigate the effects of drought by stand density control. In genetics and physiology research, the applicability of greenhouse studies of drought resistance to stands of older trees was tested. This research led to an examination of the role of root systems and identification of possible characteristics to screen for in genetic tests. 2 refs

  2. Effect of Silviculture on the Yield and Quality of Veneers

    Science.gov (United States)

    Leslie H. Groom; Ray Newbold; Jim Guldin

    2002-01-01

    The structural and aesthetic value of wood is typically sacrificed in an attempt to meet demand. This paper addresses the financial and quality aspects of silvicultural choices as it relates to wood veneers. Five trees each were harvested from an uneven-aged stand and from the following even- aged stands: intensive plantation, conventional plantation, and natural...

  3. Are post-fire silvicultural treatments a useful tool to fight the climate change threat in terms of plant diversity?

    Science.gov (United States)

    Hedo de Santiago, Javier; Esteban Lucasr Borja, Manuel; de las Heras, Jorge

    2016-04-01

    Adaptative forest management demands a huge scientific knowledge about post-fire vegetation dynamics, taking into account the current context of global change. We hypothesized that management practices should be carry out taking into account the climate change effect, to obtain better results in the biodiversity maintenance across time. All of this with respect to diversity and species composition of the post-fire naturally regenerated Aleppo pine forests understory. The study was carried out in two post-fire naturally regenerated Aleppo pine forests in the Southeastern of the Iberian Peninsula, under contrasting climatic conditions: Yeste (Albacete) shows a dry climate and Calasparra (Murcia) shows a semiarid climate. Thinning as post-fire silvicultural treatment was carried out five years after the wildfire event, in the year 1999. An experiment of artificial drought was designed to evacuate 15% of the natural rainfall in both sites, Yeste and Calasparra, to simulate climate change. Taking into account all the variables (site, silvicultural treatment and artificial drought), alpha diversity indices including species richness, Shannon and Simpson diversity indices, and plant cover, were analyzed as a measure of vegetation abundance. The results showed that plant species were affected by thinning, whereas induced drought affected total cover and species, with lower values at Yeste. Significant site variation was also observed in soil properties, species richness and total plant cover, conversely to the plant species diversity indices. We conclude that the plant community shows different responses to a simulated environment of climate change depending on the experimental site.

  4. Post-harvesting silvicultural treatments in logging gaps: A comparison between enrichment planting and tending of natural regeneration

    NARCIS (Netherlands)

    Schwartz, G.; Lopes, J.C.A.; Mohren, G.M.J.; Peña-Claros, M.

    2013-01-01

    Despite greatly improved forest management in recent decades, long-term assessments show that if current harvesting volumes and cutting cycles are maintained, future volume yields of commercial species will decrease. A possible solution is to apply post-harvesting silvicultural treatments to

  5. Medium-long term soil resilience against different disturbances: wildfires, silvicultural treatments and climate change

    Science.gov (United States)

    Hedo de Santiago, Javier; Borja, Manuel Esteban Lucas; de las Heras, Jorge

    2016-04-01

    Soils of semiarid Mediterranean forest ecosystems are very fragile and sensitive to changes due to different anthropogenic and natural disturbances. The increasing vulnerability of semiarid lands within this world framework has generated growing awareness in the field of research, with highly intensified study into soils properties. One of the main problems of Mediterranean forests is wildfire disturbance. Fire should be considered more an ecological factor but, in contrast to the role of fire, it is now a closely related factor to human action. On the other hand, to improve the recovery of forest communities after fire, silvicultural treatments are needed and, for that matter, another disturbance is added to the ecosystem. By last, climate change is also affecting the fire regime increasing fire frequency and burned area, enhancing the destructiveness to Mediterranean ecosystems. After all of these three disturbances, changes in vegetation dynamics and soil properties are expected to occur due to the plant-soil feedback. Soil plays an essential role in the forest ecosystem's fertility and stability and specifically soil microorganisms, which accomplish reactions to release soil nutrients for vegetation development, for that is essential to enlarge knowledge about soil properties resilience in semiarid forest ecosystems. Physico-chemical and microbiological soil properties, and enzyme activities have been studied in two Aleppo pine forest stands that have suffered three disturbances: 1) a wildfire event, 2) silvicultural treatments (thinning) and 3) an artificial drought (simulating climate change) and results showed that soil recovered after 15 years. Final results showed that soils have been recovered from the three disturbances at the medium-long term.

  6. Proceedings of the 15th biennial southern silvicultural research conference

    Science.gov (United States)

    James M. Guldin

    2013-01-01

    Sixty-eight papers and seventeen posters address a range of issues affecting southern forests. Papers are grouped in 12 sessions that include pine silviculture session I, hardwood silviculture - intermediate treatment and stand development, longleaf pine; quantitative silviculture and economics, pine silviculture session II, hardwood regeneration, carbon and bioenergy...

  7. Silvicultural manipulation and site effect on above and belowground biomass equations for young Pinus radiata

    International Nuclear Information System (INIS)

    Rubilar, Rafael A.; Allen, H. Lee; Alvarez, Jose S.; Albaugh, Timothy J.; Fox, Thomas R.; Stape, Jose L.

    2010-01-01

    There is little understanding of how silvicultural treatments, during the early stages of tree development, affect allometric relationships. We developed and compared stem, branch, foliage, coarse and fine root biomass, and leaf area estimation equations, for four-year-old genetically improved radiata pine trees grown on three contrasting soil-site conditions. At each site, selected trees were destructively sampled from a control (shovel planted, no weed control, fertilized with 2 g of boron), a shovel planted + weed control (2 first years) + complete fertilization (nitrogen + phosphorus + boron 2 first years + potassium 2nd year), and a soil tillage (subsoil at 60 cm) + weed control (first 2 years) + complete fertilization treatment. Tissues were separated into foliage, branch, stem, fine and coarse roots (>2 mm). Regression equations for each tree biomass tissue versus leaf area were fit for each site and compared among treatments and sites with the same genetic material. Our results indicated that individual tree biomasses for young plantations are affected by silvicultural treatment and site growing conditions. Higher variability in estimates was found for foliage and branches due to the ephemeral nature of these components. Stem biomass equations vary less, but differences in biomass equations were found among sites and treatments. Coarse root biomass estimates were variable but less than expected, considering the gradient among sites. Similar to stem biomass, a simple positive general linear relationship between root collar diameter, or diameter at breast height with coarse roots biomass was developed across sites and treatments.

  8. A Review of Relationships Between Wood Quality and Silvicultural Practices

    Directory of Open Access Journals (Sweden)

    Tomy Listyanto

    2009-07-01

    Full Text Available The effect of silviculture on wood quality has been approached from different perspectives. This relationship is being a critical concern of forest managers, landowners, and also researchers. Reliable information is needed to support forest managers in predicting the consequences of various silvicultural practices in terms of quantity and wood quality. Wood has beed used for a variety of products. Each product has particular requirements regarding quality. The variation of wood quality requirement allows industries to decide to use timber resource appropriate for their products. Silvicultural practives cover all treatments applied in forest stand management especially to improve the quality of stand, including manipulation of the availability of sunlight, nutrient and water by using several treatments such as thinning, control of spacing, fertilizing, and pruning. The quality of stand is aimed to achieve particular forest management objectives including higher wood quality. There is no broad generalization regarding the relation between silvicultural practice and wood quality. Many investigators showed positive results in relation to producing high quality of wood products, while other researchers revealed negative effects. Reliable information is needed to support forest managers in predicting the consequences of various silvicultural practices in relation to the wood quantity and quality. Continuous research is needed to find methods of producing wood of high quality based on silvicultural practices and genetic improvement which can be used in wider area by considering limitation including environment and geographic variation.

  9. Selecting a silvicultural system

    Science.gov (United States)

    Richard M. Godman

    1992-01-01

    Sometimes a name creates a problem. The name of a silvicultural system usually refers to the way a stand is cut to get regeneration-"single tree selection"-for example. Trouble is, the name suggests that the regeneration cut will be the first treatment applied to the stand. Not so. We are now mostly making "intermediate" cuts in our Lake States...

  10. Near-natural forests in southern Sweden. Palaeoecological and silvicultural aspects on nature-based silviculture

    Energy Technology Data Exchange (ETDEWEB)

    Bjoerse, Gisela [Swedish Univ. of Agricultural Sciences, Alnarp (Sweden). Southern Swedish Forest Research Centre

    2000-07-01

    Timber production and protection of biodiversity are two main issues in south Swedish forestry. This thesis explores the possibilities of combining the two issues in a nature-based silviculture. Different branches of science, palaeoecology, silviculture and forest vegetation ecology, were combined to give a multidisciplinary approach to the subject. Mimicking the historical forest composition and processes in the silvicultural measures for the benefit of both biodiversity protection and timber production was identified as one possible way of developing a nature-based silviculture. The long period of human influence on the landscape in southern Sweden has effectively removed all the remnants of natural forest that could have been used as references in the mimicking procedure. Consequently, historical references were searched. A method to describe former forest conditions was developed using palaeoecological data and methods. It was found that the historical deciduous dominance was pronounced. Over 2000 years southern Sweden has been transformed from a deciduous to a coniferous landscape. Human activities were shown to be a major driving force in this change. Several detected historical forest types were possible as references for the mimicking approach, but forest types common in the past and rare today were suggested for maximal efficiency in obtaining high biodiversity. Mixed nemoral deciduous forests were pointed out as a historically widespread forest type with very little resemblance in the present landscape. The small fragments left are important for present biodiversity and from many other aspects. Development of a nature-based silvicultural system for the management of mixed nemoral forest stands based on the theory of mimicking was begun. A silvicultural experiment was established in a near-natural, mixed nemoral forest stand in southern Sweden and the early effects of the silvicultural treatments tested were evaluated with regard to floristic diversity

  11. Silvicultural madness

    DEFF Research Database (Denmark)

    Basnyat, Bijendra; Treue, Thorsten; Pokharel, R.K.

    2018-01-01

    Following a case study approach, this paper explains how scientific forest management plans were developed and implemented in community forests of a mid-hill district in Nepal. Field observations were carried over a period of two years (December 2014 to December 2016) in two community forests. User...... guidelines with little reference to the actual site quality, management objectives, and forest stand conditions. Apart from harvesting of trees, users hardly implemented the plans‘ silvicultural prescriptions and forest restoration activities. Moreover forest officials administratively reduced the number...... of trees that users could harvest to around half of what the plans allow. Accordingly, forest user groups face a paradoxical forest administration that promotes timber harvesting according to so-called scientific principles, which it then brushes aside to satisfy bureaucratic demands. The study concludes...

  12. Effects of silviculture on neotropical migratory birds in central and southeastern oak pine forests

    Science.gov (United States)

    James G. Dickson; Frank R. Thompson; Richard N. Conner; Kathleen E. Franzreb

    1993-01-01

    Avian communities that are associated with forest habitat attributes are affected by silvicultural and other stand influences. Some species have specific habitat requirements, whereas others occupy a broad range of vegetative conditions. In general, bird species richness and density are positively related to stand foliage volume and diversity. Bird density and...

  13. Fire performance in traditional silvicultural and fire and fire surrogate treatments in Sierran mixed-conifer forests: a brief summary

    Science.gov (United States)

    Jason J. Moghaddas; Scott L. Stephens

    2007-01-01

    Mixed conifer forests cover 7.9 million acres of California’s total land base. Forest structure in these forests has been influenced by harvest practices and silvicultural systems implemented since the beginning of the California Gold Rush in 1849. Today, the role of fire in coniferous forests, both in shaping past stand structure and its ability to shape future...

  14. Suppression of Phytophthora ramorum infestations through silvicultural treatment in California's north coast

    Science.gov (United States)

    Yana Valachovic; Chris Lee; Brendan Twieg; David Rizzo; Richard Cobb; Radoslaw Glebocki

    2013-01-01

    In 2006, three forested sites infested with Phytophthora ramorum in Humboldt County, California were subjected to different combinations of treatments designed to reduce inoculum and control spread. One treatment, consisting of removal of all California bay laurel (Umbellularia californica (Hook. & Arn.) Nutt.) and tanoak...

  15. Reapplication of Silvicultural Treatments Impacts Phenology and Photosynthetic Gas Exchange of Loblolly Pine

    Science.gov (United States)

    Zhenmin Tang; Jim L. Chambers; Mary A. Sword; Shufang Yu; James P. Barnett

    2004-01-01

    A loblolly pine (Pinus taeda L.) plantation, established in 1981, was thinned and fertilized in 1988. Thinning and fertilization treatments were applied again in early 1995. The morphology of current flushes and needles were measured between March and October in 1995 through 1997. Physiological responses were monitored in the upper and lower crowns....

  16. A transportation-scheduling system for managing silvicultural projects

    Science.gov (United States)

    Jorge F. Valenzuela; H. Hakan Balci; Timothy McDonald

    2005-01-01

    A silvicultural project encompasses tasks such as sitelevel planning, regeneration, harvestin, and stand-tending treatments. an essential problem in managing silvicultural projects is to efficiently schedule the operations while considering project task due dates and costs of moving scarce resources to specific job locations. Transportation costs represent a...

  17. Use of expert systems for integrated silvicultural planning

    Science.gov (United States)

    Chris B. LeDoux

    1997-01-01

    The use of silvicultural treatments in hardwood stands presents opportunities for increasing the growth and yield of quality sawtimber and enhancing the suitability of the site for use by numerous species of wildlife. Planners, loggers, and managers must consider multiple aspects of the ecosystem when making silvicultural decisions. In this paper we demonstrate an...

  18. Free selection: a silvicultural option

    Science.gov (United States)

    Russell T. Graham; Theresa B. Jain; Jonathan Sandquist

    2007-01-01

    Forest management objectives continue to evolve as the desires and needs of society change. The practice of silviculture has risen to the challenge by supplying silvicultural methods and systems to produce desired stand and forest structures and compositions to meet these changing objectives. For the most part, the practice of silviculture offers a robust set of...

  19. Effects of basal area on survival and growth of longleaf pine when practicing selection silviculture

    International Nuclear Information System (INIS)

    Kara, F.; Loewenstein, E.F.; Brockway, D.G.

    2017-01-01

    Aim of study: Uneven-aged (UEA) management systems can achieve multiple-use objectives, however, use of UEA techniques to manage longleaf pine (Pinus palustris Mill.) forests are still open to question, because of the species’ intolerance of competition. It was our aim to examine the influence of different levels (9.2, 13.8 and 18.4 m2 ha-1) of residual basal area (RBA) on longleaf pine seedling survival and growth following three growing seasons. Area of study: This study was conducted at the Escambia Experimental Forest, located on the Southern Coastal Plain of Alabama, in the southeastern United States. Material and Methods: Selection silviculture was implemented with the Proportional-Basal Area (Pro-B) method. Prescribed burning was conducted before seed dispersal and in the second year after germination. Photosynthetically active radiation (PAR) was measured under the canopy in the study plots. Survival and growth of longleaf pine seedlings were observed for three growing seasons. Main results: An inverse relationship was found between the number of germinants and RBA, but the mortality of germinants and planted seedlings was not affected by RBA. At age three, an inverse relationship was observed between root-collar diameter (RCD) growth of the germinants and RBA, but RCD growth of planted seedlings was not affected by RBA. Most of the study plots contained more than the projected number of seedlings needed to sustain the target diameter structure. Research highlights: Long-term continuous monitoring of seedling development and recruitment into canopy is required to determine the efficacy of UEA management. However, current data suggest that UEA methods may be a viable alternative to the use of even-aged (EA) methods in longleaf ecosystems.

  20. Effects of basal area on survival and growth of longleaf pine when practicing selection silviculture

    Energy Technology Data Exchange (ETDEWEB)

    Kara, F.; Loewenstein, E.F.; Brockway, D.G.

    2017-11-01

    Aim of study: Uneven-aged (UEA) management systems can achieve multiple-use objectives, however, use of UEA techniques to manage longleaf pine (Pinus palustris Mill.) forests are still open to question, because of the species’ intolerance of competition. It was our aim to examine the influence of different levels (9.2, 13.8 and 18.4 m2 ha-1) of residual basal area (RBA) on longleaf pine seedling survival and growth following three growing seasons. Area of study: This study was conducted at the Escambia Experimental Forest, located on the Southern Coastal Plain of Alabama, in the southeastern United States. Material and Methods: Selection silviculture was implemented with the Proportional-Basal Area (Pro-B) method. Prescribed burning was conducted before seed dispersal and in the second year after germination. Photosynthetically active radiation (PAR) was measured under the canopy in the study plots. Survival and growth of longleaf pine seedlings were observed for three growing seasons. Main results: An inverse relationship was found between the number of germinants and RBA, but the mortality of germinants and planted seedlings was not affected by RBA. At age three, an inverse relationship was observed between root-collar diameter (RCD) growth of the germinants and RBA, but RCD growth of planted seedlings was not affected by RBA. Most of the study plots contained more than the projected number of seedlings needed to sustain the target diameter structure. Research highlights: Long-term continuous monitoring of seedling development and recruitment into canopy is required to determine the efficacy of UEA management. However, current data suggest that UEA methods may be a viable alternative to the use of even-aged (EA) methods in longleaf ecosystems.

  1. Variable-retention harvesting as a silvicultural option for lodgepole pine

    Science.gov (United States)

    Christopher R. Keyes; Thomas E. Perry; Elaine K. Sutherland; David K. Wright; Joel M. Egan

    2014-01-01

    Bark beetle-induced mortality in forested landscapes of structurally uniform, even-aged lodgepole pine stands has inspired a growing interest in the potential of silvicultural treatments to enhance resilience by increasing spatial and vertical complexity. Silvicultural treatments can simulate mixed-severity disturbances that create multiaged lodgepole pine stands,...

  2. Effects of silvicultural activity on ecological processes in floodplain forests of the southern United States

    International Nuclear Information System (INIS)

    Lockaby, B.G.; Stanturf, J.A.

    1996-01-01

    Activities associated with timber harvesting have occurred within floodplain forests in the southern United States for nearly two hundred years. However, it is only in the last ten years that any information has become available about the effects of harvesting on the ecological functions of this valuable resource. Hydrology is the driving influence behind all ecological processes in floodplains and, in most cases, timber harvesting alone has little long-term effect on hydroperiod. However, there may be some instances where logging roads, built in association with harvest sites , can alter hydroperiod to the extent that vegetation productivity is altered positively or negatively. There is no documentation that harvesting followed by natural regeneration represents a threat to ground or surface water quality on floodplain sites, as long as Best Management Practices are followed. Harvested floodplains may increase or have little effect on decomposition rates of surface organic matter. The nature of the effect seems to be controlled by site wetness. Data from recently harvested sites (i.e. within the last ten years) suggest that vegetation productivity is maintained at levels similar to that observed prior to harvests. During the early stages of stand development vegetation species composition is heavily influenced by harvest method. Similarly, amphibian populations (monitored as bioindicators of ecosystem recovery) seem to rebound rapidly following harvests, although species composition may be different. 40 refs, 3 figs

  3. Comparison of silvicultural and natural disturbance effects on terrestrial salamanders in northern hardwood forests

    Science.gov (United States)

    Daniel J. Hocking; Kimberly J. Babbitt; Mariko. Yamasaki

    2013-01-01

    In forested ecosystems timber harvesting has the potential to emulate natural disturbances, thereby maintaining the natural communities adapted to particular disturbances. We compared the effects of even-aged (clearcut and patch cut) and uneven-aged (group cut, single-tree selection) timber management techniques with natural ice-storm damage and unmanipulated reference...

  4. Mechanical fuel treatment effects on vegetation in a New Mexico dry mixed conifer forest

    Science.gov (United States)

    Glenn J. Mason; Terrell T. Baker; Douglas S. Cram; Jon C. Boren; Alexander G. Fernald; Dawn M. VanLeeuwen

    2009-01-01

    While the main objective of many silvicultural treatments in the western US is to reduce fire potential, their effects on overstory regeneration, midstory and herbaceous communities is of importance to land managers. To quantify these effects, we measured overstory regeneration, midstory density by species, herbaceous biomass, species richness and cover in commercial...

  5. Vegetation structure, logging damage and silviculture in a tropical rain forest in Suriname

    NARCIS (Netherlands)

    Jonkers, W.B.J.

    1987-01-01

    In the first publication in this series, a polycyclic forest management system was formulated, in which three silvicultural treatments (refinements) were scheduled in a cutting cycle of twenty years. This system, which is referred to as the Celos Silvicultural System, is developed further

  6. Fuels planning: science synthesis and integration; forest structure and fire hazard fact sheet 04: role of silviculture in fuel treatments

    Science.gov (United States)

    Rocky Mountain Research Station USDA Forest Service

    2004-01-01

    The principal goals of fuel treatments are to reduce fireline intensities, reduce the potential for crown fires, improve opportunities for successful fire suppression, and improve forest resilience to forest fires. This fact sheet discusses thinning, and surface fuel treatments, as well as challenges associated with those treatments.

  7. ORGEST: Regional guidelines and silvicultural models for sustainable forest management

    Energy Technology Data Exchange (ETDEWEB)

    Piqué, Míriam; Vericat, Pau; Beltrán, Mario

    2017-11-01

    Aim of the study: To develop regional guidelines for sustainable forest management. Area of the study: Forests of Catalonia (NE Spain). Material and methods: The process of developing the forest management guidelines (FMG) started by establishing a thorough classification of forest types at stand level. This classification hinges on two attributes: tree species composition and site quality based on ecological variables, which together determine potential productivity. From there, the management guidelines establish certain objectives and silvicultural models for each forest type. The forest type classifications, like the silvicultural models, were produced using both existing and newly-built growth models based on data from the National Forest Inventory (NFI) and expert knowledge. The effort involved over 20 expert working groups in order to better integrate the expertise and vision of different sectorial agents. Main results: The FMG consist in quantitative silvicultural models that include typical silvicultural variables, technical descriptions of treatments and codes of good practice. Guidelines now cover almost all forest types in Catalonia (spanning up to 90% of the Catalan forest area). Different silvicultural models have been developed for pure and mixed stands, different site quality classes (2–3 classes per species), and even- and multi-aged stands. Research highlights: FMG: i) orient the management of private and public forests, (ii) provide a technical scaffold for efficient allocation/investment of public subsidies in forest management, and (iii) bridge forest planning instruments at regional (strategic-tactical) and stand (operational) level.

  8. ORGEST: Regional guidelines and silvicultural models for sustainable forest management

    International Nuclear Information System (INIS)

    Piqué, Míriam; Vericat, Pau; Beltrán, Mario

    2017-01-01

    Aim of the study: To develop regional guidelines for sustainable forest management. Area of the study: Forests of Catalonia (NE Spain). Material and methods: The process of developing the forest management guidelines (FMG) started by establishing a thorough classification of forest types at stand level. This classification hinges on two attributes: tree species composition and site quality based on ecological variables, which together determine potential productivity. From there, the management guidelines establish certain objectives and silvicultural models for each forest type. The forest type classifications, like the silvicultural models, were produced using both existing and newly-built growth models based on data from the National Forest Inventory (NFI) and expert knowledge. The effort involved over 20 expert working groups in order to better integrate the expertise and vision of different sectorial agents. Main results: The FMG consist in quantitative silvicultural models that include typical silvicultural variables, technical descriptions of treatments and codes of good practice. Guidelines now cover almost all forest types in Catalonia (spanning up to 90% of the Catalan forest area). Different silvicultural models have been developed for pure and mixed stands, different site quality classes (2–3 classes per species), and even- and multi-aged stands. Research highlights: FMG: i) orient the management of private and public forests, (ii) provide a technical scaffold for efficient allocation/investment of public subsidies in forest management, and (iii) bridge forest planning instruments at regional (strategic-tactical) and stand (operational) level.

  9. Proceedings of the 12th biennial southern silvicultural research conference

    Science.gov (United States)

    Kristina F. Connor; [Editor

    2004-01-01

    Ninety-two papers and thirty-six poster summaries address a range of issues affecting southern forests. Papers are grouped in 15 sessions that include wildlife ecology; fire ecology; natural pine management; forest health; growth and yield; upland hardwoods - natural regeneration; hardwood intermediate treatments; longleaf pine; pine plantation silviculture; site...

  10. Proceedings of the 14th biennial southern silvicultural research conference

    Science.gov (United States)

    John A. Stanturf

    2010-01-01

    A range of issues affecting southern forests are addressed in 113 papers. Papers are grouped into 12 sessions that include carbon; pine silviculture; invasive species; site preparation; hardwood artificial regeneration; longleaf pine; forest health and fire; growth and yield; hardwood intermediate treatments; hardwood natural regeneration; wildlife; and posters.

  11. Large-scale, long-term silvicultural experiments in the United States: historical overview and contemporary examples.

    Science.gov (United States)

    R. S. Seymour; J. Guldin; D. Marshall; B. Palik

    2006-01-01

    This paper provides a synopsis of large-scale, long-term silviculture experiments in the United States. Large-scale in a silvicultural context means that experimental treatment units encompass entire stands (5 to 30 ha); long-term means that results are intended to be monitored over many cutting cycles or an entire rotation, typically for many decades. Such studies...

  12. Treatment Effects

    DEFF Research Database (Denmark)

    Heckman, James J.; Lopes, Hedibert F.; Piatek, Rémi

    2014-01-01

    This paper contributes to the emerging Bayesian literature on treatment effects. It derives treatment parameters in the framework of a potential outcomes model with a treatment choice equation, where the correlation between the unobservable components of the model is driven by a low-dimensional v......This paper contributes to the emerging Bayesian literature on treatment effects. It derives treatment parameters in the framework of a potential outcomes model with a treatment choice equation, where the correlation between the unobservable components of the model is driven by a low...... to observe the same person in both the treated and untreated states, but it also turns out to be straightforward to implement. Formulae are provided to compute mean treatment effects as well as their distributional versions. A Monte Carlo simulation study is carried out to illustrate how the methodology can...

  13. Resistance and resilience: A conceptual framework for silviculture

    Science.gov (United States)

    Robert J. DeRose; James N. Long

    2014-01-01

    Increasingly, forest management goals include building or maintaining resistance and/or resilience to disturbances in the face of climate change. Although a multitude of descriptive definitions for resistance and resilience exist, to evaluate whether specific management activities (silviculture) are effective, prescriptive characterizations are necessary. We introduce...

  14. The sound bases of systemic silviculture

    Directory of Open Access Journals (Sweden)

    Nocentini S

    2009-11-01

    Full Text Available Following recent critiques on systemic silviculture, the author examines the principles, scientific consequences and practical implications of this theory. Systemic silviculture is based on the assumption that the forest is a complex biological system. This means abandoning the reductive, mechanistic and deterministic paradigm that has characterized forest science until the last century. If the forest is a complex biological system then its properties cannot be reduced to those of its components. According to this assumption, the author analyzes the concepts of forest structure, predictability and unpredictability of forest ecosystem processes, intrinsic value and rights of the forest. Systemic silviculture is characterized by an adaptive approach which has the flexibility and the capacity to respond to environmental retroactions which are fundamental for the governance of complex and adaptive systems. The author concludes that the bases of systemic silviculture are unassailable and surely much sounder than those of “naturalistic” silviculture, or at least of that type of silviculture which, trying to define “natural structural models” for forest ecosystems, is still anchored to the old, classic, paradigm of natural resource management and conservation.

  15. Silvicultural Attempts to Induce Browse Resistance in Conifer Seedlings

    Directory of Open Access Journals (Sweden)

    Bruce A. Kimball

    2011-01-01

    Full Text Available A multiyear study was conducted to determine if soil amendment combined with topical application of elemental sulfur could be employed to reduce deer browse damage to four conifer species. Fertilizer and sulfur were applied to conifer seedlings at seven sites near Corvallis, OR. Growth and browse damage data were collected for all seedlings over a period of 17 months. Additionally, foliar concentrations of monoterpenes and simple carbohydrates were assessed in western redcedar (Thuja plicata seedlings over a period of three years. Fertilization and sulfur treatments had a moderate impact on growth and no influence on browse damage or the chemical responses. Over the course of the study, browse damage diminished while foliar monoterpene concentrations increased in redcedar. It appears that silvicultural manipulation via sulfur application and/or soil amendment cannot accelerate or alter the ontogenetical changes that may naturally defend seedlings against mammalian herbivores. In a brief trial with captive deer, redcedar browse resistance was influenced by seedling maturation, but not monoterpene content. Other maturation effects may yield significant browse protection to young seedlings.

  16. Getting to the future through silviculture - Workshop proceedings

    Science.gov (United States)

    Dennis Murphy

    1992-01-01

    Includes 19 papers documenting presentations at the 1991 Forest Service National Silviculture Workshop. Discussions focus on the role of silviculture in New Perspectives (ecosystem management), new approaches to the practice of silviculture, and examples of successful integration of practices into multi resource management.

  17. The management system of silvicultural practices

    Directory of Open Access Journals (Sweden)

    Carbone F

    2012-02-01

    Full Text Available The coexistence of public and private interests on forest ecosystems makes the silvicultural interventions the most thorny moment of their management. In this paper the author analyzes the characteristics of forest firms and logging companies usually involved in forest management. The relations between their legitimate interests, expectations and strategies, the ways by which forest firm may entrust the execution of the silvicultural intervention, etc. are aspects strongly connected with the public interests, which is protected by forestry institutions. Silvicultural system of management interventions is the context where public interests are coordinated with the private interests. The output are qualitative and quantitative standards for the use of forest resources. Moving on from this preliminary to the executive phase, the case study has highlighted the crucial role played by foresters, who have to guarantee the coexistence of public and private interests on forests.

  18. Social implications of alternatives to clearcutting on the Tongass National Forest: an exploratory study of residents' responses to alternative silvicultural treatments at Hanus Bay, Alaska.

    Science.gov (United States)

    James A. Burchfield; Jeffrey M. Miller; Stewart Allen; Robert F. Schroeder; Theron. Miller

    2003-01-01

    After a series of eight harvest treatments were completed at Hanus Bay, Alaska, on the Tongass National Forest in 1998, 27 respondents representing nine interest groups were interviewed to understand their reactions to the various harvest patterns in the eight treatment areas. Harvests patterns included three stands with 25 percent retention of basal area; three stands...

  19. Communicating the role of silviculture in managing the national forests: Proceedings of the National Silviculture Workshop

    Science.gov (United States)

    Northeastern Forest Experiment Station

    1997-01-01

    Contains 32 articles on communicating the values and benefits of silviculture in managing the national forests. Specific topics addressed are how communications affect: policymakers, inventory and monitoring, resource management, research, education and demonstration, and partnerships.

  20. Efficient silvicultural practices for eastern hardwood management

    Science.gov (United States)

    Gary W. Miller; John E. Baumgras

    1994-01-01

    Eastern hardwood forests are now managed to meet a wide range of objectives, resulting in the need for silvicultural alternatives that provide timber, wildlife, aesthetics, recreation, and other benefits. However, forest management practices must continue to be efficient in terms of profiting from current harvests, protecting the environment, and sustaining production...

  1. Forest management practices and silviculture. Chapter 12.

    Science.gov (United States)

    Donald A. Perala; Elon S. Verry

    2011-01-01

    This chapter is an overview of forest management and silviculture practices, and lessons learned, on the Marcell Experimental Forest (MEF). The forests there are a mosaic of natural regeneration and conifer plantations. Verry (1969) described forest-plant communities in detail for the study watersheds (Sl through S6) on the MEF. The remaining area is described in...

  2. Silvicultural systems for southern bottomland hardwood forests

    Science.gov (United States)

    James S. Meadows; John A. Stanturf

    1997-01-01

    Silvicultural systems integrate both regeneration and intermediate operations in an orderly process for managing forest stands. The clearcutting method of regeneration favors the development of species that are moderately intolerant to intolerant of shade. In fact, clearcutting is the most proven and widely used method of successfully regenerating bottomland oak...

  3. Impacts of silvicultural thinning treatments on beetle trap captures and tree attacks during low bark beetle populations in ponderosa pine forests of northern Arizona.

    Science.gov (United States)

    Gaylord, M L; Hofstetter, R W; Wagner, M R

    2010-10-01

    Our research used a combination of passive traps, funnel traps with lures, baited trees, and surveys of long-term thinning plots to assess the impacts of different levels of stand basal area (BA) on bark beetle tree attack and on trap captures of Ips spp., Dendroctonus spp., and their predators. The study occurred at two sites in ponderosa pine, Pinus ponderosa Dougl. ex Laws., forests, from 2004 to 2007 during low bark beetle populations. Residual stand BA ranged from 9.0 to 37.0 m2/ha. More predators and bark beetles were collected in passive traps in stands of lower BA than in stands of higher BA; however, significance varied by species and site, and total number of beetles collected was low. Height of the clear panel passive traps affected trap catches for some species at some sites and years. When pheromone lures were used with funnel traps [Ips pini (Say) lure: lanierone, +03/-97 ipsdienol], we found no significant difference in trap catches among basal area treatments for bark beetles and their predators. Similarly, when trees were baited (Dendroctonus brevicomis LeConte lure: myrcene, exo-brevicomin and frontalin), we found no significant difference for days to first bark beetle attack. Surveys of long-term thinning treatments found evidence of bark beetle attacks only in unthinned plots (approximately 37 m2/ha basal area). We discuss our results in terms of management implications for bark beetle trapping and control.

  4. Using silviculture to influence carbon sequestration in southern Appalachian spruce-fir forests

    Science.gov (United States)

    Patrick T. Moore; R. Justin DeRose; James N. Long; Helga. van Miegroet

    2012-01-01

    Enhancement of forest growth through silvicultural modification of stand density is one strategy for increasing carbon (C) sequestration. Using the Fire and Fuels Extension of the Forest Vegetation Simulator, the effects of even-aged, uneven-aged and no-action management scenarios on C sequestration in a southern Appalachian red spruce-Fraser fir forest were modeled....

  5. Using Silviculture to Influence Carbon Sequestration in Southern Appalachian Spruce-Fir Forests

    Directory of Open Access Journals (Sweden)

    Patrick T. Moore

    2012-06-01

    Full Text Available Enhancement of forest growth through silvicultural modification of stand density is one strategy for increasing carbon (C sequestration. Using the Fire and Fuels Extension of the Forest Vegetation Simulator, the effects of even-aged, uneven-aged and no-action management scenarios on C sequestration in a southern Appalachian red spruce-Fraser fir forest were modeled. We explicitly considered C stored in standing forest stocks and the fate of forest products derived from harvesting. Over a 100-year simulation period the even-aged scenario (250 Mg C ha1 outperformed the no-action scenario (241 Mg C ha1 in total carbon (TC sequestered. The uneven-aged scenario approached 220 Mg C ha1, but did not outperform the no-action scenario within the simulation period. While the average annual change in C (AAC of the no-action scenario approached zero, or carbon neutral, during the simulation, both the even-aged and uneven-aged scenarios surpassed the no-action by year 30 and maintained positive AAC throughout the 100-year simulation. This study demonstrates that silvicultural treatment of forest stands can increase potential C storage, but that careful consideration of: (1 accounting method (i.e., TC versus AAC; (2 fate of harvested products and; (3 length of the planning horizon (e.g., 100 years will strongly influence the evaluation of C sequestration.

  6. Comparing Floristic Diversity between a Silviculturally Managed Arboretum and a Forest Reserve in Dambulla, Sri Lanka

    Directory of Open Access Journals (Sweden)

    B. D. Madurapperuma

    2014-01-01

    Full Text Available Repeated slash and burn cultivation creates wasteland with thorny shrubs, which then takes a long time to become secondary forests through serial stages of succession. Assisted natural regeneration through silvicultural management is a useful restoration method to accelerate succession. This survey evaluates the effectiveness of a simple silvicultural method for the rehabilitation of degraded lands to productive forest, thereby increasing floristic wealth. Field-based comparative analyses of floristic composition were carried out at a silviculturally managed forest (Popham Arboretum and a primary forest (Kaludiyapokuna Forest Reserve which is located in Dambulla in Sri Lanka. Floristic analysis was used to examine the effectiveness of silvicultural techniques for successful restoration of degraded forest in the dry zone. Nine 20 m × 20 m plots in each forest were enumerated and the vegetation ≥ 10 cm girth at breast height was quantitatively analyzed. Cluster analysis resulted in five distinguishable clusters (two from Popham Arboretum and three from Kaludiyapokuna Forest Reserve. Similarity indices were generated to compare the plots within and between sites. Floristic similarity was higher in forest reserve plots compared to arboretum plots. A total of 72 plant species belonging to 60 genera and 26 families were recorded from the study sites. Of the recorded species, Grewia damine and Syzygium cumini (Importance Value Index, IVI = 24 and 23 respectively were the ecologically co-dominant taxa at the Popham Arboretum. In contrast, Mischodon zeylanicus (IVI = 31, Schleichera oleosa (IVI = 25 and Diospyros ebenum (IVI = 21 were the abundant taxa in the forest reserve.

  7. History of silviculture on public lands

    Science.gov (United States)

    James M. Guldin

    2014-01-01

    There are many instances in scholarly activity where the writing of a colleague is made more vivid when one knows him or her personally—and Eric Zenner’s essay is certainly no exception! I can see Eric at a podium of a forestry school in the United States or Europe, emphatically proclaiming that “Silviculture is the pen with which our profession writes, but too often...

  8. Silvicultural guide for northern hardwoods in the northeast

    Science.gov (United States)

    William B. Leak; Mariko Yamasaki; Robbo. Holleran

    2014-01-01

    This revision of the 1987 silvicultural guide includes updated and expanded silvicultural information on northern hardwoods as well as additional information on wildlife habitat and the management of mixed-wood and northern hardwood-oak stands. The prescription methodology is simpler and more field-oriented. This guide also includes an appendix of familiar tables and...

  9. Silviculture of southwestern ponderosa pine: The status of our knowledge

    Science.gov (United States)

    Gilbert H. Schubert

    1974-01-01

    Describes the status of our knowledge of ponderosa pine silviculture in the southwestern States of Arizona, Colorado, New Mexico, and Utah. Economic value, impact on other uses, and the timber resource are discussed first, followed by ecological background, site quality, growth and yield, and silviculture and management. Relevant literature is discussed along with...

  10. Forest regulation methods and silvicultural systems: what are they?

    Science.gov (United States)

    Ivan L. Sander; Burnell C. Fischer

    1989-01-01

    "Forest regulation methods" and "silvicultural systems" are important forest resource management concepts but there is much confusion about them. They often mean different things to different individuals. Confusion exists in part because "forest regulation methods" and "silvicultural systems" often use the same terminology. Also...

  11. How applicable is even-aged silviculture in the northeast?

    Science.gov (United States)

    Ralph H. Griffin

    1977-01-01

    The applicability of even-aged silviculture in the management of forest stands in the Northeast is examined through consideration of the forest stand, stand development, intermediate cuttings, and regeneration methods. It is concluded that even-aged silviculture is quite applicable in the management of forest stands in the Northeast.

  12. Shifting conceptions of complexity in forest management and silviculture

    Science.gov (United States)

    Robert T. Fahey; Brandon C. Alveshere; Julia I. Burton; Anthony W. D' Amato; Yvette L. Dickinson; William S. Keeton; Christel C. Kern; Andrew J. Larson; Brian J. Palik; Klaus J. Puettmann; Michael R. Saunders; Christopher R. Webster; Jeff W. Atkins; Christopher M. Gough; Brady S. Hardiman

    2018-01-01

    In the past several decades, a trend in forestry and silviculture has been toward promoting complexity in forest ecosystems, but how complexity is conceived and described has shifted over time as new ideas and terminology have been introduced. Historically, ecologically-focused silviculture has focused largely on manipulation of structural complexity, but often with...

  13. Proceedings of the National Silviculture Workshop: Silviculture for All Resources; Sacramento, CA; May 11-14, 1987

    Science.gov (United States)

    Melanie Malespin Woolever; Mike Smith; Elizabeth McGraw; Mike Lanasa; Arthur C. Zack; Chris Reichert; Robert MacWhorter; Michael R. Lennartz; Richard A. Lancia; Marc G. Rounsaville; James R. Sedell; Fred H. Everest; David R. Gibbons; Stephen R. Shifley; Melinda Moeur; David A. Marquis; Richard O. Fitzgerald; Nelson Loftus; Thomas C. Turpin; William R. Terrill; Glenn L. Crouch; Wayne D. Shepperd; Edith W. Petrick; John J. Petrick; Roger W. Dennington; Allan W. Ashton; Hubertus J. Mittmann; Gary Thompson; Ken Sonksen; David A. Stark; Michael A. Ware; Allan J. West; Patrick D. Jackson; Richard L. Bassett; Jimmie D. Chew; William B. White; Bruce W. Morse; Mike Znerold; Russell T. Graham; Peyton W. Owston; Richard G. Miller; John R. Nesbitt; Gaston Porterie; Ernest Del Rio

    1987-01-01

    The 1987 National Silviculture Workshop was held in Sacramento, California, and the Eldorado National Forest. The purpose of the workshop was to discuss, review, and share information and experiences regarding how silviculture can serve as the tool to help accomplish the objectives of many resources.

  14. Proceedings of the National Silviculture Workshop: Economics Of Silvicultural Investments; Eugene, OR; May 16-20, 1983

    Science.gov (United States)

    Clark Row; Charles Palmer; Robert M. Randall; Tom Ortman; James P. Merzenich; Gary Manning; George Howe; Jim McDivitt; Chris Hansen; Willard R. Fey; Vernon L. Robinson; K. E. Sleavin; K. N. Johnson; Roger D. Fight; L. O. (Pete) Stanger; Lee Medema; Christopher D. Risbrudt; Richard W. Guldin; Richard Greenhalgh; Mike Skinner; John Fiske; Thomas J. Mills; John H. Beuter

    1983-01-01

    The 1983 Silviculture Workshop was held in Eugene, Oregon, and the Willamette National Forest. The purpose of the workshop was to review and discuss the requirements by laws, regulations, and Forest Service policy of the need for and uses of economic analyses in silvicultural program planning and development.

  15. Proceedings of the National Silviculture Workshop: Silvicultural Examination, Prescription, and Related Activities; Missoula, Montana; September 26-28, 1978

    Science.gov (United States)

    Norman E. Gould; Don Potter; Ray Johnston; Jim Loton; Donald Pierce; Ronald C. Hamilton; George E. Gruell; Victor DeKalb; Dav Wright; Bill Beaufait; Dan Schroeder; Bob Blomquist; John C. Tappeiner; Carl Puuri; Dav Terry; R. E. Stewart; Walter H. Knapp

    1978-01-01

    The 1978 Silviculture Workshop was held in Missoula, Montana, September 26-28, 1978. The objective of the meeting was to discuss Silvicultural prescriptions, standards of certification for silviculturists, certification of planting and thinning projects, and other related items of interest. These proceedings includes the presentations that were available for...

  16. Effects of Clone, Silvicultural, and Miticide Treatments on Cottonwood Leafcurl Mite (Acari: Eriophyidae) Damage in Plantation Populus

    Science.gov (United States)

    David R. Coyle

    2002-01-01

    Aculops lobuliferus (Keifer) is a little known pest of plantation Populus spp., which is capable of causing substantial damage. This is the First documented occurrence of A. lobuliferus in South Carolina. Previous anecdotal data indicated clonal variation in Populus susceptibility to A...

  17. Physiological responses of eastern hemlock (Tsuga Canadensis) to biological control and silvicultural release: implications for hemlock restoration

    Science.gov (United States)

    Chelcy F. Miniat; David Zeitlow; Steven T. Brantley; Albert (Bud) Mayfield; Rusty Rhea; Robert Jetton; Paul.  Arnold

    2016-01-01

    The rapid loss of eastern hemlock (Tsuga canadensis) from riparian zones in the southern Appalachian Mountains due to Hemlock Woolly Adelgid (Adelgis tsugae, HWA) infestation has resulted in changes to watershed structure and function. Several restoration strategies have been proposed, including silvicultural treatments that increase incident light in forest...

  18. Mid-rotation silviculture timing influences nitrogen mineralization of loblolly pine plantations in the mid-south USA

    Science.gov (United States)

    Michael A. Blazier; D. Andrew Scott; Ryan Coleman

    2015-01-01

    Intensively managed loblolly pine (Pinus taeda L.) plantations often develop nutrient deficiencies near mid-rotation. Common silvicultural treatments for improving stand nutrition at this stage include thinning, fertilization, and vegetation control. It is important to better understand the influence of timing fertilization and vegetation control...

  19. Two-age silviculture: an innovative tool for enhancing species diversity and vertical structure in Appalachian hardwoods

    Science.gov (United States)

    Gary W. Miller; Petra B. Wood; Jeffrey V. Nichols; Jeffrey V. Nichols

    1995-01-01

    Silvicultural practices that promote a two-age stand structure provide an opportunity to maintain diversity of woody species and vertical structure for extended periods of time in Appalachian hardwoods. Data from four two-age stands initiated by deferment cutting in West Virginia are summarized for the first 10 to 15 years after treatment. Results indicated that 15...

  20. Silvicultural practices and soil protection

    International Nuclear Information System (INIS)

    Ranger, Jacques; Nys, Claude; Legout, Arnaud; Dambrine, Etienne; Augusto, Laurent; Berthelot, Alain; Bouchon, Jean; Ottorini, Jean-Marc; Cacot, Emmanuel; Gavaland, Andre; Laclau, Jean-Paul; Saint-Andre, Laurent; Nicolas, Manuel; Ponette, Quentin

    2011-01-01

    The purpose of this work is to assess the risks deriving from current forestry practices on the sustainability of soil function and ecosystems. The relationship between the production function and the soil conservation function translates as a certain conflict between these two options. Stresses on the chemical fertility of the soil were analysed from the least intensive to the most intensive treatments, i.e. from forest reserves to very short rotation, treated lignocellulosic crops. Under the extensive systems, high grade biological recycling is sustainable if logging is confined to trunks alone. Dressings can correct the slow but inevitable acidification of soils. When treatments are intensive, the natural fertility of forest soils cannot sustain production; only soils with suitable physical qualities combined with application of appropriate inputs enable sustained high levels of output to be achieved, in particular under the short rotation systems. (authors)

  1. Tropical forest recovery from logging: a 24 year silvicultural experiment from Central Africa.

    Science.gov (United States)

    Gourlet-Fleury, Sylvie; Mortier, Frédéric; Fayolle, Adeline; Baya, Fidèle; Ouédraogo, Dakis; Bénédet, Fabrice; Picard, Nicolas

    2013-01-01

    Large areas of African moist forests are being logged in the context of supposedly sustainable management plans. It remains however controversial whether harvesting a few trees per hectare can be maintained in the long term while preserving other forest services as well. We used a unique 24 year silvicultural experiment, encompassing 10 4 ha plots established in the Central African Republic, to assess the effect of disturbance linked to logging (two to nine trees ha⁻¹ greater than or equal to 80 cm DBH) and thinning (11-41 trees ha⁻¹ greater than or equal to 50 cm DBH) on the structure and dynamics of the forest. Before silvicultural treatments, above-ground biomass (AGB) and timber stock (i.e. the volume of commercial trees greater than or equal to 80 cm DBH) in the plots amounted 374.5 ± 58.2 Mg ha⁻¹ and 79.7 ± 45.9 m³ ha⁻¹, respectively. We found that (i) natural control forest was increasing in AGB (2.58 ± 1.73 Mg dry mass ha⁻¹ yr⁻¹) and decreasing in timber stock (-0.33 ± 1.57 m³ ha⁻¹ yr⁻¹); (ii) the AGB recovered very quickly after logging and thinning, at a rate proportional to the disturbance intensity (mean recovery after 24 years: 144%). Compared with controls, the gain almost doubled in the logged plots (4.82 ± 1.22 Mg ha⁻¹ yr⁻¹) and tripled in the logged + thinned plots (8.03 ± 1.41 Mg ha⁻¹ yr⁻¹); (iii) the timber stock recovered slowly (mean recovery after 24 years: 41%), at a rate of 0.75 ± 0.51 m³ ha⁻¹ yr⁻¹ in the logged plots, and 0.81 ± 0.74 m³ ha⁻¹ yr⁻¹ in the logged + thinned plots. Although thinning significantly increased the gain in biomass, it had no effect on the gain in timber stock. However, thinning did foster the growth and survival of small- and medium-sized timber trees and should have a positive effect over the next felling cycle.

  2. Silviculture and forest protection: results and prospects from third Italian National Congress of Silviculture

    Directory of Open Access Journals (Sweden)

    2009-03-01

    Full Text Available This paper summarizes the topics discussed during the session “Silviculture, Forest Protection” of the Third Italian National Congress of Silviculture. The health of Italian forests is often depending on irrational forest exploitation schemes and is threatened by the arrival of invasive species, the strengthening of native pests and diseases, and the increase of stress related to changing environment (both climate and pollution. The climate change is considered as a major complication in forest protection, as it is related to increasing outbreaks both directly and indirectly, through changes in tree physiology. Drawbacks are observed on biodiversity, forest growth and productivity, and protective function of forests. Ecosystems with high biodiversity may show a high degree of resilience to the changes. It is important to address these issues in the framework of the systemic silviculture approach to the management of Italian forests. Important requisites are availability of trained staff, funding for research and monitoring projects, access to the most uptodated scientific knowledge and methodologies. An integration of different types of available expertise (entomologists, plant pathologists, pollution scientists is also envisaged.

  3. Basic principles, mosaic of knowledges and adaptive silviculture

    Directory of Open Access Journals (Sweden)

    Borghetti M

    2012-07-01

    Full Text Available Achievements of ecological science and direct experience are of great help for the interpretation of forest ecosystem dynamics and the definition of adaptive procedures for forest manipulation, i.e. adaptive silviculture.

  4. Influence of residual basal area on longleaf pine (Pinus palustris Mill.) first year germination and establishment under selection silviculture

    Science.gov (United States)

    Ferhat Kara; Edward F. Loewenstein

    2015-01-01

    Even-aged silvicultural methods have been successfully used to manage longleaf pine (Pinus palustris Mill.) forests for wood production; however, successful use of uneven-aged methods to manage this ecosystem is less well documented. In this study, the effects of varying levels of residual basal area (RBA) (9.2, 13.8, and 18.4 m2...

  5. Development of silvicultural systems for maintaining old-growth conditions in the temperate rainforest of southeast Alaska.

    Science.gov (United States)

    Michael H. McClellan

    2004-01-01

    In the old-growth temperate rainforests of southeast Alaska, concerns over clearcutting effects on habitat, visual quality, slope stability, and biodiversity have created a demand for the use of other silvicultural systems. The forest vegetation and animal taxa of southeast Alaska appear to be well adapted to frequent, widespread, small-scale disturbance, suggesting...

  6. The effect of plantation silviculture on soil organic matter and particle-size fractions in Amazonia O efeito de manejo silvicultural de eucalipto sobre matéria orgânica e frações de solo na Amazônia

    Directory of Open Access Journals (Sweden)

    Troy Patrick Beldini

    2009-12-01

    Full Text Available Eucalyptus grandis and other clonal plantations cover about 3.5 million ha in Brazil. The impacts of intensively-managed short-rotation forestry on soil aggregate structure and Carbon (C dynamics are largely undocumented in tropical ecosystems. Long-term sustainability of these systems is probably in part linked to maintenance of soil organic matter and good soil structure and aggregation, especially in areas with low-fertility soils. This study investigated soil aggregate dynamics on a clay soil and a sandy soil, each with a Eucalyptus plantation and an adjacent primary forest. Silvicultural management did not reduce total C stocks, and did not change soil bulk density. Aggregates of the managed soils did not decrease in mass as hypothesized, which indicates that soil cultivation in 6 year cycles did not cause large decreases in soil aggregation in either soil texture. Silt, clay, and C of the sandy plantation soil shifted to greater aggregate protection, which may represent a decrease in C availability. The organic matter in the clay plantation soil increased in the fractions considered less protected while this shift from C to structural forms considered more protected was not observed.Este trabalho teve como objetivo investigar a dinâmica dos agregados do solo e das suas frações derivadas dos mesmos em duas texturas de solo, cada uma com uma plantação de Eucalipto e uma floresta primaria imediatamente adjacente. Eucalyptus grandis e outros clones cultivados em plantações cobrem aproximadamente 3,5 milhões de hectares no Brasil. Os impactos de manejo intensivo de plantações de rotação curta sobre a estrutura de solo e a dinâmica de carbono (C são em grande parte desconhecidos em ecossistemas tropicais. No longo prazo, a sustentabilidade desses sistemas é provavelmente ligada à manutenção da matéria orgânica e à estrutura de agregação do solo, principalmente em áreas de solos de baixa fertilidade. Manejo silvicultural n

  7. Gap-based silviculture in a sierran mixed-conifer forest: effects of gap size on early survival and 7-year seedling growth

    Science.gov (United States)

    Robert A. York; John J. Battles; Robert C. Heald

    2007-01-01

    Experimental canopy gaps ranging in size from 0.1 to 1.0 ha (0.25 to 2.5 acres) were created in a mature mixed conifer forest at Blodgett Forest Research Station, California. Following gap creation, six species were planted in a wagon-wheel design and assessed for survival after two growing seasons. Study trees were measured after seven years to describe the effect of...

  8. Sustainability, the Greenhouse effect, silviculture, and overpopulation

    Energy Technology Data Exchange (ETDEWEB)

    Hall, F.K. (International Paper Co., Corporate Research Center, Tuxedo Park, NY (US))

    1991-10-01

    Ever since man became conscious of the finite dimensions of Planet Earth, he has worried about his ability to survive in an ever-more crowded environment. This paper reports that the fundamental question underlying this concern is sustainability: Can we indefinitely supply, maintain, and prolong that which we have This question is, of course, multifaceted. Man's early concerns quickly polarized the scientists and economists of this world into two philosophical camps---the Malthusians and the Cornucopians. Over time, economists learned that Malthus seriously underestimated the capacity of technology to enhance productivity, although Malthusian sympathizers (both scientists and economists) continually raised the specter of imminent doom. Much of what lies ahead will provide a series of daunting challenges for us all, and the engine that drives sustainability has to be technology. The central issue is to ensure that the right kind of technology is available, and that it is used widely to ensure sustainability.

  9. Sustainability, the Greenhouse effect, silviculture, and overpopulation

    International Nuclear Information System (INIS)

    Hall, F.K.

    1991-01-01

    Ever since man became conscious of the finite dimensions of Planet Earth, he has worried about his ability to survive in an ever-more crowded environment. This paper reports that the fundamental question underlying this concern is sustainability: Can we indefinitely supply, maintain, and prolong that which we have? This question is, of course, multifaceted. Man's early concerns quickly polarized the scientists and economists of this world into two philosophical camps---the Malthusians and the Cornucopians. Over time, economists learned that Malthus seriously underestimated the capacity of technology to enhance productivity, although Malthusian sympathizers (both scientists and economists) continually raised the specter of imminent doom. Much of what lies ahead will provide a series of daunting challenges for us all, and the engine that drives sustainability has to be technology. The central issue is to ensure that the right kind of technology is available, and that it is used widely to ensure sustainability

  10. Eastern hemlock response to even- and uneven-age management in the Acadian forest: results from the Penobscot Experimental Forest long-term silviculture study

    Science.gov (United States)

    John C. Brissette; Laura S. Kenefic

    2000-01-01

    Eastern hemlock (Tsuga canadensis (L.) Carr.) is an important tree species in the mixed-species conifer forests of northern New England and adjacent Canada. Hemlock is very tolerant of understory conditions; consequently, it responds differently to various silvicultural treatments. In a long-term study at the Penobscot Experimental Forest in east-...

  11. Combining Silviculture and Landscape Architecture to Enhance the Roadside View

    Science.gov (United States)

    Philip M. McDonald; R. Burton Litton Jr.

    1998-01-01

    On a high-quality site in the mixed conifer forest of northern California, understory and overstory vegetation along a 3-mile paved county road were manipulated to enhance the view for the traveler. Traditional silvicultural cutting methods and landscape architectural techniques were blended to give contrast and variability to the vegetation along both sides of the...

  12. Plantation Forestry in Sub Saharan Africa: Silvicultural, Ecological ...

    African Journals Online (AJOL)

    This paper discusses the potentials of meeting the wood demand and achieving SFM in Sub-Saharan Africa (SSA) through the establishment of forest plantations. The paper reviews forest plantation ownership and distribution patterns in SSA and the factors –silvicultural, ecological, and economic that affect supply and ...

  13. A financial evaluation of two contrasting silvicultural systems ...

    African Journals Online (AJOL)

    The Loblolly pine (Pinus taeda L.) plantation area in north-east Uruguay was 108 000 ha in 2008. Recent industrial capacity developments have resulted in major structural changes. Silvicultural system selection depends on site productivity, costs, timber prices and public policies. This study aimed to assess economic ...

  14. Silviculture: what is it like, and where have we journeyed?

    Science.gov (United States)

    Ralph D. Nyland

    1997-01-01

    The philosophy of ecosystem management calls for a new way of doing business. It represents an evolution of thinking and acting that began during the era of dominant use, and continued through the time of multiple use. As such, ecosystem management represents a maturing of thought about silviculture and other aspects of natural resources management and use. It stresses...

  15. Silvicultural approaches to animal damage management in Pacific Northwest forests.

    Science.gov (United States)

    Hugh C. Black

    1992-01-01

    This book examines the potential of Silvicultural approaches for managing animal damage in forests at two levels: management of free-to-grow stands and sitespecific practices that foster prompt and successful regeneration. Introductory chapters provide a historical perspective of animal damage management in the Pacific Northwest, describe the elements of an integrated...

  16. Evolution of silvicultural thinning: from rejection to transcendence

    Science.gov (United States)

    Boris Zeide

    2006-01-01

    Our views on a main tool of forestry, silvicultural thinning, have changed greatly since the beginning of forestry over 200 years ago. At first, thinning was rejected as something unnatural and destructive. It was believed that the densest stands were the most productive and any thinning only detracted from maximum growth produced by nature. This philosophy was still...

  17. Large-scale silviculture experiments of western Oregon and Washington.

    Science.gov (United States)

    Nathan J. Poage; Paul D. Anderson

    2007-01-01

    We review 12 large-scale silviculture experiments (LSSEs) in western Washington and Oregon with which the Pacific Northwest Research Station of the USDA Forest Service is substantially involved. We compiled and arrayed information about the LSSEs as a series of matrices in a relational database, which is included on the compact disc published with this report and...

  18. Use of microcomputers for planning and managing silviculture habitat relationships.

    Science.gov (United States)

    B.G. Marcot; R.S. McNay; R.E. Page

    1988-01-01

    Microcomputers aid in monitoring, modeling, and decision support for integrating objectives of silviculture and wildlife habitat management. Spreadsheets, data bases, statistics, and graphics programs are described for use in monitoring. Stand growth models, modeling languages, area and geobased information systems, and optimization models are discussed for use in...

  19. Integrated management of carbon sequestration and biomass utilization opportunities in a changing climate: Proceedings of the 2009 National Silviculture Workshop; 2009 June 15-18; Boise, ID.

    Science.gov (United States)

    Theresa B. Jain; Russell T. Graham; Jonathan Sandquist

    2010-01-01

    Forests are important for carbon sequestration and how they are manipulated either through natural or human induced disturbances can have an effect on CO2 emissions and carbon sequestration. The 2009 National Silviculture Workshop presented scientific information and management strategies to meet a variety of objectives while simultaneously addressing carbon...

  20. Carbon rentals and silvicultural subsidies for private forests as climate policy instruments

    International Nuclear Information System (INIS)

    Uusivuori, J.; Laturi, J.

    2007-01-01

    The impacts of potential climate policy instruments on the carbon production of privately owned and operated forests were investigated. A forest model with an endogenous growth description and age-class structure was used to describe both the output supply and input demand decisions of a private non-industrial landowner with optimized consumption flow, harvest timing, and an intertemporal allocation of forest investments. Two scenarios were examined, notably (1) a scenario in which the landowner was granted periodic carbon rental payments; and (2) a scenario in which the government subsidized the costs of silvicultural investments. The intended and unintended effects of the policies were examined. Models were used to demonstrate that the effectiveness of the instruments was significantly influenced by the age-class structure of forests when future carbon benefits were discounted. It was concluded that carbon rental payments were a more effective policy for older age-class structured forests. Silvicultural subsidies were more beneficial for forests with younger age-class structures. 21 refs., 6 figs

  1. Response of the boreal forest ecosystem to climatic change and its silvicultural implications

    Energy Technology Data Exchange (ETDEWEB)

    Kellomaeki, S.; Haenninen, H.; Karjalainen, T. [Joensuu Univ. (Finland). Faculty of Forestry] [and others

    1996-12-31

    During the next 100 years, the mean annual temperature is expected to be 1-6 deg C higher than at present. It is also expected to be accompanied by a lengthening of the thermal growing season and increased precipitation. Consequently, climatic change will increase the uncertainty of the management of forest ecosystems in the future. In this context, this research project aimed to outline the ecological and silvicultural implications of climatic change with regard to (1) how the expected climatic change might modify the functioning and structure of the boreal forest ecosystem, and (2) how the silvicultural management of the forest ecosystem should be modified in order to maintain sustainable forest yield under changing climatic conditions. The experimental component of the project concerned first the effect that elevating temperature and elevating concentration of atmospheric carbon have on the ontogenetic development of Scots pine (Pinus sylvestris L) and on the subsequent increase in frost damage during winter. The second part of the study looked the effect of elevating temperature and elevating concentration of atmospheric carbon on the growth of Scots pine through photosynthesis, respiration, transpiration, nutrient supply, and changes in crown structure. This experiment was utilised in several subprojects of the overall project

  2. Response of the boreal forest ecosystem to climatic change and its silvicultural implications

    Energy Technology Data Exchange (ETDEWEB)

    Kellomaeki, S; Haenninen, H; Karjalainen, T [Joensuu Univ. (Finland). Faculty of Forestry; and others

    1997-12-31

    During the next 100 years, the mean annual temperature is expected to be 1-6 deg C higher than at present. It is also expected to be accompanied by a lengthening of the thermal growing season and increased precipitation. Consequently, climatic change will increase the uncertainty of the management of forest ecosystems in the future. In this context, this research project aimed to outline the ecological and silvicultural implications of climatic change with regard to (1) how the expected climatic change might modify the functioning and structure of the boreal forest ecosystem, and (2) how the silvicultural management of the forest ecosystem should be modified in order to maintain sustainable forest yield under changing climatic conditions. The experimental component of the project concerned first the effect that elevating temperature and elevating concentration of atmospheric carbon have on the ontogenetic development of Scots pine (Pinus sylvestris L) and on the subsequent increase in frost damage during winter. The second part of the study looked the effect of elevating temperature and elevating concentration of atmospheric carbon on the growth of Scots pine through photosynthesis, respiration, transpiration, nutrient supply, and changes in crown structure. This experiment was utilised in several subprojects of the overall project

  3. Geographical information systems (GIS), a great tool for urban silviculture

    International Nuclear Information System (INIS)

    Otaya Burbano, Leodan Andres; Sanchez Zapata, Robinson de Jesus; Morales Soto, Leon; Botero Fernandez, Veronica

    2006-01-01

    As a pilot phase, to acquire experience, define methodologies and determine the advantages of Geographical Information Systems (GIS) for applying to urban silviculture and inventory, diagnosis, management plan and economic appraisal were made for the urban forest in the Magnolia neighborhood of the Envigado municipality, department of Antioquia, Colombia. for the management and analysis of the data collected in field, a database was designed using the software microsoft Access. The species inventoried were mapped digitally and the conditions there were analyzed using some tools and extensions of technological architecture ArcGIS 8.3 such as: characteristics, silviculture practices required, and environmental conflicts. It was determined that the GIS analysis of the urban forest conducted for a specific neighborhood can be a tool that permits environmental authorities and interested researchers to have agile and easy access to the information stored in it; it permits programming of required silviculture activities; it also permits having a general vision of the urban forest according to the infrastructure of the neighborhood, complemented by photographs of the area for improved illustration; it permits the inclusion or elimination of information in a rapid and simple manner, thus facilitating decision making with relation to management of the urban woodland and for comparison with other similar studies

  4. Ecology and silviculture of the spruce-fir forests of eastern North America

    Science.gov (United States)

    Marinus. Westveld

    1953-01-01

    Using the climax forest as a guide to growing the species best suited to the climate and the site, the author offers a silvicultural system for managing the spruce-fir forests of eastern North America. Based on ecological principles, such silviculture is aimed to bring about forests that are inherently healthy and have a natural resistance to insects and disease.

  5. A special issue of the Journal of Forestry---proceedings of the 2013 National Silviculture Workshop

    Science.gov (United States)

    James M. Guldin; Marilyn A. Buford

    2014-01-01

    This special issue of the Journal of Forestry presents the Proceedings of the 2013 National Silviculture Workshop (NSW), which was held as one of the concurrent sessions of the 2013 national convention of the Society of American Foresters (SAF) and sponsored by the D-2 Silviculture Working Group. This marks the first time the NSW has been held in conjunction with the...

  6. Silviculture guide for the mahogany forests of Quintana Roo, Mexico – Criteria and recommendations

    Science.gov (United States)

    P. Negreros-Castillo; L. Cámara-Cabrales; Margaret Devall; M.A. Fajvan; M.A. Mendoza Briseño; C.W. Mize

    2014-01-01

    Silviculture is the art, science and practice of controlling the establishment, composition, health, quality and growth of forests to accomplish a set of management objectives. This publication offers an approach to silviculture of the forests of Quintana Roo in which mahogany (Swietenia macrophylla King), the commercially most important tree species in Latin America,...

  7. Silviculture of the mahogany forest of Quintana Roo, Mexico: criteria and recommendations

    Science.gov (United States)

    P. ​​Negreros-Castillo; L. Camara-Cabrales; MS Devall; Mary Ann Fajvan; M.A. Mendoza Briseno; C.W. Mize; A. Navarro-Martinez

    2014-01-01

    Silviculture is the art, science and practice of controlling the establishment, composition, health, quality and growth of forests to accomplish a set of management objectives. This publication offers an approach to silviculture of the forests of Quintana Roo in which mahogany (Swietenia macrophylla King), the commercially most important tree...

  8. Age structure of a southern pine stand following 72 years of uneven-aged silviculture

    Science.gov (United States)

    Don C. Bragg

    2012-01-01

    Work on uneven-aged silviculture in southern pine stands on the Crossett Experimental Forest (CEF) began in the 1930s, when a number of 16.2-ha compartments were placed into a series of demonstration projects and studies (Reynolds 1980). Two of these compartments, the Good and Poor Farm Forestry Forties, have been maintained continuously in this silvicultural regime...

  9. Using Live-Crown Ratio to Control Wood Quality: An Example of Quantitative Silviculture

    Science.gov (United States)

    Thomas J. Dean

    1999-01-01

    Quantitative silviculture is the application of biological relationships in meeting specific, quantitative management objectives. It is a two-sided approach requiring the identification and application of biological relationships. An example of quantitative silviculture is presented that uses a relationship between average-live crown ratio and relative stand density...

  10. The Ecology and Silviculture of Oaks, Second Edition: A new book

    Science.gov (United States)

    Paul S. Johnson; Stephen R. Shifley; Robert. Rogers

    2011-01-01

    The second edition of The Ecology and Silviculture of Oaks was recently published (Johnson and others 2009). The approach of the book is fundamentally silvicultural, but the content is based on the premise that eff ective and environmentally sound management and protection of oak forests and associated landscapes must be grounded in ecological...

  11. Nitrogen dynamics across silvicultural canopy gaps in young forests of western Oregon

    Science.gov (United States)

    Thiel, A.L.; Perakis, S.S.

    2009-01-01

    Silvicultural canopy gaps are emerging as an alternative management tool to accelerate development of complex forest structure in young, even-aged forests of the Pacific Northwest. The effect of gap creation on available nitrogen (N) is of concern to managers because N is often a limiting nutrient in Pacific Northwest forests. We investigated patterns of N availability in the forest floor and upper mineral soil (0-10 cm) across 6-8-year-old silvicultural canopy gaps in three 50-70-year-old Douglas-fir forests spanning a wide range of soil N capital in the Coast Range and Cascade Mountains of western Oregon. We used extractable ammonium (NH4+) and nitrate (NO3-) pools, net N mineralization and nitrification rates, and NH4+ and NO3- ion exchange resin (IER) concentrations to quantify N availability along north-south transects run through the centers of 0.4 and 0.1 ha gaps. In addition, we measured several factors known to influence N availability, including litterfall, moisture, temperature, and decomposition rates. In general, gap-forest differences in N availability were more pronounced in the mineral soil than in the forest floor. Mineral soil extractable NH4+ and NO3- pools, net N mineralization and nitrification rates, and NH4+ and NO3- IER concentrations were all significantly elevated in gaps relative to adjacent forest, and in several cases exhibited significantly greater spatial variability in gaps than forest. Nitrogen availability along the edges of gaps more often resembled levels in the adjacent forest than in gap centers. For the majority of response variables, there were no significant differences between northern and southern transect positions, nor between 0.4 and 0.1 ha gaps. Forest floor and mineral soil gravimetric percent moisture and temperature showed few differences along transects, while litterfall carbon (C) inputs and litterfall C:N ratios in gaps were significantly lower than in the adjacent forest. Reciprocal transfer incubations of

  12. A silvicultural guide for developing a sugarbush

    Science.gov (United States)

    Kenneth F. Lancaster; Russell S. Walters; Frederick M. Laing; Raymond T. Foulds

    1974-01-01

    A practical guide for the management of a sugarbush. Guidelines are established for the manipulation of stand density and stocking to promote the development of healthy vigorous trees with deep, wide crowns, the necessary attributes for highest possible yield of sugar-rich sap. Specific treatments are prescribed for sapling, poletimber and small sawtimber stands and a...

  13. Using a GIS-based spot growth model and visual simulator to evaluate the effects of silvicultural treatments on southern pine beetle-infested stands

    Science.gov (United States)

    Chiao-Ying Chou; Roy L. Hedden; Bo Song; Thomas M. Williams

    2013-01-01

    Many models are available for simulating the probability of southern pine beetle (Dendroctonus frontalis Zimmermann) (SPB) infestation and outbreak dynamics. However, only a few models focused on the potential spatial SPB growth. Although the integrated pest management systems are currently adopted, SPB management is still challenging because of...

  14. Silvicultural treatments for converting loblolly pine to longleaf pine dominance: Effects on resource availability and their relationships with planted longleaf pine seedlings

    Science.gov (United States)

    Huifeng Hu; G.Geoff Wang; Joan L. Walker; Benjamin O. Knapp

    2012-01-01

    Throughout the southeastern United States, land managers are currently interested in converting loblolly pine (Pinus taeda L.) plantations to species rich longleaf pine (Pinus palustris Mill.) ecosystems. In a 3-year study on moderately well- to well-drained soils of the Lower Coastal Plain in North Carolina, we examined the...

  15. Multifunctional natural forest silviculture economics revised: Challenges in meeting landowners’ and society's wants. A review

    International Nuclear Information System (INIS)

    Campos, P.; Caparrós, A.; Cerdá, E.; Diaz-Balteiro, L.; Herruzo, A.C.; Huntsinger, L.; Martín-Barroso, D.; Martínez-Jauregui, M.; Ovando, P.; Oviedo, J.L.; Pasalodos-Tato, M.; Romero, C.; Soliño, M.; Standiford, R.B.

    2017-01-01

    Aim of study: This paper objective focuses on the contribution of multifunctional natural forest silviculture, incorporating both private and public product managements, to forest and woodland economics. Area of study: Spain and California (USA). Material and methods: This conceptual article has developed a critical revision of the existing literature on the main economic issues about the multifunctional natural forest silviculture in the last decades. Main results: Multifunctional natural silviculture has secular roots as a local practice, but as a science of the natural environment applied to the economic management of forest lands it is still in the process of maturation. Timber silviculture remains the central concern of forest economics investment in scientific publications. By contrast, silvicultural modeling of the natural growth of firewood, browse and other non-timber forest products of trees and shrubs receives scant attention in scientific journals. Even rarer are publications on multifunctional natural silviculture of forest and woodland managements, including environmental services geared to people’s active and passive consumption. Under this umbrella, private environmental self-consumption is represented by the amenities enjoyed by private non-industrial landowners. As for environmental public products, the most relevant are carbon, water, mushrooms, recreation, landscape and threatened biodiversity. Research highlights: This paper is a good example about the conceptual research on forestry techniques and economic concepts applied to multifunctional silviculture in Mediterranean areas of Spain and California. The combination of technical knowledge and private and public economic behaviors definitively contributes to the multifunctional management of natural forest systems.

  16. Computer models for economic and silvicultural decisions

    Science.gov (United States)

    Rosalie J. Ingram

    1989-01-01

    Computer systems can help simplify decisionmaking to manage forest ecosystems. We now have computer models to help make forest management decisions by predicting changes associated with a particular management action. Models also help you evaluate alternatives. To be effective, the computer models must be reliable and appropriate for your situation.

  17. Physiology and silviculture of black walnut for combined timber and nut production

    Science.gov (United States)

    J. W. Van Sambeek; George Rink

    1981-01-01

    Research literature was reviewed for evidence supporting the management of black walnut plantations for combined timber and nut production. The silviculture of the species is discussed in relation to dual cropping. Stimulation and phenology of flowering and fruiting are reviewed.

  18. Differential effectiveness of placebo treatments

    DEFF Research Database (Denmark)

    Meissner, Karin; Fässler, Margrit; Rücker, Gerta

    2013-01-01

    IMPORTANCE When analyzing results of randomized clinical trials, the treatment with the greatest specific effect compared with its placebo control is considered to be the most effective one. Although systematic variations of improvements in placebo control groups would have important implications...... relevant sources through February 2012 and contacted the authors to identify randomized clinical trials on the prophylaxis of migraine with an observation period of at least 8 weeks after randomization that compared an experimental treatment with a placebo control group. We calculated pooled random-effects...... and sham surgery are associated with higher responder ratios than oral pharmacological placebos. Clinicians who treat patients with migraine should be aware that a relevant part of the overall effect they observe in practice might be due to nonspecific effects and that the size of such effects might differ...

  19. Soil microbial activity in Aleppo pine stands naturally regenerated after fire: silvicultural management and induced drought

    Directory of Open Access Journals (Sweden)

    D. Moya

    2013-01-01

    Full Text Available In post-fire restoration, early monitoring is mandatory to check impacts and ecosystem responses to apply proper management according to social standards and ecological conditions. In areas where the natural regeneration was successful, excessive tree density can be found which induces to high intraspecific competence and assisted restoration management could be adequate. In addition, climatic changes will have large impacts on vegetation productivity and resilience since the regional models for south-eastern Spain predicts a rainfall decrease of about 20% and temperature increase of 4.5 ºC. The microbial biomass could be used as indicator of ecosystem recovery, since it is negatively affected by wildfires and depends on fire characteristics, vegetation and soil properties. Our aim is to determine how forest management may affect the ecosystem recovery in different climatic scenarios, included drought scenarios with and without forest management (thinning.We compared soil physicochemical properties and microbial activity in four scenarios: unmanaged and thinned stands in two rainfall scenarios (under induced drought. The study areas were set close to Yeste (Albacete where Aleppo pine forest were burned in summer 1994 (nearly 14000 ha. We set sixteen rectangular plots (150 m2; 15 m ×10 m implementing experimental silvicultural treatments: thinning eight plots in 2004, reducing the naturally recovered tree density from about 12000 to 1600 pine trees ha-1. In addition, in half the plots, we induced drought conditions from about 500 to 400 mm (20% from March 2009. In every plot, we monitored temperature at ground level (Ts, 10 cm depth (T10d and soil relative humidity (RH. Taking into account season of the year and canopy coverage, we collected soil samples in mid-winter (ending January 2011 and mid-spring (ending May 2011 under pine trees and in bare soil. The soil samples were used to evaluate soil physicochemical properties and soil microbial

  20. Describing treatment effects to patients.

    Science.gov (United States)

    Moxey, Annette; O'Connell, Dianne; McGettigan, Patricia; Henry, David

    2003-11-01

    To examine the impact of different presentations of equivalent information (framing) on treatment decisions faced by patients. A systematic review of the published literature was conducted. English language publications allocating participants to different frames were retrieved using electronic and bibliographic searches. Two reviewers examined each article for inclusion, and assessed methodological quality. Study characteristics were tabulated and where possible, relative risks (RR; 95% confidence intervals) were calculated to estimate intervention effects. Thirty-seven articles, yielding 40 experimental studies, were included. Studies examined treatment (N = 24), immunization (N = 5), or health behavior scenarios (N = 11). Overall, active treatments were preferred when outcomes were described in terms of relative rather than absolute risk reductions or number needed to treat. Surgery was preferred to other treatments when treatment efficacy was presented in a positive frame (survival) rather than a negative frame (mortality) (relative risk [RR] = 1.51, 95% confidence interval [CI], 1.39 to 1.64). Framing effects were less obvious for immunization and health behavior scenarios. Those with little interest in the behavior at baseline were influenced by framing, particularly when information was presented as gains. In studies judged to be of good methodological quality and/or examining actual decisions, the framing effect, although still evident, was less convincing compared to the results of all included studies. Framing effects varied with the type of scenario, responder characteristics, scenario manipulations, and study quality. When describing treatment effects to patients, expressing the information in more than one way may present a balanced view to patients and enable them to make informed decisions.

  1. Fertility effects of cancer treatment.

    Science.gov (United States)

    Marsden, Donald E; Hacker, Neville

    2003-01-01

    Cancer sufferers are a subfertile group, and most treatments have the potential to adversely affect gonadal function. As cancer treatment becomes more effective and survival rates improve there are more cancer survivors in the reproductive age group for whom parenting is an important consideration. This article outlines the effects on fertility of cancer treatments and techniques to minimise the risk of infertility. The overall prospects for younger cancer sufferers to either retain their fertility or have genetic offspring is now better than ever before, due to advances in assisted reproductive technology, the appropriate use of fertility sparing surgery and other techniques to reduce the toxicity of therapy on the reproductive organs. These advances raise new moral and ethical concerns that must be considered before advising cancer sufferers of the options for preserving reproductive capacity.

  2. Multifunctional natural forest silviculture economics revised: Challenges in meeting landowners’ and society's wants. A review

    Directory of Open Access Journals (Sweden)

    Pablo Campos

    2017-10-01

    Full Text Available Aim of study: This paper objective focuses on the contribution of multifunctional natural forest silviculture, incorporating both private and public product managements, to forest and woodland economics. Area of study: Spain and California (USA. Material and methods: This conceptual article has developed a critical revision of the existing literature on the main economic issues for multifunctional natural forest silviculture in the last decades. Main results: Multifunctional natural silviculture has secular roots as a local practice, but as a science of the natural environment applied to the economic management of forest lands it is still in the process of maturation. Timber silviculture remains the central concern of forest economics investment in scientific publications. By contrast, silvicultural modeling of the natural growth of firewood, browse and other non-timber forest products from trees and shrubs receives scant attention in scientific journals. Even rarer are publications on multifunctional natural silviculture for forest and woodland managements, including environmental services geared to people’s active and passive consumption. Under this umbrella, private environmental self-consumption is represented by the amenities enjoyed by private non-industrial landowners. As for environmental public products, the most relevant are carbon, water, mushrooms, recreation, landscape and threatened biodiversity. Research highlights: This paper is a good example for the conceptual research on forestry techniques and economic concepts applied to multifunctional silviculture in Mediterranean areas of Spain and California. The combination of technical knowledge and private and public economic behaviors definitively contributes to the multifunctional management of natural forest systems.

  3. Beyond 2001: a silvicultural odyssey to sustaining terrestrial and aquatic ecosystems? Proceedings of the 2001 national silviculture workshop, May 6-10, Hood River, Oregon.

    Science.gov (United States)

    Sharon Parker; Susan Stevens. Hummel

    2002-01-01

    The 2001 National Silviculture Workshop was held in Hood River, Oregon, and hosted by the Mt. Hood National Forest, the Gifford Pinchot National Forest, and the Pacific Northwest Research Station. The Washington Office Vegetation Management and Protection Research and Forest and Grassland staffs are ongoing sponsors of the biennial workshop, which began in 1973 in...

  4. Nonnative invasive plants in the Penobscot Experimental Forest in Maine, USA: influence of site, silviculture, and land use history

    Science.gov (United States)

    Elizabeth Olson; Laura S. Kenefic; Alison C. Dibble; John C. Brissette

    2011-01-01

    We investigated the occurrence of nonnative invasive plants on approximately 175 ha comprising a long-term, 60-year-old U.S. Forest Service silvicultural experiment and old-field stands in the Penobscot Experimental Forest (PEF) in central Maine. Stands in the silvicultural experiment were never cleared for agriculture, but have been repeatedly partially cut. Our...

  5. The effectiveness of stuttering treatments in Germany.

    Science.gov (United States)

    Euler, Harald A; Lange, Benjamin P; Schroeder, Sascha; Neumann, Katrin

    2014-03-01

    Persons who stutter (PWS) should be referred to the most effective treatments available, locally or regionally. A prospective comparison of the effects of the most common stuttering treatments in Germany is not available. Therefore, a retrospective evaluation by clients of stuttering treatments was carried out. The five most common German stuttering treatments (231 single treatment cases) were rated as to their perceived effectiveness, using a structured questionnaire, by 88 PWS recruited through various sources. The participants had received between 1 and 7 treatments for stuttering. Two stuttering treatments (stuttering modification, fluency shaping) showed favorable and three treatments (breathing therapy, hypnosis, unspecified logopedic treatment) showed unsatisfactory effectiveness ratings. The effectiveness ratings of stuttering modification and fluency shaping did not differ significantly. The three other treatments were equally ineffective. The differences between the effective and ineffective treatments were of large effect sizes. The typical therapy biography begins in childhood with an unspecified logopedic treatment administered extensively in single and individual sessions. Available comparisons showed intensive or interval treatments to be superior to extensive treatments, and group treatments to be superior to single client treatments. The stuttering treatment most often prescribed in Germany, namely a weekly session of individual treatment by a speech-language pathologist, usually with an assorted package of mostly unknown components, is of limited effectiveness. Better effectiveness can be expected from fluency shaping or stuttering modification approaches, preferably with an intensive time schedule and with group sessions. Readers will be able to: (a) discuss the five most prevalent stuttering treatments in Germany; (b) summarize the effectiveness of these treatments; and (c) describe structural treatment components that seem to be preferable

  6. The Treatment Effectiveness Assessment (TEA

    Directory of Open Access Journals (Sweden)

    Ling W

    2013-09-01

    Full Text Available Walter Ling,1 David Farabee,1 Dagmar Liepa,2 Li-Tzy Wu3 1Integrated Substance Abuse Programs, University of California, Los Angeles, CA, 2Valley Care Medical Center, Panorama City, CA, 3Department of Psychiatry and Behavioral Sciences, School of Medicine, Duke University Medical Center, Durham, NC, USA We have been surprised and gratified by the readers’ responses to our article, The Treatment Effectiveness Assessment (TEA: an efficient, patient-centered instrument for evaluating progress in recovery from addiction, which was published in December 2012.1 In the six months since that time, we have received numerous questions and observations about the article, and about the TEA instrument. Respondents were clinicians: physicians, counselors, therapists, nurses; as well as administrators and policy makers.  View original paper by Ling W, Farabee D, Liepa D, Wu LT. 

  7. Silviculture and economic benefits of producing wood energy from conventional forestry systems and measures to mitigate negative impacts

    International Nuclear Information System (INIS)

    Manley, A.; Richardson, J.

    1995-01-01

    Activity ''Forest Energy Production'' focused on the development and evaluation, in the context of conventional forestry systems, silvicultural and forest management practices which optimise productivity for traditional products and wood for energy, while safeguarding the forest ecosystem. A series of meetings, workshops, and review papers involving the three participating countries of Canada, Sweden, and the United Kingdom were planned and completed. An additional workshop in Switzerland was also held. Increasing production of biomass for energy is generally found to be positive, from silvicultural, economic, and environmental perspectives. Eight specific forest management systems were investigated and/or reported: five conventional systems involving multiple products in softwood and mixed wood, and three hardwood systems emphasising production of biomass for energy. Modifications in silvercultural practice to also produce biomass for energy included increased opportunities for thinnings, intermediate cuttings, and stand and site rehabilitation as well as more flexible and efficient harvesting systems. Economic benefits accrued from increased investment in harvesting and burning technology, improvements in stand quality and site utilisation, and substitution for more expensive fuels, especially if all costs are considered. Environmental effects were found to be generally positive, but negative effects of nutrient and organic matter removal on the overall sustainability of specific systems are possible. These need to be addressed. Harvest and management guidelines are being designed and put into practice. Social, institutional, and technical barriers to the increased use of biomass for energy are being addressed by specific strategies and initiatives involving programs and incentives for production, market development, research and education. Net positive effects indicate increased use of forest biomass for energy, in the short and long term. (Abstract Truncated)

  8. Coping with Cosmetic Effects of Cancer Treatment

    Science.gov (United States)

    ... Search English Español Coping With Cosmetic Effects of Cancer Treatment KidsHealth / For Parents / Coping With Cosmetic Effects of Cancer Treatment What's in this article? Hair Loss Skin Problems ...

  9. Multifunctional natural forest silviculture economics revised: Challenges in meeting landowners’ and society's wants. A review

    Energy Technology Data Exchange (ETDEWEB)

    Campos, P.; Caparrós, A.; Cerdá, E.; Diaz-Balteiro, L.; Herruzo, A.C.; Huntsinger, L.; Martín-Barroso, D.; Martínez-Jauregui, M.; Ovando, P.; Oviedo, J.L.; Pasalodos-Tato, M.; Romero, C.; Soliño, M.; Standiford, R.B.

    2017-11-01

    Aim of study: This paper objective focuses on the contribution of multifunctional natural forest silviculture, incorporating both private and public product managements, to forest and woodland economics. Area of study: Spain and California (USA). Material and methods: This conceptual article has developed a critical revision of the existing literature on the main economic issues about the multifunctional natural forest silviculture in the last decades. Main results: Multifunctional natural silviculture has secular roots as a local practice, but as a science of the natural environment applied to the economic management of forest lands it is still in the process of maturation. Timber silviculture remains the central concern of forest economics investment in scientific publications. By contrast, silvicultural modeling of the natural growth of firewood, browse and other non-timber forest products of trees and shrubs receives scant attention in scientific journals. Even rarer are publications on multifunctional natural silviculture of forest and woodland managements, including environmental services geared to people’s active and passive consumption. Under this umbrella, private environmental self-consumption is represented by the amenities enjoyed by private non-industrial landowners. As for environmental public products, the most relevant are carbon, water, mushrooms, recreation, landscape and threatened biodiversity. Research highlights: This paper is a good example about the conceptual research on forestry techniques and economic concepts applied to multifunctional silviculture in Mediterranean areas of Spain and California. The combination of technical knowledge and private and public economic behaviors definitively contributes to the multifunctional management of natural forest systems.

  10. Subdivide or silviculture: choices facing family forest owners in the redwood region

    Science.gov (United States)

    William Stewart; Shasta Ferranto; Gary Nakamura; Christy Getz; Lynn Huntsinger; Maggi. Kelly

    2012-01-01

    Families or family businesses own nearly all of the private redwood forestland in California. Family forest owners have practiced both subdivision and silviculture for decades but the dominant theme for most family owners is environmental stewardship. Parcel size is more important than expressed values as a predictor of resource management activities. All landowners...

  11. Regeneration of red oak (Quercus rubra L.) using shelterwood systems: Ecophysiology, silviculture and management recommendations

    Science.gov (United States)

    Daniel C. Dey; William C. parker

    1996-01-01

    There is considerable interest in developing relaible methods for regenerating red oak (Quercus rubra) in Ontario. Traditional silviculture methods have not been successful in maintaining the curent levels of oak growing stock. In this paper, we review the ecology, physiology and reproductive biology of red oak. This discussion stresses the...

  12. Silviculture and the assessment of climate change genetic risk for southern Appalachian forest tree species

    Science.gov (United States)

    Kevin M. Potter; Barbara S. Crane

    2012-01-01

    Changing climate conditions and increasing insect and pathogen infestations will increase the likelihood that forest trees could experience population-level extirpation or species-level extinction during the next century. Gene conservation and silvicultural efforts to preserve forest tree genetic diversity present a particular challenge in species-rich regions such as...

  13. State survey of silviculture nonpoint source programs: a comparison of the 2000 northeastern and national results

    Science.gov (United States)

    Pamela J. Edwards; Gordon W. Stuart

    2002-01-01

    The National Association of State Foresters conducts surveys of silviculture nonpoint source (NPS) pollution control programs to measure progress and identify needs. The 2000 survey results are summarized here for the nation and for the 20-state northeastern region. Current emphasis of NPS pollution programs is on education, training, and monitoring. Educational...

  14. Silviculture-ecology of forest-zone hardwoods in the Sierra Nevada

    Science.gov (United States)

    Philip M. McDonald; John C. Tappeiner

    1996-01-01

    Although the principal hardwood species in the forest zone of the Sierra Nevada (California black oak, tanoak, Pacific madrone, and canyon live oak) are key components of many ecosystems, they have received comparatively little study. Currently they are underutilized and unmanaged. This paper brings together what is known on the silviculture-ecology of these species...

  15. Changes in down dead wood volume across a chronosequence of silvicultural openings in southern Indiana forests

    Science.gov (United States)

    Michael A. Jenkins; George R. Parker

    1997-01-01

    The volume and decay stages of down dead wood were evaluated across a chronosequence of 46 silvicultural openings and 10 uncut control stands to determine how down dead wood volume changes with stand development. Openings ranged in age from 8 to 26 years and were divided into three age groups: (1) 16 years. Individual logs...

  16. Suitability of close-to-nature silviculture for adapting temperate European forests to climate change

    NARCIS (Netherlands)

    Brang, P.; Spathelf, P.; Larsen, J.B.; Bauhus, J.; Boncina, A.; Mohren, G.M.J.

    2014-01-01

    In many parts of Europe, close-to-nature silviculture (CNS) has been widely advocated as being the best approach for managing forests to cope with future climate change. In this review, we identify and evaluate six principles for enhancing the adaptive capacity of European temperate forests in a

  17. Restoring old-growth southern pine ecosystems: strategic lessons from long-term silvicultural research

    Science.gov (United States)

    Don C. Bragg; Michael G. Shelton; James M. Guldin

    2008-01-01

    The successful restoration of old-growth-like loblolly (Pinus taeda) and shortleaf (Pinus echinata) pine-dominated forests requires the integration of ecological information with long-term silvicultural research from places such as the Crossett Experimental Forest (CEF). Conventional management practices such as timber harvesting or competition control have supplied...

  18. Silvicultural research and the evolution of forest practices in the Douglas-fir region.

    Science.gov (United States)

    Robert O. Curtis; Dean S. DeBell; Richard E. Miller; Michael Newton; J. Bradley St. Clair; William I. Stein

    2007-01-01

    Silvicultural practices in the Douglas-fir region evolved through a combination of formal research, observation, and practical experience of forest managers and silviculturists, and changing economic and social factors. This process began more than a century ago and still continues. It has had a great influence on the economic well-being of the region and on the...

  19. Proceedings of the National Silviculture Workshop: Density of Stocking Control; Eugene, Oregon; October 13-15, 1976

    Science.gov (United States)

    Jack H. Usher; Daniel B. Jones; A. R. Stage; Benjamin A. Roach; Gilbert B. Schubert; Darrell W. Crawford; Gilbert H. Schubert; Walter Fox; Edward A. Smith; Richard E. Lowrey Sofes; Richard F. Watt

    1976-01-01

    The 1976 National Silviculture Workshop was held in Eugene, Oregon, on October 13-15, 1976. The objectives were to discuss second growth management of individual stands, with particular emphasis on the control of stand density.

  20. The Turkey oak high forests in the Molise region (central Italy. Analysis of past silvicultural system and current management choices.

    Directory of Open Access Journals (Sweden)

    Paolo Cantiani

    2010-12-01

    from Carpinus betulus stools clearcutting, was a further hindrance to the establishment of natural oak regeneration. In the fifties, the rate of forest management increased as a consequence of the coming up economic concern in sleeper production. The silvicultural shelterwood system was therefore codified. The system resulted to be more effective and adopted up to the present time. The traditional shelterwood system was based on a 90 yrs rotation length, three thinnings performed from the age of 25 up to 75, time of the seed cutting with a release of 90 trees per hectare. In the seventies, following the much more reduced and even null concern in wood production from oak high forests, practices into the same forests were suspended or postponed. At now, the renewed concern for fuelwood production, the only assortment marketable, as well as the increased attention paid to the multifunctional role of these forests, made again actual the problem of oak high forest management. The effectiveness of shelterwood system is the main outcome of the documental analysis performed. The study of the Carovilli’s chronosequence confirmed the close link between the current stand structures and the prescribed rules adopted in the past, in accordance with the management plans. The experimental trials in progress are now focused at defining an improvement of the shelterwood system practice as for the following issues: reduction of cutting areas; establishment of a more complex structural mosaic at neighbouring forest patches, setting up of a consistent release of seed trees i.e. number and dendrotypes to be selected at the purpose, with a special care to the crown cover to the forest floor, effective control of the understorey development due to the resprouting of Carpinus betulus stools, to enhance the establishment of oak natural regeneration. st1\\:*{behavior:url(#ieooui } /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Tabella normale"; mso-tstyle-rowband-size:0; mso

  1. Cost-Effective Fuel Treatment Planning

    Science.gov (United States)

    Kreitler, J.; Thompson, M.; Vaillant, N.

    2014-12-01

    The cost of fighting large wildland fires in the western United States has grown dramatically over the past decade. This trend will likely continue with growth of the WUI into fire prone ecosystems, dangerous fuel conditions from decades of fire suppression, and a potentially increasing effect from prolonged drought and climate change. Fuel treatments are often considered the primary pre-fire mechanism to reduce the exposure of values at risk to wildland fire, and a growing suite of fire models and tools are employed to prioritize where treatments could mitigate wildland fire damages. Assessments using the likelihood and consequence of fire are critical because funds are insufficient to reduce risk on all lands needing treatment, therefore prioritization is required to maximize the effectiveness of fuel treatment budgets. Cost-effectiveness, doing the most good per dollar, would seem to be an important fuel treatment metric, yet studies or plans that prioritize fuel treatments using costs or cost-effectiveness measures are absent from the literature. Therefore, to explore the effect of using costs in fuel treatment planning we test four prioritization algorithms designed to reduce risk in a case study examining fuel treatments on the Sisters Ranger District of central Oregon. For benefits we model sediment retention and standing biomass, and measure the effectiveness of each algorithm by comparing the differences among treatment and no treat alternative scenarios. Our objective is to maximize the averted loss of net benefits subject to a representative fuel treatment budget. We model costs across the study landscape using the My Fuel Treatment Planner software, tree list data, local mill prices, and GIS-measured site characteristics. We use fire simulations to generate burn probabilities, and estimate fire intensity as conditional flame length at each pixel. Two prioritization algorithms target treatments based on cost-effectiveness and show improvements over those

  2. Forest-food nexus: a topical opportunity for human well-being and silviculture

    Directory of Open Access Journals (Sweden)

    Piermaria Corona

    2016-07-01

    Full Text Available As population will reach over 9 billion by 2050, interest in the forest-food nexus is rising. Forests play an important role in food production and nutrition. Forests can provide nutritionally-balanced diets, woodfuel for cooking and a broad set of ecosystem services. A large body of evidence recommends multi-functional and integrated landscape approaches to reimagine forestry and agriculture systems. Here, after a commented discussion of the literature produced in the last decade about the role for forests with respect to the food security global emergency, we summarize the state of the art in Italy as a representative country-case-study. The aim is to increase awareness about the potential of silviculture in Italy for combining ecological resilience with economic resilience, and reducing the pressure over tropical and sub-tropical forests by means of a sustainable intensification of forest management at national level. Although a quantification of the Italian non-wood forest products is difficult, the potential of this sector for the Italian bioeconomy is relatively high. Italy is among the four top European exporters of cork stoppers, is one of the three top countries for chestnut seed processing, and is among the leading exporters of wild mushroom, while it is the only European country among the top five global importers of tannins. In order to develop this sector for the food industry, more research is needed on non-wood forest products, the scale of production, emerging markets, marketing and production innovation. On the other hand, chain-supply fragmentation, landowner inertia, and lack of governance and cooperation may hamper an effective exploitation of non-wood products. A renewed joint impulse for exploitation of wood and non-wood products may come from a sustainable intensification of forest management. The strategies to guarantee an effective supply of non-wood products require appropriate business skills and the presence of a

  3. Impact of Treatment Integrity on Intervention Effectiveness

    Science.gov (United States)

    Fryling, Mitch J.; Wallace, Michele D.; Yassine, Jordan N.

    2012-01-01

    Treatment integrity has cogent implications for intervention effectiveness. Understanding these implications is an important, but often neglected, undertaking in behavior analysis. This paper reviews current research on treatment integrity in applied behavior analysis. Specifically, we review research evaluating the relation between integrity…

  4. Understanding placebo, nocebo, and iatrogenic treatment effects.

    Science.gov (United States)

    Bootzin, Richard R; Bailey, Elaine T

    2005-07-01

    Placebo and nonplacebo treatments have both positive and negative effects on patient outcomes. To better understand the patterning of treatment effects, three specific interventions will be discussed that are reported to produce more harm than benefit: critical incident stress debriefing, group therapy for adolescents with conduct disorders, and psychotherapy for dissociative identity disorder. In each case, there is an interaction between mechanisms thought to underlie both placebo and specific treatment effects. Mechanisms hypothesized to underlie placebo and nocebo effects include patient expectancy, self-focused attention to symptoms, motivation to change, and sociocultural role-enactment cues. In the three treatments discussed, specific mechanisms interact with nonspecific mechanisms to produce iatrogenic effects. To advance knowledge, it is important both to specify the theory of treatment and its expected outcomes and to put the theory to test. Only with attention to the empirical findings from programmatic research of specific and nonspecific effects and their interaction is it possible to improve the outcomes of treatment beyond the status quo.

  5. Advances in surface treatments: Technology, applications, effects

    International Nuclear Information System (INIS)

    Niku-Lari, A.

    1987-01-01

    An international handbook has been produced to include all aspects of residual stresses, including the theoretical background, effects of residual stresses, measurement and calculation and quantitative assessment of residual stress effects. Techniques for altering residual stresses, particularly surface treatments, are discussed. Up to date information on the state of the art is presented. (UK)

  6. SARS: systematic review of treatment effects.

    Directory of Open Access Journals (Sweden)

    Lauren J Stockman

    2006-09-01

    Full Text Available BACKGROUND: The SARS outbreak of 2002-2003 presented clinicians with a new, life-threatening disease for which they had no experience in treating and no research on the effectiveness of treatment options. The World Health Organization (WHO expert panel on SARS treatment requested a systematic review and comprehensive summary of treatments used for SARS-infected patients in order to guide future treatment and identify priorities for research. METHODS AND FINDINGS: In response to the WHO request we conducted a systematic review of the published literature on ribavirin, corticosteroids, lopinavir and ritonavir (LPV/r, type I interferon (IFN, intravenous immunoglobulin (IVIG, and SARS convalescent plasma from both in vitro studies and in SARS patients. We also searched for clinical trial evidence of treatment for acute respiratory distress syndrome. Sources of data were the literature databases MEDLINE, EMBASE, BIOSIS, and the Cochrane Central Register of Controlled Trials (CENTRAL up to February 2005. Data from publications were extracted and evidence within studies was classified using predefined criteria. In total, 54 SARS treatment studies, 15 in vitro studies, and three acute respiratory distress syndrome studies met our inclusion criteria. Within in vitro studies, ribavirin, lopinavir, and type I IFN showed inhibition of SARS-CoV in tissue culture. In SARS-infected patient reports on ribavirin, 26 studies were classified as inconclusive, and four showed possible harm. Seven studies of convalescent plasma or IVIG, three of IFN type I, and two of LPV/r were inconclusive. In 29 studies of steroid use, 25 were inconclusive and four were classified as causing possible harm. CONCLUSIONS: Despite an extensive literature reporting on SARS treatments, it was not possible to determine whether treatments benefited patients during the SARS outbreak. Some may have been harmful. Clinical trials should be designed to validate a standard protocol for dosage

  7. Estimating scaled treatment effects with multiple outcomes.

    Science.gov (United States)

    Kennedy, Edward H; Kangovi, Shreya; Mitra, Nandita

    2017-01-01

    In classical study designs, the aim is often to learn about the effects of a treatment or intervention on a single outcome; in many modern studies, however, data on multiple outcomes are collected and it is of interest to explore effects on multiple outcomes simultaneously. Such designs can be particularly useful in patient-centered research, where different outcomes might be more or less important to different patients. In this paper, we propose scaled effect measures (via potential outcomes) that translate effects on multiple outcomes to a common scale, using mean-variance and median-interquartile range based standardizations. We present efficient, nonparametric, doubly robust methods for estimating these scaled effects (and weighted average summary measures), and for testing the null hypothesis that treatment affects all outcomes equally. We also discuss methods for exploring how treatment effects depend on covariates (i.e., effect modification). In addition to describing efficiency theory for our estimands and the asymptotic behavior of our estimators, we illustrate the methods in a simulation study and a data analysis. Importantly, and in contrast to much of the literature concerning effects on multiple outcomes, our methods are nonparametric and can be used not only in randomized trials to yield increased efficiency, but also in observational studies with high-dimensional covariates to reduce confounding bias.

  8. Musical hallucinations: review of treatment effects

    Directory of Open Access Journals (Sweden)

    Jan eCoebergh

    2015-06-01

    Full Text Available AbstractBackground: Despite an increased scientific interest in musical hallucinations throughout the past 25 years, treatment protocols are still lacking. This may well be due to the fact that musical hallucinations have multiple causes, and that published cases are relatively rare.Objective: To review the effects of published treatment methods for musical hallucinations.Methods: A literature search yielded 175 articles discussing a total number of 516 cases, of which 147 articles discussed treatment in 276 individuals. We analysed the treatment results in relation to the aetiological factor considered responsible for the mediation of the musical hallucinations, i.e., idiopathic/hypoacusis, psychiatric disorder, brain lesion and other pathology, epilepsy or intoxication.Results: Musical hallucinations can disappear without intervention. When hallucinations are bearable, patients can be reassured without any other treatment. However, in other patients musical hallucinations are so disturbing that treatment is indicated. Distinct aetiological groups appear to respond differently to treatment. In the hypoacusis group, treating the hearing impairment can yield significant improvement and coping strategies (e.g. more acoustic stimulation are frequently helpful. Pharmacological treatment methods can also be successful, with antidepressants being more helpful than antiepileptics (which are still better than antipsychotics. The limited use of acetylcholinesterase inhibitors has looked promising. Musical hallucinations occurring as part of a psychiatric disorder tend to respond well to psychopharmacological treatments targeting the underlying disorder. Musical hallucinations experienced in the context of brain injuries and epilepsy tend to respond well to antiepileptics, but their natural course is often benign, irrespective of any pharmacological treatment. When intoxication is the main aetiological factor, it is important to stop or switch the

  9. Uneven-aged silviculture can enhance within stand heterogeneity and beetle diversity.

    Science.gov (United States)

    Joelsson, Klara; Hjältén, Joakim; Work, Timothy

    2018-01-01

    Uneven-aged silviculture may better maintain species assemblages associated with old-growth forests than clear felling in part due to habitat heterogeneity created by maintaining standing retention strips adjacent to harvest trails. Retention strips and harvest trails created at the time of tree removal will likely have different microclimate and may harbor different assemblages. In some cases, the resultant stand heterogeneity associated with uneven-aged silviculture may be similar to natural small-scale disturbances. For beetles, increased light and temperature as well as potential access to young vegetation and deadwood substrates present in harvset trails may harbor beetle assemblages similar to those found in natural gaps. We sampled saproxylic beetles using flight intercept traps placed in harvest corridors and retention strips in 9 replicated uneven-aged spruce stands in central Sweden. We compared abundance, species richness and composition between harvest corridors and retention strips using generalized linear models, rarefaction, permutational multivariate analysis of variance and indicator species analysis. Canopy openness doubled, mean temperature and variability in daily temperature increased and humidity decreased on harvest trails. Beetle richness and abundance were greater in harvests trails than in retention strips and the beetle species composition differed significantly between habitats. Twenty-five species were associated with harvest trails, including three old-growth specialists such as Agathidium discoideum (Erichson), currently red-listed. We observed only one species, Xylechinus pilosus (Ratzeburg) that strongly favored retention strips. Harvest trails foster both open habitat species and old-growth species while retention strips harbored forest interior specialists. The combination of closed canopy, stratified forest in the retention strips and gap-like conditions on the harvest trails thus increases overall species richness and maintains

  10. Neurocognitive Effects of Treatment for Childhood Cancer

    Science.gov (United States)

    Butler, Robert W.; Haser, Jennifer K.

    2006-01-01

    We review research on the neuropsychological effects that central nervous system (CNS) cancer treatments have on the cognitive abilities of children and adolescents. The authors focus on the two most common malignancies of childhood: leukemias and brain tumors. The literature review is structured so as to separate out earlier studies, generally…

  11. Evaluating the Effectiveness Of Postfire Rehabilitation Treatments

    Science.gov (United States)

    Peter R. Robichaud; Jan L. Beyers; Daniel G. Neary

    2000-01-01

    Spending on postfire emergency watershed rehabilitation has increased during the past decade. A west-wide evaluation of USDA Forest Service burned area emergency rehabilitation (BAER) treatment effectiveness was undertaken as a joint project by USDA Forest Service Research and National Forest System staffs. This evaluation covers 470 fires and 321 BAER projects, from...

  12. Biomass utilization opportunities to achieve diverse silvicultural goals

    Science.gov (United States)

    Barry Wynsma; Christopher R. Keyes

    2010-01-01

    Silviculturists and ecologists may recommend land management prescriptions that are designed to be resilient to changing climatic conditions. When considering biomass utilization opportunities that may result from climate-change treatments, it really doesn’t matter what species mix or stocking levels are to be retained: if there are trees that need to be harvested,...

  13. Side effects of endobronchial laser treatment

    Energy Technology Data Exchange (ETDEWEB)

    Dierkesmann, R.; Huzly, A.

    1985-03-01

    Side effects that have occurred in over 250 endobronchial laser treatments are reported. The laser has been used in severe tracheal and in bronchial obstructions. In two cases significant bleeding had to be treated with tamponade. In one patient an emphysema of the mediastinum developed, in 2 further patients a small pneumothorax. Perforation of the airway was not detected and no special treatment was necessary. Three patients with life-threatening tracheal stenoses and one patient with severe stenosis of both the mainstem bronchi due to metastasis in the bifurcation lymph node had a large defect in the tracheal or bronchial wall with a deep necrosis five to twelve weeks after laser treatment; all these patients had extensive radiotherapy in addition. One patient died due to severe respiratory insufficiency, probably caused by smoke intoxication. After the laser treatment, rubber-like fibrin-rich plaques may develop, which can lead to life-threatening obstructions of the airway. It is recommended that laser bronchoscopy should be performed with the rigid bronchoscope. After treatment of tracheal lesion an endoscopic check must be performed within 24 hours. The combination of laser treatment and radiotherapy seems to involve a certain risk of large defects in the bronchial wall due to necrosis of the tumor.

  14. Toxic Stress: Effects, Prevention and Treatment

    Directory of Open Access Journals (Sweden)

    Hillary A. Franke

    2014-11-01

    Full Text Available Children who experience early life toxic stress are at risk of long-term adverse health effects that may not manifest until adulthood. This article briefly summarizes the findings in recent studies on toxic stress and childhood adversity following the publication of the American Academy of Pediatrics (AAP Policy Report on the effects of toxic stress. A review of toxic stress and its effects is described, including factors of vulnerability, resilience, and the relaxation response. An integrative approach to the prevention and treatment of toxic stress necessitates individual, community and national focus.

  15. Ecology and silvicultural management for the rehabilitation in rain forests of low altitude on complex metamorphic

    Directory of Open Access Journals (Sweden)

    Gonzalo Cantos Cevallos

    2018-01-01

    Full Text Available In order to characterize ecology and silvicultural management for the rehabilitation of the low altitude rain forest on a metamorphic complex, Quibiján-Naranjal del Toa sector, a floristic inventory was carried out, 36 sample plots of 20 x 25 m in the forest in both sides of Toa's riverside. Tree species with d1,3 e» 5 cm were measured, a total of 1507 individuals represented in 52 species belonging to 49 genera and 24 families were identified and evaluated. Both forests were statistically compared in terms of richness, composition, structure, diversity and abundance, with a high alpha and beta diversity. The species with the highest value index of ecological importance were determined. The families Fabaceae, Moraceae, Lauraceae and Meliaceae are the most representative in terms of species and genera. The most important species are Hibiscus elatus, Calophyllum utile, Carapa guianensis, Buhenavia capitata, y Guarea guara, among others, which stand out as the most abundant. Economic occupation was adequate in a few plots and incomplete in most of the sampling units. Taking into account the results obtained, we propose silvicultural actions aimed at sustainable forest management through the application of improvement shorts and the method of enrichment in dense spaced-groups for the rehabilitation and the achievement of the expected multiethane forest.

  16. Modeling silviculture after natural disturbance to sustain biodiversity in the longleaf pine (Pinus palustris) ecosystem : balancing complexity and implementation

    Science.gov (United States)

    Brian J. Palik; Robert J. Mitchell; J. Kevin Hiers

    2002-01-01

    Modeling silviculture after natural disturbance to maintain biodiversity is a popular concept, yet its application remains elusive. We discuss difficulties inherent to this idea, and suggest approaches to facilitate implementation, using longleaf pine (Pinus palustris) as an example. Natural disturbance regimes are spatially and temporally variable. Variability...

  17. Development of the selection system in northern hardwood forests of the Lake States: an 80-year silviculture research legacy

    Science.gov (United States)

    Christel Kern; Gus Erdmann; Laura Kenefic; Brian Palik; Terry. Strong

    2014-01-01

    The northern hardwood research program at the Dukes Experimental Forest in Michigan and Argonne Experimental Forest in Wisconsin has been adapting to changing management and social objectives for more than 80 years. In 1926, the first northern hardwood silviculture study was established in old-growth stands at the Dukes Experimental Forest. In response to social...

  18. Methanol production from Eucalyptus wood chips. Working document I. The Florida Eucalyptus energy farm: silvicultural methods and considerations

    Energy Technology Data Exchange (ETDEWEB)

    Fishkind, H.H.

    1982-04-01

    The silvicultural matrix within which the nation's first large scale wood energy plantation will develop is described in detail. The relevant literature reviewed is identified and distilled. The plantation history, site preparation, planting, species selection, maintenance and management, harvesting, and the Eucalyptus biomass production estimates are presented.

  19. Disturbances and structural development of natural forest ecosystems with silvicultural implications, using Douglas-fir forests as an example.

    Science.gov (United States)

    J.F. Franklin; T.A. Spies; R.V. Pelt; A.B. Carey; D.A. Thornburgh; D.R. Berg; D.B. Lindenmayer; M.E. Harmon; W.S. Keeton; D.C. Shaw; K. Bible; J. Chen

    2002-01-01

    Forest managers need a comprehensive scientific understanding of natural stand development processes when designing silvicultural systems that integrate ecological and economic objectives, including a better appreciation of the nature of disturbance regimes and the biological legacies, such as live trees, snags, and logs, that they leave behind. Most conceptual forest...

  20. Proceedings of the National Silviculture Workshop: The Shelterwood Regeneration Method; Charleston, South Carolina September 17-21, 1979

    Science.gov (United States)

    Dan Cramsey; Carl Puuri; Dick Miller; Billy E. Page; David Smith; David Marquis; Jack Usher; Bob Naumann; William Beaufait; Robert Loomis; Edward Smith; David Loftis; Gordon Langdon; Thomas Croker; William Boyer; Jim Edgren; Douglas Roy; John Hughes; Charles Boldt; Glenn Jacobson; Dick Godman; Carl Tubbs; Ivan Sander; Bob Blomquist

    1979-01-01

    Historic Charleston, South Carolina was the site of the 1979 Silviculture Workshop. The objective of the meeting was to discuss state of the art application of the shelterwood regeneration method to forests of the United States. These proceedings include the presentations of the individuals on the program.

  1. 40 CFR 122.27 - Silvicultural activities (applicable to State NPDES programs, see § 123.25).

    Science.gov (United States)

    2010-07-01

    ... POLLUTANT DISCHARGE ELIMINATION SYSTEM Permit Application and Special NPDES Program Requirements § 122.27... 40 Protection of Environment 21 2010-07-01 2010-07-01 false Silvicultural activities (applicable to State NPDES programs, see § 123.25). 122.27 Section 122.27 Protection of Environment...

  2. Effective treatment strategies against Ebola virus

    Directory of Open Access Journals (Sweden)

    Amina Yaqoob

    2015-08-01

    Full Text Available Ebola virus (EBOV, a member of order Mononegavirales is most famous for causing the endemics of hemorrhagic fever in different countries of the world. Various effective treatment for EBOV are available presently but different clinical trials and experimental studies on animal models are ongoing for this purpose. Results from different studies showed that selective vaccines and therapeutic drugs have potential to interfere the viral life events within host cell in order to inhibit its replication. Various pre-clinical trials in this regard are proved successful on non-human primates (NHPs and found to be significant in inhibiting EBOV infections. It is the need of hour to develop effective vaccines against Ebola virus to combat this problem as soon as possible. The present article is a brief review on potential treatment strategies against Ebola virus.

  3. Forest fire occurrence and silvicultural-economic prerequisites for protection improvement in forest regions of Krasnoyarsk Krai

    Directory of Open Access Journals (Sweden)

    V. V. Furyaev

    2017-10-01

    Full Text Available The territory of the Krasnoyarsk Krai is substantially diverse in terms of climatic, silvicultural and economic conditions owing to its sufficient spread from the North to the South. These differences were to some extent taken into account when the forest fund of the Krasnoyarsk Krai was divided into seven forest regions: forest tundra of Central Siberia, highland taiga of Central Siberia, plain taiga of West Siberia, Angara region, subtaiga forest steppe of Central Siberia, Altai-Sayanskiy highland, Altai-Sayanskiy highland forest steppe. The regions show different levels of fire occurrence and different fire effects that require different levels of protection from forest fires. Optimization of the protection is based on activities that combine prevention and timely detection of fires depending on development of forest regions and intensity of forest management. The main focus of the paper is on possibility or inadvisability of prescribed fires, fire-use fires (fires that started naturally but were then managed for their beneficial effects and the system of activities increasing fire resistance of the most valuable forests. It is justified that taking into account the effects of forest fires, selective protection of forests is expedient in forest-tundra Middle Siberia and highland taiga of Middle Siberia regions. The whole area of plain taiga of West Siberia region should be subject to protection but with various levels of intensity in different parts of it. The forest fund of Angara, subtaiga forest steppe of Middle Siberia, Altai-Sayanskiy highland, Altai-Sayanskiy highland forest steppe regions should be protected on the whole area. Application of prescribed fires is relevant in the subzone of South taiga, in the forest steppe zone as well as in the submontane and lowland taiga belts. Fire-use fires are admissible on limited areas in the subzones of Middle and North taiga.

  4. Psoriasis: characteristics, psychosocial effects and treatment options.

    LENUS (Irish Health Repository)

    Ryan, Sheila

    2012-02-01

    Psoriasis is a complex chronic non-infectious inflammatory skin disease with a variety of different presentations. The classic presentation is of well-defined red plaques with silver scale. The characteristic scale makes the disorder highly visible and intrusive on the patient\\'s lifestyle. The visible nature of the disease ensures that psoriasis has both physical and psychosocial effects. In normal skin, epidermal cell reproduction and proliferation takes 28 days. In psoriasis this process is considerably accelerated to approximately 4 days, resulting in the deposit of immature cells on the skin. While the exact cause of this process is unknown, certain environmental and genetic factors are known to be triggers. Disease management depends on disease severity, psychosocial effects and the patient\\'s lifestyle. To effectively treat this disease the nurse must be skilled in psoriasis management, and in patient education and motivation. This article reviews the characteristics, aetiology, psychosocial effects and treatment strategies of psoriasis.

  5. Severe burning treatment tested on lowland pine sites

    Science.gov (United States)

    S. Little; E. B. Moore

    1953-01-01

    Since the prescribed use of fire is a fairly new silvicultural technique for preparing seedbeds for pine in the New Jersey pine region, it has been used rather cautiously. Burning treatments have been made in the winter, when periodic light fires can be easily controlled. The treatments have been used almost exclusively on upland sites.

  6. Evaluation of treatment effects by ranking

    DEFF Research Database (Denmark)

    Halekoh, U; Kristensen, K

    2008-01-01

    In crop experiments measurements are often made by a judge evaluating the crops' conditions after treatment. In the present paper an analysis is proposed for experiments where plots of crops treated differently are mutually ranked. In the experimental layout the crops are treated on consecutive...... plots usually placed side by side in one or more rows. In the proposed method a judge ranks several neighbouring plots, say three, by ranking them from best to worst. For the next observation the judge moves on by no more than two plots, such that up to two plots will be re-evaluated again...... in a comparison with the new plot(s). Data from studies using this set-up were analysed by a Thurstonian random utility model, which assumed that the judge's rankings were obtained by comparing latent continuous utilities or treatment effects. For the latent utilities a variance component model was considered...

  7. CNS effects following the treatment of malignancy

    International Nuclear Information System (INIS)

    Rane, N.; Quaghebeur, G.

    2012-01-01

    Corporeal and central nervous system (CNS) axis chemotherapy and radiotherapy have long been used for the effective treatment and prophylaxis of CNS, body malignancies, and leukaemias. However, they are not without their problems. Following the proliferation of magnetic resonance neuroimaging in recent years it has become clear that the spectrum of toxicity that these therapies produce ranges from subclinical white matter changes to overt brain necrosis. The effects are both direct and indirect and via different pathological mechanisms. Chronic and progressive changes can be detected many years after the initial intervention. In addition to leucoencephalopathic changes, grey matter changes are now well described. Changes may be difficult to distinguish from tumour recurrence, though may be reversible and remediable, and are thus very important to differentiate. In this review toxic effects are classified and their imaging appearances discussed, with reference to specific syndromes.

  8. MEMORANDUM: Application of Best Management Practices to Mechanical Silvicultural Site Preparation Activities for the Establishment of Pine Plantations in the Southeast

    Science.gov (United States)

    Memorandum to the Field, November 28, 1995, clarifying the applicability of forested wetlands best management practices to mechanical silvicultural site preparation activities for the establishment of pine plantations in the Southeast.

  9. Silviculture and biology of short-rotation woody crops in temperate regions: Then and now

    Energy Technology Data Exchange (ETDEWEB)

    Dickmann, Donald I. [Department of Forestry, Michigan State University, East Lansing, MI 48824-1222 (United States)

    2006-08-15

    Although its roots are in antiquity, the current concept of short-rotation woody crops (SRWC) for fiber and energy evolved scientifically from pioneering tree breeding work begun in the early 20th century. A natural outgrowth of this work was the culture of fast-growing trees on rotations of 1-15 years. Close-spaced tree culture received further impetus with the introduction of the 'silage sycamore' concept in the southeastern US in the mid-1960s and the OPEC oil embargo in 1973, leading to statistically designed trials at numerous locations in North America, Europe, and Scandinavia. Early silvicultural research focused on spacing and species trials, propagation methods, site preparation, weed management, nutrition, growth, and yield. Because these trials were based on small plots, and the importance of pest depredations or site variation were not fully recognized, early biomass yield predictions tended to be overly optimistic. Soon physiologists and ecologists began to unravel the biological characteristics of SRWC plantations and their responses to environment. Knowledge of the influence and diversity of pests-insects, diseases, and animals-provided a necessary reality check. Many hardwood tree species and a few conifers have been evaluated over the years for SRWC in temperate regions of the world. Clones of Populus and Salix, however, became the dominant plantation material because of their inherently rapid growth and ease of propagation by hardwood cuttings. Among conifers, loblolly pine (Pinus taeda) also shows promise. Because genetic variation is readily exploitable in the dominant SRWC taxa, strongly focused breeding programs began to provide highly productive genotypes and seed sources in the last decades of the 20th century. A new plateau, with significant practical potential, was reached in the late 20th century when biotechnological methods were applied to tree taxa. Recently, the DNA in the Populus genome was sequenced. Thus, the few current

  10. Silviculture of eucaliptus plantations in the Paraiba do Sul basin, Brazil, and its potential implication on the basin ecohydrology.

    Science.gov (United States)

    Carriello, Felix; Andres Rodriguez, Daniel; Marques Neves, Otto; Vicens, Raul

    2014-05-01

    Silviculture of eucaliptus plantations is an important driver of the Mata Atlântica biome conversion into another land use in the Paraíba do Sul basin, in the southeastern of Brazil. This region is located in one of the most developed areas in Brazil, between Rio de Janeiro and São Paulo, the most important cities in Brazil, linked by Presidente Dutra highway. Between both cities there are another cities that produce a variety of goods - from meat to planes, cars and mobile phones. This area is, at the same time, one the most important hot spot for the Mata Atlântica biome. Here we have a large Mata Atlântica fragment protected by law and others fragments being conversed to pasture, agriculture, silviculture and urban areas. Paraiba do Sul river drains the region and runs into Rio de Janeiro State. The basin is highly anthropized, with multiple approaches of its waters resources. Its waters also serve Rio de Janeiro metropolitan area. Because land use and land cover changes impact the water yield in a basin, the study of its dynamic its of great importance for water resources management. We study the land use and land cover change in the region between 1986 and 2010, focusing in the development of silviculture of eucaliptus plantations. We used the HAND (Height Above Nearest Drainage) approach that uses the height above the nearest water body, acquired from SRTM Data and transformed into a Terrain Numeric Mode, to classify the landscape into three different ecohydrological environments: floodplain, mountain top and hillslope. This classes were intersected with 1986 and 2010 land use and cover change classification obtained from Landsat imagery. Results show that silviculture has increased in the region from 1986 to 2010. In both years, silviculture areas are mainly located at the hillslope (47%), while floodplain and mountain top share 28 % and 23 % respectively. Available census data from the Brazilian Institute of Geography and Statistics, IBGE, for 1995 and

  11. Drug Repositioning for Effective Prostate Cancer Treatment.

    Science.gov (United States)

    Turanli, Beste; Grøtli, Morten; Boren, Jan; Nielsen, Jens; Uhlen, Mathias; Arga, Kazim Y; Mardinoglu, Adil

    2018-01-01

    Drug repositioning has gained attention from both academia and pharmaceutical companies as an auxiliary process to conventional drug discovery. Chemotherapeutic agents have notorious adverse effects that drastically reduce the life quality of cancer patients so drug repositioning is a promising strategy to identify non-cancer drugs which have anti-cancer activity as well as tolerable adverse effects for human health. There are various strategies for discovery and validation of repurposed drugs. In this review, 25 repurposed drug candidates are presented as result of different strategies, 15 of which are already under clinical investigation for treatment of prostate cancer (PCa). To date, zoledronic acid is the only repurposed, clinically used, and approved non-cancer drug for PCa. Anti-cancer activities of existing drugs presented in this review cover diverse and also known mechanisms such as inhibition of mTOR and VEGFR2 signaling, inhibition of PI3K/Akt signaling, COX and selective COX-2 inhibition, NF-κB inhibition, Wnt/β-Catenin pathway inhibition, DNMT1 inhibition, and GSK-3β inhibition. In addition to monotherapy option, combination therapy with current anti-cancer drugs may also increase drug efficacy and reduce adverse effects. Thus, drug repositioning may become a key approach for drug discovery in terms of time- and cost-efficiency comparing to conventional drug discovery and development process.

  12. Analytical treatment of the runaway-effect

    International Nuclear Information System (INIS)

    Kaeppeler, H.J.

    1980-09-01

    In the analytical treatment of the runaway-effect there appear the integrals Isub(m)(α). For m = 1, 2 and 3, series expansions for these integrals can be found in the literature. Furthermore, asymptotic solutions for Isub(m)(α) are known. It is shown here that the solutions for Isub(m)(α) can be approximated by the modified Bessel Function Ksub(n)(αsup(ν)) in such a way that for α → 0 the exact limiting value for Isub(m)(α) follows and that for α → infinite essentially the known asymptotic solutions for Isub(m)(α) follow. The maximum error for this approximation in the order of percent is considered justifiable for the application considered. (orig.)

  13. Beyond reduced-impact logging: silvicultural treatments to increase growth rates of tropical trees

    NARCIS (Netherlands)

    Peña-Claros, M.; Fredericksen, T.S.; Alarcón, A.; Blate, G.M.; Choque, U.; Leaño, C.; Licona, J.C.; Mostacedo, B.; Pariona, W.; Villegas, Z.; Putz, F.E.

    2008-01-01

    Use of reduced-impact logging (RIL) techniques has repeatedly been shown to reduce damage caused by logging. Unfortunately, these techniques do not necessarily ameliorate the low growth rates of many commercial species or otherwise assure recovery of the initial volume harvested during the next

  14. Silvicultural operation on the forest ecosystems: Methodology for forest hydrological monitoring; Effetti del taglio sugli ecosistemi forestali in ambiente montamo: Proposte metologiche per il monitoraggio dell`idrologia forestale

    Energy Technology Data Exchange (ETDEWEB)

    Andreotti, A; Collina, M; Serra, F; Naviglio, L [ENEA, Centro Ricerche Brasimone, Bologna (Italy). Dipt. Ambiente; Bonora, P [ENEA, Centro Ricerche ` E. Clementel` , Bologna (Italy). Dipt. Ambiente; Gregori, E; Napoli, R [Istituto Sperimentale per lo Studio e la Difesa del Suolo, Firenze (Italy)

    1997-03-01

    During 1994, Ente Nazionale per l`Energia Elettrica, with the contribution of the Ministry of Agricultural, Alimentary and Forest Resources, started a research program to assess the effects of the silvicultural operations on the forest ecosystems, investigating particularly the hydrological aspects, the erosion and the nutrient cycle. The research must monitor two forest plots coinciding with two secondary watersheds in the Torto stream valley (Northern Italy - high Bolognan Appennines) during about ten years. One plot will be let naturally evolve, while the other one, after a period of 3-5 years, must be subject to a cut; the comparison between the two plots will allow us to evaluate the nature and the size of the changes induced in the ecosystem by man through the silvicultural operations. Because of the complexity of the environmental parameters the authors want to study, initially it was necessary to determine methodology and instruments required for attaining the set goals. In this technical report are shown the results the authors obtained at the end of this first testing and setting up period, and therefore it assumes the form of a methodological protocol for carrying out the research itself.

  15. Late effects after treatment for Hodgkin lymphoma

    NARCIS (Netherlands)

    Daniëls, Laurien Aletta

    2014-01-01

    Although modern treatment strategies have made Hodgkin Lymphoma (HL) a highly curable disease, there is a life-long increased risk of morbidity and mortality due to treatment. Over time it has become increasingly evident that the historically used extensive treatment fields can potentially lead to

  16. Effects of radiation treatment on foodstuffs

    International Nuclear Information System (INIS)

    Dehne, L.; Boegl, W.

    1980-01-01

    The purpose of this study is to discuss and compile methods and results of irradiation experiments carried out on 54 plant and animal foodstuffs in order to obtain a survey on chemical changes, in particular as regards the reduction of nutritional value and savoriness of irradiated foodstuffs. According to this task, microbiological aspects as well as an interpretation of the experimental results as to the physiology of nutrition and toxicology were not included. The results published by the authors of the original papers were compiled in a kind of dictionary which contains all relevant information such as radiation sources, irradiation conditions, investigation methods, results of chemical or organoleptical changes etc. The most important results were summarized in tables and can be found at the end of this study. Because of the abundance of existing literature the series 'Effects of radiation treatment on foodstuffs' will be continued in Part IV, and the final discussion of the results will be published separately after further data have been included. (orig.) [de

  17. Instrumental variable estimation of treatment effects for duration outcomes

    NARCIS (Netherlands)

    G.E. Bijwaard (Govert)

    2007-01-01

    textabstractIn this article we propose and implement an instrumental variable estimation procedure to obtain treatment effects on duration outcomes. The method can handle the typical complications that arise with duration data of time-varying treatment and censoring. The treatment effect we

  18. Structure and Composition of a Dry Mixed-Conifer Forest in Absence of Contemporary Treatments, Southwest, USA

    Directory of Open Access Journals (Sweden)

    Douglas Cram

    2017-09-01

    Full Text Available Dry mixed-conifer forests in the Southwest occupy an important ecological and hydrological role in upper watersheds. In the absence of reoccurring fire and silvicultural treatments over the last 50 years, we quantified forest structure and composition on prevailing north and south aspects of a dry mixed-conifer forest in southcentral New Mexico using mixed models and ordination analysis in preparation for an experiment in ecological restoration. Results indicated overstory and midstory were dominated by Douglas-fir (Pseudotsuga menziesii and shade tolerant/fire intolerant white fir (Abies concolor with interspersed mature aspen on north aspects, and Douglas-fir and Southwestern white pine (Pinus strobiformis on south aspects. Ponderosa pine (Pinus ponderosa, which was historically co-dominant with Douglas-fir on north and south aspects, was subdominant on south aspects and almost entirely absent on north aspects. Regeneration was dominated by white fir saplings and seedlings on north aspects while ponderosa pine was completely absent. South aspect saplings and seedlings were characterized by Douglas-fir and Southwestern white pine, but almost no ponderosa pine. Ordination analysis characterized the effect of aspect on species composition. Understanding contemporary forest structure and composition is important when planning for desired future conditions that are to be achieved through ecological restoration using silvicultural techniques designed to foster resilience.

  19. Cancer treatment: fertility and sexual side effects in women

    Science.gov (United States)

    ... Cancer treatment: fertility and sexual side effects in women To use the sharing features on this page, ... Bladder cancer Types of Sexual Side Effects For women, the most common sexual side effects include: Loss ...

  20. Silvicultural study of Sapindus saponaria L. (Jaboncillo), as foundation for its silvo-industrial use

    International Nuclear Information System (INIS)

    Sanchez Buitrago Jose Alejandro; Silva Herrera Luis Jairo

    2008-01-01

    A silvicultural study of Sapindus saponaria L. was carried out including sexual and asexual propagation tests, provenance test, phenological surveillance, and quantification of fruits production. The sexual propagation test was carried out using five source localities, being the best those seeds from Santa Cruz (Bolivia). The asexual propagation test had a negative result because the cuttings did not root, making it necessary to try different methods for asexual reproduction. The seedlings obtained from the sexual propagation test were used to establish a plantation in Otanche (Boyaca) in order to evaluate growth and mortality. After five months, the highest growth was found in those seeds from Santa Cruz (Bolivia). However, this result was not significant from a statistical point of view. The best results regarding mortality came from the seeds from Viota (Cundinamarca), while those from Palmira (Valle) showed the highest levels of mortality. Fruit production was measured and related to the DBH and the canopy wide. Flowering and fruiting periods as well as the harvest season of the fruits in Viota (Cundinamarca) were established. Some methods for fruit harvesting and planting of the species are proposed.

  1. COMPORTAMENTO DA ERVA-MATE (Ilex paraguariensis St. Hil. EM CONSÓRCIO SILVICULTURAL

    Directory of Open Access Journals (Sweden)

    Odilson dos Santos Oliveira

    1995-12-01

    Full Text Available O presente trabalho foi realizado no Campus da Universidade Federal de Santa Maria e teve por objetivo determinar o comportamento da erva-mate (Ilex paraguariensis St. Hil. cultivada em sistemas de consórcio silvicultural. A metodologia adotada constituiu-se da implantação de três tratamentos, cortes aos sistemas de consórcio erva-mate x Pinus sp., erva-mate x bracatinga e erva-mate x capoeira. A análise dos resultados levou às setes conclusões: os melhores resultados de desenvolvimento de erva-mate são obdos nos consórcios com bracatinga e Pinus sp. e, o pior, na capoeira; as vazes extremas dos fatores do meio são amenizadas pelas outras espécies do consórcio; índices elevados de luminosidade não promovem maior produção de matéria seca, nem os índices muito baixos.

  2. Comportamento da erva-mate (Ilex paraguariensis St. Hil. em consórcio silvicultural.

    Directory of Open Access Journals (Sweden)

    Luisilvio Pes

    2009-09-01

    Full Text Available Normal 0 21 false false false MicrosoftInternetExplorer4 O presente trabalho foi realizado no Campus da Universidade Federal de Santa Maria e teve por objetivo determinar o comportamento da erva-mate (Ilex paraguariensis St. Hil. cultivada em sistema de consórcio silvicultural. A metodologia adotada constituiu-se da implantação de três tratamentos, correspondentes aos sistemas de consórcio erva-mata x Pinus sp., erva-mate x bracatinga e erva-mate x capoeira. A análise dos resultados levou às seguintes conclusões: os melhores resultados de desenvolvimento da erva-mate são obtidos nos consórcios com bracatinga e Pins sp. e, o pior, na caopeira; as variações externas dos fatores do meio são amenizadas pelas outras espécies do consórcio; índices elevados de luminosidade não promovem maior produção de matéria seca, nem os índices muito baixos.

  3. Proceedings. Larch genetics and breeding. Research findings and ecological-silvicultural demands

    Energy Technology Data Exchange (ETDEWEB)

    Martinsson, Owe [ed.

    1995-12-31

    The genus Larix Mill. (larch) represents a great part of the boreal and alpine forests. Larch species are the most common conifers in Siberia and they have an important role in European and North American forest ecosystems and forest economies. The value of these group of species are expected to increase in the future. There are at least three different reasons for that assumption: 1. Larch has highly appreciated technical wood properties., 2. Intensive cutting during the past three centuries has made larch a threatened group of species in some parts of the world., 3. Increasing access to Siberia will make forestry and forest harvest of larch an important part of the forest economy and ecology. In August 1995 a group of forest scientists gathered under the framework of IUFRO working group S2.02-07 in southern Sweden for exchange of experience in the fields of breeding and silviculture of larch. This proceedings was compiled on the basis of the presentations of this working group. Separate abstracts have been prepared for 12 of the 17 papers

  4. Proceedings. Larch genetics and breeding. Research findings and ecological-silvicultural demands

    Energy Technology Data Exchange (ETDEWEB)

    Martinsson, Owe [ed.

    1996-12-31

    The genus Larix Mill. (larch) represents a great part of the boreal and alpine forests. Larch species are the most common conifers in Siberia and they have an important role in European and North American forest ecosystems and forest economies. The value of these group of species are expected to increase in the future. There are at least three different reasons for that assumption: 1. Larch has highly appreciated technical wood properties., 2. Intensive cutting during the past three centuries has made larch a threatened group of species in some parts of the world., 3. Increasing access to Siberia will make forestry and forest harvest of larch an important part of the forest economy and ecology. In August 1995 a group of forest scientists gathered under the framework of IUFRO working group S2.02-07 in southern Sweden for exchange of experience in the fields of breeding and silviculture of larch. This proceedings was compiled on the basis of the presentations of this working group. Separate abstracts have been prepared for 12 of the 17 papers

  5. Ecological effects of harvesting biomass for energy in the Spanish Mediterranean

    International Nuclear Information System (INIS)

    Zavala, Miguel A.; Marcos, Francisco

    1993-01-01

    Biomass utilization for energy has major consequences for Spanish Mediterranean landscapes. In this paper we present a synthesis of the ecological effects of harvesting biomass for energy. We compare these effects with other fuel reduction procedures such as prescribed burning. Throughout history we see that some Iberian ecosystems are stabilized by long human interference. One of the stabilizing factors is the utilization of wood as a source of energy. New energy sources and massive human movements towards urban areas have changed the ecosystem dynamics. Reforested areas in Spain during the period from 1940 to 1970 included silviculture treatments that in some cases never took place. This has led to a greater accumulation of biomass. The current perspective of the problem must be analyzed from an economic and political viewpoint. For instance, the Middle East crisis has direct consequences for the budget dedicated to forest energetics, and consequently for the landscape. This shows how ecological problems must be dealt with using a very broad perspective. In Spain current biomass usage should be considered primarily as a complementary silvicultural treatment rather than as a way of producing great biomass outputs. If we are going to manage our forest from an ecological perspective, we have to analyze the effects of these operations at the stand level. At the landscape level fuel management plans should be included in the Forest Management Prescriptions (ordenaciones) whether in terms of harvesting or in a prescribed burning plan

  6. Steroid Treatments Equally Effective Against Sudden Deafness

    Science.gov (United States)

    ... NIGMS NIMH NIMHD NINDS NINR NLM CC CIT CSR FIC NCATS NCCIH OD About NIH Who We ... with sudden deafness should discuss the risks and benefits of both treatments with their doctor.” Related Links ...

  7. Herbal Treatment for Anxiety: Is It Effective?

    Science.gov (United States)

    ... anxiety generally need medical treatment or psychological counseling (psychotherapy) for symptoms to improve. With Brent A. Bauer, ... dietary supplements wisely. National Center for Complementary and Integrative Health. https://nccih.nih.gov/health/supplements/wiseuse. ...

  8. Effectiveness of propanolol for treatment of infantile haemangioma

    DEFF Research Database (Denmark)

    Andersen, Ida Gillberg; Rechnitzer, Catherine; Charabi, Birgitte

    2014-01-01

    : This study was retrospective and based on a review of children treated for IH with propranolol from the 2010-2012 period at Rigshospitalet. RESULTS: Overall, propranolol was effective in all but one child (97%). The majority of the children (84%) were treated with an initial dose of 1 mg/kg/day, which...... was considered sufficient in most cases (71%). Children who started treatment before five months of age had a significantly better response than children who started treatment at a later age. No relation was found between location of IH and the effect of treatment. There were only few and mild side effects....... CONCLUSION: Propranolol is effective in the treatment of IH and it has only few and mild side effects. In most cases, a low dose of 1 mg/kg/day was sufficient. Early initiation of treatment is recommended as the response to treatment was better in younger children and because early initiation helps prevent...

  9. Effect of aspirin treatment on chondromalacia patellae.

    OpenAIRE

    Bentley, G; Leslie, I J; Fischer, D

    1981-01-01

    Twenty-nine patients (21 females and 8 males) with chondromalacia patellae diagnosed by arthroscopy were randomly allocated to receive aspirin or placebo for 3 months. Clinical and arthroscopic examination after 3 months showed no significant change in symptoms, signs, or macroscopic appearances in either group. Surgical treatment was performed in 14 patients for deteriorating symptoms.

  10. Effect of aspirin treatment on chondromalacia patellae.

    Science.gov (United States)

    Bentley, G; Leslie, I J; Fischer, D

    1981-01-01

    Twenty-nine patients (21 females and 8 males) with chondromalacia patellae diagnosed by arthroscopy were randomly allocated to receive aspirin or placebo for 3 months. Clinical and arthroscopic examination after 3 months showed no significant change in symptoms, signs, or macroscopic appearances in either group. Surgical treatment was performed in 14 patients for deteriorating symptoms. Images PMID:7008711

  11. Musical hallucinations : Review of treatment effects

    NARCIS (Netherlands)

    Coebergh, Jan A. F.; Lauw, R. F.; Bots, R.; Sommer, I. E. C.; Blom, J. D.

    2015-01-01

    Background: Despite an increased scientific interest in musical hallucinations over the past 25 years, treatment protocols are still lacking. This may well be due to the fact that musical hallucinations have multiple causes, and that published cases are relatively rare. Objective: To review the

  12. Musical hallucinations : review of treatment effects

    NARCIS (Netherlands)

    Coebergh, Jan A F; Lauw, R F; Bots, R; Sommer, I E C; Blom, J D

    2015-01-01

    BACKGROUND: Despite an increased scientific interest in musical hallucinations over the past 25 years, treatment protocols are still lacking. This may well be due to the fact that musical hallucinations have multiple causes, and that published cases are relatively rare. OBJECTIVE: To review the

  13. Effect of heat treatment temperature on microstructure

    Indian Academy of Sciences (India)

    The results of electrochemical performance measurements for the HCSs as anode material for lithium ion batteries indicate that the discharge capacity of the HCSs is improved after heat treatment at 800°C compared with the as-prepared HCSs and have a maximum value of 357 mAh/g and still retains 303 mAh/g after 40 ...

  14. Effects of plasma treatment on wounds

    NARCIS (Netherlands)

    Tipa, R.S.; Stoffels - Adamowicz, E.; Lim, C.T.; Goh, J.C.H.

    2009-01-01

    Cold plasma treatment of wounds is gaining much interest, because it will offer a non-contact, painless and harmless therapy to manage large-area lesions (burn wounds, chronic ulcerations). One of the important issues in plasma wound healing is the safety of the method. In this work we study in

  15. Effects of ecosystem-based management treatments

    Science.gov (United States)

    Michael G. Harrington; Carl E. Fiedler; Stephen F. Arno; Ward W. McCaughey; Leon J. Theroux; Clinton E. Carlson; Kristin L. Zouhar; Thomas H. DeLuca; Donald J. Bedunah; Dayna M. Ayers; Elizabeth A. Beringer; Sallie J. Hejl; Lynn Bacon; Robert E. Benson; Jane Kapler Smith; Rick Floch

    1999-01-01

    The prescribed burn treatments were applied to reduce pre-existing and new slash fuel loadings, reduce understory tree density to lower crown fire potential, stimulate vigor of decadent understory vegetation, produce mineral seedbeds for seral species establishment, and increase availability of mineral nutrients. To test the feasibility of prescribed burning under a...

  16. Nonparametric Bounds and Sensitivity Analysis of Treatment Effects

    Science.gov (United States)

    Richardson, Amy; Hudgens, Michael G.; Gilbert, Peter B.; Fine, Jason P.

    2015-01-01

    This paper considers conducting inference about the effect of a treatment (or exposure) on an outcome of interest. In the ideal setting where treatment is assigned randomly, under certain assumptions the treatment effect is identifiable from the observable data and inference is straightforward. However, in other settings such as observational studies or randomized trials with noncompliance, the treatment effect is no longer identifiable without relying on untestable assumptions. Nonetheless, the observable data often do provide some information about the effect of treatment, that is, the parameter of interest is partially identifiable. Two approaches are often employed in this setting: (i) bounds are derived for the treatment effect under minimal assumptions, or (ii) additional untestable assumptions are invoked that render the treatment effect identifiable and then sensitivity analysis is conducted to assess how inference about the treatment effect changes as the untestable assumptions are varied. Approaches (i) and (ii) are considered in various settings, including assessing principal strata effects, direct and indirect effects and effects of time-varying exposures. Methods for drawing formal inference about partially identified parameters are also discussed. PMID:25663743

  17. Estimating the effect of treatment rate changes when treatment benefits are heterogeneous: antibiotics and otitis media.

    Science.gov (United States)

    Park, Tae-Ryong; Brooks, John M; Chrischilles, Elizabeth A; Bergus, George

    2008-01-01

    Contrast methods to assess the health effects of a treatment rate change when treatment benefits are heterogeneous across patients. Antibiotic prescribing for children with otitis media (OM) in Iowa Medicaid is the empirical example. Instrumental variable (IV) and linear probability model (LPM) are used to estimate the effect of antibiotic treatments on cure probabilities for children with OM in Iowa Medicaid. Local area physician supply per capita is the instrument in the IV models. Estimates are contrasted in terms of their ability to make inferences for patients whose treatment choices may be affected by a change in population treatment rates. The instrument was positively related to the probability of being prescribed an antibiotic. LPM estimates showed a positive effect of antibiotics on OM patient cure probability while IV estimates showed no relationship between antibiotics and patient cure probability. Linear probability model estimation yields the average effects of the treatment on patients that were treated. IV estimation yields the average effects for patients whose treatment choices were affected by the instrument. As antibiotic treatment effects are heterogeneous across OM patients, our estimates from these approaches are aligned with clinical evidence and theory. The average estimate for treated patients (higher severity) from the LPM model is greater than estimates for patients whose treatment choices are affected by the instrument (lower severity) from the IV models. Based on our IV estimates it appears that lowering antibiotic use in OM patients in Iowa Medicaid did not result in lost cures.

  18. Side effects as influencers of treatment outcome.

    Science.gov (United States)

    Sharif, Zafar

    2008-01-01

    Research relative to the efficacy of a therapeutic agent commands a clinician's greatest interest, but treatment decisions are made based on optimizing efficacy and tolerability/safety considerations. Second-generation atypical antipsychotic drugs are a study in the importance of taking a careful look at the full benefit-risk profile of each drug. The disorders that atypical antipsychotics are approved to treat--schizophrenia, schizoaffective disorder, and bipolar disorder--are associated with an increased rate of certain medical comorbidities compared to the general population. Between-drug differences in efficacy are relatively modest for the atypicals, or between atypicals and conventionals, while differences in safety and tolerability are larger and more clinically relevant. The current article will provide a brief summary of safety-related issues that influence treatment outcome and choice of drug.

  19. Effectiveness of Acupuncture in the Treatment of Gulf War Illness

    Science.gov (United States)

    2013-01-01

    325. 7 Wigers SH, Stiles TC, Vogael PA. Effects of aerobic exercise versus stress management treatment in fibromyalgia : a 4.5 year prospective study... Treatment of Gulf War Illness PRINCIPAL INVESTIGATOR: Lisa Conboy, M.A., M.S., ScD...December 2012 4. TITLE AND SUBTITLE 5a. CONTRACT NUMBER Effectiveness of Acupuncture in the Treatment of Gulf War Illness 5b. GRANT NUMBER W81XWH

  20. Treatment selection in a randomized clinical trial via covariate-specific treatment effect curves.

    Science.gov (United States)

    Ma, Yunbei; Zhou, Xiao-Hua

    2017-02-01

    For time-to-event data in a randomized clinical trial, we proposed two new methods for selecting an optimal treatment for a patient based on the covariate-specific treatment effect curve, which is used to represent the clinical utility of a predictive biomarker. To select an optimal treatment for a patient with a specific biomarker value, we proposed pointwise confidence intervals for each covariate-specific treatment effect curve and the difference between covariate-specific treatment effect curves of two treatments. Furthermore, to select an optimal treatment for a future biomarker-defined subpopulation of patients, we proposed confidence bands for each covariate-specific treatment effect curve and the difference between each pair of covariate-specific treatment effect curve over a fixed interval of biomarker values. We constructed the confidence bands based on a resampling technique. We also conducted simulation studies to evaluate finite-sample properties of the proposed estimation methods. Finally, we illustrated the application of the proposed method in a real-world data set.

  1. Cost effectiveness of Tuberculosis Treatment from the Patients ...

    African Journals Online (AJOL)

    ... Directly Observed Treatment Short course is more cost effective from the patients' point of view. DOTS needs to be re-focused out of the hospitals and clinics and made community based in view of the increasing TB caseload occasioned by HI V/AIDS. Key Words: Cost effectiveness, Tuberculosis treatment, personal cost, ...

  2. Frequency of streamflow measurements required to determine forest treatment effects

    Science.gov (United States)

    Kenneth G. Reinhart

    1964-01-01

    Most of the stream-discharge records for our experimental watersheds are taken by continuous measurements. But the question arises: are continuous measurements necessary to determine effects of forest treatments? Or could treatment effects be determined by measurement of discharge at intervals, say, once a day or once a week?

  3. Effects of Cancer Treatment on Fertility (For Parents)

    Science.gov (United States)

    ... Mind Sexual Health Food & Fitness Diseases & Conditions Infections Drugs & Alcohol School & Jobs Sports Expert Answers (Q&A) Staying Safe Videos for Educators Search English Español Effects of Cancer Treatment on Fertility KidsHealth / For Parents / Effects of Cancer Treatment on ...

  4. Adverse effects of orthodontic treatment: A clinical perspective

    Science.gov (United States)

    Talic, Nabeel F.

    2011-01-01

    Orthodontic treatment is associated with a number of adverse effects, such as root resorption, pain, pulpal changes, periodontal disease, and temporomandibular dysfunction (TMD). Orthodontists should be aware of these effects and associated risk factors. Risk factors linked to root resorption include the duration of treatment, length, and shape of the root, trauma history, habits, and genetic predisposition. PMID:24151415

  5. Silvicultural evaluations on maritime pine (Pinus pinaster Aiton plantations in Istanbul

    Directory of Open Access Journals (Sweden)

    Safa Balekoğlu

    2016-07-01

    Full Text Available Industrial plantations have substantially reduced the pressure on natural forests. There are approximately 80.000 hectares of industrial plantations, established with fast growing coniferous species, 77.000 hectares of which are maritime pine plantations in Turkey. Furthermore, approximately 16.000 hectares of maritime pine plantations, which amount to about 20 percent of all maritime pine plantations in Turkey, occur in Istanbul. The aim of this study is to determine the growth pattern of maritime pine plantations located in Anatolian and European Istanbul: Kanlıca, Beykoz, Sultanbeyli and Şile-Sahilköy; and Bahçeköy-Bentler, Arnavutköy and Terkos-Durusu respectively. Specifically, the study examined individual trees within the above-mentioned sites to determine the first thinning age of the plantations. In addition, some specific silvicultural suggestions were offered for the plantations. The minimum and maximum recorded values for the trees’ age, DBH, height and stem volume were found in the range of 22-50 years, 26.6-46.8 cm, 14.0-23.0 m and 0.5150-1.8560 m3 respectively. In order to take advantage of the fast growing attributes of maritime pine which was found to grow fast within first 10 years, the first thinning should commence at the age of 11-12 years; thereafter, the second thinning should commence at the age of 18-20 years; finally, the final cut should be performed when the plantation is approximately 30 years of age. If rotation age is considered 40 years, the third thinning should commence at the age of 30 years.

  6. Oculomotor and neuropsychological effects of antipsychotic treatment for schizophrenia

    Directory of Open Access Journals (Sweden)

    Kristian S. Hill

    2009-04-01

    Full Text Available Cognitive enhancement has become an important target for drug therapies in schizophrenia. Treatment development in this area requires assessment approaches that are sensitive to procognitive effects of antipsychotic and adjunctive treatments. Ideally, new treatments will have translational characteristics for parallel human and animal research. Previous studies of antipsychotic effects on cognition have relied primarily on paper-and-pencil neuropsychological testing. No study has directly compared neurophysiological biomarkers and neuropsychological testing as strategies for assessing cognitive effects of antipsychotic treatment early in the course of schizophrenia. Anti psychotic-naive patients with schizophrenia were tested before treatment with risperidone and again 6 weeks later. Matched healthy participants were tested over a similar time period. Test-retest reliability, effect sizes of within-subject change, and multivariate/univariate analysis of variance were used to compare 3 neurophysiological tests (visually guided saccade, memory-guided saccade, and antisaccade with neuropsychological tests covering 4 cognitive domains (executive function, attention, memory, and manual motor function. While both measurement approaches showed robust neurocognitive impairments in patients prior to risperidone treatment, oculomotor biomarkers were more sensitive to treatment-related effects on neurocognitive function than traditional neuropsychological measures. Further, unlike the pattern of modest generalized cognitive improvement suggested by neuropsychological measures, the oculomotor findings revealed a mixed pattern of beneficial and adverse treatment related effects. These findings warrant further investigation regarding the utility of neurophysiological biomarkers for assessing cognitive outcomes of antipsychotic treatment in clinical trials and in early-phase drug development.

  7. Asymmetric inhibitory treatment effects in multilingual aphasia.

    Science.gov (United States)

    Goral, Mira; Naghibolhosseini, Maryam; Conner, Peggy S

    2013-01-01

    Findings from recent psycholinguistic studies of bilingual processing support the hypothesis that both languages of a bilingual are always active and that bilinguals continually engage in processes of language selection. This view aligns with the convergence hypothesis of bilingual language representation. Furthermore, it is hypothesized that when bilinguals perform a task in one language they need to inhibit their other, nontarget language(s) and that stronger inhibition is required when the task is performed in the weaker language than in the stronger one. The study of multilingual individuals who acquire aphasia resulting from a focal brain lesion offers a unique opportunity to test the convergence hypothesis and the inhibition asymmetry. We report on a trilingual person with chronic nonfluent aphasia who at the time of testing demonstrated greater impairment in her first acquired language (Persian) than in her third, later learned language (English). She received treatment in English followed by treatment in Persian. An examination of her connected language production revealed improvement in her grammatical skills in each language following intervention in that language, but decreased grammatical accuracy in English following treatment in Persian. The increased error rate was evident in structures that are used differently in the two languages (e.g., auxiliary verbs). The results support the prediction that greater inhibition is applied to the stronger language than to the weaker language, regardless of their age of acquisition. We interpret the findings as consistent with convergence theories that posit overlapping neuronal representation and simultaneous activation of multiple languages and with proficiency-dependent asymmetric inhibition in multilinguals.

  8. Lymphedema as a Cancer Treatment Side Effect

    Science.gov (United States)

    ... Considerations How Cancer is Treated Side Effects Dating, Sex, and Reproduction Advanced Cancer For Children For Teens For Young Adults For Older Adults Prevention and Healthy Living Cancer.Net Videos Coping With Cancer Research and Advocacy Survivorship Blog ...

  9. Effective operator treatment of the Lipkin model

    International Nuclear Information System (INIS)

    Abraham, K.J.; Vary, J.P.

    2004-01-01

    We analyze the Lipkin model in the strong coupling limit using effective operator techniques. We present both analytical and numerical results for low energy effective Hamiltonians. We investigate the reliability of various approximations used to simplify the nuclear many body problem, such as the cluster approximation. We demonstrate, in explicit examples, certain limits to the validity of the cluster approximation but caution that these limits may be particular to this model where the interactions are of unlimited range

  10. Strategies for maximizing clinical effectiveness in the treatment of schizophrenia.

    Science.gov (United States)

    Tandon, Rajiv; Targum, Steven D; Nasrallah, Henry A; Ross, Ruth

    2006-11-01

    The ultimate clinical objective in the treatment of schizophrenia is to enable affected individuals to lead maximally productive and personally meaningful lives. As with other chronic diseases that lack a definitive cure, the individual's service/recovery plan must include treatment interventions directed towards decreasing manifestations of the illness, rehabilitative services directed towards enhancing adaptive skills, and social support mobilization aimed at optimizing function and quality of life. In this review, we provide a conceptual framework for considering approaches for maximizing the effectiveness of the array of treatments and other services towards promoting recovery of persons with schizophrenia. We discuss pharmacological, psychological, and social strategies that decrease the burden of the disease of schizophrenia on affected individuals and their families while adding the least possible burden of treatment. In view of the multitude of treatments necessary to optimize outcomes for individuals with schizophrenia, effective coordination of these services is essential. In addition to providing best possible clinical assessment and pharmacological treatment, the psychiatrist must function as an effective leader of the treatment team. To do so, however, the psychiatrist must be knowledgeable about the range of available services, must have skills in clinical-administrative leadership, and must accept the responsibility of coordinating the planning and delivery of this multidimensional array of treatments and services. Finally, the effectiveness of providing optimal individualized treatment/rehabilitation is best gauged by measuring progress on multiple effectiveness domains. Approaches for efficient and reliable assessment are discussed.

  11. Evaluating forest product potential as part of planning ecological restoration treatments on forested landscapes

    Science.gov (United States)

    R. James Barbour; Ryan Singleton; Douglas A. Maguire

    2007-01-01

    As landscape-scale assessments and modeling become a more common method for evaluating alternatives in integrated resource management, new techniques are needed to display and evaluate outcomes for large numbers of stands over long periods. In this proof of concept, we evaluate the potential to provide financial support for silvicultural treatments by selling timber...

  12. Forest treatment residues for thermal energy compared with disposal by onsite burning: Emissions and energy return

    Science.gov (United States)

    Greg Jones; Dan Loeffler; David Calkin; Woodam Chung

    2010-01-01

    Mill residues from forest industries are the source for most of the current wood-based energy in the US, approximately 2.1% of the nation's energy use in 2007. Forest residues from silvicultural treatments, which include limbs, tops, and small non-commercial trees removed for various forest management objectives, represent an additional source of woody biomass for...

  13. Fibromyalgia Syndrome in Need of Effective Treatments

    Science.gov (United States)

    Tsilioni, Irene; Arbetman, Lauren; Panagiotidou, Smaro; Stewart, Julia M.; Gleason, Rae M.; Russell, Irwin J.

    2015-01-01

    Fibromyalgia syndrome (FMS) is a chronic, idiopathic condition of widespread musculoskeletal pain, affecting primarily women. It is clinically characterized by chronic, nonarticular pain and a heightened response to pressure along with sleep disturbances, fatigue, bowel and bladder abnormalities, and cognitive dysfunction. The diagnostic criteria have changed repeatedly, and there is neither a definitive pathogenesis nor reliable diagnostic or prognostic biomarkers. Clinical and laboratory studies have provided evidence of altered central pain pathways. Recent evidence suggests the involvement of neuroinflammation with stress peptides triggering the release of neurosenzitizing mediators. The management of FMS requires a multidimensional approach including patient education, behavioral therapy, exercise, and pain management. Here we review recent data on the pathogenesis and propose new directions for research and treatment. PMID:26306765

  14. The oral adverse effects of isotretinoin treatment in acne vulgaris ...

    African Journals Online (AJOL)

    Background: Isotretinoin is the most effective therapy to treat severe acne vulgaris and its systemic adverse effects have been well documented, but little is known on dental side effects over the course of treatment. Objectives: This prospective case-control study aimed to evaluate the oral adverse effects of isotretinoin in ...

  15. Effectiveness of cryotherapy treatment for cervical intraepithelial neoplasia.

    Science.gov (United States)

    Luciani, Silvana; Gonzales, Miguel; Munoz, Sergio; Jeronimo, Jose; Robles, Sylvia

    2008-05-01

    To assess the effectiveness of cryotherapy treatment delivered by general practitioners in primary care settings, as part of a screen-and-treat approach for cervical cancer prevention. Women aged between 25 and 49 years residing in San Martin, Peru, who were positive on visual inspection screening were treated, if eligible, with cryotherapy following biopsy. At 12 months post cryotherapy treatment the participants were evaluated for treatment effectiveness and examined by visual inspection and Papanicolaou test and, if positive, referred to a gynecologist for colposcopy and biopsy. Cryotherapy treatment was performed for 1398 women; of these, 531 (38%) had a histology result of cervical intraepithelial neoplasia (CIN). Cryotherapy effectively cured CIN in 418 (88%) women, including 49 (70%) women with a baseline diagnosis of CIN 3. Cryotherapy is an effective treatment for cervical precancerous lesions; it can easily be administered by general practitioners in primary care settings following visual inspection screening.

  16. [Effect of forest management on the herpetofauna of a temperate forest of western Oaxaca, Mexico].

    Science.gov (United States)

    Aldape-López, César Tonatiuh; Santos-Moreno, Antonio

    2016-09-01

    The development of silvicultural techniques has as main objective to maximize the production of timber, whereas at the same time minimize the impact generated during and after forest intervention in the local diversity. However, these activities change local climate, and this, in turn, alter the composition of natural communities. The effect of these changes may be greater in those taxonomic groups with high sensitivity to habitat disturbance, such as amphibians and reptiles, which are the unique terrestrial ectothermic vertebrates. The present study aims to know the differences in diversity of amphibians and reptiles in a temperate forest under two silvicultural treatments, one of low and the other of high intensity, as well as from one, five and ten years of regeneration since the last logging event, Sierra Sur of Oaxaca, Mexico. Records of 21 species of herpetofauna (six amphibians and 15 reptiles) were obtained. The total species richness was similar in both treatments; however, the composition varied between sites with different recovery times. Higher abundance of amphibian was presented on sites with the low-intensity treatment, while reptiles were more abundant at sites with intensive treatment. Compared to a mature forest without management, sites with intensive treatment have more rare species, although the values of true diversity of amphibians were similar between treatments with different intensities, while for reptiles sites under treatment showed less diversity that unmanaged site: 33 % for intensive treatment and 28 % at sites with low intensity with respect to one control site. Complementary Analysis showed a difference of 86 % between the compositions of species in sites with intensive treatment. The treatment intensity was associated with an increase in the number of species, but the way they respond to changes in habitat depends largely on the population characteristics of each species and its ability to adapt to new conditions.

  17. Effective physical treatment for chronic low back pain.

    Science.gov (United States)

    Maher, C G

    2004-01-01

    It is now feasible to adopt an evidence-based approach when providing physical treatment for patients with chronic LBP. A summary of the efficacy of a range of physical treatments is provided in Table 1. The evidence-based primary care options are exercise, laser, massage, and spinal manipulation; however, the latter three have small or transient effects that limit their value as therapies for chronic LBP. In contrast, exercise produces large reductions in pain and disability, a feature that suggests that exercise should play a major role in the management of chronic LBP. Physical treatments, such as acupuncture, backschool, hydrotherapy, lumbar supports, magnets, TENS, traction, ultrasound, Pilates therapy, Feldenkrais therapy, Alexander technique, and craniosacral therapy are either of unknown value or ineffective and so should not be considered. Outside of primary care, multidisciplinary treatment or functional restoration is effective; however, the high cost probably means that these programs should be reserved for patients who do not respond to cheaper treatment options for chronic LBP. Although there are now effective treatment options for chronic LBP, it needs to be acknowledged that the problem of chronic LBP is far from solved. Though treatments can provide marked improvements in the patient's condition, the available evidence suggests that the typical chronic LBP patient is left with some residual pain and disability. Developing new, more powerful treatments and refining the current group of known effective treatments is the challenge for the future.

  18. Recidivism after treatment in a forensic youth-psychiatric setting: the effect of treatment characteristics

    NARCIS (Netherlands)

    van der Put, C.E.; Asscher, J.J.; Stams, G.J.J.M.; van der Laan, P.H.; Breuk, R.; Jongman, E.; Doreleijers, T.

    2013-01-01

    The aim of this study was to examine the effect of treatment characteristics on recidivism in a forensic youth-psychiatric outpatient clinic. The treatment offered comprised functional family therapy (FFT), individual cognitive behavioural therapy (CBT), or CBT in combination with parent training.

  19. Effective treatment for malignant mediastinal teratoma.

    Science.gov (United States)

    Parker, D; Holford, C P; Begent, R H; Newlands, E S; Rustin, G J; Makey, A R; Bagshawe, K D

    1983-12-01

    Primary malignant mediastinal teratoma is a rare tumour previously regarded as inevitably fatal. In a series of eight male patients with a mean age of 24 years five remain alive and well. All patients showed raised serum concentrations of human chorionic gonadotrophin or alpha fetoprotein. The patients were treated with intermittent combination chemotherapy that included cisplatin. Six patients responded to chemotherapy with a fall in human chorionic gonadotrophin or alpha fetoprotein to near normal levels and they then had radical excision of the remaining tumour. Living malignant tumour was found in four of the specimens and these patients received postoperative chemotherapy. One patient died after eight months and the remaining five patients are alive and well 13-136 months after the start of treatment. The two patients who did not undergo surgery died at one month and 15 months. Intermittent combination chemotherapy and carefully timed radical excision of these tumours would appear to have produced better results than have been reported in other series.

  20. Fuels planning: science synthesis and integration; forest structure and fire hazard fact sheet 06: Guide to fuel treatments in dry forests of the Western United States: assessing forest structure and fire hazard

    Science.gov (United States)

    Rocky Mountain Research Station USDA Forest Service

    2005-01-01

    The Guide to Fuel Treatments analyzes a range of potential silvicultural thinnings and surface fuel treatments for 25 representative dry-forest stands in the Western United States. The guide provides quantitative guidelines and visualization for treatment based on scientific principles identified for reducing potential crown fires. This fact sheet identifies the...

  1. Improved treatment of radiation effects on the skin

    International Nuclear Information System (INIS)

    Wandl, E.O.; Kaercher, K.H.; Wandl-Hainberger, I.

    1985-01-01

    The treatment concept developed by K.H. Kaercher was extended by a therapy using Elasten S cream. In the course of a highvoltage therapy using fast electrons or cobalt-60, interesting aspects in the treatment and progression of the radiation reactions of the skin were established. The dermato-therapeutic principles layed down by K.H. Kaercher with the treatment palette used hitherto, have without doubt invariably proven their value. The exclusive powder treatment, however, may be made more practical by application of the new treatment cream in accordance with the intervals in radiation treatment or as a basic treatment towards the end of therapy. Furthermore it is ideally suited for the care and after-treatment of skin, strained by radiation. It reduces considerably the remaining visible radiation reactions. The treatment with powder and emulsion has for more than 10 years proven effective. After the excellent results of the new cream during radiation treatment, additional positive effects are expected in a long-term trial which will be reported on separately. (orig.) [de

  2. Effect of blind treatment on stone disease.

    Science.gov (United States)

    Fazil Marickar, Y M; Salim, Abiya; Vijay, Adarsh

    2010-06-01

    Most of the drugs administered to stone patients appear to be inappropriate and doing more harm than good to the patients. The objective of this paper is to identify the prevalence of blind chemotherapy among the stone patients and find out the real indication for the drugs administered. Patients who attended the stone clinic for the first time were interviewed to find out what drugs they had been taking before the attendance at the stone clinic. 350 patients consuming specific drugs relevant to stone formation at least for a period of 15 days were selected for a detailed assessment. The type of drug consumed, the dose, the duration, the side effects, compliance rate and effect on stone disease were assessed. The biochemical profile of the patients was assessed to identify the role of the therapeutic modalities utilised. Conclusions regarding the utility of drugs in the process of stone formation were made. The values were compared with those of patients not on medication and considering laboratory standards. Of the 350 patients studied, 96 patients were consuming potassium citrate in different doses, 50 were consuming allopurinol, 44 cystone, 27 potassium citrate + magnesium, 25 calcury, 24 rowatinex, 21 ayurvedic drugs, 17 dystone, 17 homeopathic medicines and 17 other drugs. The longest duration of compliance was for cystone-2.5 years. All other drugs were stopped by the patients themselves due to recurrence of symptoms. As much as 93% of the patients did not feel that there was any significant relief of symptoms. The side effects which prompted the patients to stop medicine were gastro intestinal upset, particularly with potassium citrate, rowatinex and potassium citrate + magnesium combination. The relevant biochemical changes noted were increased urinary citrate levels in patients consuming potassium citrate alone or in combination with magnesium. Serum uric acid was within normal limits in patients consuming allopurinol. Urine uric acid levels were also

  3. Predicting the effect of psychoeducational group treatment for hypochondriasis.

    NARCIS (Netherlands)

    Buwalda, F.M.; Bouman, T.K.

    2008-01-01

    Both individual cognitive-behavioural therapy and short-term psychoeducational courses have shown to be effective in reducing hypochondriacal complaints. However, it is unknown which patients benefit from treatment. The aim of the present study is to explore which variables predict treatment outcome

  4. Comparative Study of Pre-Germination Treatments and their Effects ...

    African Journals Online (AJOL)

    FIRST LADY

    of leaves (10.05) respectively. Pre-germination treatments of seeds soaked in running water (SRW) for 24 hours were found to be more effective in seedlings growth and biomass production. Keywords: Tectona grandis, pre-germination treatment, seed dormancy, seedling growth. Introduction. Tectona grandis is one of the ...

  5. Moringa extracts used in sugarcane juice treatment and effects on ...

    African Journals Online (AJOL)

    The objective of this study was to evaluate the effects of sugarcane juice treatment using Moringa oleifera leaf and seeds extracts on ethanolic fermentation. The experiment was arranged in a split plot statistical design, with four replications. Main treatments were three sedimentation agents (synthetic polyelectrolyte, ...

  6. Effects of Hot Water Treatment and Temperature on Seedling ...

    African Journals Online (AJOL)

    An experiment was conducted at the Faculty of Agriculture, University of Maiduguri, to study the effect of hot water treatment and temperature on the morphological characteristics of Arabic gum. The experiment was laid out in a Randomized Complete Block Design in a factorial arrangement. The treatments included a ...

  7. Effect of physical treatment on Trichoderma reesei cells

    International Nuclear Information System (INIS)

    Kumakura, M.; Kaetsu, I.

    1984-01-01

    The effect of physical treatment such as freezing and gamma-ray irradiation on Trichoderma reesei cells was studied. The decrease phenomena of cellulase production, which was observed in the culture of the cells using wheat bran extract, was improved by physical treatment. (author)

  8. Mode-Specific Effects among Three Treatments for Depression.

    Science.gov (United States)

    Imber, Stanley D.; And Others

    1990-01-01

    Randomly assigned 250 depressed outpatients to interpersonal psychotherapy, cognitive-behavioral therapy, imipramine plus clinical management, or pill placebo plus clinical management treatments. All treatments demonstrated significant symptom reduction with few differences in general outcomes. None of the therapies produced consistent effects on…

  9. Nonthermal effects in thermal treatment applications of nonionizing irradiation

    Science.gov (United States)

    Thomsen, Sharon

    2005-04-01

    Several non-thermal factors influence the primary and secondary effects of interstitial thermal treatments using various types of non-ionizing irradiation. Recognition and understanding of the influences of these various factors are important in choice of energy source, the configuration of the application instrument and the design of treatments.

  10. Effect of heat treatment on structure and magnetic properties

    Indian Academy of Sciences (India)

    Fe46Co35Ni19/CNTs nanocomposites have been prepared by an easy two-step route including adsorption and heat treatment processes. We investigated the effect of heat treatment conditions on structure, morphology, nanoparticle sizes and magnetic properties of the Fe46Co35Ni19 alloy nanoparticles attached on the ...

  11. Effect of heat treatment temperature on binder thermal conductivities

    International Nuclear Information System (INIS)

    Wagner, P.

    1975-12-01

    The effect of heat treatment on the thermal conductivities of a pitch and a polyfurfuryl alcohol binder residue was investigated. Graphites specially prepared with these two binders were used for the experiments. Measured thermal conductivities were treated in terms of a two-component system, and the binder thermal conductivities were calculated. Both binder residues showed increased thermal conductivity with increased heat treatment temperature

  12. Effects of thermal treatments and germination on physico-chemical ...

    African Journals Online (AJOL)

    Certain physico-chemical properties including viscoelasticity, crystallinity and maltose content of corn depends on the gelatinization of starch under different treatments. Three different treatments were performed; boiling in water, steam heating, and germination. The effects of gelatinization on viscoelastic property of corn ...

  13. Effect of time on dyeing wastewater treatment

    Science.gov (United States)

    Ye, Tingjin; Chen, Xin; Xu, Zizhen; Chen, Xiaogang; Shi, Liang; He, Lingfeng; Zhang, Yongli

    2018-03-01

    The preparation of carboxymethylchitosan wrapping fly-ash adsorbent using high temperature activated fly ash and sodium carboxymethyl chitosan (CWF), as with the iron-carbon micro-electrolysis process simulation and actual printing and dyeing wastewater. The effects of mixing time and static time on decolorization ratio, COD removing rate and turbidness removing rate were investigated. The experimental results show that the wastewater stirring times on the decolorization rate and COD removal rate and turbidity removal rate influence, with increasing of the stirring time, three showed a downward trend, and reached the peak at 10 min time; wastewater time on the decolorization ratio and COD removing efficiency and turbidness removing rate influence, along with standing time increase, three who declined and reached the maximum in 30min time.

  14. Neuroimaging in aphasia treatment research: Standards for establishing the effects of treatment

    Science.gov (United States)

    Kiran, Swathi; Ansaldo, Ana; Bastiaanse, Roelien; Cherney, Leora R.; Howard, David; Faroqi-Shah, Yasmeen; Meinzer, Marcus; Thompson, Cynthia K

    2012-01-01

    The goal of this paper is to discuss experimental design options available for establishing the effects of treatment in studies that aim to examine the neural mechanisms associated with treatment-induced language recovery in aphasia, using functional magnetic resonance imaging (fMRI). We present both group and single-subject experimental or case-series design options for doing this and address advantages and disadvantages of each. We also discuss general components of and requirements for treatment research studies, including operational definitions of variables, criteria for defining behavioral change and treatment efficacy, and reliability of measurement. Important considerations that are unique to neuroimaging-based treatment research are addressed, pertaining to the relation between the selected treatment approach and anticipated changes in language processes/functions and how such changes are hypothesized to map onto the brain. PMID:23063559

  15. A silvicultura e os recursos hídricos superficiais Superficial hydric resources and the silviculture

    Directory of Open Access Journals (Sweden)

    Rafael Zoboli Guimarães

    2010-03-01

    Full Text Available Realizou-se um monitoramento da qualidade da água superficial em áreas de reflorestamento com
    espécies de Pinus taeda e Pinus ellioti no Município de Joinville, Santa Catarina, Brasil, no período de setembro
    de 2005 a julho de 2006. Fez-se a comparação entre os resultados obtidos no monitoramento em talhões de
    diferentes idades de reflorestamento e comparou-se com áreas de mata nativa. Utilizaram-se no monitoramento
    os parâmetros de temperatura, pH, oxigênio dissolvido (OD, demanda bioquímica de oxigênio (DBO, sólidos
    dissolvidos totais, turbidez, e coliformes termotolerantes (CT. Os resultados mais significativos foram: aumento
    médio de 0,4 unidades de pH, de 42 NMP/100mL de CT, comparando a qualidade da água na entrada e saída do
    reflorestamento. Houve maior estabilidade na variação espacial e temporal do parâmetro pH nos reflorestamentos
    mais velhos. Preliminarmente, esta pesquisa mostrou que a atividade de silvicultura não interfere de forma
    considerável na qualidade das águas superficiais.Superficial water quality was monitored in plantation areas with exotic species (Pinus taeda e Pinus ellioti in Joinville coutry, Santa Catarina, Brazil, between September 2005 and July 2006. The results, obtained in the monitoring area through the comparison of different forested catchments of different forestry ages, were compared with the ones of the native forest. The parameters used in monitoring were temperature, pH, dissolved oxygen (DO, oxygen biochemist demand (OBD, total solids dissolved (TSD, turbidity, and thermo tolerant coliforms (TC. The most significant result was: an average increase of 0,4 units of pH, 42 NMP/100 mL of TC, comparing the water quality in the entrance and exit of the forestry. It had greater stability at temporal and spatial variation in pH values in the oldest forestry. Preliminary, this research showed that the silviculture does not considerably intervene

  16. Effects of mulching, fertilizer, seeding and seedling treatments

    African Journals Online (AJOL)

    Mgina

    Mulching treatment had an effect of increasing mortality of non-woody species and selectively favoring the ... central Tanzania where former bad land use practices ... of one or a few fast growing annual or perennial ...... Food Agric. 75: 412-.

  17. Effects of certain burning treatments on veld condition in Giant's ...

    African Journals Online (AJOL)

    Effects of certain burning treatments on veld condition in Giant's Castle Game Reserve. ... Keywords: above-ground standing crop; basal cover; burning; composition change; giant's castle game reserve; natal ... AJOL African Journals Online.

  18. Effects of palm pollen on folliculogenesis process after treatment ...

    African Journals Online (AJOL)

    Effects of palm pollen on folliculogenesis process after treatment with cyclophosphamide among rats. ... Background and purpose: Palm pollen is a good source of natural antioxidants and has a high level of health ... HOW TO USE AJOL.

  19. Prolotherapy: An Effective Treatment for Low Back Pain?

    Science.gov (United States)

    ... pain? Is prolotherapy an effective treatment for chronic low back pain? Answers from Brent A. Bauer, M.D. Prolotherapy is ... reduced pain. Studies of prolotherapy in people with low back pain have had mixed results. A combination of prolotherapy ...

  20. Brine treatment, smoking and storage techniques: their effects on the ...

    African Journals Online (AJOL)

    Journal of Food Technology in Africa ... Brine treatment, smoking and storage techniques: their effects on the microbial quality of smoked mackerel. ... off odour development, softening of the fish and positively affected personal preference.

  1. Effective antihypertensive treatment postpones renal insufficiency in diabetic nephropathy

    DEFF Research Database (Denmark)

    Parving, H H; Smidt, U M; Hommel, E

    1993-01-01

    The effect of long-term, aggressive, antihypertensive treatment on kidney function in diabetic nephropathy was studied prospectively in 11 insulin-dependent diabetic patients (mean age, 30 years). Renal function was assessed every 4 months by measurement of glomerular filtration rate (GFR) (single...... infarction (GFR, 46 mL/min/1.73 m2). Effective antihypertensive treatment postpones renal insufficiency in diabetic nephropathy....

  2. Modelling the effects of treatment and quarantine on measles

    Science.gov (United States)

    Beay, Lazarus Kalvein

    2018-03-01

    Treatment and quarantine are efforts to cure as well as to overcome the spread of diseases including measles. The spread of measles can be expressed by mathematical modelling in the form of nonlinear dynamical systems. In this study was conducted on the spread of measles by considering the effect of treatment and quarantine on the infected individuals. By using the basic reproduction number of the model, can be analyzed the effects of treatment and quarantine to reduce the spread of measles. Basic reproduction number of models is monotonically descreasing as treatment and quarantine increasing. Numerical simulations conducted on the analysis of the results. The results showed that treatment and quarantine was given to infected individuals who were infectious has a major influence to eliminate measles from the system.

  3. Nonvolatile memory effect of tungsten nanocrystals under oxygen plasma treatments

    International Nuclear Information System (INIS)

    Chen, Shih-Cheng; Chang, Ting-Chang; Chen, Wei-Ren; Lo, Yuan-Chun; Wu, Kai-Ting; Sze, S.M.; Chen, Jason; Liao, I.H.; Yeh, Fon-Shan

    2010-01-01

    In this work, an oxygen plasma treatment was used to improve the memory effect of nonvolatile W nanocrystal memory, including memory window, retention and endurance. To investigate the role of the oxygen plasma treatment in charge storage characteristics, the X-ray photon-emission spectra (XPS) were performed to analyze the variation of chemical composition for W nanocrystal embedded oxide both with and without the oxygen plasma treatment. In addition, the transmission electron microscopy (TEM) analyses were also used to identify the microstructure in the thin film and the size and density of W nanocrystals. The device with the oxygen plasma treatment shows a significant improvement of charge storage effect, because the oxygen plasma treatment enhanced the quality of silicon oxide surrounding the W nanocrystals. Therefore, the data retention and endurance characteristics were also improved by the passivation.

  4. Patients knowledge about side effects of orthodontic treatment

    Directory of Open Access Journals (Sweden)

    Mia Amalia

    2011-07-01

    Full Text Available Disharmonious of dental arrangement can possibly create problems for the patient, such as the masticatory function, esthetical, psychosocial, and also the increased risk of trauma and periodontal disease. These are reasons for a patient to seek orthodontic treatment. The aim of this study was to know the patient’s knowledge about the side effects possibility that they receive during orthodontic treatment. The side effects include pain experience during orthodontic treatment, the possibility of soft tissue damage, email demineralization, loss of tooth vitality, periodontal problem, root resorption, temporomandibular joint disorders, and relapse. A cross-sectional study was conducted in patients who registered at Orthodontic Department, Faculty of Dentistry, Universitas Indonesia on March-June 2009. The participants of this study were 100 patients, consist of 86 women and 14 men respectively. Twenty-seven questions about the side-effects of orthodontic treatment were used to obtain the patient’s knowledge and the result was categorized into 3 groups, good, average and poor. The result of the study showed that patient’s knowledge about the side effect of pain experience during orthodontic treatment was average and the patient’s knowledge about the possibility of soft tissue damage due to orthodontic treatment was good. However, the patient’s knowledge about the possibility of email demineralization, loss of tooth vitality, periodontal problem, root resorption, temporomandibular joint disorders and relapse due to orthodontic treatment was low.

  5. Estimation of treatment preference effects in clinical trials when some participants are indifferent to treatment choice

    Directory of Open Access Journals (Sweden)

    Stephen D. Walter

    2017-02-01

    Full Text Available Abstract Background In the two-stage randomised trial design, a randomly sampled subset of study participants are permitted to choose their own treatment, while the remaining participants are randomised to treatment in the usual way. Appropriate analysis of the data from both arms of the study allows investigators to estimate the impact on study outcomes of treatment preferences that patients may have, in addition to evaluating the usual direct effect of treatment. In earlier work, we showed how to optimise this design by making a suitable choice of the proportion of participants who should be assigned to the choice arm of the trial. However, we ignored the possibility of some participants being indifferent to the treatments under study. In this paper, we extend our earlier work to consider the analysis of two-stage randomised trials when some participants have no treatment preference, even if they are assigned to the choice arm and allowed to choose. Methods We compare alternative characterisations of the response profiles of the indifferent or undecided participants, and derive estimates of the treatment and preference effects on study outcomes. We also present corresponding test statistics for these parameters. The methods are illustrated with data from a clinical trial contrasting medical and surgical interventions. Results Expressions are obtained to estimate and test the impact of treatment choices on study outcomes, as well as the impact of the actual treatment received. Contrasts are defined between patients with stated treatment preferences and those with no preference. Alternative assumptions concerning the outcomes of undecided participants are described, and an approach leading to unbiased estimation and testing is identified. Conclusions Use of the two-stage design can provide important insights into determinants of study outcomes that are not identifiable with other designs. The design can remain attractive even in the presence of

  6. Chemistry of cost effective water treatment programme in HWP (Manuguru)

    International Nuclear Information System (INIS)

    Mohapatra, C.; Laxmana Prasad, K.

    2008-01-01

    In order to develop a water treatment programme following points must be kept in mind: Effectiveness to achieve desired water quality objectives; Compliance with regulatory requirements; Cost minimization; Safety; Easy operation and protection to equipments. Heavy Water Plant (Manuguru) laboratory has developed treatment programs to treat raw water and cooling water which satisfy the above requirements and has been in use for last several years successfully without any problem. These treatment programs have been given to other plants in Heavy Water Board for implementation. This paper describes the chemistry of the treatment program and cost minimization achieved. Further these treatments have helped the plant in achieving ΦZero Discharge and indirectly reduced the production cost. The chemistry parameters are monitored regularly to ascertain the effectiveness of these treatments. The areas where significant benefits derived are raw water treatment using polyelectrolyte instead of inorganic coagulant (alum), change over of regenerant of cation exchangers from hydrochloric acid to sulfuric acid and development of in-house cooling water treatment formulation. The advantages and cost effectiveness of these treatments are discussed in detail. Further these treatments helped the plant in achieving Zero discharge and indirectly reduced production cost of heavy water. The dosage of 3 ppm of polyelectrolyte can replace 90 ppm alum at turbidity level of 300 NTU of raw water which has resulted in cost saving of Rs. 15 - 20 Lakhs in a year besides other advantages. The changeover of regenerant from HCl to H 2 SO 4 will result in cost saving of at least Rs. 1.4 Crore a year along with other advantages. The change over of proprietary formulation to in-house formulation in cooling water treatment has resulted a saving about Rs. 11 Lakhs a year. To achieve the above objectives in a sustainable way the performance results are being monitored (author)

  7. Towards a framework for treatment effectiveness in schizophrenia

    Directory of Open Access Journals (Sweden)

    Juckel G

    2014-09-01

    Full Text Available Georg Juckel,1 Andrea de Bartolomeis,2 Philip Gorwood,3 Sergey Mosolov,4 Luca Pani,5 Alessandro Rossi,6 Julio Sanjuan7 1Department of Psychiatry, LWL-University Hospital, Ruhr-University Bochum, Bochum, Germany; 2Laboratory of Molecular Psychiatry and Unit of Treatment Resistant Psychosis, University School of Medicine of Naples Federico II, Napoli, Italy; 3Groupe Hospitalier Sainte-Anne (CMME, Paris-Descartes University, Paris, France; 4Moscow Research Institute of Psychiatry, Moscow, Russia; 5Institute of Translational Pharmacology, Italian National Research Council, Rome, Italy; 6Università de L’Aquila, L’Aquila, Italy; 7Clinic Hospital, Spanish Mental Health Network (CIBERSAM, University of Valencia, Valencia, Spain Introduction: Prompt administration of antipsychotic treatment that is adhered to is essential for the optimal treatment of schizophrenia. Many patients have benefited from the advent of second-generation antipsychotics, which can offer good symptomatic control with reduced incidence of extrapyramidal symptoms, although with higher risk of metabolic side effects. It is unsurprising that accounts as to whether first- and second-generation antipsychotics differ in their efficacy vary, since treatment effectiveness is a broad notion and difficult to define. Objectives: Numerous factors may be used to gauge treatment effectiveness and, while it has largely been defined in terms of improvements in four domains (symptoms of disease, treatment burden, disease burden, and health and wellness, the real-world clinical utility of this consensus is unclear. Therefore, this article aims to provide a framework that can aid psychiatrists in making assessments about treatment effectiveness. Methods and results: A panel of 12 psychiatrists and psychopharmacologists convened to develop and propose an accessible and globally-applicable framework for assessing the effectiveness of antipsychotic treatments in patients with schizophrenia

  8. Cost-effectiveness of root caries preventive treatments.

    Science.gov (United States)

    Schwendicke, Falk; Göstemeyer, Gerd

    2017-01-01

    With a growing number of individuals retaining their teeth lifelong, often with periodontitis-induced root surface exposure, there is the need for cost-effective management strategies for root caries lesions. The present study aimed to assess the cost-effectiveness of root caries preventive treatments. Patients were simulated over 10 years using a Markov model. Four treatments were compared: No treatment, daily 225-800ppm fluoride rinses, chlorhexidine (CHX) varnish (2×/year), silver diamine fluoride (SDF) varnish (2×/year). Data from a systematic review were submitted to network meta-analysis for inferring relative efficacies of treatments. The health outcome was years of teeth being free of root caries. A mixed public-private payer perspective within 2016 German healthcare was taken, with costs being estimated from fee item catalogues or based on market prices. Populations with different numbers of teeth and tooth-level risks were modelled. Monte-Carlo microsimulations, univariate- and probabilistic sensitivity analyses were performed. In populations with 16 teeth at risk and low tooth-level risk for root caries, providing no preventive treatment was least costly, but also least effective (130 Euro, 144 years). SDF ranked next, being more costly (180 Euro), but also more effective (151 years). Payers willing to invest 8.30 Euro per root caries-free tooth-year found SDF most cost-effective. CHX varnish and fluoride rinse were not cost-effective. In populations with more teeth and high tooth-level risk, SDF was the most effective and least costly option. Root caries preventive treatments (like SDF) are effective and might even be cost-saving in high risk populations. Application of SDF can be recommended as a cost-saving treatment for prevention of root caries in patients with high risk of root caries. Copyright © 2016 Elsevier Ltd. All rights reserved.

  9. Effects of heat treatment on the radiosensitivity of Salmonellae

    International Nuclear Information System (INIS)

    Choi, E.H.; Yang, J.S.; Lee, S.R.

    1978-01-01

    When the food poisoning bacteria Salmonella enteritidis and S. typhimurium were treated with radiation (cobalt-60 γ-rays) and heat (10 minutes at 45 0 C or 50 0 C), their sterilizing effect was revealed differently depending on the order of treatments. Post-irradiation heating showed a synergistic effect whereas pre-irradiation heating revealed the opposite effect and the effects differed slightly with heating temperature. (author)

  10. Spatial ecology and behavior of eastern box turtles on the hardwood ecosystem experiment: pre-treatment results

    Science.gov (United States)

    Andrea F. Currylow; Brian J. MacGowan; Rod N. Williams

    2013-01-01

    To understand better how eastern box turtles (Terrapene carolina carolina) are affected by forest management practices, we monitored movements of box turtles prior to silvicultural treatments within the Hardwood Ecosystem Experiment (HEE) in Indiana. During 2007 and 2008, we tracked 23-28 turtles on six units of the HEE. Estimated minimum convex...

  11. Effects of Precommercial Thinning and Midstory Control on Avian and Small Mammal Communities during Longleaf Pine Savanna Restoration.

    Energy Technology Data Exchange (ETDEWEB)

    Lane, Vanessa R [Abraham Baldwin Agricultural College; Kilgo, John C [USDA Forest Service, Southern Research Station

    2015-01-01

    Abstract - Restoring longleaf pine (Pinus palustris Mill.) savanna is a goal of many southern land managers, and longleaf plantations may provide a mechanism for savanna restoration. However, the effects of silvicultural treatments used in the management of longleaf pine plantations on wildlife communities are relatively unknown. Beginning in 1994, we examined effects of longleaf pine restoration with plantation silviculture on avian and small mammal communities using four treatments in four 8- to 11- year-old plantations within the Savannah River Site in South Carolina. Treatments included prescribed burning every 3 to 5 years, plus: (1) no additional treatment (burn-only control); (2) precommercial thinning; (3) non-pine woody control with herbicides; and (4) combined thinning and woody control. We surveyed birds (1996-2003) using 50-m point counts and small mammals with removal trapping. Thinning and woody control alone had short-lived effects on avian communities, and the combination treatment increased avian parameters over the burn-only control in all years. Small mammal abundance showed similar trends as avian abundance for all three treatments when compared with the burn-only control, but only for 2 years post-treatment. Both avian and small mammal communities were temporarily enhanced by controlling woody vegetation with chemicals in addition to prescribed fire and thinning. Therefore, precommercial thinning in longleaf plantations, particularly when combined with woody control and prescribed fire, may benefit early-successional avian and small mammal communities by developing stand conditions more typical of natural longleaf stands maintained by periodic fire.

  12. A passive acoustic monitor of treatment effectiveness during extracorporeal lithotripsy

    International Nuclear Information System (INIS)

    Fedele, F; Coleman, A J; Thomas, K; Ryves, S; Phillips, D; Leighton, T G

    2011-01-01

    Although extracorporeal shockwave lithotripsy (ESWL) has now been in the clinic for at least three decades, there has been little advance in efforts (i) to estimate the efficacy of the treatment whilst it is in progress, or (ii) to determine the end-point of a treatment session in terms of the degree of stone fragmentation achieved. Previous in vitro experimentation and clinical trials have shown that a passive acoustic monitor has the potential to provide evidence of the effectiveness and end-point of lithotripsy. The system exploits secondary emissions generated during shock-tissue interaction, whose features depend on the quality of tissue at the beam focus. This prototype was developed into the first commercially available clinical ESWL treatment monitor (Precision Acoustic Ltd, Dorchester, UK), and a unit has been acquired and tested in the clinical routine by urologists at Guy's and St Thomas NHS Trust in March 2009. This paper critically assesses the performance of the new system for the first 25 treatments monitored. The ESWL monitor correctly predicted the treatment outcome of 15 of the 18 treatments that were followed-up clinically. In addition, it was noted that the measure of treatment effectiveness provided by the monitor after 500 shocks was predictive of the final treatment outcome (p < 0.001). This suggests that the system could be used in pre-assessment; indicating if the stone is susceptible to ESWL or if the patient should be sent for surgery.

  13. A passive acoustic monitor of treatment effectiveness during extracorporeal lithotripsy

    Energy Technology Data Exchange (ETDEWEB)

    Fedele, F; Coleman, A J [Medical Physics Department, Guy' s and St Thomas NHS Foundation Trust, Westminster Bridge Road, SE1 7EH, London (United Kingdom); Thomas, K; Ryves, S; Phillips, D [Urology Department, Guy' s and St Thomas NHS Foundation Trust, Great Maze Pond, SE1 9RT, London (United Kingdom); Leighton, T G, E-mail: fiammetta.fedele@gstt.nhs.uk [Institute of Sound and Vibration Research, University of Southampton, Highfield, S017 1BJ, Southampton (United Kingdom)

    2011-02-01

    Although extracorporeal shockwave lithotripsy (ESWL) has now been in the clinic for at least three decades, there has been little advance in efforts (i) to estimate the efficacy of the treatment whilst it is in progress, or (ii) to determine the end-point of a treatment session in terms of the degree of stone fragmentation achieved. Previous in vitro experimentation and clinical trials have shown that a passive acoustic monitor has the potential to provide evidence of the effectiveness and end-point of lithotripsy. The system exploits secondary emissions generated during shock-tissue interaction, whose features depend on the quality of tissue at the beam focus. This prototype was developed into the first commercially available clinical ESWL treatment monitor (Precision Acoustic Ltd, Dorchester, UK), and a unit has been acquired and tested in the clinical routine by urologists at Guy's and St Thomas NHS Trust in March 2009. This paper critically assesses the performance of the new system for the first 25 treatments monitored. The ESWL monitor correctly predicted the treatment outcome of 15 of the 18 treatments that were followed-up clinically. In addition, it was noted that the measure of treatment effectiveness provided by the monitor after 500 shocks was predictive of the final treatment outcome (p < 0.001). This suggests that the system could be used in pre-assessment; indicating if the stone is susceptible to ESWL or if the patient should be sent for surgery.

  14. A passive acoustic monitor of treatment effectiveness during extracorporeal lithotripsy

    Science.gov (United States)

    Fedele, F.; Thomas, K.; Leighton, T. G.; Ryves, S.; Phillips, D.; Coleman, A. J.

    2011-02-01

    Although extracorporeal shockwave lithotripsy (ESWL) has now been in the clinic for at least three decades, there has been little advance in efforts (i) to estimate the efficacy of the treatment whilst it is in progress, or (ii) to determine the end-point of a treatment session in terms of the degree of stone fragmentation achieved. Previous in vitro experimentation and clinical trials have shown that a passive acoustic monitor has the potential to provide evidence of the effectiveness and end-point of lithotripsy. The system exploits secondary emissions generated during shock-tissue interaction, whose features depend on the quality of tissue at the beam focus. This prototype was developed into the first commercially available clinical ESWL treatment monitor (Precision Acoustic Ltd, Dorchester, UK), and a unit has been acquired and tested in the clinical routine by urologists at Guy's and St Thomas NHS Trust in March 2009. This paper critically assesses the performance of the new system for the first 25 treatments monitored. The ESWL monitor correctly predicted the treatment outcome of 15 of the 18 treatments that were followed-up clinically. In addition, it was noted that the measure of treatment effectiveness provided by the monitor after 500 shocks was predictive of the final treatment outcome (p ESWL or if the patient should be sent for surgery.

  15. A passive acoustic monitor of treatment effectiveness during extracorporeal lithotripsy

    Energy Technology Data Exchange (ETDEWEB)

    Fedele, F; Coleman, A J [Medical Physics Department, Guy' s and St Thomas NHS Foundation Trust, Westminster Bridge Road, SE1 7EH, London (United Kingdom); Thomas, K; Ryves, S; Phillips, D [Urology Department, Guy' s and St Thomas NHS Foundation Trust, Great Maze Pond, SE1 9RT, London (United Kingdom); Leighton, T G, E-mail: fiammetta.fedele@gstt.nhs.uk [Institute of Sound and Vibration Research, University of Southampton, Highfield, S017 1BJ, Southampton (United Kingdom)

    2011-02-01

    Although extracorporeal shockwave lithotripsy (ESWL) has now been in the clinic for at least three decades, there has been little advance in efforts (i) to estimate the efficacy of the treatment whilst it is in progress, or (ii) to determine the end-point of a treatment session in terms of the degree of stone fragmentation achieved. Previous in vitro experimentation and clinical trials have shown that a passive acoustic monitor has the potential to provide evidence of the effectiveness and end-point of lithotripsy. The system exploits secondary emissions generated during shock-tissue interaction, whose features depend on the quality of tissue at the beam focus. This prototype was developed into the first commercially available clinical ESWL treatment monitor (Precision Acoustic Ltd, Dorchester, UK), and a unit has been acquired and tested in the clinical routine by urologists at Guy's and St Thomas NHS Trust in March 2009. This paper critically assesses the performance of the new system for the first 25 treatments monitored. The ESWL monitor correctly predicted the treatment outcome of 15 of the 18 treatments that were followed-up clinically. In addition, it was noted that the measure of treatment effectiveness provided by the monitor after 500 shocks was predictive of the final treatment outcome (p < 0.001). This suggests that the system could be used in pre-assessment; indicating if the stone is susceptible to ESWL or if the patient should be sent for surgery.

  16. Assessing the effects of early silvicultural management on long-term ...

    African Journals Online (AJOL)

    Eucalyptus is the dominant and most productive planted forest in Brazil, covering ... Usually, a decline of soil quality is caused by management that does not ... preserve crucial physical properties as permeability (root growth, infiltration and ...

  17. Dosimetric Effects Of Different Treatment Tables During Radiotherapy

    International Nuclear Information System (INIS)

    Murkovic, M.; Grego, T.; Bibic, J.

    2015-01-01

    The aim of our study was to measure the effect of mega-voltage photon beam attenuation when treating patients through carbon fibre treatment table with and without the carbon laminate base plate on it. We also examined the ability of XiO treatment planning system in modelling this effect. Direct attenuation measurements were made for two treatment tables, Siemens TxT 550 treatment table with TT-A table top and Elekta Precise table with iBEAM evo table top. On both treatment tables we used Orfit Base Plate (32301). Measurements were taken for two photon energies (6 MV and 18 MV), at two different field sizes (5 x 5 cm 2 and 10 x 10 cm 2 ) and different gantry angles in 50 intervals using stationary water phantom and Farmer type ionization chamber. These values were compared to values calculated in XiO. In order to account for the effect of table and base plate during treatment planning in XiO, customized table and base plate templates were develop in Focal planning system. To construct these customized templates, table and base plate contours as well as respective relative electron density's to water were obtained on CT scanner. The largest attenuation effect was seen for oblique treatment angles using low energy and small field sizes, 6.6 percent for the Elekta table top and 8.4 percent for Siemens table top. In this paper we show that customized table and base plate templates introduced in the patient treatment plan can accurately model the attenuation due to their presence to within 0.3 percent. Since dose modifications due to such carbon fiber accessories can be significant, it can be concluded that introduction of customized table and base plate templates into TPS brings an important improvement to patient treatment planning, and should be included in dose calculations whenever possible. (author).

  18. Telemedicine diabetes consultations are cost-effective, and effects on essential diabetes treatment parameters are similar to conventional treatment

    DEFF Research Database (Denmark)

    Levin, Klaus; Madsen, Jette R; Petersen, Inge

    2013-01-01

    been offered expert diabetes care using teleconsultations. This article describes the impact of the telemedicine solution on essential diabetes treatment parameters, patient satisfaction, and cost-effectiveness. METHODS: Telemedicine consultations were conducted with the patient and nurse specialist...... in transportation time (7 h). Reductions in traveling costs and saved working days were the most important factors in making the telemedicine set-up economically efficient. CONCLUSION: Telemedicine consultation for remote outpatient diabetes control is feasible, and the interdisciplinary interventions achieved high...... treatment quality results in essential diabetes treatment parameters. In addition, the telemedicine set-up was associated with improved cost-effectiveness and patient satisfaction....

  19. Weighing the potential effectiveness of various treatments for sleep bruxism.

    Science.gov (United States)

    Huynh, Nelly; Manzini, Christiane; Rompré, Pierre H; Lavigne, Gilles J

    2007-10-01

    Sleep bruxism may lead to a variety of problems, but its pathophysiology has not been completely elucidated. As such, there is no definitive treatment, but certain preventive measures and/or drugs may be used in acute cases, particularly those involving pain. This article is intended to guide clinician scientists to the treatment most appropriate for future clinical studies. To determine the best current treatment, 2 measures were used to compare the results of 10 clinical studies on sleep bruxism, 3 involving oral devices and 7 involving pharmacologic therapy. The first measure, the number needed to treat (NNT), allows several randomized clinical studies to be compared and a general conclusion to be drawn. The second measure, effect size, allows evaluation of the impact of treatment relative to a placebo using different studies of similar design. Taking into account the NNT, the effect size and the power of each study, it can be concluded that the following treatments reduce sleep bruxism: mandibular advancement device, clonidine and occlusal splint. However, the first 2 of these have been linked to adverse effects. The occlusal splint is therefore the treatment of choice, as it reduces grinding noise and protects the teeth from premature wear with no reported adverse effects. The NNT could not be calculated for an alternative pharmacologic treatment, short-term clonazepam therapy, which had a large effect size and reduced the average bruxism index. However, the risk of dependency limits its use over long periods. Assessment of efficacy and safety of the most promising treatments will require studies with larger sample sizes over longer periods.

  20. Is desvenlafaxine effective and safe in the treatment of menopausal ...

    African Journals Online (AJOL)

    Meta-analysis was conducted by including double-blind randomized controlled studies on the effectiveness and safety of desvenlafaxine in the treatment of hot flashes. The effectiveness, safety and tolerability of desvenlafaxine were determined by standardized mean differences (SMDs) and Mantel-Haenszel odds ratio.

  1. Comparative study of the effects of treatment techniques on the ...

    African Journals Online (AJOL)

    This paper reports the effects of some fibre treatment techniques namely: mercerization, acetylation and semi-carbonisation on the performance of Kenaf fibres. The treated kenaf fibres which are considered biodegradable, cost effective, renewable and user friendly have been used as a possible base friction material for ...

  2. On the treatment of exchange effects in direct reactions

    International Nuclear Information System (INIS)

    Bencze, G.; Chandler, C.; Argonne National Lab., IL; New Mexico Univ., Albuquerque

    1985-01-01

    Exchange effects in direct reactions are investigated in the framework of the general algebraic theory of identical particle scattering. It is shown that effects due to the permutation symmetry of the system can be separated from the treatment of reaction dynamics. Dynamical aspects of the problem are investigated within the framework of the channel coupling class of N-body theories. (orig.)

  3. Cost effectiveness of treatment for alcohol problems: findings of the randomised UK alcohol treatment trial (UKATT).

    Science.gov (United States)

    2005-09-10

    To compare the cost effectiveness of social behaviour and network therapy, a new treatment for alcohol problems, with that of the proved motivational enhancement therapy. Cost effectiveness analysis alongside a pragmatic randomised trial. Seven treatment sites around Birmingham, Cardiff, and Leeds. 742 clients with alcohol problems; 617 (83.2%) were interviewed at 12 months and full economic data were obtained on 608 (98.5% of 617). Main economic measures Quality adjusted life years (QALYs), costs of trial treatments, and consequences for public sector resources (health care, other alcohol treatment, social services, and criminal justice services). Both therapies saved about five times as much in expenditure on health, social, and criminal justice services as they cost. Neither net savings nor cost effectiveness differed significantly between the therapies, despite the average cost of social behaviour and network therapy (221 pounds sterling; 385 dollars; 320 euros) being significantly more than that of motivational enhancement therapy (129 pounds sterling). If a QALY were worth 30,000 pounds sterling, then the motivational therapy would have 58% chance of being more cost effective than the social therapy, and the social therapy would have 42% chance of being more cost effective than the motivational therapy. Participants reported highly significant reductions in drinking and associated problems and costs. The novel social behaviour and network therapy did not differ significantly in cost effectiveness from the proved motivational enhancement therapy.

  4. [Comparative effectiveness of different treatment methods of liver failure].

    Science.gov (United States)

    Kutepov, D E; Vershinina, M G; Pasechnik, I N; Sal'nikov, P S

    2014-01-01

    It was analyzed the results of treatment of 217 patients (139 men, 78 women) with chronic liver failure in case of liver cirrhosis of various etiology for study of degree of hepatic encephalopathyregression. All patients were divided into 3 groups. In the first group the drug therapy was used. In the second group additionallyplasma exchange was performed, in the third group - alsomolecular absorbent recirculating system was used (effectiveness of MARS-therapy).The results showed that the use of extracorporeal treatment techniques can effectively reduce the severity of hepatic encephalopathy in patients with liver cirrhosis. MARS-therapy improved the neurological status of patientsmore significantly in this case. It is considered that the inclusion of MARS-therapy in the combined treatment of patients leads to a significant reduction of hepatic encephalopathyseverity (1-2 points), in comparison with other methods of treatment.

  5. Cost effective water treatment program in Heavy Water Plant (Manuguru)

    International Nuclear Information System (INIS)

    Mohapatra, C.; Prasada Rao, G.

    2002-01-01

    Water treatment technology is in a state of continuous evolution. The increasing urgency to conserve water and reduce pollution has in recent years produced an enormous demand for new chemical treatment programs and technologies. Heavy water plant (Manuguru) uses water as raw material (about 3000 m 3 /hr) and its treatment and management has benefited the plant in a significant way. It is a fact that if the water treatment is not proper, it can result in deposit formation and corrosion of metals, which can finally leads to production losses. Therefore, before selecting treatment program, complying w.r.t. quality requirements, safety and pollution aspects cost effectiveness shall be examined. The areas where significant benefits are derived, are raw water treatment using polyelectrolyte instead of inorganic coagulant (alum), change over of regenerant of cation exchangers from hydrochloric acid to sulfuric acid and in-house development of cooling water treatment formulation. The advantages and cost effectiveness of these treatments are discussed in detail. Further these treatments has helped the plant in achieving zero discharge and indirectly increased cost reduction of final product (heavy water); the dosage of 3 ppm of polyelectrolyte can replace 90 ppm alum at turbidity level of 300 NTU of raw water which has resulted in cost saving of Rs. 15-20 lakhs in a year beside other advantages; the change over of regenerant from HCl to H 2 SO 4 will result in cost saving of at least Rs.1.4 crore a year besides other advantages; the change over to proprietary formulation to in-house formulation in cooling water treatment has resulted in a saving about Rs.11 lakhs a year. To achieve the above objectives in a sustainable way the performance results are being monitored. (author)

  6. Immunological effects of methylprednisolone pulse treatment in progressive multiple sclerosis

    DEFF Research Database (Denmark)

    Ratzer, R; Romme Christensen, J; Romme Nielsen, B

    2014-01-01

    phenotypes investigated, 25 changed at nominal significance from baseline to week 12 (pmultiple comparisons, we found 5 subpopulations that changed compared to baseline. No pattern were suggesting modulation of Th17 or TFH cells. CONCLUSION: Methylprednisolone pulse treatment has......OBJECTIVE: To investigate the effect of monthly oral methylprednisolone pulse treatment in progressive MS. METHODS: 30 progressive MS patients were treated with oral methylprednisolone every month. Peripheral blood mononuclear cells were analyzed by flow cytometry. RESULTS: Out of 102 leukocyte...

  7. Employment effects of biofuels development

    International Nuclear Information System (INIS)

    Danielsson, B.O.; Hektor, B.

    1992-01-01

    Effects on employment - national and regional - from an expanding market for biofuels in Sweden are estimated in this article. The fuels considered are: Peat, straw, energy crops, silviculture, forestry waste, wood waste, by-products from paper/wood industry and processed fuels from these sources. (22 refs., tabs.)

  8. Effect of magnetic resonance imaging characteristics on uterine fibroid treatment

    Directory of Open Access Journals (Sweden)

    Duc NM

    2018-04-01

    Full Text Available Nguyen Minh Duc, Huynh Quang HuyDepartment of Radiology, Pham Ngoc Thach University of Medicine, Ho Chi Minh City, VietnamAbstract: Uterine fibroids are the most common gynecological benign tumors adversely affecting the quality of life of women of a reproductive age. Magnetic resonance imaging (MRI is efficient at localizing the site of lesions and characterizing uterine fibroids before treatment. Understanding the different characteristics of uterine fibroids on MRI is essential, because it not only enables prompt diagnosis, but also guides the development of suitable therapeutic methods. This pictorial review demonstrates the effect of MRI features on uterine fibroid treatment. Keywords: uterine fibroids, characteristics, magnetic resonance imaging, treatments

  9. Cost-effectiveness analysis of treatments for premenstrual dysphoric disorder.

    Science.gov (United States)

    Rendas-Baum, Regina; Yang, Min; Gricar, Joseph; Wallenstein, Gene V

    2010-01-01

    Premenstrual syndrome (PMS) is reported to affect between 13% and 31% of women. Between 3% and 8% of women are reported to meet criteria for the more severe form of PMS, premenstrual dysphoric disorder (PMDD). Although PMDD has received increased attention in recent years, the cost effectiveness of treatments for PMDD remains unknown. To evaluate the cost effectiveness of the four medications with a US FDA-approved indication for PMDD: fluoxetine, sertraline, paroxetine and drospirenone plus ethinyl estradiol (DRSP/EE). A decision-analytic model was used to evaluate both direct costs (medication and physician visits) and clinical outcomes (treatment success, failure and discontinuation). Medication costs were based on average wholesale prices of branded products; physician visit costs were obtained from a claims database study of PMDD patients and the Agency for Healthcare Research and Quality. Clinical outcome probabilities were derived from published clinical trials in PMDD. The incremental cost-effectiveness ratio (ICER) was calculated using the difference in costs and percentage of successfully treated patients at 6 months. Deterministic and probabilistic sensitivity analyses were used to assess the impact of uncertainty in parameter estimates. Threshold values where a change in the cost-effective strategy occurred were identified using a net benefit framework. Starting therapy with DRSP/EE dominated both sertraline and paroxetine, but not fluoxetine. The estimated ICER of initiating treatment with fluoxetine relative to DRSP/EE was $US4385 per treatment success (year 2007 values). Cost-effectiveness acceptability curves revealed that for ceiling ratios>or=$US3450 per treatment success, fluoxetine had the highest probability (>or=0.37) of being the most cost-effective treatment, relative to the other options. The cost-effectiveness acceptability frontier further indicated that DRSP/EE remained the option with the highest expected net monetary benefit for

  10. Neuroprotective effects of testosterone treatment in men with multiple sclerosis

    Directory of Open Access Journals (Sweden)

    Florian Kurth

    2014-01-01

    Full Text Available Multiple sclerosis (MS is an inflammatory and neurodegenerative disease of the central nervous system. While current medication reduces relapses and inflammatory activity, it has only a modest effect on long-term disability and gray matter atrophy. Here, we have characterized the potential neuroprotective effects of testosterone on cerebral gray matter in a pilot clinical trial. Ten men with relapsing–remitting MS were included in this open-label phase II trial. Subjects were observed without treatment for 6 months, followed by testosterone treatment for another 12 months. Focal gray matter loss as a marker for neurodegeneration was assessed using voxel-based morphometry. During the non-treatment phase, significant voxel-wise gray matter decreases were widespread (p≤ 0.05 corrected. However, during testosterone treatment, gray matter loss was no longer evident. In fact, a significant gray matter increase in the right frontal cortex was observed (p≤ 0.05 corrected. These observations support the potential of testosterone treatment to stall (and perhaps even reverse neurodegeneration associated with MS. Furthermore, they warrant the investigation of testosterone's neuroprotective effects in larger, placebo controlled MS trials as well as in other neurodegenerative diseases. This is the first report of gray matter increase as the result of treatment in MS.

  11. Late effects of treatment of cancer in infancy

    International Nuclear Information System (INIS)

    Pastore, G.; Antonelli, R.; Fine, W.; Li, F.P.; Sallan, S.E.

    1982-01-01

    Eighty-six children were diagnosed with cancer in infancy, followed for at lest 5 years, and assessed for late effects of disease and therapy. One child subsequently died from respiratory failure and 3 died from second primary cancers. Another patient survived second primary cancers of the skin. The high frequency of new cancers (4 observed, 0.09 expected) was attributable to host susceptibility factors and treatment effects. Kyphoscoliosis was diagnosed in 44 patients, 40 of whom had received radiotherapy to the spine. Other patients had neurologic deficits, pulmonary fibrosis, hypoplastic breasts, bowel adhesions, thyroid nodules, musculoskeletal defects, and liver fibrosis associated with tumor therapy. Sequelae of cancer were more common after treatment in infancy than in later childhood. Improved treatments and knowledge of natural history can reduce adverse effects of therapy

  12. Effects of unplanned treatment interruptions on HIV treatment failure– results from TAHOD

    Science.gov (United States)

    Jiamsakul, Awachana; Kerr, Stephen J.; Ng, Oon Tek; Lee, Man Po; Chaiwarith, Romanee; Yunihastuti, Evy; Van Nguyen, Kinh; Pham, Thuy Thanh; Kiertiburanakul, Sasisopin; Ditangco, Rossana; Saphonn, Vonthanak; Sim, Benedict L. H.; Merati, Tuti Parwati; Wong, Wingwai; Kantipong, Pacharee; Zhang, Fujie; Choi, Jun Yong; Pujari, Sanjay; Kamarulzaman, Adeeba; Oka, Shinichi; Mustafa, Mahiran; Ratanasuwan, Winai; Petersen, Boondarika; Law, Matthew; Kumarasamy, Nagalingeswaran

    2016-01-01

    Objectives Treatment interruptions (TI) of combination antiretroviral therapy (cART) are known to lead to unfavourable treatment outcomes but do still occur in resource-limited settings. We investigated the effects of TI associated with adverse events (AEs) and non-AE-related reasons, including their durations, on treatment failure after cART resumption in HIV-infected individuals in Asia. Methods Patients initiating cART between 2006-2013 were included. TI was defined as stopping cART for >1 day. Treatment failure was defined as confirmed virological, immunological or clinical failure. Time to treatment failure during cART was analysed using Cox regression, not including periods off treatment. Co-variables with p30 days were associated with failure (31-180 days HR=2.66, 95%CI (1.70-4.16); 181-365 days HR=6.22, 95%CI (3.26-11.86); and >365 days HR=9.10, 95% CI (4.27-19.38), all pfailure. If TI is unavoidable, its duration should be minimised to reduce the risk of failure after treatment resumption. PMID:26950901

  13. Cost-effectiveness analysis of optimal strategy for tumor treatment

    International Nuclear Information System (INIS)

    Pang, Liuyong; Zhao, Zhong; Song, Xinyu

    2016-01-01

    We propose and analyze an antitumor model with combined immunotherapy and chemotherapy. Firstly, we explore the treatment effects of single immunotherapy and single chemotherapy, respectively. Results indicate that neither immunotherapy nor chemotherapy alone are adequate to cure a tumor. Hence, we apply optimal theory to investigate how the combination of immunotherapy and chemotherapy should be implemented, for a certain time period, in order to reduce the number of tumor cells, while minimizing the implementation cost of the treatment strategy. Secondly, we establish the existence of the optimality system and use Pontryagin’s Maximum Principle to characterize the optimal levels of the two treatment measures. Furthermore, we calculate the incremental cost-effectiveness ratios to analyze the cost-effectiveness of all possible combinations of the two treatment measures. Finally, numerical results show that the combination of immunotherapy and chemotherapy is the most cost-effective strategy for tumor treatment, and able to eliminate the entire tumor with size 4.470 × 10"8 in a year.

  14. The treatment of late radiation effects with hyperbaric oxygenation (HBO)

    International Nuclear Information System (INIS)

    Plafki, C.; Carl, U.M.; Glag, M.; Hartmann, K.A.

    1998-01-01

    Background: Late radiation injuries may impose a negative influence on the quality of life in the affected patients. In several entities, standardized treatment protocols are lacking. Hyperbaric oxygenation (HBO) has been shown to have beneficial effects in the treatment of late radiation sequelae. Material and methods: The basic principles of HBO are reviewed as well as clinical issues. Current study protocols are presented. Results: During HBO-therapy the patient breathes pure oxygen at pressures above 100 kPa. The oxygen solubility within the fluid phase of the blood is largely increased. Biological effects include an increased oxygen diffusibility, improved collagen synthesis and neoangiogenesis as well as an enhancement of antimicrobial defenses. By decreasing the capillary filtration pressure a reduction of edema becomes possible. HBO has been shown to prevent complications following surgery in irradiated tissues. Its efficacy as an adjunct in the treatment of osteonecroses in radiation patients could be demonstrated. In addition, the loss of osseointegrated implants in the maxillofacial bones of these patients could be significantly reduced. Further indications include soft tissue necroses, hemorrhagic cystitis and proctitis in tumor patients that have been treated by radiotherapy as part of a multimodality approach. Conclusions: HBO in the treatment of late radiation effects is still subject of investigation, but remarkable results have been reported. Optimized treatment protocols need to be determined in various entities. The rate of side effects is acceptable low. (orig.) [de

  15. Cost-effective treatment for the couple with infertility.

    Science.gov (United States)

    Van Voorhis, B J; Syrop, C H

    2000-12-01

    Although the evaluation of cost-effective approaches to infertility treatment remains in its infancy, several important principles have emerged from the initial studies in this field. Currently, in treating couples with infertility without tubal disease or severe male-factor infertility, the most cost-effective approach is to start with IUI or superovulation-IUI treatments before resorting to IVF procedures. The woman's age and number of sperm present for insemination are significant factors influencing cost-effectiveness. The influence of certain diagnoses on the cost-effectiveness of infertility treatments requires further study. Even when accounting for the costs associated with multiple gestations and premature deliveries, the cost of IVF decreases within the range of other cost-effective medical procedures and decreases to less than the willingness to pay for these procedures. Indeed, for patients with severe tubal disease, IVF has been found to be more cost-effective than surgical repair. The cost-effectiveness of IVF will likely improve as success rates show continued improvements over the course of time. In addition, usefulness of embryo selection and practices to reduce the likelihood of high-order multiple pregnancies, without reductions in pregnancy rates, will significantly impact cost-effectiveness. The exclusion of infertility treatments from insurance plans is unfortunate and accentuates the importance of physicians understanding the economics of infertility treatment with costs that are often passed directly to the patient. The erroneous economic policies and judgments that have led to inequities in access to infertility health care should not be tolerated.

  16. Central nervous system side effects associated with zolpidem treatment.

    Science.gov (United States)

    Toner, L C; Tsambiras, B M; Catalano, G; Catalano, M C; Cooper, D S

    2000-01-01

    Zolpidem is one of the newer medications developed for the treatment of insomnia. It is an imidazopyridine agent that is an alternative to the typical sedative-hypnotic agents. Zolpidem use is gaining favor because of its efficacy and its side effect profile, which is milder and less problematic than that of the benzodiazepines and barbiturates used to treat insomnia. Still, side effects are not uncommon with zolpidem use. We report a series of cases in which the patients developed delirium, nightmares and hallucinations during treatment with zolpidem. We will review its pharmacology, discuss previous reports of central nervous system side effects, examine the impact of drug interactions with concurrent use of antidepressants, examine gender differences in susceptibility to side effects, and explore the significance of protein binding in producing side effects.

  17. On heterogeneity of treatment effects and clinical freedom.

    Science.gov (United States)

    Sacristán, J A; Avendaño-Solá, C

    2015-01-01

    Three decades ago, John R Hampton announced the death of clinical freedom. Since then, evidence-based medicine has been the predominant paradigm in clinical research. By applying a population-based approach, the randomised controlled trial has become the cornerstone for demonstrating the overall effect of a treatment and for developing guidelines. The new patient-centred medicine movement is rediscovering the important implications of heterogeneity of treatment effects for clinical practice and that a better understanding of such variability can contribute to improve health outcomes for individual patients through practicing a science-based clinical freedom. © 2015 The Authors. International Journal of Clinical Practice Published by John Wiley & Sons Ltd.

  18. Cost effective treatment for wet FGD scrubber bleedoff

    Energy Technology Data Exchange (ETDEWEB)

    Janecek, K.F. [EIMCO Process Equipment Company, Salt Lake City, UT (United States); Kim, J.Y. [Samkook Corporation, Seoul (Korea, Democratic People`s Republic of)

    1994-12-31

    The dewatering of scrubber bleedoff gypsum is a thoroughly proven technology, whether for production of wallboard grade gypsum or environmentally responsible land fill. Careful review of the technology options will show which one is the most effective for the specific plant site. Likewise, a recipe for wastewater treatment for heavy metals removal can be found that will meet local regulatory limits. EIMCO has worldwide experience in FGD gypsum sludge dewatering and wastewater treatment. Contacting EIMCO can be the most important step toward a practical cost effective system for handling FGD scrubber bleed slurries.

  19. Late effects of treatment of cancer in children

    International Nuclear Information System (INIS)

    Byrd, R.L.

    1983-01-01

    Advances in surgical techniques, in chemotherapy, and in radiation therapy have led to improved survival in children treated for cancer. Children cured of cancer will soon form a significant fraction of our adult population. As we follow such survivors, we have become more aware of long-term side effects of treatment. This is not a reason to withhold therapy. Instead, careful followup of oncology patients is needed to document the late effects, to identify the etiologic agents, and to alter treatment to give the least toxic therapy without sacrificing quality or duration of survival

  20. Effect of Surface Treatment on the Properties of Wool Fabric

    Science.gov (United States)

    Kan, C. W.; Yuen, C. W. M.; Chan, C. K.; Lau, M. P.

    Wool fiber is commonly used in textile industry, however, it has some technical problems which affect the quality and performance of the finished products such as felting shrinkage, handle, lustre, pilling, and dyeability. These problems may be attributed mainly in the presence of wool scales on the fiber surface. Recently, chemical treatments such as oxidation and reduction are the commonly used descaling methods in the industry. However, as a result of the pollution caused by various chemical treatments, physical treatment such as low temperature plasma (LTP) treatment has been introduced recently because it is similarly capable of achieving a comparable descaling effect. Most of the discussions on the applications of LTP treatment on wool fiber were focused on applying this technique for improving the surface wettability and shrink resistance. Meanwhile, little discussion has been made on the mechanical properties, thermal properties, and the air permeability. In this paper, wool fabric was treated with LTP treatment with the use of a non-polymerizing gas, namely oxygen. After the LTP treatment, the fabrics low-stress mechanical properties, air permeability, and thermal properties were evaluated and discussed.

  1. [Cost effectiveness in treatment of acute myeloid leukemia].

    Science.gov (United States)

    Nordmann, P; Schaffner, A; Dazzi, H

    2000-12-23

    Although the rise in health costs is a widely debated issue, in Switzerland it was until recently taken for granted that patients are given the best available treatment regardless of cost. An example of a disease requiring costly treatment is acute myelogenous leukaemia (AML). To relate cost to benefit we calculated expenditure per life years gained. To assess costs we determined the real cost of treatment up to total remission, followed by consolidation or withdrawal of treatment or death. For survival time exceeding the 2-year observation period we used data from recent literature. The average cost of treatment ranges up to 107,592 Swiss francs (CHF). In 1997 we treated 23 leukaemia patients at Zurich University Hospital and gained a total of 210 life years. This represents an average cost of CHF 11,741 per life year gained. Chief cost items were therapy and personnel costs for nursing staff, followed by hotel business and personnel costs for doctors and diagnosis. Our results for AML treatment are far removed from the $61,500 ranging up to $166,000 discussed in the literature as the "critical" QALY (quality adjusted life years) value. This is the first time the actual costs of AML therapy have been shown for a Swiss cohort. Despite high initial treatment costs and success only in a limited number of patients, the expenditure per QALY is surprisingly low and shows clearly the effectiveness of apparently costly acute medicine.

  2. The effects of surface treatments on rapid chloride permeability tests

    KAUST Repository

    Yoon, Seyoon

    2012-08-01

    Surface treatments are commonly applied to improve the chloride resistance of concrete structures exposed to saline environments. Information on chloride ingress to surface-treated concrete is mostly provided by application of the rapid chloride permeability test (RCPT); this test is short in duration and provides rapid results. This study presents a numerical formulation, based on the extended Nernst-Plank/Poisson (NPP) equation, to model the effect of the surface treatment on a sample tested by RCPT. Predictions of the model are compared to experimental measurements. The simulations show that the results from RCPT, in terms of ionic profiles and measurement of the electric field, are dependent on the effectiveness of surface treatments. During RCPT, highly effective surface treatments cause both cations and anions to flocculate at the interface between the surface treatment and the concrete, creating a local electric field. Our numerical model includes these phenomena and presents a methodology to obtain more accurate diffusivities of the surface-treated- concrete from RCPT. © 2012 Elsevier B.V. All rights reserved.

  3. The effects of surface treatments on rapid chloride permeability tests

    KAUST Repository

    Yoon, Seyoon; Oh, Sang-gyun; Ha, Juyoung; Monteiro, Paulo M.

    2012-01-01

    Surface treatments are commonly applied to improve the chloride resistance of concrete structures exposed to saline environments. Information on chloride ingress to surface-treated concrete is mostly provided by application of the rapid chloride permeability test (RCPT); this test is short in duration and provides rapid results. This study presents a numerical formulation, based on the extended Nernst-Plank/Poisson (NPP) equation, to model the effect of the surface treatment on a sample tested by RCPT. Predictions of the model are compared to experimental measurements. The simulations show that the results from RCPT, in terms of ionic profiles and measurement of the electric field, are dependent on the effectiveness of surface treatments. During RCPT, highly effective surface treatments cause both cations and anions to flocculate at the interface between the surface treatment and the concrete, creating a local electric field. Our numerical model includes these phenomena and presents a methodology to obtain more accurate diffusivities of the surface-treated- concrete from RCPT. © 2012 Elsevier B.V. All rights reserved.

  4. Somato-Visceral Effects in the Treatment of Dysmenorrhea: Neuromuscular Manual Therapy and Standard Pharmacological Treatment.

    Science.gov (United States)

    Barassi, Giovanni; Bellomo, Rosa Grazia; Porreca, Annamaria; Di Felice, Piera Attilia; Prosperi, Loris; Saggini, Raoul

    2018-03-01

    This study aims to verify whether neuromuscular therapy (NMT) or pharmacology therapy (PT) is more effective for reducing symptoms in women affected by primary dysmenorrhea and the effects associated with each treatment. A controlled, randomized, single-blind clinical trial within the framework of the chair of physical medicine and rehabilitation of the University "G. d'Annunzio" of Chieti-Pescara. The study was conducted on a sample of 60 women suffering from primary dysmenorrhea. Subjects were randomly divided in two groups (A and B). Group A was treated with NMT and group B with PT. Group B was given ibuprofen or naproxen because they are considered the best painkillers for this condition. Group A was treated with 8 neuromuscular manual lumbosacral and abdominal therapy sessions twice per week for 4 weeks. Results were analyzed at the beginning (T0) and end (T1) of the study with a menstrual distress questionnaire, brief pain inventory, and visual analogue scale. Twenty patients from Group A were selected for evaluation of their maintenance of the eventual improvement that was detected in T1 at follow-up (T2). Both therapies had significant short-term effects in reducing the perception and duration of pain. However, NMT appears to give more improvements in the duration of pain. NMT had a long-term effect on perception of pain because patients conserved the positive effects of treatment after 4 weeks. NMT also had a long-term effect on duration of pain because patients conserved benefits of treatment, but this improvement started to decrease after 4 weeks. In the treatment of primary dysmenorrhea, NMT represents a valid therapeutic alternative method to PT. NMT is free from potential adverse effects of analgesics, is noninvasive, and is easy to perform.

  5. Effectiveness of improved treatment of inflamatory bowel disiseases in infants

    Directory of Open Access Journals (Sweden)

    Marushko RV

    2015-01-01

    Full Text Available Actually is required to improve the treatment of chronic inflammatory bowel disease in infants on the principles of safety of therapeutic interventions and the impact on the basic pathogenetic mechanisms involved in the formation of the pathology of the bowel. Purpose — to evaluate the effectiveness of improved treatment of chronic non"specific non"ulcered colitis in infants using functional foods (pro", prebiotics, omega-3 long chain polyunsaturated fatty acids, L-carnitine, hepatoprotectors and alternative formulas. Patients and methods. A total of 114 infants (from 9 months up to 3 years of life with chronic non-specific non-ulcerated (unidentified colitis were studded. Researched the effectiveness of improved treatment using pro-, prebiotics, omega-3 long chain polyunsaturated fatty acids, L-carnitine, hepatoprotectors and semi-elemental formula of chronic non-specific non-ulcerated colitis on the basis of clinical and laboratory research methods, including bacteriological and immunological (TNF-α, ITF in serum, SIgA in coprofiltrates. Were used chronic non-specific non-ulcerated colitis activity index and the index of endoscopic changes of the intestinal mucosa during the treatment in infants. Results. It is shown that the use of functional foods as multiprobiotics, prebiotics, omega-3 polyunsaturated fatty acids and enhancing cellular energy provitamins as well as hepatoprotectors and alternative formulas in the treatment of chronic colitis in infants contributes to a significant improvement in the results of chronic non-specific non-ulcerated colitis treatment, more rapidly elimination of main symptoms and increase the number of positive results of treatment in infants with chronic non-specific non-ulcerated colitis (80.4% versus 55.2%. Conclusions. Results of the study allow us to recommend the use of elaborated improved treatment in infants with chronic non-specific non-ulcerated colitis on different levels of child healthcare.

  6. On the treatment of exchange effects in direct reactions

    International Nuclear Information System (INIS)

    Bencze, Gy.

    1984-11-01

    In the theoretical description of direct nuclear reactions the dynamic effects are combined with 'kinematical' effects due to the quantum mechanical exchange interaction caused by the Pauli principle governing the mechanics of identical particles. In the present paper it is shown that in the frame of general algebraic theory of identical particle scattering the effects of the permutational symmetry of nucleons can be separated on an exact way from the treatment of reaction dynamics. Dynamical approximations may be used only after the separation of permutational effects. (D.Gy.)

  7. Effects of surface treatments on microstructure in stainless steel

    International Nuclear Information System (INIS)

    Mabuchi, Yasuhiro; Tamako, Hiroaki; Kaneda, Junya; Yamashita, Norimichi; Miyakawa, Masahiko

    2009-01-01

    It is revealed that Stress Corrosion Cracking (SCC) on the surface of the L-grade stainless steels in Nuclear Power Plants is caused by heavily cold work of the materials. The microstructure, hardness and residual stress on the surface of the material are factors for SCC initiation. There are surface treatment methods that is effective reduction on SCC such as Flap Wheel (FW) polishing, Clean N Strip (CNS) polishing, Water Jet Peening (WJP) and Shot Peening (SP). In this paper, the characteristics of the surface cold worked layer of the L-grade stainless steels conducted by above-mentioned surface treatments are analyzed, and effects of the surface treatments on the surface layer are discussed. (author)

  8. [Undesired treatment effects in behavior group therapy: Frequency and spectrum].

    Science.gov (United States)

    Linden, M; Walter, M; Fritz, K; Muschalla, B

    2015-11-01

    Psychotherapy not only has positive but also negative effects, which is especially true for group psychotherapy due to psychodynamic and interactional processes. Using the UE-G questionnaire 71 patients who participated in cognitive behavioral group psychotherapy reported on negative experiences in the context of the group therapy. The answers were then validated in a qualitative interview. Of the patients 98.6% reported about at least one negative experience and 43.7% about severe or extremely severe negative experiences. Most prominent was the induction of hopelessness and demoralization by what patients saw and heard from other patients in the group. Burdensome and therefore undesired treatment effects are regularly seen in group psychotherapy, because of treatment or patient related factors. In any case they must be taken into account during treatment, in the training of group psychotherapists and in quality control.

  9. Effect of different treatments on breaking dormancy of Teucrium polium

    Directory of Open Access Journals (Sweden)

    alireza koochaki

    2009-06-01

    Full Text Available In order to evaluate effects of different treatments on breaking dormancy of Teucrium polium, an experiment was conducted with 3 replications in a completely randomized design. Seeds were subjected to different treatments including various levels of GA3, H2SO4, soaking with water and chilling. Germination of Teucrium polium increased with different concentrations of GA3. Percentage germination Maximum and rate was obtained at concentrations of 250, 1500 ppm (72h GA3 and combination of GA3 (1500ppm and chilling (5 ºC for a period of 14 days. GA3 (500ppm increased germination percentage but not germination rate. Soaking with water broke dormancy and induced 32% seed germination of Teucrium polium, but H2SO4, freezing (-10 ºC and combination of both treatments had no effect on dormancy.

  10. Neuroimaging the Effectiveness of Substance Use Disorder Treatments.

    Science.gov (United States)

    Cabrera, Elizabeth A; Wiers, Corinde E; Lindgren, Elsa; Miller, Gregg; Volkow, Nora D; Wang, Gene-Jack

    2016-09-01

    Neuroimaging techniques to measure the function and biochemistry of the human brain such as positron emission tomography (PET), proton magnetic resonance spectroscopy ((1)H MRS), and functional magnetic resonance imaging (fMRI), are powerful tools for assessing neurobiological mechanisms underlying the response to treatments in substance use disorders. Here, we review the neuroimaging literature on pharmacological and behavioral treatment in substance use disorder. We focus on neural effects of medications that reduce craving (e.g., naltrexone, bupropion hydrochloride, baclofen, methadone, varenicline) and that improve cognitive control (e.g., modafinil, N-acetylcysteine), of behavioral treatments for substance use disorders (e.g., cognitive bias modification training, virtual reality, motivational interventions) and neuromodulatory interventions such as neurofeedback and transcranial magnetic stimulation. A consistent finding for the effectiveness of therapeutic interventions identifies the improvement of executive control networks and the dampening of limbic activation, highlighting their values as targets for therapeutic interventions in substance use disorders.

  11. Effectiveness of botulinum toxin A in treatment of refractory erythromelalgia

    Directory of Open Access Journals (Sweden)

    Kuan-Hsiang Lin

    2013-05-01

    Full Text Available Erythromelalgia is characterized by intense burning pain, erythema, and heat in affected areas after precipitating factors such as warm temperature or stress. It is refractory to treatment in some situations. We describe a woman with adenosquamous cell carcinoma of the lung and medically refractory erythromelalgia. The symptoms of erythromelalgia presented as refractory to any medical treatment. Due to the unresponsive nature of her condition, botulinum toxin type A (onabotulinumtoxin A was injected over both of her cheeks, periodically for six cycles. Her symptoms responded dramatically to subcutaneous and intradermal injection of botulinum toxin type A. Repetitive injection demonstrated consistent and reproducible responses, and the efficacy was maintained for approximately 1 month. No adverse effects or complications were noted. Botulinum toxin type A might be safe and effective as an alternative treatment for refractory erythromelalgia, but further large-scale studies are required.

  12. Effect of hydrothermal treatment on some properties of Shenhua coal

    Energy Technology Data Exchange (ETDEWEB)

    Wang Zhi-cai; Shui Heng-fu; Zhang De-xiang; Gao Jin-sheng [East China University of Science and Technology, Shanghai (China). College of Resource and Environmental Engineering

    2006-10-15

    Effects of hydrothermal treatment on swelling, extraction and liquefaction behavior of Shenhua coal were studied through analyses of element content, ash content, volatile content and IR spectrum of treated coal. The results indicate that hydrogenation of coal is distinctly carried out in the process of hydrothermal pre-treatment and the hydrogen content of treated coal is more than that of raw coal. The contents of ash and volatile matters of treated coal are lower than those of raw coal. With the increase of treatment temperature the volatile content of the hydrothermal treated coal decreases and the ash content of treated coal increases. CO{sub 2} is main gas product and unvaries with the temperature changing, whereas CO and CH{sub 4} are formed when the temperature is above 250{sup o}C and increase with the temperature during hydrothermal treatment. Hydrothermal treatment is not in favor of coal swelling and the swelling ratio of treated coal decreases with the increase of treatment temperature. The swelling ratio of extraction residue by CS{sub 2}/NMP mixed solvent in NMP solvent is lower than that of the corresponding raw coal. The CS{sub 2}/NMP mixed solvent extraction yields of coal treated at appropriate temperature are higher than that of raw coal, but the extraction yields of treated coal obtained by n-hexane, toluene and THF successive Soxhelt extraction are lower. Hydrothermal treatment at 250-300{sup o}C can increase the conversion of treated coal in direct hydro-liquefaction. The gas + oil yield of treated coal is lower than that of raw coal and the preasphaltene yield of treated coal is much higher. IR spectra of treated coals show that the forms of non-covalent bonds are changed by hydrothermal treatment, and the hydrolysis of ester and ether bonds and the pyrolysis of aromatic side chains also maybe occur at high treatment temperature. 21 refs., 3 figs., 4 tabs.

  13. The Cost-Effectiveness of Treatment Modalities for Ureteral Stones

    Directory of Open Access Journals (Sweden)

    Justin Ji-Yuen Siu MD

    2016-10-01

    Full Text Available Additional intervention and medical treatment of complications may follow the primary treatment of a ureteral stone. We investigated the cost of the treatment of ureteral stone(s within 45 days after initial intervention by means of retrospective analysis of the National Health Insurance Research Database of Taiwan. All patients of ages ≥20 years diagnosed with ureteral stone(s( International Classification of Diseases, Ninth Revision, Clinical Modification/ICD-9-CM: 592.1 from January 2001 to December 2011 were enrolled. We included a comorbidity code only if the diagnosis appeared in at least 2 separate claims in a patient’s record. Treatment modalities (code included extracorporeal shock-wave lithotripsy (SWL; 98.51, ureteroscopic lithotripsy (URSL; 56.31, percutaneous nephrolithotripsy (PNL; 55.04, (open ureterolithotomy (56.20, and laparoscopy (ie, laparoscopic ureterolithotomy; 54.21. There were 28 513 patients with ureteral stones (13 848 men and 14 665 women in the randomized sample of 1 million patients. The mean cost was 526.4 ± 724.1 United States Dollar (USD. The costs of treatment were significantly increased in patients with comorbidities. The costs of treatment among each primary treatment modalities were 1212.2 ± 627.3, 1146.7 ± 816.8, 2507.4 ± 1333.5, 1533.3 ± 1137.1, 2566.4 ± 2594.3, and 209.8 ± 473.2 USD in the SWL, URSL, PNL, (open ureterolithotomy, laparoscopy (laparoscopic ureterolithotomy, and conservative treatment group, respectively. In conclusion, URSL was more cost-effective than SWL and PNL as a primary treatment modality for ureteral stone(s when the possible additional costs within 45 days after the initial operation were included in the calculation.

  14. Effects of sulphuric acid and hot water treatments on seed ...

    African Journals Online (AJOL)

    A study was carried out to investigate the effects of sulphuric acid and hot water treatments on the germination of Tamarind (Tamarindus indica L). Seeds were placed on moistened filter papers in 28 cm diameter Petri dishes under laboratory condition for germination. 330 seeds of T. indica (10 seeds per Petri dish) with ...

  15. The effect of different treatments on improving seed germination ...

    African Journals Online (AJOL)

    Creating optimal conditions for germination of medicinal plants seed is essential for their cultivation. Therefore, to evaluate the effect of different treatments on seed germination of two medicinal species, Descurainia sophia and Plantago ovata collected in 2009 from Tehran Province, an experiment with a factorial ...

  16. Heat treatment effect on impact strength of 40Kh steel

    International Nuclear Information System (INIS)

    Golubev, V.K.; Novikov, S.A.; Sobolev, Yu.S.; Yukina, N.A.

    1984-01-01

    The paper presents results of studies on the effect of heat treatment on strength and pattern of 40Kh steel impact failure. Loading levels corresponding to macroscopic spalling microdamage initiation in the material are determined for three initial states. Metallographic study on the spalling failure pattern for 40Kh steel in different initial states and data on microhardness measurement are presented

  17. The Effect of Hydrothermal Treatment on Olivine Nano-Silica

    NARCIS (Netherlands)

    Griend, van de M.C; Lazaro, A.; Brouwers, H.J.H.

    2012-01-01

    This paper provides an overview of the effects of ripening the olivine nano-silica to form particles with a lower specific surface area for optimal use in high performance concrete. The nano-silica was ripened using a hydrothermal treatment in a mixed batch reactor at 90 C, pH ranging from 8 to 10

  18. The effects of heat treatment on physical and technological ...

    African Journals Online (AJOL)

    STORAGESEVER

    2009-10-19

    Oct 19, 2009 ... ween 450 and 660 m altitudes in Cide-Sehdagi (Gercek et al., 1998; Dogu ... changes continue as the temperature is increased in ... Heat treatment slows water uptake and wood cell wall absorbs ...... The Effect of Boiling Time.

  19. Effect of packaging and chemical treatment on storage life and ...

    African Journals Online (AJOL)

    Fresh fruits and vegetables are inherently more liable to deterioration under tropical conditions characterized by high ambient temperatures and humidity. In determining the effects of chemical treatment on tomatoes (Lycopersicon esculentum Mill cv. Roma), fruits purchased at turning stage of ripening were packaged in low ...

  20. Effect of zinc treatment on intestinal motility in experimentally ...

    African Journals Online (AJOL)

    Effect of zinc treatment on intestinal motility in experimentally induced diarrhea in rats. ... Zinc supplementation is a critical new intervention for treating diarrheal episodes in children. Recent studies suggest that administration of zinc along with new low osmolarity oral rehydration solutions / salts (ORS) can reduce the ...

  1. Apathy in Alzheimer’s Disease: Any Effective Treatment?

    Directory of Open Access Journals (Sweden)

    Raffaele Rea

    2014-01-01

    Full Text Available Objective. This review has evaluated the effectiveness of pharmacological treatment of apathy in patients with Alzheimer’s disease (AD. Methods. A systematic literature search was conducted on published clinical trials assessing the effects of pharmacological treatment on apathy in AD over the last 10 years. Results. Fourteen studies considered of good quality were included in the analysis (4 randomized controlled trials, 9 open-label studies, and 1 retrospective analysis. Cholinesterase inhibitors were investigated in 9 studies, monoaminergic compounds such as methylphenidate and modafinil in two trials and one trial, respectively, and Ginkgo biloba (EGb 761 extract and citalopram in one study each. Cholinesterase inhibitors did not show statistical significant effect in 1 RCT study but were associated to improvement in 3 open-label studies. Methylphenidate elicited a small but significant activity accompanied by relevant side effects such as high blood pressure, cough, and osteoarticular pain. EGb 761 was well tolerated and countered apathy. Other treatments induced modest improvements or were ineffective. Conclusions. Apathy treatment remains a challenge and there is no evident advantage of any specific pharmacotherapy tested so far. The development of controlled studies according to updated guidelines for the diagnosis of apathy in patients with AD is desirable.

  2. The effects of heat treatment on physical and technological ...

    African Journals Online (AJOL)

    STORAGESEVER

    2009-10-19

    Oct 19, 2009 ... surface of wood were used to evaluate the effect of heat treatment on the surface characteristics of ... Some of the products developed by thermal treat- .... boards were stored uncontrolled condition in an unheated room for .... These results can be explained with material loses in ...... Finland-state of the art.

  3. Rapid bioassessment of the effects of repeated rotenone treatments ...

    African Journals Online (AJOL)

    The potential collateral effects of eradicating invasive fishes in streams necessitate the monitoring of invertebrate communities during treatment. In an environmental rehabilitation programme, non-native smallmouth bass were removed from the lower reaches of the Rondegat River, Western Cape, South Africa, in 2012 and ...

  4. Effects of glycyrrhizin pre-treatment on transient ischemic brain ...

    African Journals Online (AJOL)

    Effects of glycyrrhizin pre-treatment on transient ischemic brain injury in mice. ... on transient ischemic brain injury in mice. Chiyeon Lim, Sehyun Lim, Young-Jun Lee, Bokcheul Kong, Byoungho Lee, Chang-Hyun Kim, Buyeo Kim, Suin Cho ... induced brain damage. Keywords: Glycyrrhizin, licorice, stroke, apoptosis ...

  5. Effects of co-treatment of Rauwolfia vomitoria and Gongronema ...

    African Journals Online (AJOL)

    Effects of co-treatment of Rauwolfia vomitoria and Gongronema latifolium on neurobehaviour and the neurohistology of the cerebral cortex in mice. ... Light and dark field behaviour test was carried out on day 8 and the animals were immediately sacrificed. Their brains were excised and routinely processed by haematoxylin ...

  6. Effect of normabaric hyperoxia treatment on neuronal damage ...

    Indian Academy of Sciences (India)

    Traumatic brain injury (TBI) causes significant mortality in most developing countries worldwide. At present, it is imperative to identify a treatment to address the devastating post-TBI consequences. Therefore, the present study has been performed to assess the specific effect of immediate exposure to normabaric hyperoxia ...

  7. THE EFFECTS OF INTERCRITICAL HEAT TREATMENTS ON THE ...

    African Journals Online (AJOL)

    Effect of intercritical heat treatment on 0.14wt%C 0.56wt%Mn 0.13wt%Si struc- ... Table 1: Chemical composition of the steel used (wt. %) with its critical temperature (calculated). C. Mn. Si. Ni. S ... primary austenitic grain size hardening and.

  8. Effect of substrate type, dopant and thermal treatment on ...

    Indian Academy of Sciences (India)

    Effect of substrate type, dopant and thermal treatment on physicochemical properties of TiO2–SnO2 sol–gel films. I STAMBOLOVA. ∗. , V BLASKOV, S VASSILEV†, M SHIPOCHKA and A LOUKANOV‡. Institute of General and Inorganic Chemistry, †Institute of Electrochemistry and Energy Systems, BAS,. Acad. G. Bonchev ...

  9. Effect of heat treatment on polyphenol oxidase and peroxidase ...

    African Journals Online (AJOL)

    Effect of heat treatment (55°C/20 min) on polyphenol oxidase (PPO) and peroxidase (POD) activities and total phenolic compounds was investigated in Algerian dates (Deglet Nour variety) at Tamar (fully ripe) stage and in dates stored for 5 months at ambient temperature and in cold storage (10°C). Results obtained ...

  10. Effects of Mulching, Fertilizer, Seeding and Seedling Treatments on ...

    African Journals Online (AJOL)

    Effects of Mulching, Fertilizer, Seeding and Seedling Treatments on Plant Species Recovery in Kondoa Irangi Hills, Tanzania. ... There were high significant correlations of 0.85 and 0.87 between seedling recruitment and mortality in both sites, indicating that other factors, probably aridity, rather than prevailing site conditions ...

  11. The effect of atmospheric corona treatment on AA1050 aluminium

    DEFF Research Database (Denmark)

    Jariyaboon, Manthana; Møller, Per; Dunin-Borkowski, Rafal E.

    2010-01-01

    The effect of atmospheric corona discharge on AM 050 aluminium surface was investigated using electrochemical polarization, SEM-EDX, FIB-SEM. and XPS. The corona treatment was performed with varying time (1, 5, and 15 min) in atmospheric air. A 200 nm oxide layer was generated on AA1050 after...

  12. Relative Effectiveness of Three Modes of Treatment on English ...

    African Journals Online (AJOL)

    This study examined the effectiveness of Study Skill Counselling (SSC), Rational Emotive Therapy (RET), and a combined treatment of SSC & RET in improving the performance of students in English Language. Forty students in SS II class were randomly selected and assigned to the three experimental groups and control ...

  13. Effects of Video Modeling on Treatment Integrity of Behavioral Interventions

    Science.gov (United States)

    DiGennaro-Reed, Florence D.; Codding, Robin; Catania, Cynthia N.; Maguire, Helena

    2010-01-01

    We examined the effects of individualized video modeling on the accurate implementation of behavioral interventions using a multiple baseline design across 3 teachers. During video modeling, treatment integrity improved above baseline levels; however, teacher performance remained variable. The addition of verbal performance feedback increased…

  14. Effects of Acid treatment on the compression and mechanical ...

    African Journals Online (AJOL)

    This study investigated the effect of acid treatment on the compression and mechanical properties of the cellulosic fibrous residue obtained after a high proportion of starch has been removed from the peeled and rasped tuberous root of Xanthosoma sagittifolium (Family: Araceae). Powdered fibrous residues were subjected ...

  15. Impact of bovine subclinical mastitis and effect of lactational treatment

    NARCIS (Netherlands)

    van den Borne, B.H.P.|info:eu-repo/dai/nl/304836826

    2010-01-01

    This thesis aimed to quantify the impact of subclinical mastitis in dairy cattle in the Netherlands and to explore the epidemiologic and economic effects of antimicrobial treatment of recently acquired subclinical mastitis during lactation. First, the occurrence of (sub)clinical mastitis was

  16. Effects of different rhizosphere ventilation treatment on water and ...

    African Journals Online (AJOL)

    The objective of this study was to explore the effects of different rhizosphere ventilation treatment on water and nutrients absorption of maize. The pot experiment was conducted using three methods: no ventilation, two day ventilation and four day ventilation, under conditions of the different levels of irrigation methods.

  17. PERMEABLE TREATMENT WALL EFFECTIVENESS MONITORING PROJECT, NEVADA STEWART MINE

    Science.gov (United States)

    This report summarizes the results of Mine Waste Technology Program (MWTP) Activity III, Project 39, Permeable Treatment Wall Effectiveness Monitoring Project, implemented and funded by the U.S. Environmental Protection Agency (EPA) and jointly administered by EPA and the U.S. De...

  18. Effect of protein supplementation and urea treatment on utilization of ...

    African Journals Online (AJOL)

    Authorised User

    Abstract. Six Red Maasai sheep were used to investigate the effects of urea treatment and cotton seed cake supplementation of maize stover on intake, digestibility and rumen fermentation parameters. The basal feeds were Rhodes grass (Chloris gayana) hay (H), untreated maize (Zea mays) stover (US) and treated maize.

  19. Effects Of Desensitization Treatment On Core-Condition Training

    Science.gov (United States)

    Fry, P. S.

    1973-01-01

    Pre- and posttest ratings on measures of helping skills such as empathy, respect, concreteness, and genuineness were obtained in the preliminary and advanced training. A significant training effect was obtained for both groups. Desensitization treatment was a significant source of variance for the experimental subjects in training. (Author/LA)

  20. Effects of heat treatment on density, dimensional stability and color ...

    African Journals Online (AJOL)

    The purpose of this study was to evaluate the effect of heat treatment on some physical properties and color change of Pinus nigra wood which has high industrial use potential and large growing stocks in Turkey. Wood samples which comprised the material of the study were obtained from an industrial plant. Samples were ...

  1. Assessing Instructional Modalities: Individualized Treatment Effects for Personalized Learning

    Science.gov (United States)

    Beemer, Joshua; Spoon, Kelly; Fan, Juanjuan; Stronach, Jeanne; Frazee, James P.; Bohonak, Andrew J.; Levine, Richard A.

    2018-01-01

    Estimating the efficacy of different instructional modalities, techniques, and interventions is challenging because teaching style covaries with instructor, and the typical student only takes a course once. We introduce the individualized treatment effect (ITE) from analyses of personalized medicine as a means to quantify individual student…

  2. Modelling the cost effectiveness of antidepressant treatment in primary care.

    Science.gov (United States)

    Revicki, D A; Brown, R E; Palmer, W; Bakish, D; Rosser, W W; Anton, S F; Feeny, D

    1995-12-01

    The aim of this study was to estimate the cost effectiveness of nefazodone compared with imipramine or fluoxetine in treating women with major depressive disorder. Clinical decision analysis and a Markov state-transition model were used to estimate the lifetime health outcomes and medical costs of 3 antidepressant treatments. The model, which represents ideal primary care practice, compares treatment with nefazodone to treatment with either imipramine or fluoxetine. The economic analysis was based on the healthcare system of the Canadian province of Ontario, and considered only direct medical costs. Health outcomes were expressed as quality-adjusted life years (QALYs) and costs were in 1993 Canadian dollars ($Can; $Can1 = $US0.75, September 1995). Incremental cost-utility ratios were calculated comparing the relative lifetime discounted medical costs and QALYs associated with nefazodone with those of imipramine or fluoxetine. Data for constructing the model and estimating necessary parameters were derived from the medical literature, clinical trial data, and physician judgement. Data included information on: Ontario primary care physicians' clinical management of major depression; medical resource use and costs; probabilities of recurrence of depression; suicide rates; compliance rates; and health utilities. Estimates of utilities for depression-related hypothetical health states were obtained from patients with major depression (n = 70). Medical costs and QALYs were discounted to present value using a 5% rate. Sensitivity analyses tested the assumptions of the model by varying the discount rate, depression recurrence rates, compliance rates, and the duration of the model. The base case analysis found that nefazodone treatment costs $Can1447 less per patient than imipramine treatment (discounted lifetime medical costs were $Can50,664 vs $Can52,111) and increases the number of QALYs by 0.72 (13.90 vs 13.18). Nefazodone treatment costs $Can14 less than fluoxetine

  3. Effectiveness of an intensive multidisciplinary headache treatment program.

    Science.gov (United States)

    Gunreben-Stempfle, Birgit; Griessinger, Norbert; Lang, Eberhard; Muehlhans, Barbara; Sittl, Reinhard; Ulrich, Kathrin

    2009-07-01

    To investigate if the effectiveness of a 96-hour multidisciplinary headache treatment program exceeds the effectiveness of a 20-hour program and primary care. When dealing with chronic back pain, low-intensity multidisciplinary treatment yields no significantly better results than standard care and monodisciplinary therapy; however, high-intensity treatment does. For multidisciplinary headache treatment, such comparisons are not yet available. In a previous study undertaken by our Pain Center, the outcome of a minimal multidisciplinary intervention model (20-hour) did not exceed primary care. Forty-two patients suffering from frequent headaches (20 +/- 9 headache days/month; range: 8-30) were treated and evaluated in a 96-hour group program. The results were compared with the outcomes of the previous study. Subjects who had undergone either the 20-hour multidisciplinary program or the primary care were used as historical control groups. A significant reduction in migraine days (P tension-type headache days (P tension-type headache days (P = .016), and frequency of migraine attacks (P = .016). In comparison with the 20-hour multidisciplinary program, the 96-hour program showed significantly better effects only in the reduction of migraine days (P = .037) and depression score (P = .003). The responder-rates (> or =50% improvement) in the 96-hour program were significantly higher than in the 20-hour program (migraine days, P = .008; tension-type headache days, P = .044) and primary care (migraine days, P = .007; tension-type headache days, P = .003; tension-type headache intensity, P = .037). The effect sizes were small to medium in the 96-hour program. Particularly with the reduction of migraine symptomatology, the 96-hour program performed better than the 20-hour program, which produced only negligible or small effects. Intensive multidisciplinary headache treatment is highly effective for patients with chronic headaches. Furthermore, migraine symptomatology

  4. Effectiveness of hypnosis therapy and Gestalt therapy as depression treatments

    Directory of Open Access Journals (Sweden)

    Elizabeth González-Ramírez

    2017-03-01

    Full Text Available We analyzed the effectiveness of two psychological therapies to treat depression in the Culiacan population, Mexico. According to criteria of MINI (international Neuropsychiatric interview, 30 individuals from a total of 300 were selected and diagnosed with some kind of depression. Patients were divided in three groups: 1 treatment with hypnosis therapy, 2 treatment with Gestalt-hypnosis therapy, and 3 control group. Before and after the treatments the Beck Anxiety Inventory (BAI was applied to know the depression level of the analyzed groups. The results show that the three groups were presenting a moderated level of depression. The groups under hypnosis therapy and Gestalt-hypnosis therapy show statistical differences between pre-test and post-test. The hypnosis therapy shows significant statistic differences to treat depression with respect to the other two groups. In conclusion, the therapeutic hypnosis is an effective treatment and has relevance to treat depression, while other therapeutic treatments tend to be slow and with minor result. This study is the first of this kind carried out in Culiacan in Sinaloa, Mexico.

  5. Effect of a standardized treatment regime for infection after osteosynthesis.

    Science.gov (United States)

    Hellebrekers, Pien; Leenen, Luke P H; Hoekstra, Meriam; Hietbrink, Falco

    2017-03-09

    Infection after osteosynthesis is an important complication with significant morbidity and even mortality. These infections are often caused by biofilm-producing bacteria. Treatment algorithms dictate an aggressive approach with surgical debridement and antibiotic treatment. The aim of this study is to analyze the effect of such an aggressive standardized treatment regime with implant retention for acute, existing regime consisted of implant retention, thorough surgical debridement, and immediate antibiotic combination therapy with rifampicin. The primary outcome was success. Success was defined as consolidation of the fracture and resolved symptoms of infection. Culture and susceptibility testing were performed to identify bacteria and resistance patterns. Univariate analysis was conducted on patient-related factors in association with primary success and antibiotic resistance. Forty-nine patients were included for analysis. The primary success rate was 63% and overall success rate 88%. Factors negatively associated with primary success were the following: Gustilo classification (P = 0.023), higher number of debridements needed (P = 0.015), inability of primary closure (P = 0.017), and subsequent application of vacuum therapy (P = 0.030). Adherence to the treatment regime was positively related to primary success (P = 0.034). The described treatment protocol results in high success rates, comparable with success rates achieved in staged exchange in prosthetic joint infection treatment.

  6. Individually dosed omalizumab: an effective treatment for severe peanut allergy.

    Science.gov (United States)

    Brandström, J; Vetander, M; Lilja, G; Johansson, S G O; Sundqvist, A-C; Kalm, F; Nilsson, C; Nopp, A

    2017-04-01

    Treatment with omalizumab has shown a positive effect on food allergies, but no dosages are established. Basophil allergen threshold sensitivity (CD-sens) can be used to objectively measure omalizumab treatment efficacy and correlates with the outcome of double-blind placebo-controlled food challenge to peanut. To evaluate whether individualized omalizumab treatment monitored by CD-sens could be an effective intervention for suppression of allergic reactions to peanut. Severely peanut allergic adolescents (n = 23) were treated with omalizumab for 8 weeks, and CD-sens was analysed before and after. Based on whether CD-sens was suppressed after 8 weeks, the patients either were subject to a peanut challenge or received eight more weeks with increased dose of omalizumab, followed by peanut challenge or another 8-week cycle of omalizumab. IgE and IgE-antibodies to peanut and its components were analysed before treatment. After individualized omalizumab treatment (8-24 weeks), all patients continued with an open peanut challenge with no (n = 18) or mild (n = 5) objective allergic symptoms. Patients (n = 15) needing an elevated omalizumab dose (ED) to suppress CD-sens had significantly higher CD-sens values at baseline 1.49 (0.44-20.5) compared to those (n = 8) who managed with normal dose (ND) 0.32 (0.24-5.5) (P omalizumab, monitored by CD-sens, is an effective and safe treatment for severe peanut allergy. The ratio of IgE-ab to storage protein Ara h 2/IgE as well as CD-sens to peanut may predict the need of a higher omalizumab dose. Clinical trials numbers: EudraCT; 2012-005625-78, ClinicalTrials.gov; NCT02402231. © 2016 John Wiley & Sons Ltd.

  7. Effect of the transpalatal arch during extraction treatment.

    Science.gov (United States)

    Zablocki, Heather L; McNamara, James A; Franchi, Lorenzo; Baccetti, Tiziano

    2008-06-01

    The transpalatal arch (TPA) can be used as an adjunct during orthodontic treatment to help control the movement of the maxillary first molars in 3 dimensions, including producing molar rotation and uprighting, maintaining transverse dimensions posteriorly during treatment, and maintaining leeway spaces during the transition of the dentition. The purpose of this retrospective cephalometric study was to test an additional function of the TPA: its ability to enhance orthodontic anchorage during extraction treatment. Records consisting of pretreatment and posttreatment cephalograms were gathered from several orthodontic practices that used an .018 x .025-in preangulated appliance. All patients were white and had 4 first premolars extracted as part of their treatment protocol. Patients were treated either with or without a TPA of the soldered Goshgarian design. Patients were excluded if headgear or any other auxiliary anchorage device beside the TPA was used during treatment. Matched samples of 30 patients were identified based on sex, age at the start of treatment, treatment duration, and cervical vertebral maturation stage. Statistical comparisons were made with nonparametric statistical tests. Analysis of the changes from pretreatment to posttreatment for the TPA and the no-TPA groups showed no statistically significant differences in any of the variables examined. The net difference for both vertical and mesial movement of the maxillary first molar in relation to the maxilla between the 2 groups was 0.4 mm, with the no-TPA group in a more downward and forward position. Although the usefulness of the TPA for the abovementioned functions is not negated, it does not provide a significant effect on either the anteroposterior or the vertical position of the maxillary first molars during extraction treatment.

  8. Cost-effectiveness in Clostridium difficile treatment decision-making.

    Science.gov (United States)

    Nuijten, Mark Jc; Keller, Josbert J; Visser, Caroline E; Redekop, Ken; Claassen, Eric; Speelman, Peter; Pronk, Marja H

    2015-11-16

    To develop a framework for the clinical and health economic assessment for management of Clostridium difficile infection (CDI). CDI has vast economic consequences emphasizing the need for innovative and cost effective solutions, which were aim of this study. A guidance model was developed for coverage decisions and guideline development in CDI. The model included pharmacotherapy with oral metronidazole or oral vancomycin, which is the mainstay for pharmacological treatment of CDI and is recommended by most treatment guidelines. A design for a patient-based cost-effectiveness model was developed, which can be used to estimate the cost-effectiveness of current and future treatment strategies in CDI. Patient-based outcomes were extrapolated to the population by including factors like, e.g., person-to-person transmission, isolation precautions and closing and cleaning wards of hospitals. The proposed framework for a population-based CDI model may be used for clinical and health economic assessments of CDI guidelines and coverage decisions for emerging treatments for CDI.

  9. Fenbendazole treatment may influence lipopolysaccharide effects in rat brain.

    Science.gov (United States)

    Hunter, Randy L; Choi, Dong-Young; Kincer, Jeanie F; Cass, Wayne A; Bing, Guoying; Gash, Don M

    2007-10-01

    In evaluating discrepant results between experiments in our laboratory, we collected data that challenge the notion that anthelminthic drugs like FBZ do not alter inflammatory responses. We found that FBZ significantly modulates inflammation in F344 rats intrastriatally injected with LPS. FBZ treatment of LPS-injected rats significantly increased weight loss, microglial activation, and dopamine loss; in addition, FBZ attenuated the LPS-induced loss of astrocytes. Therefore, FBZ treatment altered the effects of LPS injection. Caution should be used in interpreting data collected from rats treated with LPS and FBZ.

  10. Parameter trajectory analysis to identify treatment effects of pharmacological interventions.

    Directory of Open Access Journals (Sweden)

    Christian A Tiemann

    Full Text Available The field of medical systems biology aims to advance understanding of molecular mechanisms that drive disease progression and to translate this knowledge into therapies to effectively treat diseases. A challenging task is the investigation of long-term effects of a (pharmacological treatment, to establish its applicability and to identify potential side effects. We present a new modeling approach, called Analysis of Dynamic Adaptations in Parameter Trajectories (ADAPT, to analyze the long-term effects of a pharmacological intervention. A concept of time-dependent evolution of model parameters is introduced to study the dynamics of molecular adaptations. The progression of these adaptations is predicted by identifying necessary dynamic changes in the model parameters to describe the transition between experimental data obtained during different stages of the treatment. The trajectories provide insight in the affected underlying biological systems and identify the molecular events that should be studied in more detail to unravel the mechanistic basis of treatment outcome. Modulating effects caused by interactions with the proteome and transcriptome levels, which are often less well understood, can be captured by the time-dependent descriptions of the parameters. ADAPT was employed to identify metabolic adaptations induced upon pharmacological activation of the liver X receptor (LXR, a potential drug target to treat or prevent atherosclerosis. The trajectories were investigated to study the cascade of adaptations. This provided a counter-intuitive insight concerning the function of scavenger receptor class B1 (SR-B1, a receptor that facilitates the hepatic uptake of cholesterol. Although activation of LXR promotes cholesterol efflux and -excretion, our computational analysis showed that the hepatic capacity to clear cholesterol was reduced upon prolonged treatment. This prediction was confirmed experimentally by immunoblotting measurements of SR-B1

  11. Effects of Hyperbaric Oxygen Treatment on Renal System.

    Science.gov (United States)

    Tezcan, Orhan; Caliskan, Ahmet; Demirtas, Sinan; Yavuz, Celal; Kuyumcu, Mahir; Nergiz, Yusuf; Guzel, Abdulmenap; Karahan, Oguz; Ari, Seyhmus; Soker, Sevda; Yalinkilic, Ibrahim; Turkdogan, Kenan Ahmet

    2017-01-01

    Hyperbaric oxygen (HBO) treatment is steadily increasing as a therapeutic modality for various types of diseases. Although good clinical outcomes were reported with HBO treatment for various diseases, the multisystemic effects of this modality are still unclear. This study aimed to investigate the renal effects of HBO experimentally. Fourteen New Zealand White rabbits were divided into 2 groups randomly as the control group and the study group. The study group received HBO treatment for 28 days (100% oxygen at 2.5 atmospheres for 90 minutes daily) and the control group was used to obtain normal renal tissue of the animal genus. After the intervention period, venous blood samples were obtained, and renal tissue samples were harvested for comparisons. Normal histological morphology was determined with Masson trichrome staining and periodic acid-Schiff staining in the control group. Atrophic glomerular structures, vacuolated tubule cells, and degeneration were detected in the renal samples of the study group with Masson trichrome staining. Additionally, flattening was observed on the brush borders of the proximal tubules, and tubular dilatation was visualized with periodic acid-Schiff staining. The histopathologic disruption of renal morphology was verified with detection of significantly elevated kidney function laboratory biomarkers in the study group. Our findings suggests that HBO has adverse effects on renal glomerulus and proximal tubules. However, the functional effects of this alteration should be investigated with further studies.

  12. Effect of combined treatments on viscosity of whey dispersions

    International Nuclear Information System (INIS)

    Camillo, A.; Sabato, S.F.

    2004-01-01

    Whey proteins, enriched protein fractions from milk, are of great interest as ingredients due to nutritional value associated with its functional properties. These proteins could have their structural properties improved when some treatments are applied, such as thermal and gamma irradiation or when some compounds are added. The current work aimed to study the viscometer behavior of whey dispersions submitted to two different combined treatments: (1) thermal plus irradiation and (2) thermal plus vacuum and N 2 plus irradiation. Dispersions of whey protein in water (5% and 8% protein (w/v) base) and containing proteins and glycerol at ratios 1:1 and 2:1 (protein:glycerol) were submitted to both combined treatments. The irradiation doses were 0, 5, 15 and 25 kGy. The viscosity of the two combined treatments and for four levels of absorbed doses is presented and the combined effects are discussed. The thermal treatment combined with gamma irradiation contributed to increase the viscosity as irradiation doses increases for both (5% and 8%) concentrations of proteins (p<0.05). For protein and glycerol solutions, the irradiation dose seemed to result in a slightly increase. The vacuum applied before the irradiation showed a small contribution

  13. Effect of combined treatments on viscosity of whey dispersions

    Energy Technology Data Exchange (ETDEWEB)

    Camillo, A.; Sabato, S.F. E-mail: sfsabato@ipen.br

    2004-10-01

    Whey proteins, enriched protein fractions from milk, are of great interest as ingredients due to nutritional value associated with its functional properties. These proteins could have their structural properties improved when some treatments are applied, such as thermal and gamma irradiation or when some compounds are added. The current work aimed to study the viscometer behavior of whey dispersions submitted to two different combined treatments: (1) thermal plus irradiation and (2) thermal plus vacuum and N{sub 2} plus irradiation. Dispersions of whey protein in water (5% and 8% protein (w/v) base) and containing proteins and glycerol at ratios 1:1 and 2:1 (protein:glycerol) were submitted to both combined treatments. The irradiation doses were 0, 5, 15 and 25 kGy. The viscosity of the two combined treatments and for four levels of absorbed doses is presented and the combined effects are discussed. The thermal treatment combined with gamma irradiation contributed to increase the viscosity as irradiation doses increases for both (5% and 8%) concentrations of proteins (p<0.05). For protein and glycerol solutions, the irradiation dose seemed to result in a slightly increase. The vacuum applied before the irradiation showed a small contribution.

  14. [Effect of body image in adolescent orthodontic treatment].

    Science.gov (United States)

    Minghui, Peng; Jing, Kang; Xiao, Deng

    2017-10-01

    This study was designed to probe the psychological factors adolescent orthodontic patients, the role of body image and self-esteem in the whole process of orthodontic treatment and the impact on the efficacy and satisfaction of orthodontic. Five hundred and twenty-eight patients were selected in this study. The Aesthetic Component of the Index of Orthodontic Treatment Need (IOTN-AC) , Rosenberg Self-Esteem Scale (SES), Negative Physical Self-General (NPS-G) and other body analysis scale study after orthodontic lasted 18-24 months were used to investigate the role of body image in adolescent orthodontic treatment. Esthetic evaluation of patients teeth after correction had been significantly improved, patient self-evaluation difference IOTN-AC doctor evaluation, Psychosocial Impact of Dental Aesthetics Questionnaire-tooth confidence, aesthetic concerns, psychological impact and social function were significantly improved. The improvement of the dental aesthetics component (T2 when doctors evaluate IOTN-AC) was positively correlated with the evaluation of the efficacy, and was significantly negatively correlated with the negative emotions of patients at baseline. Negative body image-dental dissatisfied-cognitive component and the affective component, the overall negative body image and negative emotions can predict patient satisfaction with treatment efficacy. Orthodontic treatment not only improves the self-aesthetic evaluation of adolescent patients, but also has a positive effect on the mental health of adolescent patients.

  15. Factors Associated with Effectiveness of Treatment and Reproductive Outcomes in Patients with Thin Endometrium Undergoing Estrogen Treatment

    Directory of Open Access Journals (Sweden)

    Si-Miao Liu

    2015-01-01

    Conclusions: Thinner EMT before estrogen treatment requires longer treatment duration and predicts poorer treatment outcomes. The effectiveness of treatment depends on the duration of estrogen administration. Assisted reproductive outcomes of patients whose treatment is successful (i.e., achieves an EMT ≥8 mm are similar to those of controls. The quality of embryos transferred is an important predictor of assisted reproductive outcomes in patients treated successfully with exogenous estrogen.

  16. Effect of technological treatments on bovine lactoferrin: An overview.

    Science.gov (United States)

    Franco, Indira; Pérez, María Dolores; Conesa, Celia; Calvo, Miguel; Sánchez, Lourdes

    2018-04-01

    Lactoferrin (LF) is a multifunctional protein that exerts important activities in the neonate through its presence in milk, and also in other external mucosas, acting as a defense protein of innate immunity. The addition of bovine LF to infant formula and also to other functional products and cosmetics has increased during the last decades. Consequently, it is essential to know the effect that the technological processes, necessary to elaborate those products, have on LF activity. In this study, we have revised the effect of classical treatments on lactoferrin structure and activity, such as heat treatment or drying, and also of emerging technologies, like high pressure or pulsed electric field. The results of the studies included in this review indicate that LF stability is dependent on its level of iron-saturation and on the characteristics of the treatment media. Furthermore, the studies revised here reveal that the non-thermal treatments are interesting alternatives to the traditional ones, as they protect better the structure and activity of lactoferrin. It is also clear the need for research on LF encapsulation by different ways, to protect its properties before it reaches the intestine. All this knowledge would allow designing processes less harmful for LF, thus maintaining all its functionality. Copyright © 2017 Elsevier Ltd. All rights reserved.

  17. Management of Spinal Deformities and Evidence of Treatment Effectiveness

    Science.gov (United States)

    Bettany-Saltikov, Josette; Turnbull, Deborah; Ng, Shu Yan; Webb, Richard

    2017-01-01

    Introduction: The review evaluates the up-to-date evidence for the treatment of spinal deformities, including scoliosis and hyperkyphosis in adolescents and adults. Material and Methods: The PubMed database was searched for review articles, prospective controlled trials and randomized controlled trials related to the treatment of spinal deformities. Articles on syndromic scoliosis were excluded and so were the articles on hyperkyphosis of the spine with causes other than Scheuermann’s disease and osteoporosis. Articles on conservative and surgical treatments of idiopathic scoliosis, adult scoliosis and hyperkyphosis were also included. For retrospective papers, only studies with a follow up period exceeding 10 years were included. Results: The review showed that early-onset idiopathic scoliosis has a worse outcome than late-onset idiopathic scoliosis, which is rather benign. Patients with AIS function well as adults; they have no more health problems when compared to patients without scoliosis, other than a slight increase in back pain and aesthetic concern. Conservative treatment of adolescent idiopathic scoliosis (AIS) using physiotherapeutic scoliosis-specific exercises (PSSE), specifically PSSR and rigid bracing was supported by level I evidence. Yet to date, there is no high quality evidence (RCT`s) demonstrating that surgical treatment is superior to conservative treatment for the management of AIS. For adult scoliosis, there are only a few studies on the effectiveness of PSSEs and a conclusion cannot as yet be drawn. For hyperkyphosis, there is no high-quality evidence for physiotherapy, bracing or surgery for the treatment of adolescents and adults. However, bracing has been found to reduce thoracic hyperkyphosis, ranging from 55 to 80° in adolescents. In patients over the age of 60, bracing improves the balance score, and reduces spinal deformity and pain. Surgery is indicated in adolescents and adults in the presence of progression of kyphosis

  18. Beyond the treatment effect: Evaluating the effects of patient preferences in randomised trials.

    Science.gov (United States)

    Walter, S D; Turner, R; Macaskill, P; McCaffery, K J; Irwig, L

    2017-02-01

    The treatments under comparison in a randomised trial should ideally have equal value and acceptability - a position of equipoise - to study participants. However, it is unlikely that true equipoise exists in practice, because at least some participants may have preferences for one treatment or the other, for a variety of reasons. These preferences may be related to study outcomes, and hence affect the estimation of the treatment effect. Furthermore, the effects of preferences can sometimes be substantial, and may even be larger than the direct effect of treatment. Preference effects are of interest in their own right, but they cannot be assessed in the standard parallel group design for a randomised trial. In this paper, we describe a model to represent the impact of preferences on trial outcomes, in addition to the usual treatment effect. In particular, we describe how outcomes might differ between participants who would choose one treatment or the other, if they were free to do so. Additionally, we investigate the difference in outcomes depending on whether or not a participant receives his or her preferred treatment, which we characterise through a so-called preference effect. We then discuss several study designs that have been proposed to measure and exploit data on preferences, and which constitute alternatives to the conventional parallel group design. Based on the model framework, we determine which of the various preference effects can or cannot be estimated with each design. We also illustrate these ideas with some examples of preference designs from the literature.

  19. Treatment of cloud radiative effects in general circulation models

    Energy Technology Data Exchange (ETDEWEB)

    Wang, W.C.; Dudek, M.P.; Liang, X.Z.; Ding, M. [State Univ. of New York, Albany, NY (United States)] [and others

    1996-04-01

    We participate in the Atmospheric Radiation Measurement (ARM) program with two objectives: (1) to improve the general circulation model (GCM) cloud/radiation treatment with a focus on cloud verticle overlapping and layer cloud optical properties, and (2) to study the effects of cloud/radiation-climate interaction on GCM climate simulations. This report summarizes the project progress since the Fourth ARM Science Team meeting February 28-March 4, 1994, in Charleston, South Carolina.

  20. Treatment of offshore produced water - an effective membrane process

    International Nuclear Information System (INIS)

    Taylor, J.; Larson, R.; Scherer, B.

    1991-01-01

    The conference paper describes a new membrane technology being extremely effective in separating hydrocarbons from water streams. The membrane is composed of a completely natural cellulose and is resistant to all hydrocarbons and organic solvents, and preliminary tests have shown that it is resistant to fouling by oily molecules and calcium scaling. The membrane system being designed shows good potential for the treatment of offshore produced water with a hydrocarbon content well within present and emerging standards. 6 refs., 8 figs., 3 tabs

  1. Biphasic Rapamycin Effects in Lymphoma and Carcinoma Treatment.

    Science.gov (United States)

    Liu, Yang; Pandeswara, Srilakshmi; Dao, Vinh; Padrón, Álvaro; Drerup, Justin M; Lao, Shunhua; Liu, Aijie; Hurez, Vincent; Curiel, Tyler J

    2017-01-15

    mTOR drives tumor growth but also supports T-cell function, rendering the applications of mTOR inhibitors complex especially in T-cell malignancies. Here, we studied the effects of the mTOR inhibitor rapamycin in mouse EL4 T-cell lymphoma. Typical pharmacologic rapamycin (1-8 mg/kg) significantly reduced tumor burden via direct suppression of tumor cell proliferation and improved survival in EL4 challenge independent of antitumor immunity. Denileukin diftitox (DD)-mediated depletion of regulatory T cells significantly slowed EL4 growth in vivo in a T-cell-dependent fashion. However, typical rapamycin inhibited T-cell activation and tumor infiltration in vivo and failed to boost DD treatment effects. Low-dose (LD) rapamycin (75 μg/kg) increased potentially beneficial CD44hiCD62L + CD8 + central memory T cells in EL4 challenge, but without clinical benefit. LD rapamycin significantly enhanced DD treatment efficacy, but DD plus LD rapamycin treatment effects were independent of antitumor immunity. Instead, rapamycin upregulated EL4 IL2 receptor in vitro and in vivo, facilitating direct DD tumor cell killing. LD rapamycin augmented DD efficacy against B16 melanoma and a human B-cell lymphoma, but not against human Jurkat T-cell lymphoma or ID8agg ovarian cancer cells. Treatment effects correlated with IL2R expression, but mechanisms in some tumors were not fully defined. Overall, our data define a distinct, biphasic mechanisms of action of mTOR inhibition at doses that are clinically exploitable, including in T-cell lymphomas. Cancer Res; 77(2); 520-31. ©2016 AACR. ©2016 American Association for Cancer Research.

  2. Cost-effectiveness analysis of treatments for vertebral compression fractures.

    Science.gov (United States)

    Edidin, Avram A; Ong, Kevin L; Lau, Edmund; Schmier, Jordana K; Kemner, Jason E; Kurtz, Steven M

    2012-07-01

    Vertebral compression fractures (VCFs) can be treated by nonsurgical management or by minimally invasive surgical treatment including vertebroplasty and balloon kyphoplasty. The purpose of the present study was to characterize the cost to Medicare for treating VCF-diagnosed patients by nonsurgical management, vertebroplasty, or kyphoplasty. We hypothesized that surgical treatments for VCFs using vertebroplasty or kyphoplasty would be a cost-effective alternative to nonsurgical management for the Medicare patient population. Cost per life-year gained for VCF patients in the US Medicare population was compared between operated (kyphoplasty and vertebroplasty) and non-operated patients and between kyphoplasty and vertebroplasty patients, all as a function of patient age and gender. Life expectancy was estimated using a parametric Weibull survival model (adjusted for comorbidities) for 858 978 VCF patients in the 100% Medicare dataset (2005-2008). Median payer costs were identified for each treatment group for up to 3 years following VCF diagnosis, based on 67 018 VCF patients in the 5% Medicare dataset (2005-2008). A discount rate of 3% was used for the base case in the cost-effectiveness analysis, with 0% and 5% discount rates used in sensitivity analyses. After accounting for the differences in median costs and using a discount rate of 3%, the cost per life-year gained for kyphoplasty and vertebroplasty patients ranged from $US1863 to $US6687 and from $US2452 to $US13 543, respectively, compared with non-operated patients. The cost per life-year gained for kyphoplasty compared with vertebroplasty ranged from -$US4878 (cost saving) to $US2763. Among patients for whom surgical treatment was indicated, kyphoplasty was found to be cost effective, and perhaps even cost saving, compared with vertebroplasty. Even for the oldest patients (85 years of age and older), both interventions would be considered cost effective in terms of cost per life-year gained.

  3. No beneficial effect of Polidocanol treatment in Achilles tendinopathy

    DEFF Research Database (Denmark)

    Ebbesen, B H; Mølgaard, C M; Olesen, J L

    2017-01-01

    PURPOSE: Polidocanol injections have been used to treat chronic Achilles tendinopathy in clinical settings, but the few studies published show inconsistent results. The aim of this study was to evaluate the mid-term effect of Polidocanol in patients with chronic Achilles tendinopathy. It was hypo......PURPOSE: Polidocanol injections have been used to treat chronic Achilles tendinopathy in clinical settings, but the few studies published show inconsistent results. The aim of this study was to evaluate the mid-term effect of Polidocanol in patients with chronic Achilles tendinopathy...... of Achilles tendinopathy for at least 3 months and with neovascularisation demonstrated by ultrasonography was included. A minimum of 3 months of eccentric exercise treatment was required before participating. The patients were allocated to a maximum of two injection of either Polidocanol or Lidocaine...... an improvement at 3- and 6-month follow-up, but no mid-term differences between the groups were seen. An equal number of patients in the two groups were satisfied with the treatment at follow-up. CONCLUSIONS: The results indicate that Polidocanol is a safe treatment, but the mid-term effects are the same...

  4. Spasmodic dysphonia: onset, course, socioemotional effects, and treatment response.

    Science.gov (United States)

    Tanner, Kristine; Roy, Nelson; Merrill, Ray M; Sauder, Cara; Houtz, Daniel R; Smith, Marshall E

    2011-07-01

    This investigation explored the onset, progression, socioemotional effects, and treatment outcomes of spasmodic dysphonia (SD). A cross-sectional epidemiological approach was used to examine questionnaire responses from 150 individuals with SD. Symptoms of SD (mean age at onset, 46 years) began gradually in 76% of cases and were progressive (ie, failed to plateau) in 34% of cases. Botulinum toxin A (Botox) helped to attenuate voice symptoms in 91% of cases; however, the scores on the Voice-Related Quality of Life questionnaire (V-RQOL) were not associated with this effect. The V-RQOL scores improved with time since symptom onset, independent of age and treatment. The patients with only SD experienced onset, course, and progression of symptoms similar to those of the patients with SD and coexisting vocal tremor. The symptoms of SD begin gradually and worsen over time. New evidence indicates that SD symptoms may continue to progress without plateau in at least a subset of patients. Individuals with SD and coexisting vocal tremor experience symptom trajectories similar to those of patients with SD only. Although Botox may attenuate voice symptoms, these effects do not appear to be strongly related to the V-RQOL scores. These results provide new and valuable insights regarding the onset, course, progression, and treatment of SD.

  5. The effectiveness of hypnotherapy in the treatment of subjective tinnitus

    Directory of Open Access Journals (Sweden)

    Shirin Moghtaderi

    2012-12-01

    Full Text Available Background and Aim: Tinnitus is an annoying disease cause major problems including insomnia, impaired concentration, and reduced quality of life. This study aimed to investigate the effectiveness of hypnotherapy in the treatment of subjective tinnitus.Methods: This was a pilot experimental study with pre- and post-test method. 20 people suffered from subjective tinnitus were divided equally in two groups of experimental and control. The two groups were matched according to age and severity of tinnitus. They completed tinnitus clinical questionnaires before and after the test and the severity of their tinnitus was recorded by a number from one to ten. Experimental group went under hypnotherapy for 10 sessions. The control group did not perform any psychological treatment. The gathered data were statistically analyzed using Student's t-test (independent and dependent.Results: There were significant differences between the pre-test and post-test scores of each group and also, between the post-test scores of experimental and control groups (p = 0.001 for all.Conclusion: The results showed that hypnotherapy could effectively reduce the seventy of tinnitus in patients in the experimental group; in other words, the results confirm the effectiveness of medical hypnosis in the treatment of subjective tinnitus.

  6. Weightbath hydrotraction treatment: application, biomechanics, and clinical effects

    Directory of Open Access Journals (Sweden)

    Márta Kurutz

    2010-04-01

    Full Text Available Márta Kurutz1, Tamás Bender21Department of Structural Mechanics, Budapest University of Technology and Economics, Hungary; 2Department of Physical Medicine, Polyclinic and Hospital of the Hospitaller Brothers of St. John of God, Budapest, Medical University of Szeged, HungaryBackground and purpose: Weightbath hydrotraction treatment (WHT is a simple noninvasive effective method of hydro- or balneotherapy to stretch the spine or lower limbs, applied successfully in hospitals and health resort sanitaria in Hungary for more than fifty years. This study aims to introduce WHT with its biomechanical and clinical effects. History, development, equipment, modes of application, biomechanics, spinal traction forces and elongations, indications and contraindications of WHT are precented.Subjects and methods: The calculation of traction forces acting along the spinal column during the treatment is described together with the mode of suspension and the position of extra weight loads applied. The biomechanics of the treatment are completed by in vivo measured elongations of lumbar segments using a special underwater ultrasound measuring method. The clinical effects, indications, and contraindications of the treatment are also presented.Results: In the underwater cervical suspension of a human body, approximately 25 N stretching load occurs in the cervical spine, and about 11 N occurs in the lumbar spine. By applying extra weights, the above tensile forces along the spinal column can be increased. Thus, the traction effect can be controlled by applying such loads during the treatment. Elongations of segments L3–L4, L4–L5, and L5–S1 were measured during the usual WHT of patients suspended cervically in water for 20 minutes, loaded by 20–20 N lead weights on the ankles. The mean initial elastic elongations of spinal segments were about 0.8 mm for patients aged under 40 years, 0.5 mm between 40–60 years, and 0.2 mm for patients over 60 years. The mean

  7. Effects of nutritional supplementation for HIV patients starting antiretroviral treatment

    DEFF Research Database (Denmark)

    Olsen, Mette Frahm; Abdissa, Alemseged; Kæstel, Pernille

    2014-01-01

    Objectives: To determine the effects of lipid based nutritional supplements with either whey or soy protein in patients with HIV during the first three months of antiretroviral treatment (ART) and to explore effects of timing by comparing supplementation at the start of ART and after three months....../µL (−2 to 53 cells/µL) were CD4. Effects of the soy containing supplement on immune recovery were not significant. The effects of the two supplements, however, were not significantly different in direct comparison. Exploratory analysis showed that relatively more lean body mass was gained by patients...... with undetectable viral load at three months. Patients receiving delayed supplementation had higher weight gain but lower gains in functional outcomes. Conclusions: Lipid based nutritional supplements improved gain of weight, lean body mass, and grip strength in patients with HIV starting ART. Supplements...

  8. Is immunotherapy an opportunity for effective treatment of drug addiction?

    Science.gov (United States)

    Zalewska-Kaszubska, Jadwiga

    2015-11-27

    Immunotherapy has a great potential of becoming a new therapeutic strategy in the treatment of addiction to psychoactive drugs. It may be used to treat addiction but also to prevent neurotoxic complications of drug overdose. In preclinical studies two immunological methods have been tested; active immunization, which relies on the administration of vaccines and passive immunization, which relies on the administration of monoclonal antibodies. Until now researchers have succeeded in developing vaccines and/or antibodies against addiction to heroin, cocaine, methamphetamine, nicotine and phencyclidine. Their effectiveness has been confirmed in preclinical studies. At present, clinical studies are being conducted for vaccines against nicotine and cocaine and also anti-methamphetamine monoclonal antibody. These preclinical and clinical studies suggest that immunotherapy may be useful in the treatment of addiction and drug overdose. However, there are a few problems to be solved. One of them is controlling the level of antibodies due to variability between subjects. But even obtaining a suitable antibody titer does not guarantee the effectiveness of the vaccine. Additionally, there is a risk of intentional or unintentional overdose. As vaccines prevent passing of drugs through the blood/brain barrier and thereby prevent their positive reinforcement, some addicted patients may erroneously seek higher doses of psychoactive substances to get "high". Consequently, vaccination should be targeted at persons who have a strong motivation to free themselves from drug dependency. It seems that immunotherapy may be an opportunity for effective treatment of drug addiction if directed to adequate candidates for treatment. For other addicts, immunotherapy may be a very important element supporting psycho- and pharmacotherapy. Copyright © 2015 Elsevier Ltd. All rights reserved.

  9. Effect of antihypertensive treatment on progression of incipient diabetic nephropathy

    DEFF Research Database (Denmark)

    Christensen, Cramer; Mogensen, C E

    1985-01-01

    of urinary albumin excretion before and during 2.6 years +/- 1.0 (SD) of treatment. The blood pressure was depressed by the treatment (systolic blood pressure from 135 mm Hg +/- 8.6 to 124 mm Hg +/- 6.2, NS; mean blood pressure from 107 mm Hg +/- 7.6 to 97 mm Hg +/- 3.4, 2p less than 0.05; diastolic blood......The aim of the study was to clarify whether antihypertensive treatment with a selective beta blocker would have an effect on the progression rate of kidney disease in patients with incipient diabetic nephropathy. Six male patients with juvenile-onset diabetes with incipient nephropathy (urinary...... albumin excretion above 15 micrograms/min and total protein excretion below 0.5 g/24 hr) were treated with metoprolol (200 mg daily). At the start of the antihypertensive treatment the mean age was 32 years +/- 4.2 (SD). The patients were followed a mean 5.4 years +/- 3.1 (SD) with repeated measurements...

  10. Carburizing treatment of low alloy steels: Effect of technological parameters

    Science.gov (United States)

    Benarioua, Younes

    2018-05-01

    The surface areas of the parts subjected to mechanical loads influence to a great extent the resistance to wear and fatigue. In majority of cases, producing of a hard superficial layer on a tough substrate is conducive to an increased resistance to mechanical wear and fatigue. Cementation treatment of low alloy steels which bonds superficial martensitic layer of high hardness and lateral compressive to a core of lower hardness and greater toughness is an example of a good solution of the problem. The high hardness of the martensitic layer is due to an increased concentration of interstitial carbon atoms in the austenite before quenching. The lower hardness of the core after quenching is due to the presence of ferrite and pearlite components which appear if the cooling rate after austenitization becomes lower than the critical on. The objective of the present study was to obtain a cemented surface layer on low alloy steel by means of pack carburizing treatment. Different steel grades, austenitization temperatures as well as different soaking times were used as parameters of the pack carburizing treatment. During this treatment, carbon atoms from the pack powder diffuse toward the steels surface and form compounds of iron carbides. The effect of carburizing parameters on the transformation rate of low carbon surface layer of the low alloy steel to the cemented one was investigated by several analytical techniques.

  11. Effectiveness of multiple sclerosis treatment with current immunomodulatory drugs.

    Science.gov (United States)

    Milo, Ron

    2015-04-01

    Multiple sclerosis (MS) is a chronic inflammatory disease of the CNS of a putative autoimmune origin characterized by neurologic dysfunction disseminated in space and time due to demyelination and axonal loss that results in progressive disability. Recent advances in understanding the immune pathogenesis of the disease resulted in the introduction of numerous effective immunomodulatoty drugs having diverse mechanisms of action, modes of administration and risk-benefit profiles. This results in more complex albeit more promising treatment selection and choices. The epidemiology, clinical features, pathogenesis and diagnosis of the disease are discussed. The mode of action and main characteristics of current immunomodulatory drugs for MS and their place in the therapeutic algorithm of the disease based on evidence from clinical trials are described. Speculation on new paradigms, treatment goals and outcome measures aimed at improving the landscape of MS treatment is presented. Multiple disease, drug and patient-related factors should be taken into consideration when selecting the appropriate drug and treatment strategy to the appropriate patient, thus paving the road for personalized medicine in MS.

  12. Treatment effects for dysphagia in Parkinson's disease: a systematic review.

    Science.gov (United States)

    van Hooren, M R A; Baijens, L W J; Voskuilen, S; Oosterloo, M; Kremer, B

    2014-08-01

    Dysphagia remains a common problem in Parkinson's disease (PD). Previous systematic reviews on therapy effects for oropharyngeal dysphagia in PD have shown a lack of evidence. In the past 5 years several placebo or sham-controlled trials with varying results have been published. The aim of this systematic literature review is to summarize and qualitatively analyze the published studies on this matter. Studies published up to December 2013 were found via a systematic comprehensive electronic database search using PubMed, Embase, and The Cochrane Library. Two reviewers independently assessed the studies using strict inclusion criteria. Twelve studies were included and qualitatively analyzed using critical appraisal items. The review includes rehabilitative (exercises, electrical stimulation, bolus modification etc.) and pharmacologic treatment. Some well-designed controlled trials were included. However, none of the included studies fulfilled all criteria for external and internal validity. A meta-analysis was not carried out as most of the studies were not of sufficient quality to warrant doing so. Expiratory Muscle Strength Training (EMST) and Video-Assisted Swallowing Therapy (VAST) may be effective dysphagia treatments solely or in addition to dopaminergic therapy for PD. However, these preliminary results warrant further investigation concerning their clinical applicability, and further research should be based on randomized sham-controlled trials to determine the effectiveness and long-term effects of different therapies for dysphagia in PD. Copyright © 2014 Elsevier Ltd. All rights reserved.

  13. [Long-term effectiveness of psychodynamic outpatient treatment of addiction].

    Science.gov (United States)

    Steffen, D V; Werle, L; Steffen, R; Steffen, M; Steffen, S

    2012-07-01

    The aim of this study is to make an evaluation of the effectiveness of long-term outpatient treatment for addiction on the basis of abstinence, cognitive functions, and changes in personality structure. This is a prospective cohort study of 259 patients with registration of the German core data set "addiction", a 12-month follow-up and neuropsychological testing (personality inventory, intelligence and cognitive functions). One year after the end of the long-term treatment we see an abstinence rate (DGSS4) of 57.5 %. The most substantial factors in abstinence are the participation in a self-help-group (β = 0.734, p addiction seem to show its high effectiveness in terms of abstinence and processing of drug structures. The cognitive functions could increase. This could be determinate of a condition for the conservation and restoration of working capacity. Further studies should differentiate the effect of insight into the dependency structure from the abstinence as an specific or unspecific effect. © Georg Thieme Verlag KG Stuttgart · New York.

  14. Late effects of breast cancer treatment and potentials for rehabilitation

    Energy Technology Data Exchange (ETDEWEB)

    Ewertz, Marianne (Dept. of Oncology, Odense Univ. Hospital, Odense (Denmark)); Bonde Jensen, Anders (Inst. of Clinical Research, Univ. of Southern Denmark (Denmark))

    2011-02-15

    Background. Breast cancer is the most frequent malignant disease among women world wide. Survival has been improving leading to an increasing number of breast cancer survivors, in the US estimated to about 2.6 million. Material and methods. The literature was reviewed with focus on data from the Nordic countries. Results. Local therapies such as breast cancer surgery and radiotherapy may cause persistent pain in the breast area, arm, and shoulder reported by 30-50% of patients after three to five years, lymphedema in 15-25% of patients, and restrictions of arm and shoulder movement in 35%. Physiotherapy is the standard treatment for the latter while no pain intervention trials have been published. Chemotherapy may cause infertility and premature menopause, resulting in vasomotor symptoms, sexual dysfunction, and osteoporosis, which are similar to the side effects of endocrine treatment in postmenopausal women. Awareness of cardiotoxicity is needed since anthracyclines, trastuzumab, and radiotherapy can damage the heart. Breast cancer survivors have an increased risk of a major depression and far from all receive adequate anti-depressive treatment. Other psychological symptoms include fear of recurrence, sleep disturbances, cognitive problems, fatigue, and sexual problems. Discussion. To improve rehabilitation, specific goals have to be formulated into national guidelines and high priority directed towards research into developing and testing new interventions for alleviating symptoms and side effects experienced by breast cancer survivors

  15. Effect of Ursodeoxycolicacid in Treatment of Bile Gastritis

    Directory of Open Access Journals (Sweden)

    S. Kazem Nezam

    2012-06-01

    Full Text Available Background: Bile gastritis (gastropathy is a kind of gastritis which is caused by reflux of bile contents through duodenum on stomach. It can occur spontaneously without any former gastric surgeries which affect sphincter of pylorus. The positive impact of some certain drugs such as prokinetic agents e.g. metoclopramide, Proton-pump inhibitors (PPIs, cholestyramine and sucralfate in treating bile gastritis has been confirmed. This study has been conducted in order to analyze the effect of ursodeoxycholic acid (UDCA, which is a harmless drug, on patients with the bile gastritis. Materials and Methods: In this clinical trial, all patients with dyspepsia who were qualified to undertake endoscopy were enrolled and then 60 patients with bile gastritis were selected for the study. The patients were divided into two groups; a group was treated by UDCA, omeprazole and sucralfate and another one was treated with placebo, omeprazole and sucralfate for two weeks. Finally, at the end of the third week of treatment patients were examined.Results: A total of sixty 19-70 year-old patients (Mean: 46 years old included in this study. At the end of the study, there was not found any meaningful difference between the two groups in terms of pain intensity, heartburn intensity, severity of bloating, vomiting and early satiety; however, each group independently showed improvement of the mentioned indices after termination of the treatment (p=0.0005.Conclusion: Adding UDCA to the standard treatment (sucralfate is not clinically effective in curing the bile gastritis.

  16. Late effects of breast cancer treatment and potentials for rehabilitation

    International Nuclear Information System (INIS)

    Ewertz, Marianne; Bonde Jensen, Anders

    2011-01-01

    Background. Breast cancer is the most frequent malignant disease among women world wide. Survival has been improving leading to an increasing number of breast cancer survivors, in the US estimated to about 2.6 million. Material and methods. The literature was reviewed with focus on data from the Nordic countries. Results. Local therapies such as breast cancer surgery and radiotherapy may cause persistent pain in the breast area, arm, and shoulder reported by 30-50% of patients after three to five years, lymphedema in 15-25% of patients, and restrictions of arm and shoulder movement in 35%. Physiotherapy is the standard treatment for the latter while no pain intervention trials have been published. Chemotherapy may cause infertility and premature menopause, resulting in vasomotor symptoms, sexual dysfunction, and osteoporosis, which are similar to the side effects of endocrine treatment in postmenopausal women. Awareness of cardiotoxicity is needed since anthracyclines, trastuzumab, and radiotherapy can damage the heart. Breast cancer survivors have an increased risk of a major depression and far from all receive adequate anti-depressive treatment. Other psychological symptoms include fear of recurrence, sleep disturbances, cognitive problems, fatigue, and sexual problems. Discussion. To improve rehabilitation, specific goals have to be formulated into national guidelines and high priority directed towards research into developing and testing new interventions for alleviating symptoms and side effects experienced by breast cancer survivors

  17. The stochastic system approach for estimating dynamic treatments effect.

    Science.gov (United States)

    Commenges, Daniel; Gégout-Petit, Anne

    2015-10-01

    The problem of assessing the effect of a treatment on a marker in observational studies raises the difficulty that attribution of the treatment may depend on the observed marker values. As an example, we focus on the analysis of the effect of a HAART on CD4 counts, where attribution of the treatment may depend on the observed marker values. This problem has been treated using marginal structural models relying on the counterfactual/potential response formalism. Another approach to causality is based on dynamical models, and causal influence has been formalized in the framework of the Doob-Meyer decomposition of stochastic processes. Causal inference however needs assumptions that we detail in this paper and we call this approach to causality the "stochastic system" approach. First we treat this problem in discrete time, then in continuous time. This approach allows incorporating biological knowledge naturally. When working in continuous time, the mechanistic approach involves distinguishing the model for the system and the model for the observations. Indeed, biological systems live in continuous time, and mechanisms can be expressed in the form of a system of differential equations, while observations are taken at discrete times. Inference in mechanistic models is challenging, particularly from a numerical point of view, but these models can yield much richer and reliable results.

  18. Intercropped silviculture systems, a key to achieving soil fungal community management in eucalyptus plantations.

    Directory of Open Access Journals (Sweden)

    Caio T C C Rachid

    Full Text Available Fungi are ubiquitous and important contributors to soil nutrient cycling, playing a vital role in C, N and P turnover, with many fungi having direct beneficial relationships with plants. However, the factors that modulate the soil fungal community are poorly understood. We studied the degree to which the composition of tree species affected the soil fungal community structure and diversity by pyrosequencing the 28S rRNA gene in soil DNA. We were also interested in whether intercropping (mixed plantation of two plant species could be used to select fungal species. More than 50,000 high quality sequences were analyzed from three treatments: monoculture of Eucalyptus; monoculture of Acacia mangium; and a mixed plantation with both species sampled 2 and 3 years after planting. We found that the plant type had a major effect on the soil fungal community structure, with 75% of the sequences from the Eucalyptus soil belonging to Basidiomycota and 19% to Ascomycota, and the Acacia soil having a sequence distribution of 28% and 62%, respectively. The intercropping of Acacia mangium in a Eucalyptus plantation significantly increased the number of fungal genera and the diversity indices and introduced or increased the frequency of several genera that were not found in the monoculture cultivation samples. Our results suggest that management of soil fungi is possible by manipulating the composition of the plant community, and intercropped systems can be a means to achieve that.

  19. Intercropped Silviculture Systems, a Key to Achieving Soil Fungal Community Management in Eucalyptus Plantations

    Science.gov (United States)

    Rachid, Caio T. C. C.; Balieiro, Fabiano C.; Fonseca, Eduardo S.; Peixoto, Raquel Silva; Chaer, Guilherme M.; Tiedje, James M.; Rosado, Alexandre S.

    2015-01-01

    Fungi are ubiquitous and important contributors to soil nutrient cycling, playing a vital role in C, N and P turnover, with many fungi having direct beneficial relationships with plants. However, the factors that modulate the soil fungal community are poorly understood. We studied the degree to which the composition of tree species affected the soil fungal community structure and diversity by pyrosequencing the 28S rRNA gene in soil DNA. We were also interested in whether intercropping (mixed plantation of two plant species) could be used to select fungal species. More than 50,000 high quality sequences were analyzed from three treatments: monoculture of Eucalyptus; monoculture of Acacia mangium; and a mixed plantation with both species sampled 2 and 3 years after planting. We found that the plant type had a major effect on the soil fungal community structure, with 75% of the sequences from the Eucalyptus soil belonging to Basidiomycota and 19% to Ascomycota, and the Acacia soil having a sequence distribution of 28% and 62%, respectively. The intercropping of Acacia mangium in a Eucalyptus plantation significantly increased the number of fungal genera and the diversity indices and introduced or increased the frequency of several genera that were not found in the monoculture cultivation samples. Our results suggest that management of soil fungi is possible by manipulating the composition of the plant community, and intercropped systems can be a means to achieve that. PMID:25706388

  20. Intercropped silviculture systems, a key to achieving soil fungal community management in eucalyptus plantations.

    Science.gov (United States)

    Rachid, Caio T C C; Balieiro, Fabiano C; Fonseca, Eduardo S; Peixoto, Raquel Silva; Chaer, Guilherme M; Tiedje, James M; Rosado, Alexandre S

    2015-01-01

    Fungi are ubiquitous and important contributors to soil nutrient cycling, playing a vital role in C, N and P turnover, with many fungi having direct beneficial relationships with plants. However, the factors that modulate the soil fungal community are poorly understood. We studied the degree to which the composition of tree species affected the soil fungal community structure and diversity by pyrosequencing the 28S rRNA gene in soil DNA. We were also interested in whether intercropping (mixed plantation of two plant species) could be used to select fungal species. More than 50,000 high quality sequences were analyzed from three treatments: monoculture of Eucalyptus; monoculture of Acacia mangium; and a mixed plantation with both species sampled 2 and 3 years after planting. We found that the plant type had a major effect on the soil fungal community structure, with 75% of the sequences from the Eucalyptus soil belonging to Basidiomycota and 19% to Ascomycota, and the Acacia soil having a sequence distribution of 28% and 62%, respectively. The intercropping of Acacia mangium in a Eucalyptus plantation significantly increased the number of fungal genera and the diversity indices and introduced or increased the frequency of several genera that were not found in the monoculture cultivation samples. Our results suggest that management of soil fungi is possible by manipulating the composition of the plant community, and intercropped systems can be a means to achieve that.

  1. Structural Complexity and Ecosystem Functions in a Natural Mixed Forest under a Single-Tree Selection Silviculture

    Directory of Open Access Journals (Sweden)

    Toshiya Yoshida

    2017-11-01

    Full Text Available The objective of forest management has become broader, and it is essential to harmonize timber production with conservation of the forest ecosystem. Selection cutting is recognized as a major alternative of clear-cutting, because it can maintain the complexity and heterogeneity of a natural forest; however, its long-term evaluations are limited. This study compared various attributes of stand structures, which are indicators of biodiversity and ecosystem carbon stock between managed and unmanaged blocks (12.6 ha area in total in a natural mixed forest in Hokkaido, the northernmost island of Japan. We found that 30 years’ implementation of single-tree selection did not affect the volume, size structure, species diversity nor spatial distribution of overstory trees in the managed stands. Also, the total carbon stock in the managed stands was almost equal to that of the unmanaged stands. In contrast, several structural attributes and indicator elements that are significant for biodiversity (such as large-diameter live trees, dead trees, cavities, epiphytic bryophytes, and some avian guilds showed marked decrease in the managed stands. We conclude that it is required to leave these structures and elements to some extent for deriving the merit of the management as an alternative silvicultural regime in the region.

  2. How to improve effectiveness of pegvisomant treatment in acromegalic patients.

    Science.gov (United States)

    Ragonese, M; Grottoli, S; Maffei, P; Alibrandi, A; Ambrosio, M R; Arnaldi, G; Bianchi, A; Puglisi, S; Zatelli, M C; De Marinis, L; Ghigo, E; Giustina, A; Maffezzoni, F; Martini, C; Trementino, L; Cannavo, S

    2018-05-01

    Pegvisomant (PEGV) treatment in acromegaly patients resistant to somatostatin analogues is less effective in the real life than in clinical trials. This is a multicenter, observational, retrospective, longitudinal study. The aim was to detect characteristics which improve long-term PEGV effectiveness. 87 acromegalic patients treated with PEGV have been enrolled in seven referral Italian centres. PEGV was administered for up to 4 years, at doses up titrated until IGF-1 normalization or to ≥ 30 mg/day. The rate of patients who reached IGF-1 normalization at last visit has been calculated. IGF-1 was normalized in 75.9% of patients after 1 year and in 89.6% at last visit. Disease control was associated with lower baseline GH, IGF-1 and IGF-1 xULN and was more frequent when baseline IGF-1 was  2.7 × ULN (p  1.0 mg/BMI/day were administered more frequently when baseline IGF-1 was > 2.0 × ULN (p = 0.03). PEGV resistance was associated with higher BMI (p = 0.006) and was more frequent when BMI was > 30 kg/m 2 (p = 0.07). There were no significant differences between patients treated with monotherapy or combined treatment. IGF-1 normalization, PEGV dose and rate of associated treatment were similar between males and females. PEGV effectiveness was independent from previous management. Diabetic patients needed higher doses of PEGV than non-diabetic ones. PEGV effectiveness improves when up titration is appropriate. Higher PEGV doses at start and a more rapid up-titration are necessary in patients with obesity and/or IGF-1 > 2.7 × ULN.

  3. Effect of pioglitazone treatment on behavioral symptoms in autistic children

    Directory of Open Access Journals (Sweden)

    Edelson Stephen M

    2007-01-01

    Full Text Available Abstract Introduction Autism is complex neuro-developmental disorder which has a symptomatic diagnosis in patients characterized by disorders in language/communication, behavior, and social interactions. The exact causes for autism are largely unknown, but is has been speculated that immune and inflammatory responses, particularly those of Th2 type, may be involved. Thiazolidinediones (TZDs are agonists of the peroxisome proliferator activated receptor gamma (PPARγ, a nuclear hormone receptor which modulates insulin sensitivity, and have been shown to induce apoptosis in activated T-lymphocytes and exert anti-inflammatory effects in glial cells. The TZD pioglitazone (Actos is an FDA-approved PPARγ agonist used to treat type 2 diabetes, with a good safety profile, currently being tested in clinical trials of other neurological diseases including AD and MS. We therefore tested the safety and therapeutic potential of oral pioglitazone in a small cohort of children with diagnosed autism. Case description The rationale and risks of taking pioglitazone were explained to the parents, consent was obtained, and treatment was initiated at either 30 or 60 mg per day p.o. A total of 25 children (average age 7.9 ± 0.7 year old were enrolled. Safety was assessed by measurements of metabolic profiles and blood pressure; effects on behavioral symptoms were assessed by the Aberrant Behavior Checklist (ABC, which measures hyperactivity, inappropriate speech, irritability, lethargy, and stereotypy, done at baseline and after 3–4 months of treatment. Discussion and evaluation In a small cohort of autistic children, daily treatment with 30 or 60 mg p.o. pioglitazone for 3–4 months induced apparent clinical improvement without adverse events. There were no adverse effects noted and behavioral measurements revealed a significant decrease in 4 out of 5 subcategories (irritability, lethargy, stereotypy, and hyperactivity. Improved behaviors were inversely

  4. Implicit and Explicit Attitudes Toward Spiders : Sensitivity to Treatment and Predictive Value for Generalization of Treatment Effects

    NARCIS (Netherlands)

    Huijding, Jorg; de Jong, Peter J.

    This study tested whether high spider fearful individuals' implicit and explicit attitudes toward spiders are sensitive to exposure treatment, and whether post-treatment implicit and/or explicit attitudes are related to the generalization of treatment effects. Self-reported explicit and implicit

  5. Heat treatment effect on ductility of nickel-base alloys

    International Nuclear Information System (INIS)

    Burnakov, K.K.; Khasin, G.A.; Danilov, V.F.; Oshchepkov, B.V.; Listkova, A.I.

    1979-01-01

    Causes of low ductility of the KhN75MBTYu and KhN78T alloys were studied along with the heat treatment effects. Samples were tested at 20, 900, 1100, 1200 deg C. Large amount of inclusions was found in intercrystalline fractures of the above low-ductile alloys. The inclusions of two types took place: (α-Al 2 O 3 , FeO(Cr 2 O 3 xAl 2 O 3 )) dendrite-like ones and large-size laminated SiO 2 , FeO,(CrFe) 2 O 3 inclusions situated as separate colonies. Heat treatment of the alloys does not increase high-temperature impact strength and steel ductility. The heating above 1000 deg C leads to a partial dissolution and coagulation of film inclusions which results in an impact strength increase at room temperature

  6. Effect of multiple austenitizing treatments on HT-9 steels

    International Nuclear Information System (INIS)

    Emigh, R.A.

    1985-12-01

    The effect of multiple austenitizing treatments on the toughness of an Fe-12Cr-1.0Mo-0.5W-0.3V (HT-9) steel was studied. The resulting microstructures were characterized by their mechanical properties, precipitated carbide distribution, and fracture surface appearance. It was proposed that multiple transformations would refine the martensite structure and improve toughness. Optical and scanning electron microscopic observations revealed that the martensite packet structure was somewhat refined by a second austenite transformation. Transmission electron microscopy studies of carbon extraction replicas showed that this multiple step treatment had eliminated grain boundary carbide films seen in single treated specimens on prior austenite grain boundaries. The 0.2% yield strength, tensile strength, and elongation were relatively unchanged, but the toughness measured by fatigue pre-cracked Charpy impact tests increased for the multiple step specimens

  7. Vanadium and heat treatments effect on elastic characteristics of niobium

    International Nuclear Information System (INIS)

    Vasil'eva, E.V.; Tret'yakov, V.I.; Prokoshkin, D.A.; Pustovalov, V.A.

    1975-01-01

    The effect of vanadium content and of heat treatment conditions on the elastic properties of niobium at temperatures of 20 to 800 deg C was studied. Nb-V alloys were produced by binary vacuum remelting. The Nb-V alloys have been then subjected to thermal treatment. The total degree of deformation amounts to about 95%. The specimens were tested with a view to determine their microhardness, specific electric resistance, elasticity limit and modulus of elasticity. The elastic limit of niobium rises when alloyed with vanadium. With the increase of vanadium content the elastic limit of the alloy becomes greater. Pre-crystallization annealing at 600 - 700 deg C considerably increases the elastic limit, which is explained by development of the thermally activated processes leading to a decrease of dislocation mobility and thereby to a strengthening of the alloy

  8. Effect of metal oxide nanoparticles on Godavari river water treatment

    Science.gov (United States)

    Goud, Ravi Kumar; Ajay Kumar, V.; Reddy, T. Rakesh; Vinod, B.; Shravani, S.

    2018-05-01

    Nowadays there is a continuously increasing worldwide concern for the development of water treatment technologies. In the area of water purification, nanotechnology offers the possibility of an efficient removal of pollutants and germs. Nanomaterials reveal good results than other techniques used in water treatment because of its high surface area to volume ratio. In the present work, iron oxide and copper oxide nanoparticles were synthesized by simple heating method. The synthesized nanoparticles were used to purify Godavari river water. The effect of nanoparticles at 70°C temperature, 12 centimeter of sand bed height and pH of 8 shows good results as compared to simple sand bed filter. The attained values of BOD5, COD and Turbidity were in permissible limit of world health organization.

  9. Effect of hyperthyroidism and its treatment on bone mineral content

    International Nuclear Information System (INIS)

    Toh, S.H.; Claunch, B.C.; Brown, P.H.

    1985-01-01

    Patients with hyperthyroidism may develop osteopenia associated with fractures; however, there has been no general agreement on the incidence of osteopenia in hyperthyroidism or the recovery of the mineral loss after treatment of hyperthyroidism. The authors conducted a longitudinal prospective study on the effect of hyperthyroidism and its treatment on bone mineral content (BMC) using photon absorptiometry. They observed that both young and older hyperthyroid patients showed a significantly decreased baseline BMC compared with age- and sex-matched controls. They also observed a slight recovery of BMC in hyperthyroid patients at the two-year interval after a euthyroid state had been achieved. However, the BMC was still much lower than that of controls, and they did not find any significant restoration of BMC following ''cure'' of hyperthyroidism

  10. Effect of systemic insulin treatment on diabetic wound healing.

    Science.gov (United States)

    Vatankhah, Nasibeh; Jahangiri, Younes; Landry, Gregory J; Moneta, Gregory L; Azarbal, Amir F

    2017-04-01

    This study investigates if different diabetic treatment regimens affect diabetic foot ulcer healing. From January 2013 to December 2014, 107 diabetic foot ulcers in 85 patients were followed until wound healing, amputation or development of a nonhealing ulcer at the last follow-up visit. Demographic data, diabetic treatment regimens, presence of peripheral vascular disease, wound characteristics, and outcome were collected. Nonhealing wound was defined as major or minor amputation or those who did not have complete healing until the last observation. Median age was 60.0 years (range: 31.1-90.1 years) and 58 cases (68.2%) were males. Twenty-four cases reached a complete healing (healing rate: 22.4%). The median follow-up period in subjects with classified as having chronic wounds was 6.0 months (range: 0.7-21.8 months). Insulin treatment was a part of diabetes management in 52 (61.2%) cases. Insulin therapy significantly increased the wound healing rate (30.3% [20/66 ulcers] vs. 9.8% [4/41 ulcers]) (p = 0.013). In multivariate random-effect logistic regression model, adjusting for age, gender, smoking status, type of diabetes, hypertension, chronic kidney disease, peripheral arterial disease, oral hypoglycemic use, wound infection, involved side, presence of Charcot's deformity, gangrene, osteomyelitis on x-ray, and serum hemoglobin A1C levels, insulin treatment was associated with a higher chance of complete healing (beta ± SE: 15.2 ± 6.1, p = 0.013). Systemic insulin treatment can improve wound healing in diabetic ulcers after adjusting for multiple confounding covariates. © 2017 by the Wound Healing Society.

  11. Gingival enlargement in orthodontic patients: Effect of treatment duration.

    Science.gov (United States)

    Pinto, Alice Souza; Alves, Luana Severo; Zenkner, Júlio Eduardo do Amaral; Zanatta, Fabrício Batistin; Maltz, Marisa

    2017-10-01

    In this study, we aimed to assess the effect of the duration of fixed orthodontic treatment on gingival enlargement (GE) in adolescents and young adults. The sample consisted of 260 subjects (ages, 10-30 years) divided into 4 groups: patients with no fixed orthodontic appliances (G0) and patients undergoing orthodontic treatment for 1 year (G1), 2 years (G2), or 3 years (G3). Participants completed a structured questionnaire on sociodemographic characteristics and oral hygiene habits. Clinical examinations were conducted by a calibrated examiner and included the plaque index, the gingival index, and the Seymour index. Poisson regression models were used to assess the association between group and GE. We observed increasing means of plaque, gingivitis, and GE in G0, G1, and G2. No significant differences were observed between G2 and G3. Adjusted Poisson regression analysis showed that patients undergoing orthodontic treatment had a 20 to 28-fold increased risk for GE than did those without orthodontic appliances (G1, rate ratio [RR] = 20.2, 95% CI = 9.0-45.3; G2, RR = 27.0, 95% CI = 12.1-60.3; G3 = 28.1; 95% CI = 12.6-62.5). The duration of orthodontic treatment significantly influenced the occurrence of GE. Oral hygiene instructions and motivational activities should target adolescents and young adults undergoing orthodontic treatment. Copyright © 2017 American Association of Orthodontists. Published by Elsevier Inc. All rights reserved.

  12. Effectiveness of the Community Treatment Order in streamlining psychiatric services.

    Science.gov (United States)

    Awara, Mahmoud A; Jaffar, Khalid; Roberts, Pauline

    2013-04-01

    The implementation of the Community Treatment Order (CTO) has created controversy surrounding its beneficence. The study aims at examining the effectiveness of the CTO in reducing the rate and duration of revolving door admissions for patients who were made subject to this Order. All patients who were made subject to CTO between November 2008 and August 2009 in South Essex were involved in the study where patients acted as their own control through comparing their pre-CTO, during CTO and post-CTO's admission rate and duration. There was a significant reduction in the rate and duration of admissions in the period during and post-CTO state. The CTO proved to be effective in reducing revolving door admissions and it has a beneficial carryover effect in the post-CTO state.

  13. Problematic effects of antibiotics on anaerobic treatment of swine wastewater.

    Science.gov (United States)

    Cheng, D L; Ngo, H H; Guo, W S; Chang, S W; Nguyen, D D; Kumar, S Mathava; Du, B; Wei, Q; Wei, D

    2018-05-04

    Swine wastewaters with high levels of organic pollutants and antibiotics have become serious environmental concerns. Anaerobic technology is a feasible option for swine wastewater treatment due to its advantage in low costs and bioenergy production. However, antibiotics in swine wastewater have problematic effects on micro-organisms, and the stability and performance of anaerobic processes. Thus, this paper critically reviews impacts of antibiotics on pH, COD removal efficiencies, biogas and methane productions as well as the accumulation of volatile fatty acids (VFAs) in the anaerobic processes. Meanwhile, impacts on the structure of bacteria and methanogens in anaerobic processes are also discussed comprehensively. Furthermore, to better understand the effect of antibiotics on anaerobic processes, detailed information about antimicrobial mechanisms of antibiotics and microbial functions in anaerobic processes is also summarized. Future research on deeper knowledge of the effect of antibiotics on anaerobic processes are suggested to reduce their adverse environmental impacts. Copyright © 2018 Elsevier Ltd. All rights reserved.

  14. Diameter sensitive effect in singlewalled carbon nanotubes upon acid treatment

    International Nuclear Information System (INIS)

    Costa, S.; Borowiak-Palen, E.

    2009-01-01

    Singlewalled carbon nanotubes (SWCNT) exhibit very unique properties. As an electronic system they undergo amphoteric doping effects (n-type and p-type) which can be reversed. These processes affect the optical and vibronic properties of the carbon nanotubes. The most common and widely used procedure which changes the properties of the SWCNT is acid treatment applied as a purification procedure. This effect has been widely studied but not fully understood so far. Here, we present a study, in which a diameter sensitive effect has been observed. Therefore, two kinds of SWCNT samples have been studied: (i) produced via chemical vapour deposition with a broad diameter distribution, and (ii) synthesised by the laser ablation technique which is commonly known to result in narrow diameter distribution bulk SWCNT samples. Resonance Raman spectroscopy, optical absorption spectroscopy, and Fourier transform middle-infrared spectroscopy have been applied for the characterisation of the samples.

  15. Effect of hydrothermal treatment on light transmission of translucent zirconias.

    Science.gov (United States)

    Putra, Armand; Chung, Kwok-Hung; Flinn, Brian D; Kuykendall, Tuesday; Zheng, Cheng; Harada, Kosuke; Raigrodski, Ariel J

    2017-09-01

    Studies of the light transmission of translucent zirconias after hydrothermal treatment are limited. The purpose of this in vitro study was to evaluate the effect of hydrothermal treatment on the light transmission of translucent zirconias for monolithic restorations. Four commercially available zirconia products, BruxZir Anterior Solid Zirconia (BruxAnt, BA), Lava Plus High Translucency (LPHT), Katana Zirconia Super Translucent (KST), and Katana Zirconia Ultra Translucent (KUT) were assessed and 1 type of lithium disilicate, e.max Press LT (LDLT) was used as a control. Plate specimens, 20×20×1 mm (n=80) for the translucency assessment were sectioned from postsintered zirconia bulk materials and ground with a #400-grit diamond wheel and coolant. The specimens were placed under hydrothermal conditions of 134°C at 0.2 MPa (n=5 per group at 0, 5, 50, and 100 hours). Percentage of total transmittance of light (T t %) of each specimen was measured using a spectrophotometer with an integrating sphere. X-ray diffraction analyses were used to measure tetragonal-monoclinic phase transformation. Surfaces were examined by scanning electron microscopy and energy dispersive spectrometry. Data were analyzed using 2-way ANOVA followed by the Tukey test (α=.05). The T t % ranged from 6.5% to 28.3%. Group LDLT obtained significantly higher transmittance than other tested groups, whereas groups KST and KUT had significantly higher T t % than groups BA and LPHT (Phydrothermal treatment for all tested translucent zirconias and a lithium disilicate glass-ceramic control. Hydrothermal treatment had minimal effects on the translucency of translucent zirconias. The tetragonal-monoclinic phase transformation rate of translucent zirconias was found to be low, except in group LPHT. Copyright © 2016 Editorial Council for the Journal of Prosthetic Dentistry. Published by Elsevier Inc. All rights reserved.

  16. Effective palliative treatment of epidemic Kaposi's sarcoma of the foot

    International Nuclear Information System (INIS)

    Gressen, Eric L.; Rosenstock, Jeffrey G.; Yang Xie; Corn, Benjamin W.

    1997-01-01

    . Response to treatment was placed into five categories: complete response, partial response, stable, progression or recurrence. A separate review was performed on the 43 treated sites with documentation of response at the completion of radiation treatments and the 35 treated sites with documentation of acute toxicity. RESULTS: The overall response rate for the 40 evaluable sites was 90% with a complete response rate of 78% at a median follow-up of 7 months. The 43 treated sites immediately evaluated at the completion of treatment had a complete response rate of only 16% with an overall response rate of 63%. Of the 35 sites noted to have acute toxicity, 63% experienced discomfort from radiation therapy. This discomfort usually resolved without intervention within 2 weeks of completion of irradiation. For patients with and without opportunistic infections noted at the initiation of radiation treatments, complete responses were observed in (8(12)) sites (67%) and (21(23)) sites (91%), respectively. CONCLUSIONS: Radiation therapy for EKS of the foot yields excellent response rates, comparable to responses in other cutaneous sites with EKS. The presence of opportunistic infections appears to be a poor prognosticator of response to radiation treatments. Empathy and support are required in this group of patients since initial responses to radiation therapy are often disappointing and pedal discomfort can be exaccerbated. Fortunately, the discomfort resolves and complete response is achievable in the majority of patients. The 3.5 Gy tri-weekly fractionation schedule is a convenient and effective regimen, lessening treatment visits for patients with ambulatory discomfort

  17. Advanced smart-photosensitizers for more effective cancer treatment.

    Science.gov (United States)

    Park, Wooram; Cho, Soojeong; Han, Jieun; Shin, Heejun; Na, Kun; Lee, Byeongdu; Kim, Dong-Hyun

    2017-12-19

    Photodynamic therapy (PDT) based upon the use of light and photosensitizers (PSs) has been used as a novel treatment approach for a variety of tumors. It, however, has several major limitations in the clinic: poor water solubility, long-term phototoxicity, low tumor targeting efficacy, and limited light penetration. With advances in nanotechnology, materials science, and clinical interventional imaging procedures, various smart-PSs have been developed for improving their cancer-therapeutic efficacy while reducing the adverse effects. Here, we briefly review state-of-the-art smart-PSs and discuss the future directions of PDT technology.

  18. The effects of residential dual diagnosis treatment on alcohol abuse

    Science.gov (United States)

    Schoenthaler, Stephen J; Blum, Kenneth; Fried, Lyle; Oscar-Berman, Marlene; Giordano, John; Modestino, Edward J.; Badgaiyan, Rajendra

    2017-01-01

    This multi-center study of dual diagnosis (DD) programs involved 804 residential patients with co-occurring alcohol and mental health disorders. The Addiction Severity Index was administered at admission and at one, six, and 12 months after discharge. Repeated measures analysis showed the intoxication rate per month stabilized between months six and 12 with 68% still in remission and an 88% mean reduction from baseline (F = 519, p treatment of both disorders and explained their effectiveness. Co-occurring DSM IV mood disorders such as anxiety and depression as well as drug abuse involving opioids or cocaine fell between 66 and 95% at months one, six, and twelve. PMID:28868159

  19. Is aggressive treatment of traumatic brain injury cost-effective?

    Science.gov (United States)

    Whitmore, Robert G; Thawani, Jayesh P; Grady, M Sean; Levine, Joshua M; Sanborn, Matthew R; Stein, Sherman C

    2012-05-01

    The object of this study was to determine whether aggressive treatment of severe traumatic brain injury (TBI), including invasive intracranial monitoring and decompressive craniectomy, is cost-effective. A decision-analytical model was created to compare costs, outcomes, and cost-effectiveness of 3 strategies for treating a patient with severe TBI. The aggressive-care approach is compared with "routine care," in which Brain Trauma Foundation guidelines are not followed. A "comfort care" category, in which a single day in the ICU is followed by routine floor care, is included for comparison only. Probabilities of each treatment resulting in various Glasgow Outcome Scale (GOS) scores were obtained from the literature. The GOS scores were converted to quality-adjusted life years (QALYs), based on expected longevity and calculated quality of life associated with each GOS category. Estimated direct (acute and long-term medical care) and indirect (loss of productivity) costs were calculated from the perspective of society. Sensitivity analyses employed a 2D Monte Carlo simulation of 1000 trials, each with 1000 patients. The model was also used to estimate these values for patients 40, 60, and 80 years of age. For the average 20-year-old, aggressive care yields 11.7 (± 1.6 [SD]) QALYs, compared with routine care (10.0 ± 1.5 QALYs). This difference is highly significant (p care remains significantly better at all ages. When all costs are considered, aggressive care is also significantly less costly than routine care ($1,264,000 ± $118,000 vs $1,361,000 ± $107,000) for the average 20-year-old. Aggressive care remains significantly less costly until age 80, at which age it costs more than routine care. However, even in the 80-year-old, aggressive care is likely the more cost-effective approach. Comfort care is associated with poorer outcomes at all ages and with higher costs for all groups except 80-year-olds. When all the costs of severe TBI are considered, aggressive

  20. Alternate day treatment and late effects: The concept of an effective dose per fraction

    International Nuclear Information System (INIS)

    Courdi, A.; Hery, M.; Gabillat, J.M.

    1990-01-01

    Although most institutions treat all fields each day, some radiotherapists continue to adopt an alternate day schedule. The resulting daily variations of the dose per fraction in laterally located targets have been analyzed using the linear-quadratic model. Patients with breast carcinoma treated with definitive radiotherapy in 1974-1975 with one field a day were studied. An effective dose per fraction was derived, with a value higher than the average dose per fraction received by the reference point. The greater the fluctuations between the doses per fraction on successive days, the higher the effective dose per fraction. The corresponding cell survival due to alternate treatment as compared to survival with daily treatment depends on the alpha/beta ratio. For a late effect with low alpha/beta ratio, an alternate treatment may lead to almost 10-fold increase in cell kill in these lateral targets such as those responsible for subcutaneous sclerosis as compared to daily treatment of all fields with the same total dose. Taking the average effective dose per fraction in our series, the increase in cell kill was 4-fold. Acute effects would suffer less damage due to alternate treatment because of a high alpha/beta ratio. Treatment on an alternate schedule should be restricted to palliative radiotherapy

  1. Effect of microalgal treatments on pesticides in water.

    Science.gov (United States)

    Hultberg, Malin; Bodin, Hristina; Ardal, Embla; Asp, Håkan

    2016-01-01

    The effect of the microalgae Chlorella vulgaris on a wide range of different pesticides in water was studied. Treatments included short-term exposure (1 h) to living and dead microalgal biomass and long-term exposure (4 days) to actively growing microalgae. The initial pesticide concentration was 63.5 ± 3.9 µg L(-1). There was no significant overall reduction of pesticides after short-term exposure. A significant reduction of the total amount of pesticides was achieved after the long-term exposure to growing microalgae (final concentration 29.7 ± 1.0 µg L(-1)) compared with the long-term control (37.0 ± 1.2 µg L(-1)). The concentrations of 10 pesticides out of 38 tested were significantly lowered in the long-term algal treatment. A high impact of abiotic factors such as sunlight and aeration for pesticide reduction was observed when the initial control (63.5 ± 3.9 µg L(-1)) and the long-term control (37.0 ± 1.2 µg L(-1)) were compared. The results suggest that water treatment using microalgae, natural inhabitants of polluted surface waters, could be further explored not only for removal of inorganic nutrients but also for removal of organic pollutants in water.

  2. Physicochemical treatments of anionic surfactants wastewater: Effect on aerobic biodegradability.

    Science.gov (United States)

    Aloui, Fathi; Kchaou, Sonia; Sayadi, Sami

    2009-05-15

    The effect of different physicochemical treatments on the aerobic biodegradability of an industrial wastewater resulting from a cosmetic industry has been investigated. This industrial wastewater contains 11423 and 3148mgL(-1) of chemical oxygen demand (COD) and anionic surfactants, respectively. The concentration of COD and anionic surfactants were followed throughout the diverse physicochemical treatments and biodegradation experiments. Different pretreatments of this industrial wastewater using chemical flocculation process with lime and aluminium sulphate (alum), and also advanced oxidation process (electro-coagulation (Fe and Al) and electro-Fenton) led to important COD and anionic surfactants removals. The best results were obtained using electro-Fenton process, exceeding 98 and 80% of anionic surfactants and COD removals, respectively. The biological treatment by an isolated strain Citrobacter braakii of the surfactant wastewater, as well as the pretreated wastewater by the various physicochemical processes used in this study showed that the best results were obtained with electro-Fenton pretreated wastewater. The characterization of the treated surfactant wastewater by the integrated process (electro-coagulation or electro-Fenton)-biological showed that it respects Tunisian discharge standards.

  3. Treatment of neuroblastoma with metaiodobenzylguanidine: results and side effects

    International Nuclear Information System (INIS)

    Treuner, J.; Klingebiel, T.; Bruchelt, G.; Feine, U.; Niethammer, D.

    1987-01-01

    Between April 1984 and December 1985 we treated ten children suffering from neuroblastoma in a total of 25 metaiodobenzylguanidine (MIBG) courses. Five had had a relapse of neuroblastoma stage III or IV, three had never achieved a remission in spite of intensive chemotherapy, and two were treated with an unstable remission. The children were each administered from 1 to 5 courses with a dosage per course of between 1295 and 9065 MBq. The sum of the single doses during the whole course of therapy ranged between 3145 and 21,904 MBq per child. Five of five children suffering from bone pain and fever became free of complaints during the first three treatment days. Six of eight children with manifest tumor at onset of therapy responded well to the treatment: response extended from transitory decrease in elevated catecholamine levels in serum and urine to complete disappearance of large abdominal tumor masses. We also observed a decrease in bone marrow involvement and a stabilization of osteolytic lesions. Seven of these eight children died in spite of a good response from 55 to 350 days after the first MIBG treatment course. The only side effect we witnessed was a reversible bone marrow depression. In three children we combined the MIBG therapy with bone marrow transplantation

  4. Effects of spot parameters in pencil beam scanning treatment planning.

    Science.gov (United States)

    Kraan, Aafke Christine; Depauw, Nicolas; Clasie, Ben; Giunta, Marina; Madden, Tom; Kooy, Hanne M

    2018-01-01

    Spot size σ (in air at isocenter), interspot spacing d, and spot charge q influence dose delivery efficiency and plan quality in Intensity Modulated Proton Therapy (IMPT) treatment planning. The choice and range of parameters varies among different manufacturers. The goal of this work is to demonstrate the influence of the spot parameters on dose quality and delivery in IMPT treatment plans, to show their interdependence, and to make practitioners aware of the spot parameter values for a certain facility. Our study could help as a guideline to make the trade-off between treatment quality and time in existing PBS centers and in future systems. We created plans for seven patients and a phantom, with different tumor sites and volumes, and compared the effect of small-, medium-, and large-spot widths (σ = 2.5, 5, and 10 mm) and interspot distances (1σ, 1.5σ, and 1.75σ) on dose, spot charge, and treatment time. Moreover, we quantified how postplanning charge threshold cuts affect plan quality and the total number of spots to deliver, for different spot widths and interspot distances. We show the effect of a minimum charge (or MU) cutoff value for a given proton delivery system. Spot size had a strong influence on dose: larger spots resulted in more protons delivered outside the target region. We observed dose differences of 2-13 Gy (RBE) between 2.5 mm and 10 mm spots, where the amount of extra dose was due to dose penumbra around the target region. Interspot distance had little influence on dose quality for our patient group. Both parameters strongly influence spot charge in the plans and thus the possible impact of postplanning charge threshold cuts. If such charge thresholds are not included in the treatment planning system (TPS), it is important that the practitioner validates that a given combination of lower charge threshold, interspot spacing, and spot size does not result in a plan degradation. Low average spot charge occurs for small spots, small interspot

  5. Effects of 3% trehalose as an adjuvant treatment after LASIK

    Directory of Open Access Journals (Sweden)

    Mateo Orobia AJ

    2017-02-01

    Full Text Available Antonio J Mateo Orobia,1–3 Paula Casas Pascual,1,4 José Á Cristóbal Bescós,1 Diana Perez García,1,4 Carlos Peiro Embid,1,4 M Ángeles del Buey Sayas,1,4 Valentyna Korobko Kulikova,1 Noelia Lafuente Ojeda5 1Department of Ophthalmology, Hospital Quirón, 2Department of Ophthalmology, Hospital Universitario Miguel Servet, 3Instituto de Investigación Sanitaria de Aragón (IIS, 4Department of Ophthalmology, Hospital Clínico Universitario Lozano-Blesa, 5Department of Anesthesiology, Hospital Universitario Miguel Servet, Zaragoza, Spain Purpose: To evaluate the effect of 3% trehalose as an adjuvant in the standard treatment after laser-assisted in situ keratomileusis.Design: Interventional prospective comparative single-blind study.Setting: Department of Ophthalmology, Hospital Quirón Zaragoza, Spain.Methods: A total of 26 eyes (13 patients were included, of which 12 eyes (group 1 received conventional treatment with lubricant drops of hyaluronic acid (0.15% and 14 eyes (group 2 received, additionally, an ophthalmic solution of 3% trehalose. Pre- and postoperative quality-of-life tests and vital stains, tear breakup time, and osmolarity measurements were made.Results: We obtained statistically significant differences between the groups in the Symptom Assessment in Dry Eye test in all visits with respect to severity, and in the postoperative day 1 visit with respect to frequency, in all cases favoring the trehalose treatment. The values of osmolarity were not significantly different between groups. However, we did find significant differences in the Oxford scale in day 90 for the trehalose treatment (P<0.001, and in the National Eye Institute scale in day 30 (P=0.02.Conclusion: The results of this exploratory study indicate that the adjuvant treatment with 3% trehalose could be superior with respect to the standard treatment, with improvements in the objective and subjective parameters of tear quality. Keywords: dry eye syndrome, trehalose

  6. TREATMENT OF SUBCLINICAL HYPERTHYROIDISM: EFFECT ON BODY COMPOSITION.

    Science.gov (United States)

    Boj-Carceller, Diana; Sanz-París, Alejandro; Sánchez-Oriz, Enrique; García-Foncillas López, Rafael; Calmarza-Calmarza, Pilar; Blay-Cortes, Vicente; Abós-Olivares, Ma Dolores

    2015-11-01

    subclinical hyperthyroidism (SHT) is associated with harmful effects on cardiovascular system, bone metabolism and progression to clinical hyperthyroidism. Loss of weight is a common fact in patients with clinical hyperthyroidism and of particular relevance in elderly patients. to assess changes in body composition after radioiodine therapy for SHT due to toxic nodular goiter. prospective controlled cohort study. Patients with persistent SHT due to toxic nodular goiter were purposed to receive treatment with radioiodine (treatment group) or to delay treatment until the study was over (control group). All treated patients received 555 MBq of ¹³¹I. Body composition (lean mass, fat mass and bone mineral content) was determined by dual-energy X-ray absorptiometry (DEXA) at baseline and 12 months after. twenty-nine patients were studied (age 69.5 ± 11.5; 75.9% women; BMI 27.1 ± 5.7 kg/m²; serum thyrotropin (TSH) 0.20 ± 0.21 μUI/mL; serum free thyroxine (T4) 1.01 ± 0.19 ng/dL), 17 belonging to the treatment group and 12 to the control group. Study groups were comparable, although there was a trend for the treatment group to have more fat mass. No longitudinal changes in body composition were noted in either group, except for a trend to gain fat mass. However, when individuals with age > 65 years were selected, only patients who received radioiodine therapy showed a significant increase in body weight (from 64.1 ± 10.0 to 66.9 ± 9.2 kg), BMI (from 27.3 ± 4.8 to 28.7 ± 4.5 kg/m²), fat mass (from 26.1 ± 8.5 to 27.8 ± 7.9 kg), lean mass (from 36.3 ± 0.4 to 37.4 ± 0.4 kg) and skeletal muscle mass index (SMI) (from 6.0 ± 0.6 to 6.3 ± 0.6 kg/m²). treatment of SHT has impact on body composition in subjects older than 65 years. Weight gain reflects increases in fat and, more interestingly, in lean mass. Copyright AULA MEDICA EDICIONES 2014. Published by AULA MEDICA. All rights reserved.

  7. Effects of hydroxyurea treatment for patients with hemoglobin SC disease.

    Science.gov (United States)

    Luchtman-Jones, Lori; Pressel, Sara; Hilliard, Lee; Brown, R Clark; Smith, Mary G; Thompson, Alexis A; Lee, Margaret T; Rothman, Jennifer; Rogers, Zora R; Owen, William; Imran, Hamayun; Thornburg, Courtney; Kwiatkowski, Janet L; Aygun, Banu; Nelson, Stephen; Roberts, Carla; Gauger, Cynthia; Piccone, Connie; Kalfa, Theodosia; Alvarez, Ofelia; Hassell, Kathryn; Davis, Barry R; Ware, Russell E

    2016-02-01

    Although hemoglobin SC (HbSC) disease is usually considered less severe than sickle cell anemia (SCA), which includes HbSS and HbS/β(0) -thalassemia genotypes, many patients with HbSC experience severe disease complications, including vaso-occlusive pain, acute chest syndrome, avascular necrosis, retinopathy, and poor quality of life. Fully 20 years after the clinical and laboratory efficacy of hydroxyurea was proven in adult SCA patients, the safety and utility of hydroxyurea treatment for HbSC patients remain unclear. Recent NHLBI evidence-based guidelines highlight this as a critical knowledge gap, noting HbSC accounts for ∼30% of sickle cell patients within the United States. To date, only 5 publications have reported short-term, incomplete, or conflicting laboratory and clinical outcomes of hydroxyurea treatment in a total of 71 adults and children with HbSC. We now report on a cohort of 133 adult and pediatric HbSC patients who received hydroxyurea, typically for recurrent vaso-occlusive pain. Hydroxyurea treatment was associated with a stable hemoglobin concentration; increased fetal hemoglobin (HbF) and mean corpuscular volume (MCV); and reduced white blood cell count (WBC), absolute neutrophil count (ANC), and absolute reticulocyte count (ARC). Reversible cytopenias occurred in 22% of patients, primarily neutropenia and thrombocytopenia. Painful events were reduced with hydroxyurea, more in patients >15 years old. These multicenter data support the safety and potentially salutary effects of hydroxyurea treatment for HbSC disease; however, a multicenter, placebo-controlled, Phase 3 clinical trial is needed to determine if hydroxyurea therapy has efficacy for patients with HbSC disease. © 2015 Wiley Periodicals, Inc.

  8. Incidental treatment effects of CBT on suicidal ideation and hopelessness.

    Science.gov (United States)

    Handley, Tonelle E; Kay-Lambkin, Frances J; Baker, Amanda L; Lewin, Terry J; Kelly, Brian J; Inder, Kerry J; Attia, John R; Kavanagh, David J

    2013-10-01

    Depression and alcohol misuse are among the most prevalent diagnoses in suicide fatalities. The risk posed by these disorders is exacerbated when they co-occur. Limited research has evaluated the effectiveness of common depression and alcohol treatments for the reduction of suicide vulnerability in individuals experiencing comorbidity. Participants with depressive symptoms and hazardous alcohol use were selected from two randomised controlled trials. They had received either a brief (1 session) intervention, or depression-focused cognitive behaviour therapy (CBT), alcohol-focused CBT, therapist-delivered integrated CBT, computer-delivered integrated CBT or person-centred therapy (PCT) over a 10-week period. Suicidal ideation, hopelessness, depression severity and alcohol consumption were assessed at baseline and 12-month follow-up. Three hundred three participants were assessed at baseline and 12 months. Both suicidal ideation and hopelessness were associated with higher severity of depressive symptoms, but not with alcohol consumption. Suicidal ideation did not improve significantly at follow-up, with no differences between treatment conditions. Improvements in hopelessness differed between treatment conditions; hopelessness improved more in the CBT conditions compared to PCT and in single-focused CBT compared to integrated CBT. Low retention rates may have impacted on the reliability of our findings. Combining data from two studies may have resulted in heterogeneity of samples between conditions. CBT appears to be associated with reductions in hopelessness in people with co-occurring depression and alcohol misuse, even when it is not the focus of treatment. Less consistent results were observed for suicidal ideation. Establishing specific procedures or therapeutic content for clinicians to monitor these outcomes may result in better management of individuals with higher vulnerability for suicide. © 2013 Elsevier B.V. All rights reserved.

  9. Health effects on nearby residents of a wood treatment plant

    International Nuclear Information System (INIS)

    Dahlgren, James; Warshaw, Raphael; Thornton, John; Anderson-Mahoney, P.M.; Takhar, Harpreet

    2003-01-01

    Objectives: The aim of the study was to evaluate the health status of nearby residents of a wood treatment plant who had sustained prolonged low-level environmental exposure to wood processing waste chemicals. Methods: A population of 1269 exposed residents who were plaintiffs or potential plaintiffs in a lawsuit against the wood treatment plant were evaluated by questionnaire for a health history and symptoms. A representative sample of 214 exposed subjects was included in the analysis. One hundred thirty-nine controls were selected from 479 unexposed volunteers and matched to the exposed subjects as closely as possible by gender and age. Subjects and controls completed additional questionnaires and were evaluated by a physician for medical history and physical examination, blood and urine testing, neurophysiological and neuropsychological studies, and respiratory testing. Environmental sampling for wood processing waste chemicals was carried out on soil and drainage ditch sediment in the exposed neighborhood. Results: The exposed subjects had significantly more cancer, respiratory, skin, and neurological health problems than the controls. The subjective responses on questionnaires and by physician histories revealed that the residents had a significantly greater prevalence of mucous membrane irritation, and skin and neurological symptoms, as well as cancer. (Exposed versus unexposed, cancer 10.0% versus 2.08%, bronchitis 17.8% versus 5.8%, and asthma by history 40.5% versus 11.0%) There were significantly more neurophysiologic abnormalities in adults of reaction time, trails A and B, and visual field defects. Conclusions: Adverse health effects were significantly more prevalent in long-term residents near a wood treatment plant than in controls. The results of this study suggest that plant emissions from wood treatment facilities should be reduced

  10. Ribavirin: an effective treatment of crimean-congo hemorrhagic fever

    International Nuclear Information System (INIS)

    Sheikh, A.S.

    2004-01-01

    Objective: To determine the efficiency of Ribavirin, an anti-viral drug, in patients diagnosed to have CCHF. Patients and Methods: A total of 94 cases were included in the study on high index of suspicion of CCHF. The major criteria of admission were a short history of high-grade fever associated with bleeding from more than one site, i.e., haematemesis, epistaxis etc. the mean age was 34.71 plus minus 12.81 years. All the suspected cases were kept in isolation unit of the hospital and barrier nursing was advised. Results: All the 94 cases were sent to CDC, Atlanta, USA for confirmation and 39 (41.4%) were confirmed to have CCHF. Symptomatic treatment like platelet concentration transfusions, fresh-blood transfusions and antipyretics were given to all cases. Oral Ribavirin was given only to the confirmed cases. It was started in a dose of 2 gm initially, followed by 1 gm 6 hourly for 4 days and then 500 mg 8 hours for 6 days. After a mean period of 2.30 plus minus 0.69 days to treatment with Ribavirin, the clinical as well as the laboratory parameters started improving and returned to normal level after 10 -day course of treatment. Mild anemia and thrombocytosis were seen as adverse effects in some of the patients. Conclusion: For treatment of this fatal disease, we recommended use of oral Ribavirin in all patients diagnosed to have CCHF in the above-mentioned doses, on the basis of our study results.(author)

  11. Topical Peptide Treatments with Effective Anti-Aging Results

    Directory of Open Access Journals (Sweden)

    Silke Karin Schagen

    2017-05-01

    Full Text Available In the last two decades, many new peptides have been developed, and new knowledge on how peptides improve the skin has been uncovered. The spectrum of peptides in the field of cosmetics is continuously growing. This review summarizes some of the effective data on cosmeceutical peptides that work against intrinsic and extrinsic aging. Some peptides have been proven in their efficacy through clinical skin trials. Well-known and documented peptides like copper tripeptide are still under research to obtain more details on their effectiveness, and for the development of new treatments. Palmitoyl pentapeptide-4 and Carnosine are other well-researched cosmeceuticals. Additionally, there are many more peptides that are used in cosmetics. However, study results for some are sparse, or have not been published in scientific journals. This article summarizes topical peptides with proven efficacy in controlled in vivo studies.

  12. Effect of Intravenous Pamidronate Treatment in Children with Osteogenesis Imperfecta

    International Nuclear Information System (INIS)

    Atta, I.; Iqbal, F.; Lone, S. W.; Ibrahim, M.; Khan, Y. N.; Raza, J.

    2014-01-01

    Objective: To assess the beneficial effect of intravenous pamidronate treatment in children with osteogenesis imperfecta (OI). Study Design: Experimental study. Place and Duration of Study: Endocrine Unit at the National Institute of Child Health, Karachi, Pakistan, from January 2007 to December 2011. Methodology: All children diagnosed with osteogenesis imperfecta on the basis of repeated spontaneous fractures and typical radiological findings registered during the study period, were included in this study. Pamidronate therapy were offered to those with more than 3 fractures per year or had platyspondyly. Pamidronate disodium was diluted in isotonic saline and administered by slow ravenous infusion over 3 hours in a dosage 1 mg/kg/day for 3 consecutive days 3 monthly for 2 years. Fracture rate, bone mineral density (BMD), mobility score, wellbeing and pain episodes were evaluated at baseline and 2 years after the treatment. Good response was defined as less than 2 fractures per year or mobility score improvement and poor response as more than 2 fracture per year with mobility score less than 2. Results: Seventy two patients were included in this study. There were 40 boys and 32 girls with mean age of 3.64 +- 3.2 years. The annual fracture rate decreased overall from 5.8 +- 1.61 to 0.6 +- 0.93 (p < 0.001). BMD Z-score improved from -5.3 +- 1.74 to -1.7 +- 0.72 (p < 0.001). Mobility score was 0.94 +- 1.30 at baseline and 2.5 +- 1.02 at the end of the treatment (p < 0.001). Wellbeing gained from 3.63 +- 1.44 to 7.8 +- 1.18 (p < 0.001) and pain episode improved from 24.1 +- 8.15 to 2.7 +- 8.31 (p < 0.001). Good response was noted in 92% of patients and poor response in 8% patients. Conclusion: Bisphosphonate seems to be an effective symptomatic treatment for children with osteogenesis imperfecta irrespective of severity of mutation or clinical phenotype. Cyclical bisphosphonate therapy has a positive effect on fracture rate, BMD, mobility score, wellbeing and pain

  13. Effects of Triclabendazole and Al bendazole on treatment of Fascioliasis

    International Nuclear Information System (INIS)

    Mawoad, M.A.F.; Amin, M.M.; Elnashar, D. E.

    2010-01-01

    Fascioliasis is a zoonotic disease caused by the trematode Fasciola hepatica, a liver fluke. It affect numerous species mainly ruminants. Its usual hosts are sheep or cattle, in which it causes a disease of economic importance. The prevalence of human infection has been reported worldwide. The present study was designed to evaluate the comparative efficacy of different anthelmintic drugs against Fasciola hepatica infestation. Twenty parasite-free rabbits were divided into four groups, group I: non-infected non- treated rabbits, kept as negative control. Rabbits of group II, III and IV were intended for infection with 20 Fasciola hepatica metacercariae per animal. Group II received no treatment and kept as positive control. Animals of group III administered Triclabendazole (TCBZ) treatment orally in a single dose (0.45 mg/Kg b. wt.) 60 days after infection. Consistent with group III, animals of group IV administered a bendazole (ABZ) treatment orally in a single dose (0.52 mg/Kg b.wt.) The comparisons between the anthelmintic efficacy of TCBZ and ABZ were done throughout (1): parasitological evaluation of egg counts; (2): biochemical evaluation of serum AST and ALT; (3): histopathological examination of liver and (4): scanning electron microscope of host worms. Data represented showed that the egg count was highly significant reduced in rabbits treated with TCBZ as compared with those of positive control group. But, rabbits treated with ABZ revealed slightly reduction as compared with those of positive control group. Also, the results illustrated that infection of rabbits with Fasciola hepatica induced a highly significant increased in serum (AST and ALT) activities compared to control group. In response to treatment with TCBZ and ABZ, it was revealed a significant decrease in the enzyme activity of both serum AST and ALT levels compared to those of control negative group as well as control positive group. However, histopathological examination showed a significant

  14. Clinical effectiveness and cost-effectiveness of treatments for patients with chronic pain.

    Science.gov (United States)

    Turk, Dennis C

    2002-01-01

    Chronic pain is a prevalent and costly problem. This review addresses the question of the clinical effectiveness and cost-effectiveness of the most common treatments for patients with chronic pain. Representative published studies that evaluate the clinical effectiveness of pharmacological treatments, conservative (standard) care, surgery, spinal cord stimulators, implantable drug delivery systems (IDDSs), and pain rehabilitation programs (PRPs) are examined and compared. The cost-effectiveness of these treatment approaches is also considered. Outcome criteria including pain reduction, medication use, health care consumption, functional activities, and closure of disability compensation cases are examined. In addition to clinical effectiveness, the cost-effectiveness of PRPs, conservative care, surgery, spinal cord stimulators, and IDDSs are compared using costs to return a treated patient to work to illustrate the relative expenses for each of these treatments. There are limitations to the success of all the available treatments. The author urges caution in interpreting the results, particularly in comparisons between treatments and across studies, because there are broad differences in the pain syndromes and inclusion criteria used, the drug dosages, comparability of treatments, the definition of "chronic" used, the outcome criteria selected to determine success, and societal differences. None of the currently available treatments eliminates pain for the majority of patients. Pain rehabilitation programs provide comparable reduction in pain to alternative pain treatment modalities, but with significantly better outcomes for medication use, health care utilization, functional activities, return to work, closure of disability claims, and with substantially fewer iatrogenic consequences and adverse events. Surgery, spinal cord stimulators, and IDDSs appear to have substantial benefits on some outcome criteria for carefully selected patients. These modalities are

  15. Effects of natalizumab treatment on Foxp3+ T regulatory cells.

    Directory of Open Access Journals (Sweden)

    Max-Philipp Stenner

    Full Text Available BACKGROUND: Natalizumab, a monoclonal humanized antibody targeting the alpha-4 chain of very late activation antigen 4 (VLA-4 exerts impressive therapeutic effects in patients with relapsing-remitting multiple sclerosis. Our objective was to study impacts of Natalizumab therapy on Foxp3+ T regulatory cells (Tregs in multiple sclerosis (MS patients. METHODOLOGY: A combined approach of in vitro and ex vivo experiments using T cells isolated from the peripheral blood of healthy donors and Natalizumab treated MS patients was chosen. We determined binding of Natalizumab and its effects on the frequency, transmigratory behaviour and suppressive function of Tregs. PRINCIPAL FINDINGS: Binding of Natalizumab and expression of CD49d (alpha-4 chain of VLA-4 differed between non-regulatory and regulatory cells. Albeit Foxp3+ Tregs had lower levels of CD49d, Natalizumab blocked the transmigration of Foxp3+ Tregs similar to non-regulatory T cells. The frequency of peripheral blood Tregs was unaffected by Natalizumab treatment. Natalizumab does not alter the suppressive capacity of CD4+CD25(highCD127(lowFoxp3+ Tregs under in vitro conditions. Furthermore, the impaired function of Tregs in MS patients is not restored by Natalizumab treatment. CONCLUSIONS: We provide a first detailed analysis of Natalizumab effects on the regulatory T cell population. Our prospective study shows that Foxp3+ Tregs express lower levels of VLA-4 and bind less Natalizumab. We further the understanding of the mechanisms of action of Natalizumab by demonstrating that unlike other immunomodulatory drugs the beneficial therapeutic effects of the monoclonal antibody are largely independent of alterations in Treg frequency or function.

  16. Effects of natalizumab treatment on Foxp3+ T regulatory cells.

    Science.gov (United States)

    Stenner, Max-Philipp; Waschbisch, Anne; Buck, Dorothea; Doerck, Sebastian; Einsele, Hermann; Toyka, Klaus V; Wiendl, Heinz

    2008-10-06

    Natalizumab, a monoclonal humanized antibody targeting the alpha-4 chain of very late activation antigen 4 (VLA-4) exerts impressive therapeutic effects in patients with relapsing-remitting multiple sclerosis. Our objective was to study impacts of Natalizumab therapy on Foxp3+ T regulatory cells (Tregs) in multiple sclerosis (MS) patients. A combined approach of in vitro and ex vivo experiments using T cells isolated from the peripheral blood of healthy donors and Natalizumab treated MS patients was chosen. We determined binding of Natalizumab and its effects on the frequency, transmigratory behaviour and suppressive function of Tregs. Binding of Natalizumab and expression of CD49d (alpha-4 chain of VLA-4) differed between non-regulatory and regulatory cells. Albeit Foxp3+ Tregs had lower levels of CD49d, Natalizumab blocked the transmigration of Foxp3+ Tregs similar to non-regulatory T cells. The frequency of peripheral blood Tregs was unaffected by Natalizumab treatment. Natalizumab does not alter the suppressive capacity of CD4+CD25(high)CD127(low)Foxp3+ Tregs under in vitro conditions. Furthermore, the impaired function of Tregs in MS patients is not restored by Natalizumab treatment. We provide a first detailed analysis of Natalizumab effects on the regulatory T cell population. Our prospective study shows that Foxp3+ Tregs express lower levels of VLA-4 and bind less Natalizumab. We further the understanding of the mechanisms of action of Natalizumab by demonstrating that unlike other immunomodulatory drugs the beneficial therapeutic effects of the monoclonal antibody are largely independent of alterations in Treg frequency or function.

  17. An Effective Web Presence for Substance Abuse Treatment Facilities.

    Science.gov (United States)

    Link, Thomas W; Hefner, Jennifer L; Ford, Eric W; Huerta, Timothy R

    2016-01-01

    Website development for health care has only been prevalent in the last two and a half decades. The first websites were electronic versions of brochures providing hardly any interaction with the consumer or potential consumer. The percentage of consumers that use the internet during the decision-making process for health care providers continues to rise. As a result, the websites of health care providers are becoming more of a representation of the facility and creating an organizational image rather than a brochure-like informational page. The purpose of this study was to analyze substance abuse treatment center's websites in the State of California with the goal of informing the management of substance abuse centers regarding an effective and inexpensive means to closing the marketing gaps in the industry. This brief research report presents the results of employing an automated web-crawler to assess website quality along five dimensions: accessibility, content, marketing, technology, and usability score. The sample mean scores for all dimensions were between 4 and 6 on a 10-point scale. On average larger facilities had higher quality websites. The low mean scores on these dimensions indicate that that substance abuse centers have significant room for improvement of their website's. Efficiently spending marketing funds to increase the effectiveness of a treatment center's website can be a low cost way for even small facilities to increase market competitiveness.

  18. Effect of alkali treatment on surface morphology of titanium

    Energy Technology Data Exchange (ETDEWEB)

    Tan, K. J., E-mail: gd130056@siswa.uthm.edu.my; Wahab, M. A. A., E-mail: cd110006@siswa.uthm.edu.my; Mahmod, S., E-mail: cd110201@siswa.uthm.edu.my; Idris, M. I., E-mail: izwana@uthm.edu.my; Abdullah, H. Z., E-mail: hasan@uthm.edu.my [Faculty of Mechanical and Manufacturing Engineering, Universiti Tun Hussein Onn Malaysia, 86400 Parit Raja, Batu Pahat, Johor (Malaysia)

    2015-07-22

    Alkali and heat treatments were first introduced by Kim et al. to prepare a bioactive surface on titanium. This method has been proven very effective and widely used in other studies to promote titanium osteointegration. This study aims to investigate further the effect of alkali treatment on surface morphology of high purity titanium. High purity titanium foils were immersed in NaOH aqueous solutions of 0.5 M, 5 M and 15 M at 60°C and 80 °C for 1, 3 and 7 days. The surface morphology was examined using Field Emission Scanning Electron Microscope (FESEM). The obtained phases were analysed using Fourier Transform Infrared Spectroscopy (FTIR) in the spectra range of 4000-600 cm{sup −1} at 4 cm{sup −1} resolution and 50 scans. At the same soaking temperature and soaking time, a thicker porous network was observed with increasing concentration of NaOH. At the same soaking temperature, a much porous structure was observed with increasing soaking time. At constant alkali concentration, more homogenously distributed porous surface structure was observed with increasing soaking temperature.

  19. The effect of CPAP treatment on EEG of OSAS patients.

    Science.gov (United States)

    Zhang, Cheng; Lv, Jun; Zhou, Junhong; Su, Li; Feng, Liping; Ma, Jing; Wang, Guangfa; Zhang, Jue

    2015-12-01

    Continuous positive airway pressure (CPAP) is currently the most effective treatment method for obstructive sleep apnea syndrome (OSAS). The purpose of this study was to compare the sleep electroencephalogram (EEG) changes before and after the application of CPAP to OSAS patients. A retrospective study was conducted and 45 sequential patients who received both polysomnography (PSG) and CPAP titration were included. The raw data of sleep EEG were extracted and analyzed by engineers using two main factors: fractal dimension (FD) and the zero-crossing rate of detrended FD (zDFD). FD was an effective indicator reflecting the EEG complexity and zDFD was useful to reflect the variability of the EEG complexity. The FD and zDFD indexes of sleep EEG of 45 OSAS patients before and after CPAP titration were analyzed. The age of 45 OSAS patients was 52.7 ± 5.6 years old and the patients include 12 females and 33 males. After CPAP treatment, FD of EEG in non-rapid eye movement (NREM) sleep decreased significantly (P CPAP therapy (P CPAP therapy had a significant influence on sleep EEG in patients with OSAHS, which lead to a more stable EEG pattern. This may be one of the mechanisms that CPAP could improve sleep quality and brain function of OSAS patients.

  20. Graves' disease: cost-effectiveness of clinical and radioiodine treatments

    International Nuclear Information System (INIS)

    Cruz junior, Antonio F.; Takahashi, Miriam H.; Albino, Claudio C.

    2005-01-01

    Full text: In this study, we set out to evaluate the costs and effectiveness of the two most used therapies in Graves' disease: antithyroid drugs (ATD) and radioiodine (RAI). Twenty-tree patients, 7 men and 16 women, with a mean age of 35.4 years, treated with ATD and 35 patients, 5 men and 30 women, mean age of 39.4 years, treated with RAI were studied. After 2 years receiving ATD, 21 patients achieved euthyroidism and 2 remained hyperthyroid. In the RAI group, 21 patients presented hypothyroidism and 13 became euthyroid. To calculate the costs of each therapy, we analysed the number of visits during this period, the laboratory data and the drugs needed, such as tiamazol and/or thyroxine. The group treated only with ATD needed a higher number of visits and laboratory measurements, with the mean total cost of U$ 791.65, while the RAI group spent a mean amount of U$ 366.44. Therefore, the costs of the RAI treatment were 53,7 % lower than clinical therapy with ATD. Conclusion: The present study demonstrates that RAI treatment has a lower cost than ATD, being very effective in controlling the hyperthyroidism of Graves' disease. (author)

  1. Can data repositories help find effective treatments for complex diseases?

    Science.gov (United States)

    Farber, Gregory K

    2017-05-01

    There are many challenges to developing treatments for complex diseases. This review explores the question of whether it is possible to imagine a data repository that would increase the pace of understanding complex diseases sufficiently well to facilitate the development of effective treatments. First, consideration is given to the amount of data that might be needed for such a data repository and whether the existing data storage infrastructure is enough. Several successful data repositories are then examined to see if they have common characteristics. An area of science where unsuccessful attempts to develop a data infrastructure is then described to see what lessons could be learned for a data repository devoted to complex disease. Then, a variety of issues related to sharing data are discussed. In some of these areas, it is reasonably clear how to move forward. In other areas, there are significant open questions that need to be addressed by all data repositories. Using that baseline information, the question of whether data archives can be effective in understanding a complex disease is explored. The major goal of such a data archive is likely to be identifying biomarkers that define sub-populations of the disease. Published by Elsevier Ltd.

  2. The effect of tannic compounds on anaerobic wastewater treatment

    NARCIS (Netherlands)

    Field, J.A.

    1989-01-01

    Anaerobic wastewater treatment is an alternative to the conventional aerobic treatment processes for the removal of easily biodegradable organic matter in medium to high strength industrial wastestreams. Anaerobic treatment has several advantages, however one important disadvantage is the

  3. Is cannabis an effective treatment for joint pain?

    Science.gov (United States)

    Miller, Richard J; Miller, Rachel E

    2017-01-01

    Cannabis has been used to treat pain for thousands of years. However, since the early part of the 20th century, laws restricting cannabis use have limited its evaluation using modern scientific criteria. Over the last decade, the situation has started to change because of the increased availability of cannabis in the United States for either medical or recreational purposes, making it important to provide the public with accurate information as to the effectiveness of the drug for joint pain among other indications. The major psychotropic component of cannabis is Δ9-tetrahydrocannabinol (THC), one of some 120 naturally occurring phytocannabinoids. Cannabidiol (CBD) is another molecule found in herbal cannabis in large amounts. Although CBD does not produce psychotropic effects, it has been shown to produce a variety of pharmacological effects. Hence, the overall effects of herbal cannabis represent the collective activity of THC, CBD and a number of minor components. The action of THC is mediated by two major G-protein coupled receptors, cannabinoid receptor type 1 (CB1) and CB2, and recent work has suggested that other targets may also exist. Arachidonic acid derived endocannabinoids are the normal physiological activators of the two cannabinoid receptors. Natural phytocannabinoids and synthetic derivatives have produced clear activity in a variety of models of joint pain in animals. These effects are the result of both inhibition of pain pathway signalling (mostly CB1) and anti-inflammatory effects (mostly CB2). There are also numerous anecdotal reports of the effectiveness of smoking cannabis for joint pain. Indeed, it is the largest medical request for the use of the drug. However, these reports generally do not extend to regulated clinical trials for rheumatic diseases. Nevertheless, the preclinical and human data that do exist indicate that the use of cannabis should be taken seriously as a potential treatment of joint pain.

  4. Efetividade do tratamento da tuberculose Effectiveness of tuberculosis treatment

    Directory of Open Access Journals (Sweden)

    Letícia Nazareth Fernandes da Paz

    2012-08-01

    Full Text Available OBJETIVO: Analisar as estratégias que influenciam a efetividade do tratamento da tuberculose em Unidades Básicas de Saúde (UBS. MÉTODOS: Levantamento epidemiológico, descritivo, retrospectivo, envolvendo os prontuários médicos de 588 pacientes com tuberculose cadastrados no programa de controle da tuberculose, entre janeiro de 2004 e dezembro de 2008, em duas UBS - Centro de Saúde Escola do Marco (CSEM e UBS da Pedreira (UBSP - localizadas na cidade de Belém (PA. Os critérios de exclusão foram ter idade 59 anos e ter alta por transferência ou mudança de diagnóstico. Os dados coletados foram idade, sexo, tipo de tratamento (autoadministrado ou supervisionado, coinfecção por HIV e desfecho do tratamento. Os profissionais de saúde envolvidos no programa da tuberculose das duas UBS foram entrevistados quanto às estratégias utilizadas no controle da doença e à rotina de atendimento. RESULTADOS: Não houve diferenças significativas quanto a idade, sexo e coinfecção com HIV nas duas UBS. A utilização de tratamento supervisionado foi significativamente maior no CSEM que na UBSP, assim como a taxa de cura, enquanto a taxa de abandono foi maior na UBSP que no CSEM. CONCLUSÕES: Para pacientes cadastrados em programas de controle da tuberculose em UBS no Brasil, o tratamento supervisionado provavelmente é uma estratégia de extrema importância para se alcançar uma menor taxa de abandono.OBJECTIVE: To analyze the treatment strategies that influence the effectiveness of tuberculosis treatment at primary care clinics (PCCs in Brazil. METHODS: This was a descriptive, retrospective epidemiological survey based on the medical records of 588 tuberculosis patients enrolled in the tuberculosis control programs at two PCCs located in the city of Belém, Brazil: Centro de Saúde Escola do Marco (CSEM and Unidade Básica de Saúde da Pedreira (UBSP. The survey was limited to patients enrolled between January of 2004 and December of 2008

  5. Parent perspectives on information about late effects of childhood cancer treatment and their role in initial treatment decision making.

    Science.gov (United States)

    Greenzang, Katie A; Dauti, Angela; Mack, Jennifer W

    2018-06-01

    Though most childhood cancer survivors experience late effects of treatment, we know little about parent preferences for late effects information during therapy, or how parents weigh late effects when making treatment decisions. Our objective was to explore how parents of children with cancer consider late effects in initial treatment decision making and during active cancer treatment. Semistructured interviews were conducted with 12 parents of children with cancer who were actively receiving treatment at Dana-Farber/Boston Children's Cancer and Blood Disorders Center. Interviews were audio-recorded, transcribed verbatim, and qualitatively analyzed using thematic analysis. Ten of 12 parents reported that they had to decide between two or more treatment options for their child's cancer. Of those, 50% (5/10) considered late effects to be an important factor in their decision making. Most parents wanted early and detailed information about their child's risk of late effects to make treatment decisions and to feel prepared for the future. However, a few parents felt too overwhelmed to focus on late effects at diagnosis. While many recalled extensive late effects information in informed consent discussions, some parents felt these issues were minimally addressed. Parents desire detailed information about late effects to make informed treatment decisions and prepare for the future. Despite the role of late effects in treatment decision making, some parents feel that late effects are either inadequately addressed or too overwhelming to process at diagnosis. Parents may benefit from early assessment of their information needs and a return to these issues over time. © 2018 Wiley Periodicals, Inc.

  6. Treatment of reindeer with ivermectin - effect on dung insect fauna

    Directory of Open Access Journals (Sweden)

    Arne C. Nilssen

    1999-04-01

    Full Text Available Ivermectin is an antiparasitic drug widely used in reindeer (Rangifer tarandus (L. in Fennoscandia and North America. Most of the ivermectin injected in the animal is excreted unchanged in the faeces. Several reports show that ivermectin in cattle dung disrupts colonisation and survival of beneficial dung breeding insects. The present study investigated the effect of ivermectin on the reindeer dung fauna. Four reindeer calves (males, 6 months of age were injected subcutaneously with standard doses of ivermectin (0.2 mg/kg body weight in early December. The daily produced faeces was collected until day 30 after treatment, and the concentration of ivermectin was determined by high pressure liquid chromatography (HPLC with fluorescence detection. The highest concentration measured (mean 1632 ng/g faeces (dry weight, range 907 to 2261 ng/g among the animals was on day 4 after treatment. The concentration decreased gradually to 28 ng/g (range 6 to 58 ng/g on day 30. Faeces portions from day 4 and from untreated reindeer were placed in the field on 2-4 July and recollected on 13-22 September in order to detect possible differences in decomposition fauna between the samples. The most important coprophilous beetles (Apbodius spp. and flies (Scatbophaga spp. were not detected in this winter dung whether it contained ivermectin or not, probably because of the dry consistency and small size of the pellets. On the other hand, these insects (larvae and imagines were common in summer dung, which had been deposited naturally in the field and later placed together with the ivermectin-containing winter dung for comparison. The summer dung has a more soft and lumpy consistency. Treatment in autumn or early winter implies that the bulk of the ivermectin from the animal will be present in faeces with winter consistency, since this bulk portion is excreted during the first 30 days after treatment. This dry and pelleted faeces is not utilized by the important

  7. Adolescent idiopathic scoliosis: natural history and long term treatment effects

    Directory of Open Access Journals (Sweden)

    Asher Marc A

    2006-03-01

    risks of major surgery, a 6 to 29% chance of requiring re-operation, and the remote possibility of developing a pain management problem. Knowledge of adolescent idiopathic scoliosis natural history and long-term treatment effects is and will always remain somewhat incomplete. However, enough is know to provide patients and parents the information needed to make informed decisions about management options.

  8. Therapeutic effect of beta radiation on onychomycosis: An innovative treatment

    International Nuclear Information System (INIS)

    Afroz, S.; Islam, N.; Rashid, H.; Shahidullah, M.; Ali, S.; Islam, S.K.M.; Hossain, S.; Ali, N.

    2005-01-01

    Full text: Onychomycosis is the most frequent cause of nail disease and the most prevalent type of dermatophytosis in Bangladesh. The humid and warm climate of this tropical country is congenial for the growth of fungi. Therapeutic limitations of conventional antimycotic agents in respect of low cure rates, high relapse rate, inherent side effects, long duration of treatment and high cost in treating onychomycosis have provided clear incentives to explore alternative forms of treatment procedure. The objectives of the present thesis work were: (i) To use beta radiation as a curative therapy for Onychomycosis, optimisation of its dosages and to promote an innovative clinical development in the field of therapeutic application of nuclear medicine; (ii) To assess the efficacy of beta radiation either alone or in combination with conventional antifungal therapy; and (iii) To reduce the duration of drug exposure and cost of treatment for onychomycosis. This is a PhD research work under the University of Dhaka and was sponsored by the Ministry of Science and Information and Communication Technology, Government of the people's republic of Bangladesh. This study is an open, randomised and controlled trial to verify the efficacy of beta radiation in patients with onychomycosis. Using the appropriate statistical formula, sample size of the study population was determined and in each group 92 patients were assigned. With an assumption of patients drop out and for better statistical analysis, a total of 330 patients, who fulfilled the inclusion criterion having diagnosed to have onychomycosis clinically and mycological were randomly allocated to enter in therapeutic regimen. Study population was randomised in three groups. Group A (n =110) received griseofulvin orally 500 mg once daily for 12-16 weeks; Group B (n=110) received beta radiation, 500 rads bi-weekly for 3 weeks (total 2500 rads); and Group C (n=110) received combined beta radiation (total 2500 rads in 3 weeks) and

  9. The effects of heat treatment and environment on corrosion fatigue

    International Nuclear Information System (INIS)

    Ballinger, R.G.; Hwang, I.S.; Elliott, C.K.

    1993-05-01

    Alloy X-750 is a nickel-base alloy used extensively in Light Water Reactor (LWR) nuclear power systems due to its excellent corrosion resistance and high temperature strength. In spite of alloy X-750's exceptional high temperature properties, it has been found to be susceptible to environmentally assisted fatigue and stress corrosion cracking in relatively low temperature aqueous environments such as those that exist in LWR systems. In order to develop a better understanding of the role that microstructure plays in the fatigue behavior of alloy X-750, three thermal treatments were studied. The treatments used were as hot worked + : (1) 24 h at 885 degree C + 20 h at 704 degree C (AH), (2) lh at 982 degree C + 20 h at 704 degree C (BH), and (3) 1 h at 1093 degree C + 20 h at 704 degree C (HTH). Fatigue crack growth tests were conducted at frequencies of 0.1 and 10 Hz in the following aqueous environments: (1) high purity, air saturated water (8 ppM O 2 ) at 93 degree C and 288 degree C, (2) high purity, deoxygenated water (5 ppb O 2 ) at 93 degree C, and (3) simulated BWR water chemistry with hydrogen additions at 288 degree C. Crack growth rate data was collected at constant values of stress intensity factor range (ΔK). The results show that crack growth rates and morphology are a function of ΔK, frequency, thermal treatment and environment. Frequency effects were most significant for the AH material. Crack growth rates generally decrease, for a given value of ΔK, in the BH and HTH materials with the HTH material showing the lowest growth rate

  10. Achondroplastic Dwarfism—Effects of Treatment with Human Growth Hormone

    Science.gov (United States)

    Escamilla, Roberto F.; Hutchings, John J.; Li, Choh Hao; Forsham, Peter

    1966-01-01

    Two male patients with achondroplastic dwarfism aged 7-5/12 and 14½ years were treated with human growth hormone 5 mg daily. Both showed nitrogen retention on balance studies, the older second patient to a marked degree. In the younger patient, height increased from 95.4 to 106.3 cm on hgh 5 mg daily alone for 14 out of 24 months. The rate of growth approximately doubled during the first two treatment periods as compared with the pre-treatment rate. In the second older patient hgh was administered 5 mg daily intramuscularly for 21 out of 33 months. Growth from 129.6 cm to 137.8 cm occurred with the rate increasing following the addition of Na-1-thyroxine to the routine. This increased growth rate occurred during the post-puberty deceleration phase. Bone ages, interpreted from changes in the phalanges and metacarpals, increased from 4½ to 6 years during 16 months in Case 1, and from 13½ to 18 years in 33 months in Case 2. Transient adolescent gynecomastia appeared in Case 2. No local or general toxic effects were noted. These results are suggestive, but whether or not the eventual height of an achondroplastic dwarf can be significantly altered must await further studies. ImagesFigure 1.Figure 2. PMID:5946547

  11. Effects of operative treatment for muscular asthenopia caused by esophoria

    Directory of Open Access Journals (Sweden)

    Tao Zeng

    2016-05-01

    Full Text Available AIM:To observe the effects of operative treatment for muscular asthenopia caused by esophoria. METHODS:Twenty-one cases(42 eyeswith muscular asthenopia caused by esophoria were included. After examination of refraction, phoria and fusion function, all cases were given operative treatment to correct esophoria. RESULTS:At 1wk after surgery, clinical symptoms were improved evidently in all cases, such as headache, diplopia and eye swelling. After followed up for 1a, no recrudescence was found. Before surgery, at 1wk and 1a after surgery, esophoria in the distance were 20.3△±6.3△,-3.1△±1.4△,0.7△±1.6△ respectively and esophoria in the near distance were 10.5△±3.1△,-1.3△±0.6△,1.5△±0.8△ respectively. By comparison of esophoria before and after surgery in different stages separately, the differences were statistically(PP>0.05. CONCLUSION:Esophoria operation may relieve obviously muscular asthenopia caused by esophoria without changing fusion function.

  12. Effect of patient's life expectancy on the cost-effectiveness of treatment for ocular hypertension.

    Science.gov (United States)

    Kymes, Steven M; Plotzke, Michael R; Kass, Michael A; Boland, Michael V; Gordon, Mae O

    2010-05-01

    To assess the influence of expected life span on the cost-effectiveness of treating ocular hypertension to prevent primary open-angle glaucoma. We used a Markov simulation model to estimate the cost and benefit of ocular hypertension treatment over a person's remaining life. We examined the influence of age on the cost-effectiveness decision in 2 ways: (1) by evaluating specific age cohorts to assess the influence of age at the initiation of treatment; and (2) by evaluating the influence of a specific life span. At a willingness to pay $50,000/quality-adjusted life year to $100,000/quality-adjusted life year, treatment of people with a 2% or greater annual risk of developing glaucoma was cost-effective for people aged 45 years with a life expectancy of at least 18 remaining years. However, to be cost-effective, a person aged 55 years must have a life expectancy of 21 remaining years and someone aged 65 years must have a life expectancy of 23 remaining years. A person with ocular hypertension must have a life expectancy of at least 18 remaining years to justify treatment at a threshold of a 2% or greater annual risk of developing glaucoma. Persons at higher levels of risk require a life expectancy of 7 to 10 additional years to justify treatment.

  13. Effect of chronic (-)-nicotine treatment on rat cerebral benzodiazepine receptors

    International Nuclear Information System (INIS)

    Magata, Yasuhiro; Kitano, Haruhiro; Shiozaki, Toshiki; Iida, Yasuhiko; Nishizawa, Sadahiko; Saji, Hideo; Konishi, Junji

    2000-01-01

    The purpose of this study was to clarify the effect of (-)-nicotine on cerebral benzodiazepine receptors (BzR) with radiotracer methods. The effect of (-)-nicotine on BzR was examined in in vitro studies using chronic (-)-nicotine-treated rats using 3 H-diazepam. The in vitro radioreceptor assay showed a 14% increase in the maximum number of binding sites of BzR in chronic (-)-nicotine-treated rats in comparison with the control rats. Moreover, a convenient in vivo uptake index of 125 I-iomazenil was calculated and a higher uptake of the radioactivity was observed in the chronic (-)-nicotine-treated group than in the control group. Although further studies of the mechanism of (-)-nicotine on such BzR changes are required, an increase in the amount of BzR in the cerebral cortex was found in rats that underwent chronic (-)-nicotine treatment, and this result contributed to the understanding of the effects of (-)-nicotine and smoking on neural functions

  14. The effect of radioactive iodine treatment on thyroid C cells

    International Nuclear Information System (INIS)

    Bayraktar, Miyase; Gedik, Olcay; Akalin, Sema; Usman, Aydan; Adalar, Nezaket; Telatar, Ferzan

    1990-01-01

    To determine the effect of radioiodine treatment on thyroid C cells, calcitonin (CT) levels were measured by RIA before and after intravenous calcium stimulation in 22 women treated with 131 I for hyperthyroidism. The results were compared with sex, age and weight-matched normal controls. There was a slight but statistically significant decrease in basal CT levels of the patients compared to the control group (mean ± SE; 0.009 ± 0.001 vs 0.011 ± 0.001 pmol/1, P 131 I-induced hypothyroidism at the time of the study did not influence basal or stimulated CT levels. Basal and stimulated CT levels were significantly lower in the patients with Graves' disease than in the patients with toxic nodular goitre. We conclude that 131 I used to correct hyperthyroidism may cause marked CT deficiency. (author)

  15. How does wireless phones effect communication and treatment in hospitals?

    DEFF Research Database (Denmark)

    Paasch, Bettina Sletten

    The use of wireless phones in hospital units are increasing, inducing practitioners to carry a working phone each. A study performed in a medical hospital unit demonstrates that wireless phones can impair communication between health care practitioners and patients (Paasch, in press). Also wireless...... phones can compromise patient safety, both by disturbing the practitioners’ concentration, causing mistakes, and by transporting bacteria between patients. This qualitative Ph.D.-study wishes to further investigate the effect of wireless phones on communication and treatment in hospital units, using...... participant observations, ethnographic interviews and video observations. The study will explore how wireless phones mediate and is mediated by practitioners communication with each other and patients. As hospitals are constructed and reconstructed by all communication within, this insight will enable...

  16. EFFECT OF HEAT TREATMENT ON SOYBEAN PROTEIN SOLUBILITY

    Directory of Open Access Journals (Sweden)

    RODICA CĂPRIŢĂ

    2007-05-01

    Full Text Available The use of soybean products in animal feeds is limited due to the presence of antinutritional factors (ANF. Proper heat processing is required to destroy ANF naturally present in raw soybeans and to remove solvent remaining from the oil extraction process. Over and under toasting of soybean causes lower nutritional value. Excessive heat treatment causes Maillard reaction which affects the availability of lysine in particular and produces changes to the chemical structure of proteins resulting in a decrease of the nutritive value. The objective of this study was to evaluate the effect of heating time on the protein solubility. The investigation of the heating time on protein solubility in soybean meal (SBM revealed a negative correlation (r = -0.9596. Since the urease index is suitable only for detecting under processed SBM, the protein solubility is an important index for monitoring SBM quality.

  17. Friction Surface Treatment Selection: Aggregate Properties, Surface Characteristics, Alternative Treatments, and Safety Effects

    Science.gov (United States)

    2017-07-01

    This study aimed to evaluate the long term performance of the selected surface friction treatments, including high friction surface treatment (HFST) using calcined bauxite and steel slag, and conventional friction surfacing, in particular pavement pr...

  18. Effects of different desensitizing treatments on root dentin permeability

    Directory of Open Access Journals (Sweden)

    Raydsa Raíssa Moura ROSA

    Full Text Available Abstract The objective of this study was to evaluate the effects of diode laser and a desensitizing dentifrice on dentin permeability. Fifty-two root dentin fragments were obtained (5 × 5mm and treated with 24% EDTA gel. The samples were divided into 4 groups (n = 13: G1, control (no treatment; G2, diode laser (λ = 908 nm, 1.5 W, continuous mode, 20s; G3, application of abrasive dentifrice for 1 minute (Elmex Sensitive Professional (International Gaba; and G4, application of abrasive dentifrice for 1 minute followed by irradiation with diode laser. Ten samples per group were immersed in 2% methylene blue solution for 4h. The specimens were washed, longitudinally sectioned, observed under optical microscopy, photographed and assessed based on the degree of dye leakage. The remaining samples were observed under scanning electron microscopy (SEM. The leakage data were subjected to ANOVA test, followed by Tukey’s t-test (α = 5%. Groups 2, 3 and 4 showed less dye penetration than the control group (p < 0.05, but were similar among each other. SEM images showed that dentinal tubules were open in G1, and fused and occluded in G2. Group 3 showed dentinal tubules that were occluded by the metal ions from the toothpaste. G4 presented similar characteristics to G3, and the presence of fused dentin. The diode laser and the dentifrice were effective in reducing dentinal permeability, and the combination of the two treatments did not show better results than either one used alone.

  19. Topiramate sprinkle is effective in the treatment of childhood epilepsy

    Directory of Open Access Journals (Sweden)

    Prastiya Indra Gunawan

    2012-04-01

    Full Text Available Background Epilepsy remains one of the most frequently occurring pediatric problems. Approximately 10-15% patients do not respond to conventional therapy. Topiramate as a novel antiepileptic drug has a broad spectrum activity, presumably indicative of multiple anti-seizure mechanisms. Previous studies of topiramate as adjunctive and monotherapy in adults have shown beneficial effects. The objective of this research was to evaluate the efficacy and tolerability of topiramate sprinkle monotherapy in pediatric epilepsy. Methods This experimental research was conducted in the Pediatric Neurology outpatient clinic department, Soetomo hospital, Surabaya, involving 18 consecutive subjects. Subjects meeting the inclusion criteria were treated with topiramate sprinkle adjusted dose. Seizure frequency and side effects were observed in weeks 1, 4, 8, 12, 16, 20 and 24, respectively. Electro encephalogram (EEG and laboratory examinations were performed prior to and after 6 months of treatment. The t-test for related samples and McNemar test were utilized for statistical analysis. Results A total of 15 subjects completed the study. Topiramate-treated patients showed a statistically significant difference of seizure frequency reduction from 2.7 ± 1.16 to 0.13 ± 0.51 (p=0.000 with 93.7% patients being seizure free in 20 weeks. EEG recordings did not differ statistically in decrement of epileptiform activity in 20% subjects. About 7% subjects developed drowsiness and 33.3% subjects suffered from appetite suppression in the initial treatment. Laboratory results showed no abnormalities. Conclusions There was reduction of seizure frequency and no EEG recording alterations after topiramate sprinkle monotherapy. Topiramate as a monotherapy is highly effcicacious in childhood epilepsy.

  20. [ANALYSIS OF CLINICAL EFFECT IN SURGICAL TREATMENT OF Maisonneuve FRACTURE].

    Science.gov (United States)

    Zhang, Zhiwen; Cai, Xianhua; Wei, Shijun; Liu, Ximing

    2015-03-01

    To investigate the operative method and short-term effectiveness in the surgical treatment of Maisonneuve fracture. Between January 2010 and February 2013, 23 patients with Maisonneuve fracture were treated. There were 14 males and 9 females with an average age of 40.3 years (range, 30-68 years). The causes of injuries were falling injury in 11 patients, sports related injury in 5 patients, traffic accident injury in 4 patients, and falling injury from height in 3 patients. The interval between injury and operation was 7-10 days (mean, 8.5 days). All of fractures were closed. Three patients had combined injury of deltoid ligament. The surgical procedures included surgical reduction and fixation of medial malleolus fracture and posterior malleolus fracture, repair of the deltoid ligament with ground anchor suture, and fixation of the disrupted distal tibiofibular syndesmosis. All incisions achieved primary healing, no postoperative complications such as infection occurred. Twenty-one patients were followed up 24-36 months (mean, 26.5 months). No patients complained of pain, tenderness, and obvious swelling of the ankle. At 3-6 months (mean, 4.6 months) after operation, X-ray films showed bony union of fractures and normal mortises in 21 patients. And no traumatic arthritis was observed with reliable fixation. The range of motion of ankle dorsi flexion and plantar flexion was 30-40 degrees) (mean, 34.5 degrees) Baird-Jackson anide functional score was 85-100 (mean, 94); 16 cases were rated as excellent, 4 as good, and 1 as fair with an excellent and good rate of 95.2%. Surgical treatments of Maisonneuve fracture include surgical reduction and fixation of the medial malleolus and posterior malleolus, repair of the deltoid ligament and fixation of the disrupted distal tibiofibular syndesmosis, and good effectiveness can be achieved.

  1. Rehabilitation in progressive supranuclear palsy: Effectiveness of two multidisciplinary treatments.

    Directory of Open Access Journals (Sweden)

    Ilaria Clerici

    Full Text Available to date, there are no medical or surgical treatments for progressive supranuclear palsy (PSP. It is possible to speculate that patients with PSP could benefit from rehabilitative treatments designed for Parkinson's disease, including the use of robot-assisted walking training.to evaluate whether the use of the robotic device Lokomat® is superior in PSP patients to the use of treadmill with visual cues and auditory feedbacks (treadmill-plus in the context of an aerobic, multidisciplinary, intensive, motor-cognitive and goal-based rehabilitation treatment (MIRT conceived for Parkinsonian patients.we enrolled twenty-four PSP patients. Twelve subjects underwent a 4-week MIRT exploiting the use of the treadmill-plus (MIRT group. Twelve subjects underwent the same treatment, but replacing the treadmill-plus with Lokomat® (MIRT-Lokomat group. Subjects were evaluated with clinical and functional scales at admission and discharge. The primary outcomes were the total PSP Rating Scale (PSPRS score and its "limb" and "gait" sub-scores. Secondary outcomes were Berg Balance Scale (BBS, Six Minutes Walking test (6MWT and the number of falls.total PSPRS, PSPRS-gait sub-score, BBS, 6MWT and number of falls improved significantly in both groups (p ≤ 0.003 all, except 6MWT, p = 0.032 and p = 0.018 in MIRT-Lokomat and MIRT group respectively. The PSPRS-limb sub-score improved significantly only in the MIRT group (p = 0.002. A significant difference between groups was observed only for total PSPRS, indicating a slightly better improvement for patients in the MIRT group (p = 0.047. No differences between groups were revealed for the other outcomes, indicating that the effect of rehabilitation was similar in both groups.Lokomat® training, in comparison with treadmill-plus training, does not provide further benefits in PSP patients undergoing MIRT. Our findings suggest the usefulness of an aerobic, multidisciplinary, intensive, motor-cognitive and goal

  2. Pycnogenol may alleviate adverse effects in oncologic treatment.

    Science.gov (United States)

    Belcaro, G; Cesarone, M R; Genovesi, D; Ledda, A; Vinciguerra, G; Ricci, A; Pellegrini, L; Gizzi, G; Ippolito, E; Dugall, M; Cacchio, M; Di Renzo, A; Stuard, S

    2008-09-01

    patients were in the control group. For all patients this was the first chemotherapy treatment period. The Pycnogenol group presented with a lowered incidence of all investigated side effects as compared to the control group, though in many cases to a limited extent. The most prominent improvements were found for nausea, vomiting, diarrhoea and weight loss. Semi-quantitative evaluation showed that here again symptom severity was half or less pronounced than in the control group. Various further symptoms improved such as cognitive impairment and also cardiotoxicity and neutropenia. Effects on anemia could not be investigated as several patients received erythrocyte transfusion. In the Pycnogenol group one case of superficial vein thrombosis was indentified while 3 cases of superficial vein thromboses and one deep vein thrombosis were detected in the control group (4% vs 19%). In both chemotherapy and radiotherapy patients Pycnogenol lowered the requirement for medication to address side effects. This was reflected by less days of hospitalisation the patients required. The authors did not investigate a possible interference with the anti-neoplastic efficacy of chemo- and radiotherapy. This possibility requires attention in future studies with Pycnogenol. From their previous clinical experience the authors suggest that alleviation of side effects described in this study results from Pycnogenol activities related to endothelial protection, and anti-inflammatory anti-edema activities. The results of this pilot trial warrant further prospective studies with larger number of patients to validate benefits more specifically with regard to type of malignancy and treatment regimen.

  3. Strength training and testosterone treatment have opposing effects on migration inhibitor factor levels in ageing men

    DEFF Research Database (Denmark)

    Glintborg, D.; Christensen, L. L.; Kvorning, T.

    2013-01-01

    Strength Training and Testosterone Treatment Have Opposing Effects on Migration Inhibitor Factor Levels in Ageing Men......Strength Training and Testosterone Treatment Have Opposing Effects on Migration Inhibitor Factor Levels in Ageing Men...

  4. Beyond Fuel Treatment Effectiveness: Characterizing Interactions between Fire and Treatments in the US

    Directory of Open Access Journals (Sweden)

    Kevin Barnett

    2016-10-01

    Full Text Available In the United States, fuel reduction treatments are a standard land management tool to restore the structure and composition of forests that have been degraded by past management. Although treatments can have multiple purposes, their principal objective is to create landscape conditions where wildland fire can be safely managed to help achieve long-term land management goals. One critique is that fuel treatment benefits are unlikely to transpire due to the low probability that treated areas will be burned by a subsequent fire within a treatment’s lifespan, but little quantitative information exists to corroborate this argument. We summarized the frequency, extent, and geographic variation of fire and fuel treatment interactions on federal lands within the conterminous United States (CONUS. We also assessed how the encounters between fuel treatments and fires varied with treatment size, treatment age, and number of times treated. Overall, 6.8% of treatment units evaluated were encountered by a subsequent fire during the study period, though this rate varied among ecoregions across the CONUS. Larger treatment units were more likely to be encountered by a fire, and treatment units were most frequently burned within one year of the most recent treatment, the latter of which is likely because of ongoing maintenance of existing treatments. Our results highlight the need to identify and prioritize additional opportunities to reduce fuel loading and fire risk on the millions of hectares of federal lands in the CONUS that are in need of restoration.

  5. Predictable effects of intensified production and harvesting on the fertility of forest soils. II- the effects of silviculture

    International Nuclear Information System (INIS)

    Ranger, J.; Bonneau, M.

    1986-01-01

    We defined the functioning of the ecosystem in our first article, devoted to the biological cycle (Ranger et Bonneau, 1984) and we now give an application of it to the management of mineral nutrient fertility in forest soils. Stress is laid on the relation between forest management and the export of nutrient elements out of the ecosystem, whether it relates to the choice of species, the length of the rotation, or the amount of the biomass produced that is harvested. By taking account of the average values of the inputs (atmospheric and weathering of reserves) it is possible to establish for each of the cases in question a balance sheet of inputs and outputs to describe the mineral nutrient balance of the rotation. Even if we overlook the qualitative changes which generally increase the 'output' term (changes in the organic matter, in the analytical properties of the minerals, etc...), it seems to be clear that a change-over to short rotations leads to a deficit budget (for all the major elements) in the great majority of forest soils. (authors)

  6. Effects of Chemical Treatments on Microbiologically Influenced Corrosion

    Science.gov (United States)

    Friedman, E. S.; Strom, M.; Dexter, S. C.

    2008-12-01

    Biofilms are known to have an effect on galvanic corrosion of alloys in seawater systems. In the Delaware Bay, biofilm formation on surface of cathodes has been shown to cause galvanic corrosion to occur up to 100 times more rapidly. Given the impacts that corrosion can have on structures, it is important to study how we can affect corrosion rates. One way of doing this is the application of chemical treatments to biofilms on metal samples. To investigate this, natural marine biofilms were grown on alloy 6XN stainless steel samples, and various chemical treatments were applied to discover their effects on open circuit potentials and corrosion currents. Another objective of this study was to determine if there was a threshold molecular weight above which molecules were unable to penetrate the biofilm. It was discovered that chemicals with molecular weights as high as 741.6 g/mol were able to penetrate at least some parts of the heterogeneous biofilm and reach the metal surface. No upper threshold value was found in this study. It was found that the reducing agents sodium L-ascorbate and NADH as well as the chelate ferizene caused a drop in open circuit potential of biofilmed 6XN samples. Also, glutaraldahyde, which is used as a fixative for bacteria, shifted the open circuit potential of biofilm samples in the noble direction but had no effect on the corrosion current. Sodium L- ascorbate was found to reach the metal surface, but in concentrations lower than those present in the bulk fluid. It was not determined in this study whether this was due to physical or chemical processes within the biofilm. A synergistic effect was observed when applying a mixture of ferizene and glutaraldahyde. It is thought that this was due to the death of the bacteria as well as the disruption of iron cycling in the biofilm. Finally, it was observed that NADH caused a reduction in current at potentials associated with iron reduction, leading us to believe that the iron was being reduced

  7. Effectiveness and safety of topical tacrolimus in treatment of vitiligo

    Directory of Open Access Journals (Sweden)

    Ghasem Rahmatpour Rokni

    2017-01-01

    Full Text Available Vitiligo is one of the most primitive well-known dermatoid disorders with different suggested therapies. Therefore, this study investigated the efficiency and safety of topical tacrolimus in treatment of patients with vitiligo. This study was a clinical randomized designed study pre- post-test method, has been conducted on thirty cases with vitiligo who have referred to polyclinic and dermatology clinic. Participant′s evaluated and demographic information recorded in designed checklist. In the next stage, the disease activity scored by vitiligo index disease activity system. Photography and depigmentation percent has recorded before treatment and further in 4 th , 8 th , 12 th , 16 th , 20 th , and 24 th weeks. Finally, gathered data compared through SPSS-20 software. The final sample comprised 30 persons including: 12 men (40% and 18 women (60%. The average of patient′s age in this study was 26/13 ΁ 18/20 (2-76-year-old. Eleven persons was ≤15 years old and rest was older than 15. Sixty-six lesions have funded in patients that maximum has accrued on face and neck (37/87% and trunk (21/21%. In addition, minimum of lesions is related to genitalia (9/09%. In the in 4 th , 8 th , 12 th , 16 th weeks, improvement in face and neck had increased significantly, into the past weeks. In the 20 th and 24 th weeks, the improvement has increased although it was not significant enhancement. Also about trunk, in the 4 th week the improvement does not have significant increasing in compare to the past week. In the eighth, 12 th , 16 th , 20 th , and 24 th weeks the improvement has been increased significantly in compare to the past weeks. Although in the case of limbs and genitalia, the improvement was lower. There was no significant difference between male and females and age. Although the improvement was, slow in older persons. Study results, has presented applying topical tacrolimus in vitiligo, particularly in face and neck, could be effective and

  8. Radiotherapy effect in conservation treatment for breast cancer

    International Nuclear Information System (INIS)

    Sachini, V.; Ferreri, A.J.M.; Farante, G.; Agresti, R.; Galimberti, V.; Zurrida, S.; Veronesi, P.

    1994-01-01

    Radiotherapy (RT) in conservative treatment for breast cancer (CT-BC) has been proven to be determinant for the local control of the disease. Radiation therapy was described by several authors as the most important factor affecting the cosmetic results of this treatment. Technical progress in RT, use of filters and wedges and an increased knowledge of the influence of fraction size total dose and irradiated volume on breast tissues contributed to avoid major radiotherapeutic side effects in the CT-BC. Cosmetic outcome from 2 groups of patients (pts) with breast cancer in stage T 1-2(T> = 2,5 cm) N 0-1 M o0 of the prospective trial Milan III were compared. Both groups pts (n=89) were treated with quadrantectomyand axillary dissection. 49 pts received complementary RT with a dose of 50 Gy over 5 weeks with a daily fraction of 2 Gy and a further boost of 10 Gy (10 MeV electrons) on the scar. Remaining 40 pts did not receive RT. Cosmetic results were subjectively and objectively (asymmetry index) evaluated. No significant cosmetic differences were observed between the 2 study groups. A good or excellent symmetry was observed in 59% of irradiated pts and 64% of non irradiated pts. Negative results were observed in 4% and 2% respectively. Subjective ovulation showed similar results, with a good or excellent symmetry in 57% of irradiated pts and 72.5% of non irradiated pts. Poor results were observed in 16.3% and 27.5% respectively. Telangiectasia were observed in 4% of irradiated pts, while hypertrophied scars were only noted in non irradiated pts (15%). No acute side effects of RT, as erythema or ulceration of breast skin, were recorded. In our experience, the standard dose of 50 Gy administered by two opposite tangential fields plus a 10 Gy boost did not affect the cosmetic results of CT.BC, whereas it provided a better local control of disease. The possibility to avoid RT in selected group of pts should be justified by the discomfort of this treatment for the pt, cost

  9. Effect of Ultrasonic Treatment Combined with Peracetic Acid Treatment Reduces Decay and Maintains Quality in Loquat Fruit

    Directory of Open Access Journals (Sweden)

    Chen Ling

    2018-01-01

    Full Text Available The effects of ultrasonic treatment (UT, 400 watts for 6 min combined with peracetic acid (PA, 0.4% (W/W treatment on fruit decay, browning, and quality and physiological changes in loquat fruit stored at 20°C were investigated. The results showed that treatment with UT or PA alone significantly reduced both decay and browning index in loquat fruit compared with the control. The combined treatment was more effective in decreasing decay and browning index and maintaining higher quality parameters than UT or PA treatment alone. Loquat fruits treated with the combined treatment maintained higher activities of polyphenol oxidase (PPO and peroxidase (POD than those treated with other treatments. In addition, UT combined with PA treatment significantly reduced the increase of firmness and increased fruit extractable juice, total soluble solid (TSS, and ascorbic acid content in loquat fruit. Moreover, the contents of total phenolics and total flavonoids were enhanced by the combination of UT and PA treatment. The combination of UT and PA treatment could be a useful method to reduce decay and browning in loquat fruit stored at room temperature, which has potential for application in the loquat industry.

  10. Treatment Effectiveness of Amantadine Against Dengue Virus Infection.

    Science.gov (United States)

    Lin, Chieh-Cheng; Chen, Wen-Ching

    2016-12-05

    BACKGROUND About 400 million cases of dengue, a mosquito-borne disease, are reported annually, but no drug is yet available for treatment. In 1988, at Feng Lin Clinic, Taiwan, we encountered about 10,000 cases and tested various drugs before confirming an antiviral effect of amantadine against dengue virus in vitro. After we administered amantadine to patients for 1-2 days, most achieved full remission. None experienced potentially life-threatening dengue hemorrhagic fever or dengue shock syndrome. Herein, we present 34 cases from recent clinical experience that show amantadine's unusual effect against dengue virus infection. CASE REPORT We divided 34 patients with symptoms of dengue fever, confirmed by a screening test, into 3 groups: 6 Category 1 patients received amantadine at onset, 21 Category 2 patients received amantadine within 2-6 days, and 7 Contrast group patients received no amantadine because they visited other clinics or were admitted to a large hospital. When Category 1 patients were treated with amantadine 100 mg 3 times per day, all symptoms dramatically subsided within 1-2 days. In Category 2 patients, most symptoms diminished within 1-2 days after starting the same regimen. In the Contrast group, all symptoms persisted 7 days after onset. White blood cell and platelet counts in Category 1 and 2 patients recovered to normal range, but remained below low normal in the Contrast group. CONCLUSIONS Amantadine is effective and should be given as soon as possible to stop the disease course if dengue fever is confirmed through screening or clinical signs and symptoms. A well-designed larger sample study is warranted to test this effectiveness.

  11. Experimental Simulation of the Effects of an Initial Antibiotic Treatment on a Subsequent Treatment after Initial Therapy Failure

    NARCIS (Netherlands)

    Feng, Yanfang; Händel, Nadine; de Groot, Marnix H. P.; Brul, Stanley; Schultsz, Constance; ter Kuile, Benno H.

    2014-01-01

    Therapy failure of empirical antibiotic treatments prescribed by primary care physicians occurs commonly. The effect of such a treatment on the susceptibility to second line antimicrobial drugs is unknown. Resistance to amoxicillin was rapidly induced or selected in E. coli at concentrations

  12. Water infiltration and hydraulic conductivity in a natural Mediterranean oak forest: impacts of hydrology-oriented silviculture on soil hydraulic properties

    Science.gov (United States)

    Di Prima, Simone; Bagarello, Vincenzo; Bautista, Inmaculada; Cerdà, Artemi; Cullotta, Sebastiano; del Campo, Antonio; González-Sanchis, María; Iovino, Massimo; Maetzke, Federico

    2016-04-01

    Prima, S., Iovino, M., 2015. Determining hydraulic properties of a loam soil by alternative infiltrometer techniques. Hydrol. Process. doi:10.1002/hyp.10607 Andréassian, V., 2004. Waters and forests: from historical controversy to scientific debate. Journal of Hydrology 291, 1-27. doi:10.1016/j.jhydrol.2003.12.015 Assouline, S., Mualem, Y., 2002. Infiltration during soil sealing: The effect of areal heterogeneity of soil hydraulic properties. Water Resour. Res. 38, 1286. doi:10.1029/2001WR001168 Aussenac, G., Granier, A., 1988. Effects of thinning on water stress and growth in Douglas-fir. Canadian Journal of Forest Research 18, 100-105. doi:10.1139/x88-015 Bagarello, V., Di Prima, S., Iovino, M., Provenzano, G., 2014. Estimating field-saturated soil hydraulic conductivity by a simplified Beerkan infiltration experiment. Hydrological Processes 28, 1095-1103. doi:10.1002/hyp.9649 Bens, O., Wahl, N.A., Fischer, H., Hüttl, R.F., 2006. Water infiltration and hydraulic conductivity in sandy cambisols: impacts of forest transformation on soil hydrological properties. Eur J Forest Res 126, 101-109. doi:10.1007/s10342-006-0133-7 Brooks, K.N., Folliott, P.F., Gregersen, H.M., DeBano, L.F., 2003. Hydrology and the Management of Watersheds. Hydrology and the Management of Watersheds 575. Cosandey, C., Andréassian, V., Martin, C., Didon-Lescot, J.F., Lavabre, J., Folton, N., Mathys, N., Richard, D., 2005. The hydrological impact of the mediterranean forest: a review of French research. Journal of Hydrology 301, 235-249. doi:10.1016/j.jhydrol.2004.06.040 del Campo, A.D., Fernandes, T.J.G., Molina, A.J., 2014. Hydrology-oriented (adaptive) silviculture in a semiarid pine plantation: How much can be modified the water cycle through forest management? European Journal of Forest Research 133, 879-894. doi:10.1007/s10342-014-0805-7 Di Prima, S., 2015. Automated single ring infiltrometer with a low-cost microcontroller circuit. Computers and Electronics in Agriculture 118, 390-395. doi

  13. Effect of the positioning of the blades in MRT treatments

    International Nuclear Information System (INIS)

    Ortiz de Zarate Vivanco, R.; Perez Azorin, J. F.; Casquero Ocio, F.; Trueba Garayo, I.

    2013-01-01

    The attenuation of the beams of radiation that cross the treatment table is a verifiable fact that should be incorporated into the planning of the radiation treatments, especially in advanced techniques. (Author)

  14. Effect of cancer treatment on hypothalamic-pituitary function.

    Science.gov (United States)

    Crowne, Elizabeth; Gleeson, Helena; Benghiat, Helen; Sanghera, Paul; Toogood, Andrew

    2015-07-01

    The past 30 years have seen a great improvement in survival of children and young adults treated for cancer. Cancer treatment can put patients at risk of health problems that can develop many years later, most commonly affecting the endocrine system. Patients treated with cranial radiotherapy often develop dysfunction of the hypothalamic-pituitary axis. A characteristic pattern of hormone deficiencies develops over several years. Growth hormone is disrupted most often, followed by gonadal, adrenal, and thyroid hormones, leading to abnormal growth and puberty in children, and affecting general wellbeing and fertility in adults. The severity and rate of development of hypopituitarism is determined by the dose of radiotherapy delivered to the hypothalamic-pituitary axis. Individual growth hormone deficiencies can develop after a dose as low as 10 Gy, whereas multiple hormone deficiencies are common after 60 Gy. New techniques in radiotherapy aim to reduce the effect on the hypothalamic-pituitary axis by minimising the dose received. Patients taking cytotoxic drugs do not often develop overt hypopituitarism, although the effect of radiotherapy might be enhanced. The exception is adrenal insufficiency caused by glucocorticosteroids which, although transient, can be life-threatening. New biological drugs to treat cancer can cause autoimmune hypophysitis and hypopituitarism; therefore, oncologists and endocrinologists should be vigilant and work together to optimise patient outcomes. Copyright © 2015 Elsevier Ltd. All rights reserved.

  15. Clinical effectiveness of a Pilates treatment for forward head posture.

    Science.gov (United States)

    Lee, Sun-Myung; Lee, Chang-Hyung; O'Sullivan, David; Jung, Joo-Ha; Park, Jung-Jun

    2016-07-01

    [Purpose] This study compared the effects of pilates and an exercise program on the craniovertebral angle, cervical range of motion, pain, and muscle fatigue in subjects with a forward head posture (FHP). [Subjects and Methods] A total of 28 sedentary females (age 20 to 39 years) with FHP were randomly assigned to pilates (n=14) and combined (n=14) exercise groups. The study was a randomized, controlled, double-blind study with the two groups performing exercise 50 min/day, 3 days/week, with an intensity of 11-15 rating of perceived exertion (RPE) for ten weeks. The main outcome measures were craniovertebral angle, cervical range of motion (ROM), pain levels assessed by visual analog scale (VAS), and neck disability index (NDI). Surface electromyography was also used to measure muscle fatigue. [Results] There were significant increases in craniovertebral angle and cervical ROM in the pilates group, but none in the control group. The only significant differences in muscle activity were recorded in the sternocleidomastoid muscle in the pilates group. Both exercise programs had positive effects on pain measures, as VAS and NDI were significantly decreased. [Conclusion] The results suggest that pilates could be recommended as an appropriate exercise for treatment of FHP in sedentary individuals.

  16. Graves’ Disease and Treatment Effects on Warfarin Anticoagulation

    Directory of Open Access Journals (Sweden)

    Amanda Howard-Thompson

    2014-01-01

    Full Text Available Background. Hyperthyroidism causes an increased hypoprothrombinemic response to warfarin anticoagulation. Previous studies have demonstrated that patients with hyperthyroidism require lower dosages of warfarin to achieve a therapeutic effect. As hyperthyroidism is treated and euthyroidism is approached, patients may require increasing warfarin dosages to maintain appropriate anticoagulation. We describe a patient’s varying response to warfarin during treatment of Graves’ disease. Case Presentation. A 48-year-old African American female presented to the emergency room with tachycardia, new onset bilateral lower extremity edema, gradual weight loss, palpable goiter, and generalized sweating over the prior 4 months. She was admitted with Graves’ disease and new onset atrial fibrillation. Primary stroke prophylaxis was started using warfarin; the patient developed a markedly supratherapeutic INR likely due to hyperthyroidism. After starting methimazole, her free thyroxine approached euthyroid levels and the INR became subtherapeutic. She remained subtherapeutic over several months despite steadily increasing dosages of warfarin. Immediately following thyroid radioablation and discontinuation of methimazole, the patient’s warfarin dose and INR stabilized. Conclusion. Clinicians should expect an increased response to warfarin in patients with hyperthyroidism and close monitoring of the INR is imperative to prevent adverse effects. As patients approach euthyroidism, insufficient anticoagulation is likely without vigilant follow-up, INR monitoring, and increasing warfarin dosages.

  17. Effect of irradiation as quarantine treatment on citrus fruit quality

    International Nuclear Information System (INIS)

    Betancurt, Pablo; Montalban, Antonio; Arcia, Patricia; Borthagaray, Maria D.; Curutchet, Ana; Pica, Leticia; Soria, Alejandra; Abreu, Anibal V.; Ares, M. Ines

    2009-01-01

    Gamma radiations have been used to improve sanitation treatments without significant effects on fresh fruit quality. The objective of this work was to evaluate the fruit quality characteristics of citrus variety Valencia (Valencia Late), main variety produced and exported in Uruguay. All samples were stored at 3-5 deg C, 80% RH, for 20 and 40 days. Irradiation doses used were 0,35 kGy min. and 0,80 kGy max. (doses that also eliminate the fruit fly). Irradiation experiments were conducted using irradiation equipment from Atomic Center (CAE), year 1968, Co60 source, 800.000 Ci. The effects of irradiation on sensory qualities and physical characteristics were studied. The attributes evaluated were visual appearance (1- 4 hedonic scale, expert), overall acceptance (1-9 hedonic scale, consumers), texture (TAB Stevens, speed: 2m/s, distance: 2mm), yield of juice and colour (Hunter values). In general, no significant changes in these parameters were observed after irradiation. Quality was not significantly affected by doses usually applied to decrease the viability of pathogen that cause citrus Scab. This is an important contribution for the protocols that would allow citrus fruit exportation. (author)

  18. Effects of radiotherapy in the treatment of multiple myeloma

    International Nuclear Information System (INIS)

    Ochtrop, Thomas Alexander

    2015-01-01

    Palliative irradiation of osteolytic lesions is a considerable component in the treatment for patients with multiple myeloma. In this study, we analyzed the efficacy of irradiation in these patients. Patients and methods: We retrospectively analyzed 153 patients with multiple myeloma who were admitted to our department between 1989 and 2013. According to the staging system of Durie and Salmon 116 patients were classified as stage III. 107/153 patients were treated with radiotherapy of at least one and up to 6 bony lesions at different times. In order to evaluate the effect of local radiotherapy on pain relief and bone recalcification a uni- and multivariate analysis was performed using a binary logistic regression model to correct for multiple measurements. Complete information on dose, fractionation and volume of radiotherapy was available from 81 patients treated in 136 target volumes for pain relief, and from 69 patients treated in 108 target volumes for recalcification. Total radiation doses varied between 8 Gy to 50 Gy (median dose 25 Gy in 2.5 Gy fractions, 5 times a week). Results: Radiotherapy resulted in complete local pain relief in 31% and partial local pain relief in 54% of the patients. In the univariate analysis, higher total radiation doses (p = 0.023) and higher age (p = 0.014) at the time of radiotherapy were significantly associated with a higher likelihood of pain relief, whereas no significant association was detected for concurrent systemic treatment, type and stage of myeloma and location of bone lesions. The same variables were independent predictors for pain relief in the multivariate analysis. Recalcification was observed in 48% of irradiated bone lesions. In the uni- and multivariate analysis higher radiation doses were significantly associated (p = 0.048) with an increased likelihood of recalcification. Side effects of radiotherapy were generally mild. Conclusions: Higher total biological radiation doses were associated with better pain

  19. Dropout among patients in qualified alcohol detoxification treatment: the effect of treatment motivation is moderated by Trauma Load.

    Science.gov (United States)

    Odenwald, Michael; Semrau, Peter

    2013-03-21

    Motivation to change has been proposed as a prerequisite for behavioral change, although empirical results are contradictory. Traumatic experiences are frequently found amongst patients in alcohol treatment, but this has not been systematically studied in terms of effects on treatment outcomes. This study aimed to clarify whether individual Trauma Load explains some of the inconsistencies between motivation to change and behavioral change. Over the course of two months in 2009, 55 patients admitted to an alcohol detoxification unit of a psychiatric hospital were enrolled in this study. At treatment entry, we assessed lifetime Trauma Load and motivation to change. Mode of discharge was taken from patient files following therapy. We tested whether Trauma Load moderates the effect of motivation to change on dropout from alcohol detoxification using multivariate methods. 55.4% dropped out of detoxification treatment, while 44.6% completed the treatment. Age, gender and days in treatment did not differ between completers and dropouts. Patients who dropped out reported more traumatic event types on average than completers. Treatment completers had higher scores in the URICA subscale Maintenance. Multivariate methods confirmed the moderator effect of Trauma Load: among participants with high Trauma Load, treatment completion was related to higher Maintenance scores at treatment entry; this was not true among patients with low Trauma Load. We found evidence that the effect of motivation to change on detoxification treatment completion is moderated by Trauma Load: among patients with low Trauma Load, motivation to change is not relevant for treatment completion; among highly burdened patients, however, who a priori have a greater risk of dropping out, a high motivation to change might make the difference. This finding justifies targeted and specific interventions for highly burdened alcohol patients to increase their motivation to change.

  20. Effects of Different Cultivation Practices and Postharvest Treatments ...

    African Journals Online (AJOL)

    These preharvest treatments were combined with three disinfection and two storage treatments. The tomatoes were periodically analyzed for weight loss, total soluble solids, pH, titratable acidity, ascorbic acid and marketability. Preharvest ComCat® and ComCat® + manure treatments improved the quality of tomato during ...

  1. The Effectiveness of Group Treatment for Female Adult Incest Survivors

    Science.gov (United States)

    Brown, Donalee; Reyes, Sonia; Brown, Brienne; Gonzenbach, Meredith

    2013-01-01

    Very few clinicians receive training in the treatment of sexual abuse, yet during their careers many will encounter victims of sexual abuse. This article discusses the incidence of child sexual abuse, defines incest, and discusses treatment options. A review of group treatment is explored, with results being documented providing support for the…

  2. The effect of cigarette smoking on cancer treatment-related side effects.

    Science.gov (United States)

    Peppone, Luke J; Mustian, Karen M; Morrow, Gary R; Dozier, Ann M; Ossip, Deborah J; Janelsins, Michelle C; Sprod, Lisa K; McIntosh, Scott

    2011-01-01

    Cigarette smoking has long been implicated in cancer development and survival. However, few studies have investigated the impact of smoking on symptom burden in cancer survivors during treatment and at survivorship stage. This study examines the influence of cigarette smoking on side effects among 947 cancer patients during and 6 months following treatment. Patients diagnosed with cancer and scheduled to receive chemotherapy and/or radiation therapy reported on current smoking status (yes, no) and total symptom burden [the sum of 12 common symptoms (fatigue, hair loss, memory, nausea, depression, sleep, pain, concentration, hot flashes, weight loss, skin problems, and dyspnea) scored on an 11-point scale ranging from 0 = "not present" to 10 = "as bad as you can imagine"] during treatment and at 6-month follow-up. The adjusted mean total symptom burden by smoking status was determined by analysis of covariance controlling for age, gender, race, education, occupation, treatment, cancer site, and Karnofsky performance score. During treatment, smokers (S) had a significantly higher total symptom burden than nonsmokers (NS) (S = 46.3 vs. NS = 41.2; p < 0.05). At 6-month follow-up, smokers continued to report a higher total symptom burden than nonsmokers (S = 27.7 vs. NS = 21.9; p < 0.05). Participants who quit smoking before treatment levels had a total symptom burden similar to nonsmokers. Smoking was associated with an increased symptom burden during and following treatments for cancer. Targeted cessation efforts for smokers to decrease symptom burden may limit the likelihood of treatment interruptions and increase quality of life following treatment.

  3. Cost-effectiveness of treatment for alcohol problems: findings of the randomised UK Alcohol Treatment Trial (UKATT).

    OpenAIRE

    Heather, Nick; Copello, Alex; Godfrey, Christine; Hodgson, Ray; UKATT Research Team

    2005-01-01

    Objective \\ud To compare the cost effectiveness of social behaviour and network therapy, a new treatment for alcohol problems, with that of the proved motivational enhancement therapy. Design Cost effectiveness analysis alongside a pragmatic randomised trial. \\ud \\ud Setting \\ud Seven treatment sites around Birmingham, Cardiff, and Leeds. Participants 742 clients with alcohol problems; 617 (83.2%) were interviewed at 12 months and full economic data were obtained on 608 (98.5% of 617). Main e...

  4. Effectiveness and cost of treatment with maraviroc in HIV infection

    Directory of Open Access Journals (Sweden)

    Viola Sacchi

    2009-12-01

    Full Text Available Since 1995, life expectancy and quality of life of HIV patients improved significantly due to the use of Highly Active Anti-Retroviral Therapy (HAART, consisting of different combinations of three classes of antiretroviral agents, nucleoside and non-nucleoside reverse transcriptase inhibitors, and protease inhibitors. Recently, new treatment options for individuals developing resistance to these drugs have become available, with the appearance of new drug classes like integrase inhibitors, fusion inhibitors and CCR5 antagonists. Maraviroc is the first antiretroviral agent belonging to the latter drug class approved for clinical use. CCR5 receptor antagonists act by blocking the interaction of the HIV virus with the CCR5 chemokine receptor, a co-receptor essential to the entry process of R5-tropic viruses. The drug is indicated, in combination with other antiretroviral products, for treatment-experienced adult patients infected with only CCR5-tropic HIV-1 detectable virus strains. Results of main phase III clinical trials indicate that maraviroc, in combination with optimized background therapy (OBT, causes significantly greater reductions in viral load and increases in CD4+ cell count, as compared to OBT alone in this kind of patients. In Italy, the monthly cost of maraviroc therapy is about € 780. A number of economic evaluations, performed for different settings, demonstrate that the therapy including maraviroc is cost-effective if compared to OBT alone, determining an ICER generally below the threshold of three times the GDP per capita. In the Italian context, the ICER determined by OBT + maraviroc vs OBT alone is approximately 45,000 €/LYG.

  5. Side effects of intraoral devices for OSAS treatment.

    Science.gov (United States)

    Teixeira, Andressa Otranto de Britto; Andrade, Ana Luiza Ladeia; Almeida, Rhita Cristina da Cunha; Almeida, Marco Antonio de Oliveira

    2017-10-14

    Intraoral devices have increasingly assumed a key role in the treatment of obstructive sleep apnea syndrome, but there are limitations to their indication and side effects that result from their continuous use, as well as the use of the continuous positive airway pressure device. To evaluate the changes in dental positioning caused by the continuous use of mandibular advancement devices. A prospective longitudinal study with a sample of 15 patients, with evaluation of complete documentation after a mean time of 6.47 months, assessed changes in dental positioning due to the use of the Twin Block oral device for the treatment of patients with apnea. The following variables were evaluated: overjet, overbite, upper and lower intermolar distances, upper and lower intercanine distances, Little's irregularity index and the incisor mandibular plane angle. An intraclass correlation test was performed and a correlation index>0.08 was accepted. After verifying the normal sample distribution (Shapiro-Wilks), a parametric test was used (t test), with a significance level set at 5%. There was a decrease in the values of overjet, overbite and Little's irregularity index, whereas there was an increase in the lower intercanine distance and IMPA values. All these variables are influenced, at different levels, by the forward inclination of the lower incisors, an action that can be expected due to the force applied by the device on the dentition. The other variables did not show statistically significant differences. After a mean time of 6.47 months of use of the mandibular advancement device, there were statistically significant changes in the dental positioning, but they were not clinically relevant. However, it is relevant that this device is commonly in use over long periods of time, making the monitoring of these patients of the utmost importance for the duration of their therapy. Copyright © 2017 Associação Brasileira de Otorrinolaringologia e Cirurgia C

  6. Deep RF-hyperthermia: an effective treatment of advanced gliomas

    International Nuclear Information System (INIS)

    Sahinbas, H.; Groenemeyer, D.H.W.

    2005-01-01

    Full text: Contrary to the enormous efforts, results of conventional treatments of high-grade malignant gliomas are unsatisfactory. The prognosis of that tumor type is poor, its overall median survival time (MST) less than a year. Most of the cases are inoperable or only partially resectable, and their response to the various chemotherapies and/or radiotherapy is poor. The chemo-therapies which are successful for other locations often fail due to the effective brain-blood barrier (BBB). Probably the modification of the BBB by electromagnetic fields together with the direct electromagnetic-field heating are the main factors for the success of electro-hyperthermia. Primary aim of this study was to present the therapy tolerance for patients of electro-hyperthermia (EHY) for advanced malignant gliomas and as main intention to show the increase of the median survival time (MST). Our study was performed between 2000 - 2004; for patients with inoperable, partially resected or recurrent gliomas (WHO grade III and IV) with progression after radio- and/or chemotherapy and a Karnofsky Performance Score ≤30-40 %. 105 pts were involved in this study: 38 astrocytoma pts, 56 glioblastoma pts and 12 pts with other brain malignancies. All patients were heavily and unsatisfactory pretreated. EHY was applied over 4 weeks, 3 times a week over 1 hour in average by 100 Watt, as mono- or combined therapy (chemotherapy, irradiation therapy). The set of patients as well as the frequency of EHY was well documented for future evaluations. The historic reference of the MST from the first diagnosis for gliomas grade III and IV in our institute is 11.42 months (range 1-62), which is in good agreement with the relevant literature. The median survival time (MST) in our institute with EHY increases to 44.2 m, 23.2 m and 61.0 m for astrocytoma, glioblastoma and other brain malignancies, respectively. The therapy results were controlled by MRI images. EHY is a feasible treatment for advanced

  7. Radiation Synovectomy: an effective alternative treatment for inflamed small joints.

    Science.gov (United States)

    Karavida, N; Notopoulos, A

    2010-01-01

    An inflamed painful joint is one of the most common indications for the patient to be referred to a rheumatologist or an orthopedician. In relation to the aetiology, the therapeutic approach might be systemic, local or a combination of them in some cases, always with the thought of balancing risk with benefit for the patient. In all cases, independently of the cause, the goal of therapy is to improve the quality of life through the reduction of pain, improvement of mobility and preservation of function. Nuclear Medicine has to offer Radiosynoviorthesis, an effective alternative procedure for treating inflamed small joints. Various radionuclides are available for radiosynoviorthesis. Their selection depends on the size of the joint to be treated. Small joints are mainly treated with [169Er] erbium under a fluoroscopic or sonographic guidance, usually with a simultaneous instillation of a corticoid. Candidates for radiosynoviorthesis should have been under a six-month systemic treatment without encouraging results or should have undergone at least one unsuccessful intra-articular injection of a long acting glucocorticoid. Since 1973, when [169Er] erbium was firstly suggested as a therapeutic agent for radiosynoviorthesis of the finger joints, there has been quite enough experience in its' application. It has been found to be cost effective in providing long term relief of pain and deformity of the inflamed joints in comparison to other therapeutic approaches. Additionally, there is no radiation risk and can be performed on an out patient basis. Therefore it can stand as an effective alternative procedure for treating early stages of chronic synovitis in RA (rheumatoid arthritis) patients, with minor damage of the cartilage and the adjacent bones, and for synovitis secondary to inflammatory arthropathies.

  8. Effectiveness of a pre-treatment snack on the uptake of mass treatment for schistosomiasis in Uganda

    DEFF Research Database (Denmark)

    Muhumuza, Simon; Olsen, Annette; Katahoire, Anne

    2014-01-01

    -treatment snack on uptake of mass treatment.Methods and Findings:In a cluster randomized trial carried out in Jinja district, Uganda, 12 primary schools were randomized into two groups; one received education messages for schistosomiasis prevention for two months prior to mass treatment, while the other......, in addition to the education messages, received a pre-treatment snack shortly before mass treatment. Four weeks after mass treatment, uptake of praziquantel was assessed among a random sample of 595 children in the snack schools and 689 children in the non-snack schools as the primary outcome. The occurrence...... of side effects and the prevalence and mean intensity of Schistosoma mansoni infection were determined as the secondary outcomes. Uptake of praziquantel was higher in the snack schools, 93.9% (95% CI 91.7%-95.7%), compared to that in the non-snack schools, 78.7% (95% CI 75.4%-81.7%) (p = 0...

  9. Effect of Anti-inflammatory Treatment on Depression, Depressive Symptoms, and Adverse Effects

    DEFF Research Database (Denmark)

    Köhler, Ole; Benros, Michael E; Nordentoft, Merete

    2014-01-01

    -controlled trials assessing the efficacy and adverse effects of pharmacologic anti-inflammatory treatment in adults with depressive symptoms, including those who fulfilled the criteria for depression. DATA EXTRACTION AND SYNTHESIS: Data were extracted by 2 independent reviewers. Pooled standard mean difference (SMD...... investigated cytokine inhibitors (n=2,004). The pooled effect estimate suggested that anti-inflammatory treatment reduced depressive symptoms (SMD, -0.34; 95% CI, -0.57 to -0.11; I2=90%) compared with placebo. This effect was observed in studies including patients with depression (SMD, -0.54; 95% CI, -1.......08 to -0.01; I2=68%) and depressive symptoms (SMD, -0.27; 95% CI, -0.53 to -0.01; I2=68%). The heterogeneity of the studies was not explained by differences in inclusion of clinical depression vs depressive symptoms or use of NSAIDs vs cytokine inhibitors. Subanalyses emphasized the antidepressant...

  10. Media advertising effects on consumer perception of orthodontic treatment quality.

    Science.gov (United States)

    Edwards, Daenya T; Shroff, Bhavna; Lindauer, Steven J; Fowler, Chad E; Tufekci, Eser

    2008-09-01

    To determine the effect of media advertising on consumer perception of orthodontic treatment quality. A survey instrument was designed to evaluate factors influencing consumer selection of an orthodontist and consumer perception of different forms of media advertising (radio, television, newspaper, magazine, direct mail, and billboard) by orthodontic practices. The surveys were distributed by eight orthodontic offices in and around the Richmond, Virginia area. The survey return rate was 97%. Respondents most often cited dentist and patient referrals as how they learned of the orthodontic practices they visited (50% to 57%). A caring attitude and good practitioner reputation were the top reasons influencing actual selection of an orthodontist (53% and 49%, respectively). Of respondents, 14% to 24% felt that advertising orthodontists would offer a lower quality of care than nonadvertising orthodontists. Newspaper, magazine, and direct mail advertisements were viewed more favorably than radio, television, and billboard advertisements. Chi-square analyses revealed few statistically significant differences in perception between different income and education groups. The majority of patients do not perceive advertising to reflect poorly on the quality of orthodontic care. However, patients with different income and education levels perceive media advertising differently.

  11. Effect of germination and thermal treatments on folates in rye.

    Science.gov (United States)

    Kariluoto, Susanna; Liukkonen, Kirsi-Helena; Myllymäki, Olavi; Vahteristo, Liisa; Kaukovirta-Norja, Anu; Piironen, Vieno

    2006-12-13

    Effects of germination conditions and thermal processes on folate contents of rye were investigated. Total folate contents were determined microbiologically with Lactobacillus rhamnosus (ATCC 7469) as the growth indicator organism, and individual folates were determined by high-performance liquid chromatography after affinity chromatographic purification. Germination increased the folate content by 1.7-3.8-fold, depending on germination temperature, with a maximum content of 250 micro g/100 g dry matter. Hypocotylar roots with their notably high folate concentrations (600-1180 micro g/100 g dry matter) contributed 30-50% of the folate contents of germinated grains. Germination altered the proportions of folates, increasing the proportion of 5-methyltetrahydrofolate and decreasing the proportion of formylated folate compounds. Thermal treatments (extrusion, autoclaving and puffing, and IR and toasting) resulted in significant folate losses. However, folate levels in grains that were germinated and then were heat processed were higher than for native (nongerminated) grains. Opportunities to optimize rye processing to enhance folate levels in rye-based foods are discussed.

  12. Effectiveness of Computer-Based Treatment for Dyslexia in a Clinical Care Setting: Outcomes and Moderators

    Science.gov (United States)

    Tijms, Jurgen

    2011-01-01

    The clinical effectiveness of a treatment for children with dyslexia was examined, as well as the moderating impact of plausible cognitive and socio-economic factors on treatment success. Results revealed that the treatment group accrued significant greater gains than the control group in reading and spelling skills. The treatment group obtained a…

  13. Effects of fuel treatments on carbon-disturbance relationships in forests of the northern Rocky Mountains

    Science.gov (United States)

    Elizabeth Reinhardt; Lisa Holsinger

    2010-01-01

    Fuel treatments alter conditions in forested stands at the time of the treatment and subsequently. Fuel treatments reduce on-site carbon and also change the fire potential and expected outcome of future wildfires, including their carbon emissions. We simulated effects of fuel treatments on 140 stands representing seven major habitat type groups of the northern Rocky...

  14. Effect of pre-cooling and heat treatment on antioxidant enzymes ...

    African Journals Online (AJOL)

    Effect of pre-cooling and heat treatment on antioxidant enzymes profile of mango and banana. ... In banana, pre-cooling treatment (8 ºC) and heat treatment followed by cooling reduced CAT activity in peel and pulp, whereas POX activity increased. Pre-cooling and heat treatments altered normal homeostasis of these fruits, ...

  15. Effect of variations in treatment regimen and liver cirrhosis on exposure to benzodiazepines during treatment of alcohol withdrawal syndrome

    Directory of Open Access Journals (Sweden)

    Pavel Gershokovich

    2015-08-01

    Full Text Available Purpose: Benzodiazepines (BDZs are the drugs of choice to prevent the symptoms of alcohol withdrawal syndrome (AWS. Various treatment protocols are published and have been shown to be effective in both office-managed and facility-managed treatment of AWS. The aim of this scientific commentary is to demonstrate the differences in the expected exposure to BDZs during AWS treatment using different treatment regimens available in the literature, in patients with or without alcoholic liver cirrhosis. Methods: Diazepam and lorazepam AWS protocols were examined and reviewed in the literature, and blood plasma levels were examined and compared, respectively. Results: Considerable variation in the blood levels with the different dosing schedules was found. Because the drugs are metabolized differently, we have also shown that liver disease affects the blood levels of diazepam, but not of lorazepam. Conclusions: Differences in treatment regimens, the choice of BDZ, as well as the presence of liver cirrhosis can substantially alter the exposure of patients to drugs used for AWS treatment. Outpatient treatment of AWS has been shown to be relatively safe and effective for the treatment of AWS but patients should be carefully monitored.

  16. Effectiveness of propanolol for treatment of infantile haemangioma

    DEFF Research Database (Denmark)

    Andersen, Ida Gillberg; Rechnitzer, Catherine; Charabi, Birgitte

    2014-01-01

    INTRODUCTION: Infantile haemangiomas (IH) are the most common benign tumours in children. They are characterised by rapid growth during the first year of life followed by spontaneous regression during childhood. Indications for treatment are functional impairment, bleeding/ulceration, rapid growth...... and severe aesthetic risk. Recently, systemic treatment with propranolol has become the first-line therapy. The objective of this study was to assess the efficacy of propranolol in the treatment of IH and to investigate whether treatment with a low dose of 1 mg/kg/day was sufficient. MATERIAL AND METHODS...... large residual changes. FUNDING: not relevant. TRIAL REGISTRATION: not relevant....

  17. Effect of surface treatment of tailings on effluent quality

    International Nuclear Information System (INIS)

    Murray, D.R.; Okuhara, D.

    1980-01-01

    Lysimeters containing 125 tons of mine tailings were used to determine the impact of gravel, sawdust, and vegetation as surface treatments on the quality and quantity of effluent produced from sulfide-containing uranium mill tailings. Over a 5-yr period, treatments did not alter the effluent quality to a level acceptable to regulatory requirements. The concentration of iron, copper, lead, aluminum, and sulfate increased with the rise of acidity during this period. However, the rate and extent of changes did vary with the treatment. The role of surface treatment in long-term waste abandonment must be investigated further

  18. A SIMPLE AND EFFECTIVE TREATMENT FOR PERICHONDRITIS TO PREVENT REACCUMULATION

    Directory of Open Access Journals (Sweden)

    Pampa Pathi Goud

    2015-11-01

    Full Text Available OBJECTIVE: A simple treatment for perichondritis to prevent reaccumulation by using a drain. Existing treatment for this condition is initially medical, surgical (incision and drainage and compression to prevent recurrence with accompanying medical management. However the result is often a failure, resulting in partial or complete cauliflower ear deformity. PROCEDURE: Treatment involves to drain the site of infection and placing a drain to prevent reaccumulation. RESULT: The prescribed treatment avoids reaccumulation of fluid and repeated drainage. CONCLUSION: This method can be implemented for routine minor OT practice.

  19. Effective medical treatment of opiate addiction. National Consensus Development Panel on Effective Medical Treatment of Opiate Addiction.

    Science.gov (United States)

    1998-12-09

    release at the conference and was updated with the panel's final revisions. Opiate dependence is a brain-related medical disorder that can be effectively treated with significant benefits for the patient and society, and society must make a commitment to offer effective treatment for opiate dependence to all who need it. All persons dependent on opiates should have access to methadone hydrochloride maintenance therapy under legal supervision, and the US Office of National Drug Control Policy and the US Department of Justice should take the necessary steps to implement this recommendation. There is a need for improved training for physicians and other health care professionals. Training to determine diagnosis and treatment of opiate dependence should also be improved in medical schools. The unnecessary regulations of methadone maintenance therapy and other long-acting opiate agonist treatment programs should be reduced, and coverage for these programs should be a required benefit in public and private insurance programs.

  20. Effective suppression of bystander effects by DMSO treatment of irradiated CHO cells

    International Nuclear Information System (INIS)

    Kashino, Genro; Prise, K.M.; Suzuki, Keiji

    2007-01-01

    Evidence is accumulating that irradiated cells produce some signals which interact with non-exposed cells in the same population via a bystander effect. Here, we examined whether dimethyl sulfoxide (DMSO) is effective in suppressing radiation induced bystander effects in Chinese hamster ovary (CHO) and repair deficient xrs5 cells. When 1 Gy-irradiated CHO cells were treated with 0.5% DMSO for 1 hr before irradiation, the induction of micronuclei in irradiated cells was suppressed to 80% of that in non-treated irradiated cells. The suppressive effect of DMSO on the formation of bystander signals was examined and the results demonstrated that 0.5% DMSO treatment of irradiated cells completely suppressed the induction of micronuclei by the bystander effect in non-irradiated cells. It is suggested that irradiated cells ceased signal formation for bystander effects by the action of DMSO. To determine the involvement of reactive oxygen species on the formation of bystander signals, we examined oxidative stress levels using the 2',7'-dichlorofluorescein (DCFH) staining method in irradiated populations. The results showed that the treatment of irradiated cells with 0.5% DMSO did not suppress oxidative stress levels. These results suggest that the prevention of oxidative stress is independent of the suppressive effect of DMSO on the formation of the bystander signal in irradiated cells. It is suggested that increased reactive oxygen species (ROS) in irradiated cells is not a substantial trigger of a bystander signal. (author)

  1. Bone turnover in postmenopausal osteoporosis. Effect of calcitonin treatment.

    Science.gov (United States)

    Civitelli, R; Gonnelli, S; Zacchei, F; Bigazzi, S; Vattimo, A; Avioli, L V; Gennari, C

    1988-10-01

    To investigate the effectiveness of calcitonin treatment of postmenopausal osteoporosis in relation to bone turnover, we examined 53 postmenopausal osteoporotic women before and after one year of therapy with salmon calcitonin (sCT), at the dose of 50 IU every other day. Baseline evaluation revealed that 17 (32%) patients had high turnover (HTOP), and 36 (68%) normal turnover osteoporosis (NTOP) as assessed by measurement of whole body retention (WBR) of 99mTc-methylene diphosphonate. The two groups did not differ in terms of bone mineral content (BMC) measured by dual photon absorptiometry at both lumbar spine and femoral diaphysis. However, HTOP patients had higher levels of serum osteocalcin (OC) and urinary hydroxyproline excretion (HOP/Cr). Multivariate regression analysis showed no correlation between parameters of bone turnover (WBR, OC, HOP/Cr) and both femoral and vertebral bone density; the latter being negatively correlated only with the years elapsed since menopause (R2 = 0.406). Treatment with sCT resulted in a significant increase of vertebral BMC in the 53 patients taken as a whole group (+/- 7%, P less than 0.001). When the results obtained in HTOP and NTOP were analyzed separately, only those with HTOP showed a marked increment of spinal BMC (+22%, P less than 0.001), NTOP subjects neither gained nor lost bone mineral during the study. Femoral BMC decreased in the whole group after sCT therapy (-3%, P less than 0.003). However, HTOP patients maintained initial BMC values, whereas those with NTOP lost a significant amount of bone during the study period (-5%, P less than 0.001). The increase of vertebral bone mass was associated with a marked depression of bone turnover detectable in both subsets of patients and in the whole group. (a) assessment of bone turnover cannot help predict the severity of bone loss in postmenopausal osteoporosis; (b) calcitonin therapy appears to be particularly indicated for patients with high-turnover osteoporosis

  2. Effectiveness of radioiodine therapy in treatment of hyperthyroidism.

    Science.gov (United States)

    Alam, M N; Chakrabarty, R K; Akhter, M; Nahar, N; Swapan, M K; Alam, M M; Nahar, R; Sultana, N; Hallaz, M M; Alam, M M; Uddin, M M; Hossain, M A; Yasmin, S; Islam, M R

    2013-10-01

    The present non randomized clinical trial was conducted in the Center for Nuclear Medicine and Ultrasound, Mymensingh, Bangladesh for duration of one year. Total 30 patients with hyperthyroidism diagnosed by clinical and biochemical profile were included in the study. All patients received radioiodine treatment and regular follow up at 1st month, 3rd month, 6th month & 9th month were done to evaluate clinical and biochemical status and complications. Data were analyzed by computer with SPSS programme using 't' test and chi-square test. In the present study, out of 30 respondents more than three fourth of the respondents (76.6%) were in the age group of 31-50 years followed by less than 30 years are group (16.7%) and rest of respondents were in the age group of more than 50 years (06.7%). Mean±SD and range of age of the respondents were 39.80±10.02 years and 17-65 years respectively. Among the 30 respondents 11(36.7%) were male and 19(63.3%) were female. Male to female ratio was 1:1.73. Out of 30 patients 26(86.7%) presented with goiter and among them 21(80.8%) has diffused goiter and five (19.2%) had nodular goiter. Baseline mean±SD, median, range of serum T₃ level were 5.24±3.62, 4.34, 1.48-14.65nmol/L respectively. Base line mean±SD, median range of serum T₄ level were 192.25±99.17, 201.77, 1.75-336.25nmol/L respectively. Baseline mean±SD, median range of serum TSH level were 6.33±23.93, 0.15-0.07, 130.46nmol/L respectively. In the present study serum T₃, T₄ level among the respondents sharply decrease from baseline to 2nd follow up then gradually decrease from 2nd to 4th follow up. Serum TSH level gradually increases from baseline to 3rd follow up and then gradually decreases from 3rd to 4th follow up. The result showed radioiodine is an effective option for the treatment of thyrotoxicosis.

  3. Thinning and riparian buffer configuration effects on down wood abundance in headwater streams in coniferous forests

    Science.gov (United States)

    Adrian Ares; Deanna H. Olson; Klaus J. Puettmann

    2013-01-01

    Down wood is associated with the function, structure, and diversity of riparian systems. Considerable knowledge has been generated regarding down wood stocks and dynamics in temperate forests, but there are few studies on effects of silvicultural practices and riparian buffer design on down wood, particularly in headwater streams. We analyzed interactive eff ects of...

  4. Assessing Side Effects of Pharmacotherapy Treatment of Bipolar Disorder: A 20-Year Review of the Literature

    Science.gov (United States)

    Matson, Johnny L.; Gonzalez, Melissa L.; Smith, Kimberly R.; Terlonge, Cindy; Thorson, Ryan T.; Dixon, Dennis R.

    2006-01-01

    A substantial literature on the effective treatment of bipolar disorder has begun to appear, particularly in the last 20 years.The majority of treatments studied have employed medications, particularly mood stabilizers, a typical antipsychotics and antidepressants. Most treatments produce side effects and medications are no exception. A review of…

  5. Effect of heat moisture treatment and annealing on physicochemical ...

    African Journals Online (AJOL)

    Red sorghum starch was physically modified by annealing and heat moisture treatment. The swelling power and solubility increased with increasing temperature range (60-90°), while annealing and heatmoisture treatment decreased swelling power and solubility of starch. Solubility and swelling were pH dependent with ...

  6. Effect of Organizational Climate on Youth Outcomes in Residential Treatment

    Science.gov (United States)

    Jordan, Neil; Leon, Scott C.; Epstein, Richard A.; Durkin, Elizabeth; Helgerson, Jena; Lakin-Starr, Brittany L.

    2009-01-01

    This study examined the association between organizational climate and changes in internalizing and externalizing behavior for youth in residential treatment centers (RTCs). The sample included 407 youth and 349 front-line residential treatment staff from 17 RTCs in Illinois. Youth behavior was measured using the Child Functional Assessment Rating…

  7. Thyroid cancer treatment : Long-term effects and new developments

    NARCIS (Netherlands)

    Klein Hesselink, Esther

    2016-01-01

    Thyroid cancer is increasingly common. This is especially the case for differentiated thyroid cancer (DTC), which has a favorable prognosis. Treatment consists of surgical removal of the thyroid gland, radioiodine treatment, and life-long administration of relatively high doses of thyroid hormone.

  8. Effects of source, water conditioning and thermal treatment on ...

    African Journals Online (AJOL)

    at 15 % moisture content amounting to 61.3 MJ was the optimum thermal treatment for achieving germination of 69 %. R. heudelotii seeds soaked in water for 15 days at moisture content of 24 % over dry weight followed by thermal treatment improved germination by 22 %. The highest germination of 79 % was obtained for ...

  9. Lithium in older patients: treatment patterns and somatic adverse effects

    NARCIS (Netherlands)

    van Melick, E.J.M.

    2014-01-01

    Lithium has been used in psychiatry for over 60 years and is still one of the first-line treatments in bipolar disorder. It is also used as augmentation to antidepressants in treatment resistant depression. Age-dependent changes in lithium pharmacokinetics and pharmacodynamics may influence lithium

  10. Effect of surface treatment of tailings on effluent quality

    International Nuclear Information System (INIS)

    Murray, D.R.

    1980-01-01

    Successful reclamation treatment, in preparation for long range abandonment of mining wastes, involves both surface treatment and water quality control containment of waste solids and liquid contaminants. This paper describes use of lysimeters containing 125 tonnes of tailings to determine the impact of gravel, sawdust, and vegetation as surface treatments on the quality and quantity of effluent produced from sulphide-containing uranium mill tailings. Over a five-year period these treatments were observed and compared with bare tailings where no surface addition was made. The treatments did not alter the effluent quality to a level acceptable to regulatory requirements. Surface treatments did not appear to affect the leaching of Ra-226, NH 4 and NO 3 . The concentration of Fe, SO 4 , Cu, Pb, and Al increased with the rise of acidity as the pH changed from pH 9.5 to pH 2 in four and one-half years. However the rate and extent of changes of some of these parameters vary with the treatment. The experimental results for the observed trends are presented with limited explanation. Original design problems and unexpected delays in tailing reactions have made firm conclusions impossible at this stage. These data, however, provide a base for further investigation and development of explanations and firm conclusions, as to the role of surface treatment in long-term waste abandonment

  11. No pain, no gain. Measuring treatment effects in fybromyalgia

    NARCIS (Netherlands)

    Zijlstra, Tjeerd Roelof

    2007-01-01

    Fibromyalgia syndrome (FM) is a condition of chronic pain, fatigue and other symptoms without a known anatomical substrate. Until now, treatment is mostly unsatisfactory; empirical studies on pharmacological and non-pharmacological treatment strategies in FM are needed. Following an overview of FM

  12. The effect of stimulant and sedative use on treatment outcome of patients admitted to methadone maintenance treatment.

    Science.gov (United States)

    DeMaria, P A; Sterling, R; Weinstein, S P

    2000-01-01

    While methadone maintenance treatment (MMT) has been demonstrated to be an effective treatment for opiate dependence, its impact on the treatment outcome of other illicit drug abuse is not as clear. Using the initial urine drug screen (UDS) and follow-up UDS at 1, 6, 12, and 24 months, 167 patients consecutively admitted to MMT were evaluated for opiate, sedative (predominantly benzodiazepine), and stimulant (predominantly cocaine) use. Retention for the opiate only group was 97.32 days longer on average than for patients using opiates along with stimulants, sedatives, or both stimulants and sedatives. Patients abusing opiates only had the greatest decrease in drug use; however, MMT was also associated with decreases in cocaine and sedative use over the 24 month follow-up period. There was no evidence that patients "switched" their drugs of abuse with time in treatment. The negative impact of non-opiate drug use on outcome in MMT and its implications for treatment planning are discussed.

  13. Effective antiprotease-antibiotic treatment of experimental anthrax

    Directory of Open Access Journals (Sweden)

    MacAfee Rebecca

    2005-04-01

    factors of B. anthrasis, which can be considered as effective therapeutic targets in the development of anthrax treatment and prophylactic approaches complementing anti-lethal toxin therapy.

  14. Effects of chronic treatment with 7-nitroindazole in hyperthyroid rats.

    Science.gov (United States)

    Wangensteen, Rosemary; Rodríguez-Gómez, Isabel; Moreno, Juan Manuel; Alvarez-Guerra, Miriam; Osuna, Antonio; Vargas, Félix

    2006-11-01

    This study analyzed the contribution of neuronal nitric oxide synthase (nNOS) to the hemodynamic manifestations of hyperthyroidism. The effects on hyperthyroid rats of the chronic administration of 7-nitroindazole (7-NI), an inhibitor of nNOS, were studied. Six groups of male Wistar rats were used: control, 7-NI (30 mg.kg-1.day-1 by gavage), T(4)50, T(4)75 (50 or 75 microg thyroxine.rat-1.day-1, respectively), T(4)50+7-NI, and T(4)75+7-NI. All treatments were maintained for 4 wk. Body weight, tail systolic blood pressure (SBP), and heart rate (HR) were recorded weekly. Finally, SBP, pulse pressure (PP), and HR were measured in conscious rats, and morphological, metabolic, plasma, and renal variables were determined. Expression of nNOS in the hypothalamus of T(4)75 and control rats was analyzed by Western blot analysis. The response of mean arterial pressure (MAP) to pentolinium (10 mg/kg iv) was used to evaluate the sympathetic contribution to BP in T(4)75 and T(4)75+7-NI rats. T(4) produced an increased hypothalamic nNOS expression and dose-related increases in blood pressure (BP), HR, and PP vs. control rats. 7-NI did not modify BP or any other hemodynamic variable in normal rats. However, 7-NI produced a marked reduction in BP, HR, PP, and food and water intake in both hyperthyroid groups and improved creatinine clearance in the T(4)75 group. Pentolinium produced a greater MAP decrease in the T(4)75+7-NI than in the T(4)75 group. In conclusion, administration of 7-NI attenuates the hemodynamic and metabolic manifestations of hyperthyroidism, suggesting that nNOS contributes to the hyperdynamic circulation of this endocrine disease by modulating sympathetic activity.

  15. Dropout among patients in qualified detoxification treatment : the effect of treatment motivation is moderated by trauma load

    OpenAIRE

    Odenwald, Michael; Semrau, Peter

    2013-01-01

    Background: Motivation to change has been proposed as a prerequisite for behavioral change, although empirical results are contradictory. Traumatic experiences are frequently found amongst patients in alcohol treatment, butthis has not been systematically studied in terms of effects on treatment outcomes. This study aimed to clarify whether individual Trauma Load explains some of the inconsistencies between motivation to change andbehavioral change.Methods: Over the course of two months in 20...

  16. Effectiveness of low intensity behavioral treatment for children with autism spectrum disorder and intellectual disability

    NARCIS (Netherlands)

    Peters-Scheffer, N.C.; Didden, H.C.M.; Mulders, M.; Korzilius, H.P.L.M.

    2013-01-01

    To determine the effectiveness of low intensity behavioral treatment (LIBT) supplementing regular treatment in young children with autism spectrum disorder (ASD) and intellectual disability (ID) standardized tests of cognition, adaptive behavior, interpersonal relations, play, language,

  17. A quantitative method to evaluate microbial electrolysis cell effectiveness for energy recovery and wastewater treatment

    KAUST Repository

    Ivanov, Ivan; Ren, Lijiao; Siegert, Michael; Logan, Bruce E.

    2013-01-01

    Microbial electrolysis cells (MECs) are potential candidates for sustainable wastewater treatment as they allow for recovery of the energy input by producing valuable chemicals such as hydrogen gas. Evaluating the effectiveness of MEC treatment

  18. Potential ecological and economic consequences of climate-driven agricultural and silvicultural transformations in central Siberia

    Science.gov (United States)

    Tchebakova, Nadezhda M.; Zander, Evgeniya V.; Pyzhev, Anton I.; Parfenova, Elena I.; Soja, Amber J.

    2014-05-01

    Increased warming predicted from general circulation models (GCMs) by the end of the century is expected to dramatically impact Siberian forests. Both natural climate-change-caused disturbance (weather, wildfire, infestation) and anthropogenic disturbance (legal/illegal logging) has increased, and their impact on Siberian boreal forest has been mounting over the last three decades. The Siberian BioClimatic Model (SiBCliM) was used to simulate Siberian forests, and the resultant maps show a severely decreased forest that has shifted northwards and a changed composition. Predicted dryer climates would enhance the risks of high fire danger and thawing permafrost, both of which challenge contemporary ecosystems. Our current goal is to evaluate the ecological and economic consequences of climate warming, to optimise economic loss/gain effects in forestry versus agriculture, to question the relative economic value of supporting forestry, agriculture or a mixed agro-forestry at the southern forest border in central Siberia predicted to undergo the most noticeable landcover and landuse changes. We developed and used forest and agricultural bioclimatic models to predict forest shifts; novel tree species and their climatypes are introduced in a warmer climate and/or potential novel agriculture are introduced with a potential variety of crops by the end of the century. We applied two strategies to estimate climate change effects, motivated by forest disturbance. One is a genetic means of assisting trees and forests to be harmonized with a changing climate by developing management strategies for seed transfer to locations that are best ecologically suited to the genotypes in future climates. The second strategy is the establishment of agricultural lands in new forest-steppe and steppe habitats, because the forests would retreat northwards. Currently, food, forage, and biofuel crops primarily reside in the steppe and forest-steppe zones which are known to have favorable

  19. Effect of heat treatment on carbon steel pipe welds

    International Nuclear Information System (INIS)

    Mohamad Harun.

    1987-01-01

    The heat treatment to improve the altered properties of carbon steel pipe welds is described. Pipe critical components in oil, gasification and nuclear reactor plants require adequate room temperature toughness and high strength at both room and moderately elevated temperatures. Microstructure and microhardness across the welds were changed markedly by the welding process and heat treatment. The presentation of hardness fluctuation in the welds can produce premature failure. A number of heat treatments are suggested to improve the properties of the welds. (author) 8 figs., 5 refs

  20. Tooth positioners and their effects on treatment outcome.

    Science.gov (United States)

    Pravindevaprasad, A; Therese, Beena Agnes

    2013-07-01

    Malocclusion can also be corrected by means of clear removable appliances called as "tooth positioners" or "aligners". A tooth positioner is used to control settling and to minimize or eliminate relapse of the teeth after an orthodontic treatment. In this article, a complete review of the objectives, course of treatment, fabrication, and the materials used for fabrication of tooth positioners along with their importance and disadvantages were discussed. Tooth positioners did improve the overall orthodontic treatment outcome as quantified by the ABO (American Board of orthodontics) objective scoring method. But once the initial occlusal contact was achieved, the vertical movement of teeth was found to be inhibited.

  1. Biological effective dose evaluation in gynaecological brachytherapy: LDR and HDR treatments, dependence on radiobiological parameters, and treatment optimisation.

    Science.gov (United States)

    Bianchi, C; Botta, F; Conte, L; Vanoli, P; Cerizza, L

    2008-10-01

    This study was undertaken to compare the biological efficacy of different high-dose-rate (HDR) and low-dose-rate (LDR) treatments of gynaecological lesions, to identify the causes of possible nonuniformity and to optimise treatment through customised calculation. The study considered 110 patients treated between 2001 and 2006 with external beam radiation therapy and/or brachytherapy with either LDR (afterloader Selectron, (137)Cs) or HDR (afterloader microSelectron Classic, (192)Ir). The treatments were compared in terms of biologically effective dose (BED) to the tumour and to the rectum (linear-quadratic model) by using statistical tests for comparisons between independent samples. The difference between the two treatments was statistically significant in one case only. However, within each technique, we identified considerable nonuniformity in therapeutic efficacy due to differences in fractionation schemes and overall treatment time. To solve this problem, we created a Microsoft Excel spreadsheet allowing calculation of the optimal treatment for each patient: best efficacy (BED(tumour)) without exceeding toxicity threshold (BED(rectum)). The efficacy of a treatment may vary as a result of several factors. Customised radiobiological evaluation is a useful adjunct to clinical evaluation in planning equivalent treatments that satisfy all dosimetric constraints.

  2. [Treatment of cloud radiative effects in general circulation models

    International Nuclear Information System (INIS)

    Wang, W.C.

    1993-01-01

    This is a renewal proposal for an on-going project of the Department of Energy (DOE)/Atmospheric Radiation Measurement (ARM) Program. The objective of the ARM Program is to improve the treatment of radiation-cloud in GCMs so that reliable predictions of the timing and magnitude of greenhouse gas-induced global warming and regional responses can be made. The ARM Program supports two research areas: (I) The modeling and analysis of data related to the parameterization of clouds and radiation in general circulation models (GCMs); and (II) the development of advanced instrumentation for both mapping the three-dimensional structure of the atmosphere and high accuracy/precision radiometric observations. The present project conducts research in area (I) and focuses on GCM treatment of cloud life cycle, optical properties, and vertical overlapping. The project has two tasks: (1) Development and Refinement of GCM Radiation-Cloud Treatment Using ARM Data; and (2) Validation of GCM Radiation-Cloud Treatment

  3. Assessment of wastewater treatment plant effluent effects on fish reproduction

    Science.gov (United States)

    Wastewater treatment plant (WWTP) effluents are known contributors of chemical mixtures into the environment. Of particular concern are endocrine-disrupting compounds that can affect hypothalamic-pituitary-gonadal axis function in exposed organisms. The present study examined t...

  4. Effects of corona discharge treatment on some properties of wool ...

    African Journals Online (AJOL)

    Yomi

    2011-12-21

    Dec 21, 2011 ... Corona discharge after operation worsted water absorption property increased and the ... finally conditioned with atmospheric air (20°C, relative humidity ... For corona treatment, a glow discharge generator was used with a.

  5. Breast Cancer: Treatment, Outcomes, and Cost-Effectiveness

    National Research Council Canada - National Science Library

    McClellan, Mark

    2000-01-01

    ...) use Medicare data, linked SEER cancer registry data, and claims data from large firms to analyze trends in diagnosis rates and staging, treatment, expenditures, and outcomes for Americans with breast cancer; and (3...

  6. Potential Climate-driven Silvicultural and Agricultural Transformations in Siberia in the 21 Century

    Science.gov (United States)

    Tchebakova, N. M.; Parfenova, E. I.; Shvetsov, E.; Soja, A. J.

    2017-12-01

    Simulations of Siberian forests in a changing climate showed them to be changed in composition, decreased, and shifted northwards. Our goals were to evaluate the ecological consequences for the forests and agriculture in Siberia and to offer adaptive measures that may be undertaken to minimize negative consequences and maximize benefits from a rapidly changing environment in the socially important region of southern Siberia. We considered two strategies to estimate climate-change effects on potentially failing forests within an expanding forest-steppe ecotone. To support forestry, seed transfers from locations that are best suited to the genotypes in future climates may be applied to assist trees and forests in a changing climate. To support agriculture, in view of the growing world concerns on food safety, new farming lands may be established in a new forest-steppe ecotone with its favorable climatic and soil resources. We used our bioclimatic vegetation models of various levels: a forest type model to predict forest shifts and forest-failing lands, tree species range and their climatypes models to predict what tree species/climatype would be suitable and crop models to predict crops to introduce in potentially climate-disturbed areas in Siberia. Climate change data for the 2080s were calculated from the ensemble of 20 general circulation models of the Coupled Model Intercomparison Project phase 5 (CMIP5) and two scenarios to characterize the range of climate change: mild climate (RCP2.6 scenario) and sharp climate (RCP 8.5 scenario). By the 2080s, forest-steppe and steppe rather than forests would dominate up to half of Siberia in the warmer and dryer RCP 8.5 climate. Water stress tolerant and fire-resistant light-needled species Pinus sylvestris and Larix spp. would dominate the forest-steppe ecotone. Failing forests in a dryer climate may be maintained by moving and substituting proper climatypes from locations often hundreds of km away. Agriculture in Siberia

  7. Effect of heat treatment on brewer's yeast fermentation activity

    OpenAIRE

    Kharandiuk, Tetiana; Kosiv, Ruslana; Palianytsia, Liubov; Berezovska, Natalia

    2015-01-01

    The influence of temperature treatment of brewer's yeast strain Saflager W-34/70 at temperatures of -17, 20, 25, 30, 35, 40 °C on their fermentative activity was studied. It was established that the freezing of yeast leads to a decrease of fermentation activity in directly proportional to the duration way. Fermentative activity of yeast samples can be increased by 20-24% by heat treatment at 35 °C during 15-30 minutes.

  8. BENEFICIAL EFFECTS OF LEVOTHYROXINE IN THE TREATMENT OF SUBCLINICAL HYPOTHYROIDISM

    Directory of Open Access Journals (Sweden)

    Mulic Mersudin

    2016-12-01

    Full Text Available Introduction:Increased cardiovascular risk in thyroid dysfunction is associated with disorders of lipid and lipoproteins, endothelial dysfunction, metabolic, hormonal, hemodynamic changes and coagulation disorders. Subclinical hypothyroidism is characterized by a suprarnormal level of TSH with normal levels of thyroid hormones. The correlation between subclinical hypothyroidism of the lipid profile and cardiovascular outcomes remains unclear. Several intervention studies assessed the effect of levothyroxine therapy on the lipid profile of patients with subclinical hypothyroidism and obtained conflicting results. The aim of the research is to determine whether subclinical hypothyroidism is associated with the atherogenic lipid profile and whether these changes are reversible after the introduction of the L-thyroxine replacement therapy. Method: The study included 51 patients over 50 years of age with subclinical hypothyroidism. All the participants were subjected to an examination programme which included a detailed anamnesis and physical examination, laboratory tests (total cholesterol, LDL cholesterol, HDL cholesterol, triglycerides, T3, T4, TSH. After eight weeks of levothyroxine therapy, the same laboratory parameters were determined in the patients. Results: Subjects with subclinical hypothyroidism had high average values: TSH (12.77 + 2.78 mIU / ml, total cholesterol (7.55 ± 0.79 mmol / l, LDL cholesterol (5.03 ± 0.61 mmol / l, triglycerides (2.48 ± 1.01 mmol / l; and the average value of HDL cholesterol was within reference values (1.12 ± 0.21 mmol / l. After eight weeks of levothyroxine replacement therapy, there was a statistically significant reduction of average values (p <0.0001: TSH (3.83 ± 1.33 mIU / ml, total cholesterol (6.28 ± 0.96 mmol / l, LDL cholesterol ( 4.03 ± 0.70 mmol / mmol / l l, triglycerides (1.98 ± 0.87 mmol / l; and the average value of HDL cholesterol increased significantly (p <0.0001 (1.32 ± 0.22 mmol

  9. Effect of Female Body Mass Index on Oocyte Quantity in Fertility Treatments (IVF: Treatment Cycle Number Is a Possible Effect Modifier. A Register-Based Cohort Study.

    Directory of Open Access Journals (Sweden)

    Mette Wulf Christensen

    Full Text Available Overweight and obese women may require higher doses of gonadotrophin when undergoing In Vitro Fertilization Treatment (IVF. Consequently, one may expect a sub-optimal oocyte retrieval in the first treatment cycle and thus a larger compensation in gonadotrophin-dose in the following treatment-cycles and a more favorable outcome. The main objective was to explore if treatment cycle number modifies the outcome when investigating the effect of female Body Mass Index (BMI on oocyte quantity in IVF.A historical cohort study was conducted on 5,342 treatment-cycles during the period 1999-2009. Exclusion criteria were missing information on BMI or treatment type. Further, women were excluded if they had ovulated before oocyte retrieval. According to baseline BMI, women were divided into four categories following the World Health Organization standards. Multiple linear regressions analyses were performed accounting for the non-independence of ≥2 cycles in a woman.Stratification according to cycle number revealed a more suboptimal outcome in the first treatment- cycles than in the following cycles, suggesting a possible interaction or effect modification from cycle number or a factor related to cycle number. The median dose of total follicular stimulating hormone given to the four BMI groups could not straight forwardly explain the less optimal oocyte outcome observed in first treatment cycles. No statistically significant differences were observed in oocyte yield for underweight, overweight and obesity compared to normal weight women when analyzing all treatment-cycles. Overweight women had significantly fewer mature (MII oocytes (p = 0.009 than normal weight women, whereas no differences was observed for underweight and obese women.Our study suggests a possible interaction or effect modification related to treatment cycle number. Investigating the effects of BMI on IVF-results in first treatment-cycles alone should be carried out cautiously.

  10. Silvicultural options in ageing holm oak (Quercus ilex L. coppices in Gargano: results after 14 growing seasons

    Directory of Open Access Journals (Sweden)

    Scopigno D

    2008-12-01

    Full Text Available In the frame of a long-term research program concerning management of ageing holm oak coppices, results available after 14 growing seasons are reported in present paper. Experimental treatments include: A 50 standards per hectare, all of the same age; B 250 standards per hectare, all of the same age; C 140 standards per hectare, with two different ages; D conversion to high forest; E natural evolution (control. A total of 15 permanent plots were established (5 treatments x 3 replicates per treatment and the experimental design used is that of randomised blocks. Based on observations concerning seedlings and shoots development and standards growth and competitive effects, the following preliminary results may be highlighted: i recovering the traditional coppicing system with few standards per hectare represents a valid option from both ecological and shoots growth point of view; the stools, with few standards per hectare, showed a larger number of sprouts, provided with a higher average height and larger diameters; ii uneven-aged standards represent a good alternative form the points of view of both landscape impact immediately after felling operations and stand resistance to climatic damages; iii a good alternative is to apply conversion treatments to high forest, whenever their site quality allows these operations.

  11. The effect of support on Internet-delivered treatment for insomnia: Does baseline depression severity matter?

    NARCIS (Netherlands)

    Lancee, J.; Sorbi, M.J.; Eisma, M.C.; van Straten, A.; van den Bout, J.

    2014-01-01

    Internet-delivered cognitive-behavioral treatment is effective for insomnia. However, little is known about the beneficial effects of support. Recently we demonstrated that motivational support moderately improved the effects of Internet-delivered treatment for insomnia. In the present study, we

  12. Under What Assumptions Do Site-by-Treatment Instruments Identify Average Causal Effects?

    Science.gov (United States)

    Reardon, Sean F.; Raudenbush, Stephen W.

    2013-01-01

    The increasing availability of data from multi-site randomized trials provides a potential opportunity to use instrumental variables methods to study the effects of multiple hypothesized mediators of the effect of a treatment. We derive nine assumptions needed to identify the effects of multiple mediators when using site-by-treatment interactions…

  13. Estimating the average treatment effect on survival based on observational data and using partly conditional modeling.

    Science.gov (United States)

    Gong, Qi; Schaubel, Douglas E

    2017-03-01

    Treatments are frequently evaluated in terms of their effect on patient survival. In settings where randomization of treatment is not feasible, observational data are employed, necessitating correction for covariate imbalances. Treatments are usually compared using a hazard ratio. Most existing methods which quantify the treatment effect through the survival function are applicable to treatments assigned at time 0. In the data structure of our interest, subjects typically begin follow-up untreated; time-until-treatment, and the pretreatment death hazard are both heavily influenced by longitudinal covariates; and subjects may experience periods of treatment ineligibility. We propose semiparametric methods for estimating the average difference in restricted mean survival time attributable to a time-dependent treatment, the average effect of treatment among the treated, under current treatment assignment patterns. The pre- and posttreatment models are partly conditional, in that they use the covariate history up to the time of treatment. The pre-treatment model is estimated through recently developed landmark analysis methods. For each treated patient, fitted pre- and posttreatment survival curves are projected out, then averaged in a manner which accounts for the censoring of treatment times. Asymptotic properties are derived and evaluated through simulation. The proposed methods are applied to liver transplant data in order to estimate the effect of liver transplantation on survival among transplant recipients under current practice patterns. © 2016, The International Biometric Society.

  14. [Effective treatment strategy in elderly breast cancer patients].

    Science.gov (United States)

    Boér, Katalin

    2005-01-02

    High frequency of cancer in older people and the improvements in life expectancy do not allow older age to be a barrier to treatment. The age is one of the risk factors for breast cancer development, one third of all cases occur in women older than 70 years. To provide an overview of the available information on the main issues in the field of surgery, radiotherapy and medical approaches to the treatment of breast cancer in the elderly. The author discusses the treatment of breast cancer in the elderly, based on the data of literature. The assessment of any patient is the first step in the treatment process, performance status is more important than age. In older women a correct evaluation includes not only the basic medical history and the cancer staging, but also a detailed assessment of health and environment that may interfere with the therapeutic approach of the patient. Age is not a limitation for surgery, without any comorbidity it is safe, and operative mortality is low. The body self-image is important for most old women, they also wish to keep their breasts, so a conservative surgery and adjuvant radiotherapy should be offered to all, as long as the stage permits it. The selection of patients who are candidates for axillary dissection is based on selective lymph sentinel node technique which provides an optimal nodal staging with a minimal morbidity. The results of radiotherapy are as good as in younger patients, elderly women tolerate radiotherapy well. The inability to travel to the radiation facility is often the reason for omitting the radiation treatment and to choose a modified mastectomy. A promising alternative to the standard radiation treatment is the concept of intraoperative radiotherapy. Breast cancer in the elderly women is more likely to be well differentiated tumour, containing oestrogen and progesterone receptors. Based on these favourable prognostic factors, endocrine therapy is the standard treatment in adjuvant and metastatic setting

  15. Mathematical modelling in volume per hectare of Pinus caribaea Morelet var. caribaea Barret y Golfari at the «Jazmines» silvicultural unit, Viñales

    Directory of Open Access Journals (Sweden)

    Juana Teresa Suárez Sarria

    2013-12-01

    Full Text Available Mathematical modelling constitutes a very useful tool for the planning and administration of the forest ecosystems. With the objective of predicting the behavior of volume by hectare of Pinus caribaea Moreletvar. caribaea. Barret y Golfari plantations at the «Jazmines» Silvicultural Unit, Viñales, seven non-lineal regression models were evaluated. The best goodness of fit model was the volume per hectare was the one designed by Hossfeld I, with a determining coefficient of 63, 9 % with a high significance parameter (P <0.001. The description curves for the annual mean increment with the time (IMA and the annual periodical increment (ICA of this variables were provided.

  16. Side effects of treatment in childhood acute leukemia, 2

    International Nuclear Information System (INIS)

    Fujinami, Akira; Murakami, Mako; Sako, Masahiro; Takubo, Yoshiyuki; Nakagawa, Kimiko; Konishi, Shouzaburo; Tsujino, Giiti; Hata, Shinn; Koizumi, Yoshiko

    1989-01-01

    We evaluated delayed neurotoxicities in treatment of childhood acute leukemia. Of 28 patients treated over 2 years who were examined on computed tomography of brain scans, 7 patients had abnormal findings. These abnormalities included two cases of leukoencephalopathy, three cases of intracranial calcifications, and two of ventricular dilatation. These patients were under 6 years old at the onset of disease, especially under 3 years old. Also, delayed neurotoxicities developed after relapse of leukemia, especially CNS relapse. It was considered that these were caused by cranial irradiation, intravenous methotrexate injection, intrathecal methotrexate, and sometimes high-dose Ara-C therapy, etc. Most of the cases of leukoencephalopathy were associated with treatment of intermediate-dose or high-dose methotrexate after relapse. These abnormalities must be carefully considered in the treatment of younger children with leukemia and patients with relapse. (author)

  17. Ash behavior during hydrothermal treatment for solid fuel applications. Part 2: Effects of treatment conditions on industrial waste biomass

    International Nuclear Information System (INIS)

    Mäkelä, Mikko; Yoshikawa, Kunio

    2016-01-01

    Highlights: • Effect of treatment conditions on composition and solubility of ash. • Ash dissolution and yield governed by liquid pH and calcium carbonate solubility. • Dissolution of calcium carbonate decreases ash fusion temperature during combustion. • Decreasing the ash content of sludge can weaken ash properties for combustion. - Abstract: This second half of our work on ash behavior concentrates on the effects of hydrothermal treatment conditions on paper sludge. Ash composition and solubility were determined based on treatment temperature, reactor solid load and liquid pH using experimental design and univariate regression methods. In addition, ash properties for combustion were evaluated based on recent developments on ash classification. Based on the results, all experimental variables had a statistically significant effect on ash yields. Only reactor solid load was statistically insignificant for char ash content, which increased based on increasing treatment temperature due to the decomposition of organic components. Ash dissolution and ash yield were governed by liquid pH and the generation of acids mainly due to the solubility of calcium carbonate identified as the main mineral species of paper sludge. Dissolution of calcium carbonate however decreased ash fusion temperatures more likely causing problems during char incineration. This indicated that decreasing the ash content of sludge during hydrothermal treatment can actually weaken ash properties for solid fuel applications.

  18. Biomarkers to Measure Treatment Effects in Alzheimer's Disease: What Should We Look for?

    Directory of Open Access Journals (Sweden)

    Kenneth Rockwood

    2011-01-01

    Full Text Available It is often surprisingly difficult to tell whether a treatment for Alzheimer's disease is effective. Biomarkers might offer the potential of a quantifiable objective measure of treatment effectiveness. This paper suggests several criteria by which biomarkers might be evaluated as outcomes measures. These include biological plausibility, statistical significance, dose dependence, convergence across measures, and replicability. If biomarkers can meet these criteria, then, pending regulatory approval, they may have a role in the evaluation of treatment effectiveness in Alzheimer's disease. If not, their usefulness may be in supplementing, but not supplanting, clinical profiles of treatment effects.

  19. Effects of larval-juvenile treatment with perchlorate and co-treatment with thyroxine on zebrafish sex ratios

    Science.gov (United States)

    Mukhi, S.; Torres, L.; Patino, R.

    2007-01-01

    The objective of this study was to determine the effect of larval-juvenile exposure to perchlorate, a thyroid hormone synthesis inhibitor, on the establishment of gonadal sex ratios in zebrafish. Zebrafish were exposed to untreated water or water containing perchlorate at 100 or 250 ppm for a period of 30 days starting at 3 days postfertilization (dpf). Recovery treatments consisted of a combination of perchlorate and exogenous thyroxine (T4; 10 nM). Thyroid histology was assessed at the end of the treatment period (33 dpf), and gonadal histology and sex ratios were determined in fish that were allowed an additional 10-day period of growth in untreated water. As expected, exposure to perchlorate caused changes in thyroid histology consistent with hypothyroidism and these effects were reversed by co-treatment with exogenous T4. Perchlorate did not affect fish survival but co-treatment with T4 induced higher mortality. However, relative to the corresponding perchlorate concentration, co-treatment with T4 caused increased mortality only at a perchlorate concentration of 100 ppm. Perchlorate alone or in the presence of T4 suppressed body length at 43 dpf relative to control values. Perchlorate exposure skewed the sex ratio toward female in a concentration-dependent manner, and co-treatment with T4 not only blocked the feminizing effect of perchlorate but also overcompensated by skewing the sex ratio towards male. Moreover, co-treatment with T4 advanced the onset of spermatogenesis in males. There was no clear association between sex ratios and larval survival or growth. We conclude that endogenous thyroid hormone plays a role in the establishment of gonadal sex phenotype during early development in zebrafish. ?? 2006 Elsevier Inc. All rights reserved.

  20. The side-effects to CPAP treatment inventory: the development and initial validation of a new tool for the measurement of side-effects to CPAP treatment.

    Science.gov (United States)

    Broström, Anders; Arestedt, Kristofer Franzén; Nilsen, Per; Strömberg, Anna; Ulander, Martin; Svanborg, Eva

    2010-12-01

    Continuous positive airway pressure (CPAP) is the treatment of choice for obstructive sleep apnoea syndrome (OSAS), but side-effects are common. No validated self-rating scale measuring side-effects to CPAP treatment exists today. The aim was to develop the side-effects to CPAP treatment inventory (SECI), and investigate the validity and reliability of the instrument among patients with OSAS. SECI was developed on the basis of: (1) in-depth interviews with 23 patients; (2) examination of the scientific literature and (3) consensus agreement of a multi-professional expert panel. This yielded 15 different types of side-effects related to CPAP treatment. Each side-effect has three sub-questions (scales): perceived frequency (a) and magnitude (b) of the side-effect, as well as its perceived impact on CPAP use (c). A cross-sectional descriptive design was used. A total of 329 patients with OSAS with an average use of CPAP treatment for 39 months (2 weeks to 182 months) were recruited. Data were collected with SECI, and obtained from medical records (clinical variables and data related to CPAP treatment). Construct validity was confirmed with factor analysis (principal component analysis with orthogonal rotation). A logical two-factor solution, the device subscale and symptom subscale, emerged across all three scales. The symptom subscale describing physical and psychological side-effects and the device subscale described mask and device-related side-effects. Internal consistency reliability of the three scales was good (Cronbach's α = 0.74-0.86) and acceptable for the subscales (Cronbach's α = 0.62-0.86). The satisfactory measurement properties of this new instrument are promising and indicate that SECI can be used to measure side-effects to CPAP treatment. © 2010 European Sleep Research Society.